1 MAXE · GRUS DEM
★ ★
Ivy Tech Community College
IT School of Nursing — Medical-Surgical Nursing
EST. 1963
CHANGING LIVES · STRENGTHENING INDIANA
Medical-Surgical Nursing — Exam 1 Review
S K I N D I S O R D E RS · P R E O P E RAT I V E & P O STO P E RAT I V E C A R E · P R E SS U R E U LC E RS
INSTITUTION Ivy Tech Community College COURSE CODE NRSG 201 — Medical-Surgical
Nursing I
PROGRAM Associate of Science in Nursing ACADEMIC YEAR
(ASN)
EXAM TITLE Exam 1 — Integumentary & TOTAL QUESTIONS 96 Questions
Perioperative Nursing
COURSE TITLE Medical-Surgical Nursing I FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise instructed.
▸ This examination covers integumentary disorders, preoperative and postoperative nursing care,
pressure ulcer staging, and related pathophysiology.
▸ Questions include bacterial, viral, and fungal skin infections, surgical nursing interventions, and wound
healing concepts.
▸ Correct answers and clinical rationales appear below each question for review purposes.
▸ All content reflects current evidence-based nursing practice and NCLEX standards.
, SECTION I — INTEGUMENTARY DISORDERS &
Questions 1 – 96
PERIOPERATIVE NURSING
1. What are the levels of Maslow's Hierarchy of Needs in correct order from most basic to
highest?
A. Safety, Physiological, Love/Belonging, Esteem, Self-Actualization
B. Physiological, Safety, Love/Belonging, Esteem, Self-Actualization
C. Self-Actualization, Esteem, Love/Belonging, Safety, Physiological
D. Physiological, Love/Belonging, Safety, Self-Actualization, Esteem
CORRECT ANSWER B — Physiological, Safety, Love/Belonging, Esteem, Self-Actualization
RATIONALE Maslow's Hierarchy progresses from the most fundamental survival needs
upward: physiological needs (air, water, food, shelter), safety and security, love
and belonging, esteem, and finally self-actualization. In nursing, physiological
needs must be addressed first — a patient cannot focus on higher-level needs if
basic physiologic requirements are unmet. This framework guides nursing
prioritization in clinical practice.
2. The concept of nursing vigilance is directly related to which critical patient safety
outcome?
A. Patient satisfaction scores and hospital reimbursement
B. Failure to rescue — recognizing and responding to early signs of deterioration
C. Length of stay and bed turnover efficiency
D. Documentation completeness for legal protection
CORRECT ANSWER B — Failure to rescue — recognizing and responding to early signs of
deterioration
RATIONALE Nursing vigilance — the sustained attention and systematic observation of
patients — is directly linked to failure to rescue. Failure to rescue occurs when a
healthcare provider does not recognize, or fails to act upon, early signs of clinical
deterioration in a timely manner. Vigilant nursing assessment, including
monitoring vital signs, level of consciousness, and subtle changes in patient
status, is the primary defense against preventable adverse outcomes.
,3. A nurse is reviewing bacterial skin infections. Which of the following are classified as
bacterial skin infections? (Select all that apply format — choose the most comprehensive
correct answer.)
A. Impetigo, folliculitis, furuncles, and carbuncles
B. Tinea pedis, tinea corporis, and tinea capitis
C. Herpes zoster and herpes simplex
D. Scabies and pediculosis
CORRECT ANSWER A — Impetigo, folliculitis, furuncles, and carbuncles
RATIONALE Impetigo, folliculitis, furuncles, and carbuncles are all bacterial skin infections —
typically caused by Staphylococcus aureus or Streptococcus pyogenes. Tinea
infections are fungal, herpes zoster is viral, and scabies/pediculosis are parasitic
infestations. Correct classification of skin infections by etiology is essential for
appropriate treatment selection (antibacterial, antifungal, antiviral, or
antiparasitic therapy).
4. A school nurse observes a child with a honey-crusted lesion around the mouth and nose.
Which bacterial skin infection does this presentation most likely indicate?
A. Folliculitis
B. Impetigo
C. Carbuncle
D. Furuncle
CORRECT ANSWER B — Impetigo
RATIONALE Impetigo characteristically presents as honey-crusted lesions, typically appearing
around the nose and mouth. It is a highly contagious superficial bacterial
infection commonly seen in school-aged children. The characteristic honey-
colored crusting helps distinguish impetigo from folliculitis (inflammation of
individual hair follicles), furuncles (deep infected boils), and carbuncles
(coalesced infected follicles).
, 5. A patient presents with a small, tender, red pustule at the base of a hair follicle on the
forearm. The nurse correctly identifies this as which condition?
A. Furuncle
B. Carbuncle
C. Folliculitis
D. Impetigo
CORRECT ANSWER C — Folliculitis
RATIONALE Folliculitis is the inflammation of a single hair follicle, presenting as a small
pustule at the follicle base. Furuncles (boils) are deeper infections extending into
the dermis with pus formation, carbuncles are coalescences of several infected
follicles forming a larger lesion, and impetigo presents as honey-crusted
superficial lesions not specifically associated with hair follicles.
6. Furuncles are best described as:
A. Superficial honey-crusted lesions around the nose and mouth
B. Boils — inflamed follicles with pus extending into the dermis or deeper
C. Fungal infections of the nails and nail beds
D. Parasitic infestations caused by mites
CORRECT ANSWER B — Boils — inflamed follicles with pus extending into the dermis or deeper
RATIONALE Furuncles, commonly called boils, are deep bacterial infections of hair follicles
with suppuration (pus formation) extending into the dermis or subcutaneous
tissue. They are more severe than folliculitis and may require incision and
drainage in addition to antibiotic therapy. Option A describes impetigo, option C
describes tinea unguium, and option D describes scabies.
