RNSG 1341 Exam 3 -Power Point, Objective, & Learning Guide Review
(latest update) questions with complete solutions
1. When obtaining important health infor- answer = Have you had any changes in skin?
mation from a patient during assess- (dryness, scaliness, pruritus, sores, rashes,
ment of the skin, what is most important lumps, color, texture, odor, and lesion that does
for the nurse to ask about? not heal)
Rationale = pt are the most reliable source for
what is new or not their normal.
2. When performing a physical assess- answer = d. Let the patient know that all areas
ment of the skin, what would the nurse of the skin would be inspected.
do first?
a. Palpate the temperature of the skin rationale = It's necessary for the pt to be
with the fingertips. completely undressed for a skin exam. Gowns
b. Assess the degree of turgor by pinch- should be provided, & exposure minimized as
ing the skin on the forearm. age than UV from the su
c. Inspect specific lesions before per-
forming a general examination of the
skin.
d. Let the patient know that all areas of
the skin would be inspected.
3. Which statements are true about skin
and skin care? Select all that apply.
a. Ultraviolet (UV) exposure from tan-
ning beds is not safe.
b. Ultraviolet (UV) exposure from tan-
ning beds is safer and causes less dam-
,RNSG 1341 Exam 3 -Power Point, Objective, & Learning Guide Review
(latest update) questions with complete solutions
the skin is inspected generally 1st, followed by a lesio-specific exam.
Skin temp is best assessed with the back of the hand, & turgor is
assessed by pinching the skin on the back of the hand.
answer = a,d,f
rationale = Obesity attects skin with increased sweating that causes
inflammation & dry skin, poor wound healing, & problems in skin
folds. Photosensitivity occurs when certain chemicals absorb light
from the sun & harm the skin. Ben- zophenones block both UVA &
UVB rays. Vitamin
,RNSG 1341 Exam 3 -Power Point, Objective, & Learning Guide Review
(latest update) questions with complete solutions
c. The nutrient that is critical in main- A, not C, is critical in maintaining & repairing
taining and repairing the structure of the structure of epithelial cells. Exposure to UV
epithelial cells is vitamin B. is important in the development of skin cancer.
d. Exposure to UV rays is believed to be Chronic UV exposure from tanning beds causes
the most important factor in the devel- the same damage as UV from the sun.
opment of skin cancer.
e. The photosensitivity caused by vari-
ous drugs can be blocked using topical
hydrocortisone.
f. Photosensitivity results when certain
chemicals in body cells and tissues ab-
sorb light from the sun and release en-
ergy that harms the tissues and cells.
4. A woman calls the health clinic and de- = vesicles
scribes a rash that she has over the ab-
discrete, localized to the chest & abdomen. col-
domen and chest. She tells the nurse
or, size, height, shape, configuration, & odor of
that the rashes are raised, fluid-filled,
lesions.
like small blisters that are distinct.
Identify the type of primary skin lesion
described by this patient.
What other information does the nurse
have to document the critical compo-
nents of these lesions?
5. What is the main difference between an answer = d.
excoriation and an ulcer? rationale = an excoriation is a focal loss of epi-
a. ulcers do not penetrate below the epi- dermis, it does not involve the dermis &, as
dermal junction. such, does not scar with healing.
b. excoriations involve only thinning of
the epidermis & dermis. ulcers do penetrate into & through the dermis,
, RNSG 1341 Exam 3 -Power Point, Objective, & Learning Guide Review
(latest update) questions with complete solutions
c. excoriations will form crusts or scabs, & scarring does occur. Epidermal & dermal thin-
while ulcers remain open. ning is atrophy of the skin but does not involove
d. an excoriation heals without scarring a break in skin integrity
because the dermis is not involved.
6. Describe each diagnosis tool and when punch biopsy = done with larger nodules to
they are used on a lesion? examine for pathology (as are incisional biop-
a. Punch biopsy sies).
b. Shave biopsy
c. Excisional biopsy shave biopsy = done for superficial lesions that
can be scraped with a razor blade, removing
the full thickness of the stratum corneum. (like
a plaque lesion)
excisional biopsy = done when the entire re-
moval of a lesion is desired. (tumor)
7. An active athletic person calls the clinic answer = b. Fissure
and describes her feet as having a linear
break-throughs in the skin. What is the rationale = fissures are linear cracks, such as
best documentation of this problem? athlete's foot.
a. Scales scales are excess dead epidermal cells.
