NMNC 1110 EAQ 6 Questions with Correct Answers
Which intervention would the nurse include in the plan of care for a
client admitted with herpes zoster? Select all that apply. One, some, or
all responses may be correct.
A. Acyclovir
B. Silvadene
C. Gabapentin
D. Wet compresses
E. Contact isolation Correct Answer-All
A client with herpes zoster would receive antiviral medications such as
acyclovir. Silvadene can be applied to open vesicles. Gabapentin can be
used to treat the nerve pain associated with herpes zoster. Wet
compresses can be applied to the vesicles to relieve discomfort. Herpes
zoster is highly contagious, and the client would be placed in contact
isolation precautions.
Which type of skin lesion has a wavy border?
A. Annular
B. Circinate
C. Coalesced
D. Serpiginous Correct Answer-Serpiginous
A lesion with a wavy border indicates a serpiginous lesion. A lesion that
is ringlike with raised borders around a flat, clear center indicates an
,annular lesion. A circular lesion indicates a circinate lesion. A lesion that
merges with another and appears confluent indicates a coalesced lesion.
Which event occurs in the proliferative phase of wound healing?
A. Thinning of scar tissue
B. Strengthening of collagen
C. Formation of granulation tissue
D. Increase in capillary permeability Correct Answer-Formulation of
granulation tissue
Granulation tissue is formed in the proliferative tissue. Thinning of scar
tissue and strengthening of collagen fibers is seen in the maturation
phase of wound healing. The increase in capillary permeability occurs in
the inflammatory phase of wound healing.
The nurse observes elevated superficial lesions filled with purulent fluid
on a client's skin. Which type of lesion would the nurse document in the
health record?
A. Wheal
B. Plaque
C. Pustule
D. Vesicle Correct Answer-Pustule
Pustules are the primary lesions that cause elevated, superficial lesions
filled with purulent fluid on the skin. Acne and impetigo are examples of
pustules. A wheal is a firm, edematous, irregularly shaped lesion. Insect
,bites and urticaria are examples of wheals. Plaque consists of
circumscribed, elevated superficial solid lesions less than 0.5 cm in
diameter. Psoriasis and seborrheic are examples of plaque. A vesicle is a
circumscribed, superficial collection of serous fluid. Varicella and
second-degree burns are examples of vesicles.
The nurse is caring for an older adult who was admitted to the hospital
to be treated for dehydration. While the nurse is providing discharge
teaching, the client asks what to do about itchy, dry skin. Which
response by the nurse is appropriate?
A. "Wear plenty of warm clothes to keep moisture in the skin."
B. "Use a moisturizer on the skin daily to help reduce itching."
C. "Take hot tub baths only twice a week to reduce drying of the skin."
D. "Expose the skin to the air to help reduce the sensation of itching."
Correct Answer-"Use a moisturizer on the skin daily to help reduce
itching."
Lubricating the skin with a moisturizer effectively relieves dryness and,
thus, the pruritus (itching). Wearing warm clothing will not lubricate the
skin or relieve pruritus. Warm or cool, not hot, tub baths will reduce
itching. Exposing the skin to the air causes further drying and will not
relieve pruritus.
Which point would the nurse include in a teaching plan to help manage
pain during dressing changes if a client has burns over 18% of body
surface?
A. Deep breathing exercises
, B. Progressive muscle relaxation
C. Active range-of-motion exercises
D. Important elements of wound care Correct Answer-Deep breathing
exercises
Deep breathing exercises are an effective intervention in controlling
pain; this is a positive coping skill. Muscle relaxation techniques
generally include muscle contraction and then relaxation, which may
increase the pain. Active range-of-motion exercises may increase the
pain. Understanding important aspects of wound care will not reduce
pain; health teaching should be initiated before, not during, a procedure.
Which benign condition of the client's skin is associated with the
grouping of normal cells derived from melanocytelike precursor cells?
A. Nevi
B. Psoriasis
C. Acne vulgaris
D. Plantar warts Correct Answer-Nevi
Nevi (moles) are hyperpigmented areas that vary in form and size. Nevi
are a common benign condition of the skin that is associated with the
grouping of normal cells derived from melanocytelike precursor cells.
Psoriasis is an autoimmune chronic dermatitis that involves excessively
rapid turnover of epidermal cells. Acne vulgaris is an inflammatory
disorder of sebaceous glands. Plantar warts are formed due to a viral
infection. Plantar warts appear on the bottom surface of the feet and
grow inward because of pressure.
