©Jason McConnel 2025 ALL RIGHTS RESERVED.
Assessment of Integumentary Function Exam
Questions With Correct Answers A+
A patient has a serum bilirubin concentration of 3 mg/100 mL. What does the nurse observe
when performing a skin assessment on this patient? - Answer✔Jaundice
During a routine examination of a client's fingernails, the nurse notes a horizontal depression in
each nail plate. When documenting this finding, the nurse should use which term? -
Answer✔Beau's line
Which of the following is a factor that causes wrinkles among older adults? - Answer✔Loss of
the subcutaneous tissue
Which of the following is the principal hardening ingredient of the hair and nails? -
Answer✔Keratin
During a routine checkup, a nurse observes the client's skin to be tight and shiny. Which of the
following is the correct indication of this sign? - Answer✔Fluid retention
An older adult client's skin has become dry and flaked. Which of the following is the cause of
this condition? - Answer✔Reduction in sebum production
Which of the following could be a possible cause of cyanosis? - Answer✔Low tissue
oxygenation
While assessing a patient at the clinic the nurse notes patchy, milky white spots. The nurse
knows that this finding is a symptom of what? - Answer✔Vitiligo
The nurse is preparing to perform a Wood's light examination. Which of the following would be
most important for the nurse to do? - Answer✔Make sure that the room is darkened.
A nurse is preparing a patient with a history of allergies for diagnostic testing. Which of the
following would the nurse anticipate as being most likely - Answer✔Patch testing
After teaching a group of students about the structure of the skin, the nursing instructor
determines that the teaching was successful when the group identifies which of the following as
the true skin? - Answer✔Dermis
The nurse and nursing assistant are moving a client who slid down in the chair. What does the
nurse encourage the assistant to avoid shearing when moving the client to a higher position in the
chair? - Answer✔Lift the client, do not slide them
1|Page
, ©Jason McConnel 2025 ALL RIGHTS RESERVED.
The nurse notes that the patient demonstrates generalized pallor and recognizes that this finding
may be indicative of - Answer✔Anemia
The nurse examines a patient and notices a herpes simplex/zoster skin lesion. How does the
nurse document this lesion? - Answer✔Vesicle
The nurse observes an African-American patient with a large hypertrophied area of scar tissue on
the left ear lobe. What does the nurse document this finding as? - Answer✔Keloid
Nursing students are reviewing information about various types of skin lesions. The students
demonstrate understanding of the information when they identify which of the following as a
vascular lesion? - Answer✔Spider angioma
The nurse is performing a physical examination of a patient and observes a well-healed old scar
on the right shoulder. The scar is hypertrophied, elevated, and irregular without any redness or
irritation. The patient states, "I had shoulder surgery about 5 years ago." The nurse documents
this finding as which of the following? - Answer✔Keloid
Petechiae are associated with which of the following disorders? - Answer✔Thrombocytopenia
A 15 year-old pubescent boy is having a sports physical for school. Findings on the face and
body indicate that the client is overproducing sebum, which is consistent with the client's age.
What is the primary function of sebum? - Answer✔prevents drying and cracking of the skin and
hair
A client is coming to the office to have a growth removed by the doctor. The client asks "What
does cryosurgery do to the growth?" What is the correct response? - Answer✔Through the
application of extreme cold, the tissue is destroyed.
A client has a rash on the arm that has been treated with an antibiotic without eradicating the
rash. What type of examination can be used to determine if the rash is a fungal rash using
ultraviolet light? - Answer✔A Wood's light examination
A patient comes to the clinic and asks the nurse why the skin of the forehead, palms, and soles
has a yellow-orange tint. There is no yellowing of the sclera or mucous membranes. What should
the nurse question the patient regarding? - Answer✔"Have you been eating a large amount of
carotene-rich foods?"
The nurse documents the skin color change of a dark-skinned African American patient in
cardiogenic shock as: - Answer✔Ashen gray and dull.
