Review Questions

1.

What term would the nurse document when describing the depth of a laceration through the second layer of skin?

1. Langerhans
2. keloid
3. keratin
4. dermis

2.

Which layer of the epidermis is only present in the soles of the feet?

1. stratum basale
2. stratum granulosum
3. stratum lucidum
4. stratum spinosum

3.

What is the primary function of the skin?

1. protection
2. store and release fat
3. vitamin B production
4. digestive enzyme production

4.

The nurse is educating a patient on how their skin helps with temperature regulation. The nurse explains to the patient that when the body temperature decreases, the blood vessels do what?

1. vasoconstrict to increase blood flow
2. vasoconstrict to decrease blood flow
3. vasodilate to increase blood flow
4. vasodilate to decrease blood flow

5.

The nurse caring for a dark-skinned patient knows that the patient is more susceptible to

1. freckles
2. keloids
3. skin cancer
4. sunburns

6.

The pediatric nurse is educating a new mother on risk factors that may contribute to her young infant’s risk for hypothermia. The nurse knows the mother understood the teaching when she makes what statement?

1. “My child is at risk for hypothermia because he has a lesser amount of subcutaneous tissue, meaning his blood vessels are farther away from the surface.”
2. “My child is at risk for hypothermia because he has more subcutaneous tissue, meaning his blood vessels are farther away from the surface.”
3. “My child is at risk for hypothermia because he has more subcutaneous tissue, meaning his blood vessels are closer to the surface.”
4. “My child is at risk for hypothermia because he has a lesser amount of subcutaneous tissue, meaning his blood vessels are closer to the surface.”

7.

What is an example of a lifestyle choice that is a behavioral risk factor for impaired skin integrity?

1. diabetes
2. illicit drug use
3. a medication for congenital heart disease
4. impaired mobility

8.

A 67-year-old patient presents to the clinic with redness, edema, and fluid-filled vesicles on the right leg that is hot to the touch. The patient also complains of pain and tenderness. The patient’s heart rate is 110 and temperature is 100.8°F (38.2°C). The nurse should suspect what skin abnormality?

1. folliculitis
2. carbuncles
3. impetigo
4. cellulitis

9.

The nurse is caring for an adult who has just been diagnosed with shingles. The nurse knows the patient understood the teaching when the patient says what?

1. “Varicella lies dormant after having the vaccination or chickenpox. It can reactivate later in life and present as shingles.”
2. “Shingles can only occur if you have had the varicella vaccine.”
3. “I had chickenpox as a kid, so I should not be getting this virus.”
4. “Shingles only affects women.”

10.

You are educating a patient on preventing skin cancer. You know the patient understood the teaching when they say what?

1. “I will only go to the tanning salon twice a week.”
2. “I will avoid the sun from 9 a.m. to 1 p.m. when the UV rays are the strongest.”
3. “I will wear protective clothing, like long sleeves, hats, and sunglasses, and will use sunscreen at the lake this weekend.”
4. “I will use a sunscreen that has an SPF factor of five or greater.”

11.

What is not a benign skin change found in older adults?

1. cherry angiomas
2. wrinkles
3. carbuncle
4. melasma