Which intervention would the nurse include in the plan of care for a
client admitted with herpes zoster? Select all that apply. One, some, or
all responses may be correct.
A. Acyclovir
B. Silvadene
C. Gabapentin
D. Wet compresses
E. Contact isolation Correct Answer-All
A client with herpes zoster would receive antiviral medications such as
acyclovir. Silvadene can be applied to open vesicles. Gabapentin can be
used to treat the nerve pain associated with herpes zoster. Wet
compresses can be applied to the vesicles to relieve discomfort. Herpes
zoster is highly contagious, and the client would be placed in contact
isolation precautions.
Which type of skin lesion has a wavy border?
A. Annular
B. Circinate
C. Coalesced
D. Serpiginous Correct Answer-Serpiginous
A lesion with a wavy border indicates a serpiginous lesion. A lesion that
is ringlike with raised borders around a flat, clear center indicates an
,annular lesion. A circular lesion indicates a circinate lesion. A lesion that
merges with another and appears confluent indicates a coalesced lesion.
Which event occurs in the proliferative phase of wound healing?
A. Thinning of scar tissue
B. Strengthening of collagen
C. Formation of granulation tissue
D. Increase in capillary permeability Correct Answer-Formulation of
granulation tissue
Granulation tissue is formed in the proliferative tissue. Thinning of scar
tissue and strengthening of collagen fibers is seen in the maturation
phase of wound healing. The increase in capillary permeability occurs in
the inflammatory phase of wound healing.
The nurse observes elevated superficial lesions filled with purulent fluid
on a client's skin. Which type of lesion would the nurse document in the
health record?
A. Wheal
B. Plaque
C. Pustule
D. Vesicle Correct Answer-Pustule
Pustules are the primary lesions that cause elevated, superficial lesions
filled with purulent fluid on the skin. Acne and impetigo are examples of
pustules. A wheal is a firm, edematous, irregularly shaped lesion. Insect
,bites and urticaria are examples of wheals. Plaque consists of
circumscribed, elevated superficial solid lesions less than 0.5 cm in
diameter. Psoriasis and seborrheic are examples of plaque. A vesicle is a
circumscribed, superficial collection of serous fluid. Varicella and
second-degree burns are examples of vesicles.
The nurse is caring for an older adult who was admitted to the hospital
to be treated for dehydration. While the nurse is providing discharge
teaching, the client asks what to do about itchy, dry skin. Which
response by the nurse is appropriate?
A. "Wear plenty of warm clothes to keep moisture in the skin."
B. "Use a moisturizer on the skin daily to help reduce itching."
C. "Take hot tub baths only twice a week to reduce drying of the skin."
D. "Expose the skin to the air to help reduce the sensation of itching."
Correct Answer-"Use a moisturizer on the skin daily to help reduce
itching."
Lubricating the skin with a moisturizer effectively relieves dryness and,
thus, the pruritus (itching). Wearing warm clothing will not lubricate the
skin or relieve pruritus. Warm or cool, not hot, tub baths will reduce
itching. Exposing the skin to the air causes further drying and will not
relieve pruritus.
Which point would the nurse include in a teaching plan to help manage
pain during dressing changes if a client has burns over 18% of body
surface?
A. Deep breathing exercises
, B. Progressive muscle relaxation
C. Active range-of-motion exercises
D. Important elements of wound care Correct Answer-Deep breathing
exercises
Deep breathing exercises are an effective intervention in controlling
pain; this is a positive coping skill. Muscle relaxation techniques
generally include muscle contraction and then relaxation, which may
increase the pain. Active range-of-motion exercises may increase the
pain. Understanding important aspects of wound care will not reduce
pain; health teaching should be initiated before, not during, a procedure.
Which benign condition of the client's skin is associated with the
grouping of normal cells derived from melanocytelike precursor cells?
A. Nevi
B. Psoriasis
C. Acne vulgaris
D. Plantar warts Correct Answer-Nevi
Nevi (moles) are hyperpigmented areas that vary in form and size. Nevi
are a common benign condition of the skin that is associated with the
grouping of normal cells derived from melanocytelike precursor cells.
Psoriasis is an autoimmune chronic dermatitis that involves excessively
rapid turnover of epidermal cells. Acne vulgaris is an inflammatory
disorder of sebaceous glands. Plantar warts are formed due to a viral
infection. Plantar warts appear on the bottom surface of the feet and
grow inward because of pressure.
