Final Review NR302 Exam Questions with Complete Answers

The mother of a three-month-old baby tells the nurse that her baby's skin is like tissue paper and scratches easily. Which of the following responses would be appropriate for the nurse to say to this mother? A.Skin is expected to easily bruise and bleed until age 2. B.This is something that the physician needs to know about. C.Don't worry, this is normal. D.The baby's skin is thin and will get thicker as the baby gets older. Correct Answer D.The baby's skin is thin and will get thicker as the baby gets older. Skin is very thin at birth and thickens throughout childhood. Despite the fact that the skin is thin during infancy, it is not expected to bruise and bleed easily until the age of 2. The physician does not need to be notified of this condition. Although this is a normal finding, using false reassurance and telling the mother not to worry is not utilizing therapeutic communication. The nurse notices a slightly musky odor during the interview of a 14-year-old teenager. Which of the following could explain this odor? A.This is normal functioning of the apocrine glands. B.This is normal functioning of the eccrine glands. C.This is normal functioning of the dermis. D.This is normal functioning of the hypodermis Correct Answer A.This is normal functioning of the apocrine glands. Apocrine glands are found in the axillary and anogenital regions. They are dormant until the onset of puberty. When apocrine sweat mixes with bacteria on the skin surface, it assumes a musky odor. The eccrine glands produce clear perspiration made up of water and salts. The dermis contains a variety of structures including nerves, blood vessels, lymphatic vessels, hair follicles, and sweat and oil glands. The hypodermis is the subcutaneous tissue that stores fat cells. The nurse notes that the fold of epidermal skin around an adolescent client's fingernails is bleeding. Which of the following does this finding indicate about the client? A.The client will have difficulty synthesizing vitamin D. B.The client will have difficulty regulating body temperature. C.The client's nail roots can be at risk for infection. D.The client is at risk for losing viable hair follicles. Correct Answer C.The client's nail roots can be at risk for infection. A fold of epidermal skin, called a cuticle, protects the root and sides of each nail. If this skin is disrupted, the client is at risk for infection. Vitamin D synthesis and temperature regulation are functions of the skin. Hair follicles are embedded in the dermis.