NURS 307 Exam 2-Questions with complete solutions.
A 52-year-old woman has a papule on her nose that has rounded, pearly borders and a
central red ulcer. She said she first noticed it several months ago and that it has slowly
grown larger. The nurse suspects which condition?
Basal cell carcinoma
Acne
Squamous cell carcinoma
Melanoma
Basal cell carcinoma
A patient has been admitted to a hospital after the staff in the nursing home noticed a
pressure ulcer in the patient’s sacral area. The nurse examines the pressure ulcer and
determines that it is a stage II ulcer. Which of these findings are characteristic of a stage II
pressure ulcer? (Select all that apply.)
Localized redness in light skin will blanch with fingertip pressure.
Partial thickness skin erosion is observed with a loss of epidermis or dermis.
Open blister areas have a red-pink wound bed.
,Ulcer extends into the subcutaneous tissue.
Patches of eschar cover parts of the wound.
Intact skin appears red but is not broken.
Partial thickness skin erosion is observed with a loss of epidermis or dermis.
Open blister areas have a red-pink wound bed.
A Black patient is in the intensive care unit because of impending shock after an accident.
The nurse expects to find what characteristics in this patient's skin?
Generalized pallor
Patchy areas of pallor
Ruddy blue
Ashen, gray, or dull
Ashen, gray, or dull
The nurse educator is preparing an education module on skin, hair, and nails for the
nursing staff. Which of these statements about the dermal layer of the skin would be
,included in the module?
Consists mostly of keratin.
Contains sensory receptors.
Contains mostly fat cells.
Is replaced every 4 weeks.
Contains sensory receptors.
During the aging process, the hair can look gray or white and begin to feel thin and fine.
What would the nurse understand causes this?
Decrease in the number of functioning phagocytes
Increased adipose tissue
Increase in the vascularity of the scalp
Decrease in the number of functioning melanocytes
Decrease in the number of functioning melanocytes
, While performing an assessment of a 65-year-old man with a history of hypertension and
coronary artery disease, the nurse notices the presence of bilateral pitting edema in the
lower legs. The skin is puffy and tight but normal in color. No increased redness or
tenderness is observed over his lower legs, and the peripheral pulses are equal and strong.
In this situation, the nurse suspects that the likely cause of the edema is which condition?
Local inflammation
Heart failure
Venous stasis
Peripheral arterial insufficiency
Heart failure
The nurse has discovered decreased skin turgor in a patient and knows that this finding is
expected in which condition?
Severe obesity
Connective tissue disorders such as scleroderma
Childhood growth spurts
A 52-year-old woman has a papule on her nose that has rounded, pearly borders and a
central red ulcer. She said she first noticed it several months ago and that it has slowly
grown larger. The nurse suspects which condition?
Basal cell carcinoma
Acne
Squamous cell carcinoma
Melanoma
Basal cell carcinoma
A patient has been admitted to a hospital after the staff in the nursing home noticed a
pressure ulcer in the patient’s sacral area. The nurse examines the pressure ulcer and
determines that it is a stage II ulcer. Which of these findings are characteristic of a stage II
pressure ulcer? (Select all that apply.)
Localized redness in light skin will blanch with fingertip pressure.
Partial thickness skin erosion is observed with a loss of epidermis or dermis.
Open blister areas have a red-pink wound bed.
,Ulcer extends into the subcutaneous tissue.
Patches of eschar cover parts of the wound.
Intact skin appears red but is not broken.
Partial thickness skin erosion is observed with a loss of epidermis or dermis.
Open blister areas have a red-pink wound bed.
A Black patient is in the intensive care unit because of impending shock after an accident.
The nurse expects to find what characteristics in this patient's skin?
Generalized pallor
Patchy areas of pallor
Ruddy blue
Ashen, gray, or dull
Ashen, gray, or dull
The nurse educator is preparing an education module on skin, hair, and nails for the
nursing staff. Which of these statements about the dermal layer of the skin would be
,included in the module?
Consists mostly of keratin.
Contains sensory receptors.
Contains mostly fat cells.
Is replaced every 4 weeks.
Contains sensory receptors.
During the aging process, the hair can look gray or white and begin to feel thin and fine.
What would the nurse understand causes this?
Decrease in the number of functioning phagocytes
Increased adipose tissue
Increase in the vascularity of the scalp
Decrease in the number of functioning melanocytes
Decrease in the number of functioning melanocytes
, While performing an assessment of a 65-year-old man with a history of hypertension and
coronary artery disease, the nurse notices the presence of bilateral pitting edema in the
lower legs. The skin is puffy and tight but normal in color. No increased redness or
tenderness is observed over his lower legs, and the peripheral pulses are equal and strong.
In this situation, the nurse suspects that the likely cause of the edema is which condition?
Local inflammation
Heart failure
Venous stasis
Peripheral arterial insufficiency
Heart failure
The nurse has discovered decreased skin turgor in a patient and knows that this finding is
expected in which condition?
Severe obesity
Connective tissue disorders such as scleroderma
Childhood growth spurts
