Skin, Hair, And Nails

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Question 1

Free

Multiple Choice

A patient asks the nurse if it is possible to grow new skin. What is the nurse's most appropriate response?

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"Even if new skin growth is required, the melanocytes do not regenerate."

"The avascular epidermis sheds slowly and is replaced completely every 4 weeks."

"The outer layer of skin remains the same over the lifetime except for repairing injuries."

"Epidermal regeneration is impossible because it is avascular."

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Question 2

Free

Multiple Choice

A nurse assessing a patient with liver disease expects to find which manifestation during the examination?

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Yellowish color in the axilla and groin

Yellow pigmentation in the sclera

Very pale skin on the palms

Ashen-gray color in the oral mucous membranes

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Question 3

Free

Multiple Choice

How does the nurse recognize jaundice in a dark-skinned patient?

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Inspect the conjunctiva for ashen-gray color.

Inspect the nail beds for a deeper brown or purple skin tone.

Inspect the palms and soles for yellowish-green color.

Inspect the oral mucous membrane for yellow color.

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Question 4

Free

Multiple Choice

What signs of cyanosis does a nurse inspect for in a dark-skinned patient?

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Ashen-gray color of the oral mucous membranes

Blue color in the nail beds

Ashen-blue color in the palms and soles

Blue-gray color in the ear lobes and lips

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Question 5

Free

Multiple Choice

When the patient's chart includes a notation that petechiae are present, what finding does a nurse expect during inspection?

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Purplish-red pinpoint lesions

Deep purplish or red patches of skin

Small raised fluid-filled pinkish nodules

Generalized reddish discoloration of an area of skin

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Question 6

Multiple Choice

When performing a skin assessment of an adult patient, the nurse expects what finding?

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Reddened area does not blanch when gentle pressure is applied.

Indentation of the finger remains in the skin after palpation.

Flaking or scaling of the skin

Return of skin to its original position when pinched up slightly

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Question 7

Multiple Choice

A nurse notices a patient's nails are thin and depressed with the edges turned up. What additional abnormal data should the nurse expect to find on this patient?

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Pale conjunctiva

Jaundice

Ecchymosis

Rashes

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Question 8

Multiple Choice

A 45-year-old woman tells the nurse she is distressed by the presence of dark, coarse hair on her face that has recently developed. What is the nurse's most appropriate response to this patient?

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"This is simple vellus hair and it will decrease in amount over time."

"Some women in your cultural group normally have dark hair on their faces."

"This is unusual; female hair distribution should be limited to arms, legs, and pubis."

"Coarse dark hair could result from hormonal changes such as from menopause."

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Question 9

Multiple Choice

What findings does a nurse expect when inspecting and palpating a patient's nails?

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A nail base angle of not more than 90 degrees.

Whitish to clear nails in darker-skinned patients.

Nail surface is smooth and rounded.

Transverse depression running across the nails.

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Question 10

Multiple Choice

A nurse notices that the angle of the patient's proximal nail fold and the nail plate are almost a flat line; about 160 degrees. How does the nurse interpret this finding?

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This patient has chronic pulmonary disease.

This is an expected finding.

This is due to stress to the nails.

This is associated with anemia.

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Question 11

Multiple Choice

A nurse is inspecting the nails of a patient with chronic hypoxemia and notices enlargements of the ends of the fingers and angles of the nail base greater than a straight line (exceeding 180 degrees). How does the nurse document these findings?

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An expected finding

Koilonychia (spoon nail)

Clubbing

Leukonychia

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Question 12

Multiple Choice

While giving a history, a patient reports itching arms, legs, and chest after using a new soap. What manifestations does the nurse expect to find on the arms, legs, and chest when inspecting this patient's skin?

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Elevated irregularly shaped areas of edema of variable diameter

Elevated, firm, and rough lesions with flat surface greater than 1 cm in diameter

Elevated circumscribed superficial lesions less than 1 cm in diameter filled with serous fluid

Elevated, firm circumscribed areas less than 1 cm in diameter

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Question 13

Multiple Choice

While inspecting the skin, a nurse notices a lesion on the patient's upper right arm. What is the best way to document the size of this lesion?

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Compare its size to the size of a coin.

Estimate its size to the nearest inch.

Use a centimeter ruler to measure the lesion.

Trace the lesion onto a piece of paper.

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Question 14

Multiple Choice

During shift report, a nurse learns that a patient has a macular rash. As the nurse inspects the patient's skin, what finding will confirm the rash?

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Elevated, firm, well-defined lesions less than 1 cm in diameter

Depressed, firm, or scaly, rough lesions greater than 1 cm in diameter

Elevated, fluid-filled lesions less than 1 cm in diameter

Flat, well-defined, small lesions less than 1 cm in diameter

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Question 15

Multiple Choice

During inspection of a patient's upper back, the nurse notices three small, elevated superficial lesions filled with purulent fluid. How does the nurse document this finding?

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As three cysts on the upper back

As several bullae on the back

As three pustules on the upper back

As three wheals on the upper back

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Question 16

Multiple Choice

A nurse notices multiple lesions on a patient's left hand that are 0.5 cm in width, elevated, circumscribed, and filled with serous fluid. What kind of primary lesions are these?

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Macules

Patches

Vesicles

Bullae

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Question 17

Multiple Choice

A nurse notices multiple lesions on the back of a patient's left hand that are 0.5 cm in width, elevated, circumscribed, and filled with serous fluid. How does the nurse document these lesions?

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As multiple macules on the dorsum of the left hand

As multiple vesicles on the dorsum of the left hand

As several patches on the left hand

As several bullae on the dorsum of the left hand

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Question 18

Multiple Choice

A patient has come to the clinic complaining of a "bump" behind his right ear. Upon inspection, the nurse notes a lesion that is elevated, solid, and 4 cm in diameter. What does the nurse call this lesion when she reports her findings to the health care provider?

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Tumor

Nodule

Keloid

Papule

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Question 19

Multiple Choice

A nurse is inspecting the skin of a patient who has had skin problems after multiple piercings. How will the nurse recognize the characteristics of keloids?

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Roughened and thickened scales involving flexor surfaces

Hypertrophic scarring extending beyond the original wound edges

Thin, fibrous tissue replacing normal skin following injury

Loss of the epidermal layer, creating a hollowed-out or crusted area

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Question 20

Multiple Choice

A patient reports the mole on the scalp has started itching and it bleeds when scratching it. What other finding is a danger sign for pigmented skin lesions?

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Symmetry of the lesion

Rounded border

Color variation

Size less than 6 mm wide

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