(latest update) questions with complete solutions
1. When obtaining important health infor- answer = Have you had any changes in skin?
mation from a patient during assess- (dryness, scaliness, pruritus, sores, rashes,
ment of the skin, what is most important lumps, color, texture, odor, and lesion that does
for the nurse to ask about? not heal)
Rationale = pt are the most reliable source for
what is new or not their normal.
2. When performing a physical assess- answer = d. Let the patient know that all areas
ment of the skin, what would the nurse of the skin would be inspected.
do first?
a. Palpate the temperature of the skin rationale = It's necessary for the pt to be
with the fingertips. completely undressed for a skin exam. Gowns
b. Assess the degree of turgor by pinch- should be provided, & exposure minimized as
ing the skin on the forearm. age than UV from the su
c. Inspect specific lesions before per-
forming a general examination of the
skin.
d. Let the patient know that all areas of
the skin would be inspected.
3. Which statements are true about skin
and skin care? Select all that apply.
a. Ultraviolet (UV) exposure from tan-
ning beds is not safe.
b. Ultraviolet (UV) exposure from tan-
ning beds is safer and causes less dam-
,RNSG 1341 Exam 3 -Power Point, Objective, & Learning Guide Review
(latest update) questions with complete solutions
the skin is inspected generally 1st, followed by a lesio-specific exam.
Skin temp is best assessed with the back of the hand, & turgor is
assessed by pinching the skin on the back of the hand.
answer = a,d,f
rationale = Obesity attects skin with increased sweating that causes
inflammation & dry skin, poor wound healing, & problems in skin
folds. Photosensitivity occurs when certain chemicals absorb light
from the sun & harm the skin. Ben- zophenones block both UVA &
UVB rays. Vitamin
,RNSG 1341 Exam 3 -Power Point, Objective, & Learning Guide Review
(latest update) questions with complete solutions
c. The nutrient that is critical in main- A, not C, is critical in maintaining & repairing
taining and repairing the structure of the structure of epithelial cells. Exposure to UV
epithelial cells is vitamin B. is important in the development of skin cancer.
d. Exposure to UV rays is believed to be Chronic UV exposure from tanning beds causes
the most important factor in the devel- the same damage as UV from the sun.
opment of skin cancer.
e. The photosensitivity caused by vari-
ous drugs can be blocked using topical
hydrocortisone.
f. Photosensitivity results when certain
chemicals in body cells and tissues ab-
sorb light from the sun and release en-
ergy that harms the tissues and cells.
4. A woman calls the health clinic and de- = vesicles
scribes a rash that she has over the ab-
discrete, localized to the chest & abdomen. col-
domen and chest. She tells the nurse
or, size, height, shape, configuration, & odor of
that the rashes are raised, fluid-filled,
lesions.
like small blisters that are distinct.
Identify the type of primary skin lesion
described by this patient.
What other information does the nurse
have to document the critical compo-
nents of these lesions?
5. What is the main difference between an answer = d.
excoriation and an ulcer? rationale = an excoriation is a focal loss of epi-
a. ulcers do not penetrate below the epi- dermis, it does not involve the dermis &, as
dermal junction. such, does not scar with healing.
b. excoriations involve only thinning of
the epidermis & dermis. ulcers do penetrate into & through the dermis,
, RNSG 1341 Exam 3 -Power Point, Objective, & Learning Guide Review
(latest update) questions with complete solutions
c. excoriations will form crusts or scabs, & scarring does occur. Epidermal & dermal thin-
while ulcers remain open. ning is atrophy of the skin but does not involove
d. an excoriation heals without scarring a break in skin integrity
because the dermis is not involved.
6. Describe each diagnosis tool and when punch biopsy = done with larger nodules to
they are used on a lesion? examine for pathology (as are incisional biop-
a. Punch biopsy sies).
b. Shave biopsy
c. Excisional biopsy shave biopsy = done for superficial lesions that
can be scraped with a razor blade, removing
the full thickness of the stratum corneum. (like
a plaque lesion)
excisional biopsy = done when the entire re-
moval of a lesion is desired. (tumor)
7. An active athletic person calls the clinic answer = b. Fissure
and describes her feet as having a linear
break-throughs in the skin. What is the rationale = fissures are linear cracks, such as
best documentation of this problem? athlete's foot.
a. Scales scales are excess dead epidermal cells.