Which of the following terms refers to a condition characterized by destruction of the
melanocytes in circumscribed areas of the skin? - Answer✔Vitiligo
Assessment of a patient reveals a flat and nonpalpable skin lesion that is 0.5 cm with a
circumscribed border. The nurse documents this lesion as which of the following? -
Answer✔Macule
2|Page
Assessment of Integumentary Function Exam
Questions With Correct Answers A+
A patient has a serum bilirubin concentration of 3 mg/100 mL. What does the nurse observe
when performing a skin assessment on this patient? - Answer✔Jaundice
During a routine examination of a client's fingernails, the nurse notes a horizontal depression in
each nail plate. When documenting this finding, the nurse should use which term? -
Answer✔Beau's line
Which of the following is a factor that causes wrinkles among older adults? - Answer✔Loss of
the subcutaneous tissue
Which of the following is the principal hardening ingredient of the hair and nails? -
Answer✔Keratin
During a routine checkup, a nurse observes the client's skin to be tight and shiny. Which of the
following is the correct indication of this sign? - Answer✔Fluid retention
An older adult client's skin has become dry and flaked. Which of the following is the cause of
this condition? - Answer✔Reduction in sebum production
Which of the following could be a possible cause of cyanosis? - Answer✔Low tissue
oxygenation
While assessing a patient at the clinic the nurse notes patchy, milky white spots. The nurse
knows that this finding is a symptom of what? - Answer✔Vitiligo
The nurse is preparing to perform a Wood's light examination. Which of the following would be
most important for the nurse to do? - Answer✔Make sure that the room is darkened.
A nurse is preparing a patient with a history of allergies for diagnostic testing. Which of the
following would the nurse anticipate as being most likely - Answer✔Patch testing
After teaching a group of students about the structure of the skin, the nursing instructor
determines that the teaching was successful when the group identifies which of the following as
the true skin? - Answer✔Dermis
The nurse and nursing assistant are moving a client who slid down in the chair. What does the
nurse encourage the assistant to avoid shearing when moving the client to a higher position in the
chair? - Answer✔Lift the client, do not slide them
1|Page
, ©Jason McConnel 2025 ALL RIGHTS RESERVED.
The nurse notes that the patient demonstrates generalized pallor and recognizes that this finding
may be indicative of - Answer✔Anemia
The nurse examines a patient and notices a herpes simplex/zoster skin lesion. How does the
nurse document this lesion? - Answer✔Vesicle
The nurse observes an African-American patient with a large hypertrophied area of scar tissue on
the left ear lobe. What does the nurse document this finding as? - Answer✔Keloid
Nursing students are reviewing information about various types of skin lesions. The students
demonstrate understanding of the information when they identify which of the following as a
vascular lesion? - Answer✔Spider angioma
The nurse is performing a physical examination of a patient and observes a well-healed old scar
on the right shoulder. The scar is hypertrophied, elevated, and irregular without any redness or
irritation. The patient states, "I had shoulder surgery about 5 years ago." The nurse documents
this finding as which of the following? - Answer✔Keloid
Petechiae are associated with which of the following disorders? - Answer✔Thrombocytopenia
A 15 year-old pubescent boy is having a sports physical for school. Findings on the face and
body indicate that the client is overproducing sebum, which is consistent with the client's age.
What is the primary function of sebum? - Answer✔prevents drying and cracking of the skin and
hair
A client is coming to the office to have a growth removed by the doctor. The client asks "What
does cryosurgery do to the growth?" What is the correct response? - Answer✔Through the
application of extreme cold, the tissue is destroyed.
A client has a rash on the arm that has been treated with an antibiotic without eradicating the
rash. What type of examination can be used to determine if the rash is a fungal rash using
ultraviolet light? - Answer✔A Wood's light examination
A patient comes to the clinic and asks the nurse why the skin of the forehead, palms, and soles
has a yellow-orange tint. There is no yellowing of the sclera or mucous membranes. What should
the nurse question the patient regarding? - Answer✔"Have you been eating a large amount of
carotene-rich foods?"
The nurse documents the skin color change of a dark-skinned African American patient in
cardiogenic shock as: - Answer✔Ashen gray and dull.
Which of the following terms refers to a condition characterized by destruction of the
melanocytes in circumscribed areas of the skin? - Answer✔Vitiligo
Assessment of a patient reveals a flat and nonpalpable skin lesion that is 0.5 cm with a
circumscribed border. The nurse documents this lesion as which of the following? -
Answer✔Macule
2|Page
