,NU 189 EXAM 2 Medical-Surgical Nursing II Questions And Answers
2026/2027 Galen College
Q1. Which assessment finding is most characteristic of atopic
dermatitis?
A) Dry, itchy, erythematous skin
B) Pearly waxy nodule
C) Vesicular lesions in a dermatome
D) Thick black eschar
Correct Answer: A) Dry, itchy, erythematous skin
Rationale: Atopic dermatitis commonly causes dry, inflamed, pruritic skin
associated with impaired skin-barrier function.
Q2. Which intervention is appropriate for a client with atopic
dermatitis?
A) Apply moisturizer regularly
B) Use very hot baths
C) Scratch affected areas
D) Use harsh soaps
Correct Answer: A) Apply moisturizer regularly
Rationale: Moisturizers restore the skin barrier and reduce dryness and
itching.
Q3. Which client statement about atopic dermatitis requires further
teaching?
A) “I will keep my skin moisturized.”
B) “I will use mild skin-care products.”
C) “I can scratch the rash whenever it itches.”
D) “I will avoid irritating substances.”
Correct Answer: C) “I can scratch the rash whenever it itches.”
Rationale: Scratching damages the skin and increases the risk of
inflammation, excoriation, and infection.
Q4. Which finding is characteristic of psoriasis?
A) Silvery scales over well-demarcated plaques
B) Pearly translucent nodules
, C) Vesicles along a dermatome
D) Honey-colored crusts only
Correct Answer: A) Silvery scales over well-demarcated plaques
Rationale: Psoriasis commonly produces sharply demarcated erythematous
plaques covered by silvery scales.
Q5. Which nursing intervention is appropriate for psoriasis?
A) Maintain skin hydration
B) Encourage scratching
C) Use harsh abrasive cleansers
D) Keep the skin dry at all times
Correct Answer: A) Maintain skin hydration
Rationale: Moisturizing reduces dryness and scaling and supports the skin
barrier.
Q6. Which statement by a client with psoriasis indicates a need for
further teaching?
A) “I will moisturize my skin.”
B) “I will avoid trauma to affected areas.”
C) “I should scratch the plaques to remove the scales.”
D) “I will follow my treatment plan.”
Correct Answer: C) “I should scratch the plaques to remove the scales.”
Rationale: Scratching can injure the skin and worsen inflammation.
Q7. Which finding is most characteristic of basal cell carcinoma?
A) Pearly or waxy nodule
B) Symmetric flat macule
C) Vesicular rash
D) Silvery plaque
Correct Answer: A) Pearly or waxy nodule
Rationale: Basal cell carcinoma commonly appears as a pearly, translucent,
or waxy lesion, frequently on sun-exposed skin.
Q8. Which characteristic should cause the nurse to suspect
melanoma?
2026/2027 Galen College
Q1. Which assessment finding is most characteristic of atopic
dermatitis?
A) Dry, itchy, erythematous skin
B) Pearly waxy nodule
C) Vesicular lesions in a dermatome
D) Thick black eschar
Correct Answer: A) Dry, itchy, erythematous skin
Rationale: Atopic dermatitis commonly causes dry, inflamed, pruritic skin
associated with impaired skin-barrier function.
Q2. Which intervention is appropriate for a client with atopic
dermatitis?
A) Apply moisturizer regularly
B) Use very hot baths
C) Scratch affected areas
D) Use harsh soaps
Correct Answer: A) Apply moisturizer regularly
Rationale: Moisturizers restore the skin barrier and reduce dryness and
itching.
Q3. Which client statement about atopic dermatitis requires further
teaching?
A) “I will keep my skin moisturized.”
B) “I will use mild skin-care products.”
C) “I can scratch the rash whenever it itches.”
D) “I will avoid irritating substances.”
Correct Answer: C) “I can scratch the rash whenever it itches.”
Rationale: Scratching damages the skin and increases the risk of
inflammation, excoriation, and infection.
Q4. Which finding is characteristic of psoriasis?
A) Silvery scales over well-demarcated plaques
B) Pearly translucent nodules
, C) Vesicles along a dermatome
D) Honey-colored crusts only
Correct Answer: A) Silvery scales over well-demarcated plaques
Rationale: Psoriasis commonly produces sharply demarcated erythematous
plaques covered by silvery scales.
Q5. Which nursing intervention is appropriate for psoriasis?
A) Maintain skin hydration
B) Encourage scratching
C) Use harsh abrasive cleansers
D) Keep the skin dry at all times
Correct Answer: A) Maintain skin hydration
Rationale: Moisturizing reduces dryness and scaling and supports the skin
barrier.
Q6. Which statement by a client with psoriasis indicates a need for
further teaching?
A) “I will moisturize my skin.”
B) “I will avoid trauma to affected areas.”
C) “I should scratch the plaques to remove the scales.”
D) “I will follow my treatment plan.”
Correct Answer: C) “I should scratch the plaques to remove the scales.”
Rationale: Scratching can injure the skin and worsen inflammation.
Q7. Which finding is most characteristic of basal cell carcinoma?
A) Pearly or waxy nodule
B) Symmetric flat macule
C) Vesicular rash
D) Silvery plaque
Correct Answer: A) Pearly or waxy nodule
Rationale: Basal cell carcinoma commonly appears as a pearly, translucent,
or waxy lesion, frequently on sun-exposed skin.
Q8. Which characteristic should cause the nurse to suspect
melanoma?