★ ★
Ivy Tech Community College
IT School of Nursing — Medical-Surgical Nursing
EST. 1963
CHANGING LIVES · STRENGTHENING INDIANA
Medical-Surgical Nursing — Exam 1 Review
S K I N D I S O R D E RS · P R E O P E RAT I V E & P O STO P E RAT I V E C A R E · P R E SS U R E U LC E RS
INSTITUTION Ivy Tech Community College COURSE CODE NRSG 201 — Medical-Surgical
Nursing I
PROGRAM Associate of Science in Nursing ACADEMIC YEAR
(ASN)
EXAM TITLE Exam 1 — Integumentary & TOTAL QUESTIONS 96 Questions
Perioperative Nursing
COURSE TITLE Medical-Surgical Nursing I FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise instructed.
▸ This examination covers integumentary disorders, preoperative and postoperative nursing care,
pressure ulcer staging, and related pathophysiology.
▸ Questions include bacterial, viral, and fungal skin infections, surgical nursing interventions, and wound
healing concepts.
▸ Correct answers and clinical rationales appear below each question for review purposes.
▸ All content reflects current evidence-based nursing practice and NCLEX standards.
, SECTION I — INTEGUMENTARY DISORDERS &
Questions 1 – 96
PERIOPERATIVE NURSING
1. What are the levels of Maslow's Hierarchy of Needs in correct order from most basic to
highest?
A. Safety, Physiological, Love/Belonging, Esteem, Self-Actualization
B. Physiological, Safety, Love/Belonging, Esteem, Self-Actualization
C. Self-Actualization, Esteem, Love/Belonging, Safety, Physiological
D. Physiological, Love/Belonging, Safety, Self-Actualization, Esteem
CORRECT ANSWER B — Physiological, Safety, Love/Belonging, Esteem, Self-Actualization
RATIONALE Maslow's Hierarchy progresses from the most fundamental survival needs
upward: physiological needs (air, water, food, shelter), safety and security, love
and belonging, esteem, and finally self-actualization. In nursing, physiological
needs must be addressed first — a patient cannot focus on higher-level needs if
basic physiologic requirements are unmet. This framework guides nursing
prioritization in clinical practice.
2. The concept of nursing vigilance is directly related to which critical patient safety
outcome?
A. Patient satisfaction scores and hospital reimbursement
B. Failure to rescue — recognizing and responding to early signs of deterioration
C. Length of stay and bed turnover efficiency
D. Documentation completeness for legal protection
CORRECT ANSWER B — Failure to rescue — recognizing and responding to early signs of
deterioration
RATIONALE Nursing vigilance — the sustained attention and systematic observation of
patients — is directly linked to failure to rescue. Failure to rescue occurs when a
healthcare provider does not recognize, or fails to act upon, early signs of clinical
deterioration in a timely manner. Vigilant nursing assessment, including
monitoring vital signs, level of consciousness, and subtle changes in patient
status, is the primary defense against preventable adverse outcomes.
,3. A nurse is reviewing bacterial skin infections. Which of the following are classified as
bacterial skin infections? (Select all that apply format — choose the most comprehensive
correct answer.)
A. Impetigo, folliculitis, furuncles, and carbuncles
B. Tinea pedis, tinea corporis, and tinea capitis
C. Herpes zoster and herpes simplex
D. Scabies and pediculosis
CORRECT ANSWER A — Impetigo, folliculitis, furuncles, and carbuncles
RATIONALE Impetigo, folliculitis, furuncles, and carbuncles are all bacterial skin infections —
typically caused by Staphylococcus aureus or Streptococcus pyogenes. Tinea
infections are fungal, herpes zoster is viral, and scabies/pediculosis are parasitic
infestations. Correct classification of skin infections by etiology is essential for
appropriate treatment selection (antibacterial, antifungal, antiviral, or
antiparasitic therapy).
4. A school nurse observes a child with a honey-crusted lesion around the mouth and nose.
Which bacterial skin infection does this presentation most likely indicate?
A. Folliculitis
B. Impetigo
C. Carbuncle
D. Furuncle
CORRECT ANSWER B — Impetigo
RATIONALE Impetigo characteristically presents as honey-crusted lesions, typically appearing
around the nose and mouth. It is a highly contagious superficial bacterial
infection commonly seen in school-aged children. The characteristic honey-
colored crusting helps distinguish impetigo from folliculitis (inflammation of
individual hair follicles), furuncles (deep infected boils), and carbuncles
(coalesced infected follicles).
, 5. A patient presents with a small, tender, red pustule at the base of a hair follicle on the
forearm. The nurse correctly identifies this as which condition?
A. Furuncle
B. Carbuncle
C. Folliculitis
D. Impetigo
CORRECT ANSWER C — Folliculitis
RATIONALE Folliculitis is the inflammation of a single hair follicle, presenting as a small
pustule at the follicle base. Furuncles (boils) are deeper infections extending into
the dermis with pus formation, carbuncles are coalescences of several infected
follicles forming a larger lesion, and impetigo presents as honey-crusted
superficial lesions not specifically associated with hair follicles.
6. Furuncles are best described as:
A. Superficial honey-crusted lesions around the nose and mouth
B. Boils — inflamed follicles with pus extending into the dermis or deeper
C. Fungal infections of the nails and nail beds
D. Parasitic infestations caused by mites
CORRECT ANSWER B — Boils — inflamed follicles with pus extending into the dermis or deeper
RATIONALE Furuncles, commonly called boils, are deep bacterial infections of hair follicles
with suppuration (pus formation) extending into the dermis or subcutaneous
tissue. They are more severe than folliculitis and may require incision and
drainage in addition to antibiotic therapy. Option A describes impetigo, option C
describes tinea unguium, and option D describes scabies.
