Medical- surgical Dermatology UPDATED
ACTUAL Exam Questions and CORRECT
Answers
A nurse is assisting with the development of an education session about malignant melanoma for
a group of clients. The nurse should include that which of the following clients has an increased
risk for developing malignant melanoma?
- A client who has brown eyes
- A client who has a light complexion
- A client who has black hair
- A client who is 20 years of age - CORRECT ANSWER - A client who has a light
complexion
A nurse is caring for a client who has been applying silver sulfadiazine cream to a deep partial-
thickness arm burn for the past 2 weeks. The nurse should monitor the client for which of the
following adverse effects?
- Hyponatremia
- Leukopenia
- Hyperchloremia
- Elevated BUN - CORRECT ANSWER - Leukopenia
A nurse in a provider's office is collecting data from a client who has skin lesions. The nurse
notes that the lesions are 0.5 cm (0.20 in) in size, elevated, and solid, with very distinct borders.
The nurse should document the findings as which of the following skin lesions?
- Papules
- Macules
- Wheals
- Vesicles - CORRECT ANSWER - Papules
, A nurse is collecting data from a client who sustained superficial partial-thickness and deep
partial-thickness burns 72 hr ago. Which of the following findings should the nurse report to the
provider?
- Edema in the affected extremities
- Severe pain at the burn sites
- Urine output of 30 mL/hr
- Temperature of 39.1° C (102.4° F) - CORRECT ANSWER - Temperature of 39.1° C
(102.4° F)
A nurse is observing the skin of a client who has frostbite. The client has small blisters that
contain blood and the skin of the affected area does not blanch. The nurse should classify this
injury as which of the following?
- First- degree frostbite
- Second- degree frostbite
- Third- degree frostbite
- Fourth- degree frostbite - CORRECT ANSWER - Third- degree frostbite
A nurse in an urgent care clinic is caring for a client who has a snakebite on her arm. Which of
the following actions should the nurse take?
- Immobilize the limb at the level of the heart.
- Apply a tourniquet to the affected limb.
- Use a sterile scapula to incise the wound.
- Apply ice to the skin over the snakebite wound. - CORRECT ANSWER - Immobilize the
limb at the level of the heart.
A nurse is collecting data from a client who has an arm lesion. Which of the following
characteristics is a clinical manifestation of a malignant melanoma?
- Rough, dry, and scaly
- Firm nodule with crust
- Pearly papule with an ulcerated center
ACTUAL Exam Questions and CORRECT
Answers
A nurse is assisting with the development of an education session about malignant melanoma for
a group of clients. The nurse should include that which of the following clients has an increased
risk for developing malignant melanoma?
- A client who has brown eyes
- A client who has a light complexion
- A client who has black hair
- A client who is 20 years of age - CORRECT ANSWER - A client who has a light
complexion
A nurse is caring for a client who has been applying silver sulfadiazine cream to a deep partial-
thickness arm burn for the past 2 weeks. The nurse should monitor the client for which of the
following adverse effects?
- Hyponatremia
- Leukopenia
- Hyperchloremia
- Elevated BUN - CORRECT ANSWER - Leukopenia
A nurse in a provider's office is collecting data from a client who has skin lesions. The nurse
notes that the lesions are 0.5 cm (0.20 in) in size, elevated, and solid, with very distinct borders.
The nurse should document the findings as which of the following skin lesions?
- Papules
- Macules
- Wheals
- Vesicles - CORRECT ANSWER - Papules
, A nurse is collecting data from a client who sustained superficial partial-thickness and deep
partial-thickness burns 72 hr ago. Which of the following findings should the nurse report to the
provider?
- Edema in the affected extremities
- Severe pain at the burn sites
- Urine output of 30 mL/hr
- Temperature of 39.1° C (102.4° F) - CORRECT ANSWER - Temperature of 39.1° C
(102.4° F)
A nurse is observing the skin of a client who has frostbite. The client has small blisters that
contain blood and the skin of the affected area does not blanch. The nurse should classify this
injury as which of the following?
- First- degree frostbite
- Second- degree frostbite
- Third- degree frostbite
- Fourth- degree frostbite - CORRECT ANSWER - Third- degree frostbite
A nurse in an urgent care clinic is caring for a client who has a snakebite on her arm. Which of
the following actions should the nurse take?
- Immobilize the limb at the level of the heart.
- Apply a tourniquet to the affected limb.
- Use a sterile scapula to incise the wound.
- Apply ice to the skin over the snakebite wound. - CORRECT ANSWER - Immobilize the
limb at the level of the heart.
A nurse is collecting data from a client who has an arm lesion. Which of the following
characteristics is a clinical manifestation of a malignant melanoma?
- Rough, dry, and scaly
- Firm nodule with crust
- Pearly papule with an ulcerated center
