Test Bank for Saunders Comprehensive Re- view for the NCLEX-RN Examination, 7th Edition, Linda Anne Silvestri, New Review Edition 2025-26 A+

Test Bank for Saunders Comprehensive Re- view for the NCLEX-RN Examination, 7th Edition, Linda Anne Silvestri, New Review Edition 2025-26 A+ MULTIPLE CHOICE 1. The nurse reviews the health record of a client with melasma. The nurse would anticipate that this client will exhibit: 1. Skin that is uniformly dark in color 2. Very pale skin with little pigmentation 3. Patches of skin that have loss of pigmentation 4. Blotchy brown macules across the cheeks and forehead ANS: 4 Rationale: Melasma is a condition caused by hormonal influences on melanin production and is noted by the appearance of blotchy brown macules across the cheeks and forehead. “Skin that is uniformly dark in color” describes vitiligo. “Very pale skin with little pigmentation” and “patches of skin that have loss of pigmentation” refer to normal variations in skin color. Test-Taking Strategy: To answer this question correctly, you must be familiar with the various terms used when discussing skin structures and functions. “Skin that is uniformly dark in color” describes vitiligo. “Very pale skin with little pigmentation” and “patches of skin that have loss of pigmentation” refer to normal variations in skin color. Review the description of melasma if you had difficulty with this question. PTS: 1 DIF: Level of Cognitive Ability: Understanding REF: Black, J., & Hawks, J. (2009). Medical-surgical nursing: clinical management for positive outcomes (8th ed.). St. Louis: Saunders. OBJ: Client Needs: Physiological Integrity TOP: Content Area: Adult Health/Integumentary MSC: Integrated Process: Nursing Process—Assessment 2. The client with cellulitis of the lower leg has had cultures done on the affected area. The nurse reviewing the results of the culture report interprets that which of the following organisms is not part of the normal flora of the skin? 1. Escherichia coli