DUNPHY EXAM 3 || 250
QUESTIONS AND ANSWERS
(GRADED A+)
A client is experiencing a circular lesion with an advancing, red, scaly
border on the abdomen. The nurse recognizes this lesion as being:
1. tinea capitis.
2. tinea corporis.
3. tinea cruris.
4. tinea pedis. - ANSWER-2. tinea corporis
A client is diagnosed with tinea versicolor. Which of the following should
the nurse instruct this client regarding the care for this skin condition?
1. Do nothing since there is no treatment.
2. Utilize shampoo with selenium.
3. Utilize an oral antifungal preparation as prescribed.
4. Apply warm compresses to the affected areas. - ANSWER-2. Utilize
shampoo with selenium.
A school nurse assesses a child who has an erythematous circular patch of
vesicles on her scalp with alopecia and complains of pain and pruritus.
Why would the nurse use a Woods lamp?
1. To dry out the lesions
2. To reduce the pruritus
3. To kill the fungus
4. To cause fluorescence of the infected hairs - ANSWER-4. To cause
fluorescence of the infected hairs
A client has what appears to be a bacterial infection or warts on her
fingertips. This can be a sign of:
1. herpes gladiatorum.
2. herpes simplex.
3. herpes zoster.
4.herpetic whitlow. - ANSWER-4.herpetic whitlow.
A school-age child is experiencing pruritic vesicles around the mouth. The
lesions have a honey- colored crust. The nurse realizes that the child is
most likely experiencing:
1. candidiasis.
2. herpes simplex.
,3. impetigo.
4. tinea corporis. - ANSWER-3. impetigo.
Which patient statement indicates that more teaching is needed regarding
antibiotic therapy for the treatment of cellulitis?
1. My skin is cleared up. I don't think I need the medication anymore.
2, Cellulitis can come back at any time.
3. If I had washed that scratch with soap and water, I probably would not
have gotten cellulitis.
4. Cellulitis is contagious. - ANSWER-1. My skin is cleared up. I don't think I
need the medication anymore.
The nurse is participating in planning care for a patient with pemphigus.
What nursing diagnosis
should the nurse recommend be used to guide this patients care?
a. Risk for Infection
b. Fluid Volume Excess
c. Self-Care Deficit: Skin Care
d. Imbalanced Nutrition: Less Than Body Requirements - ANSWER-a. Risk
for Infection
2.A client is diagnosed with genital herpes simplex virus. The nurse know
that symptoms of the primary infection occur:
1. 1 to 4 days after exposure.
2. 3 to 7 days after exposure.
3. 5 to 9 days after exposure.
4. 7 to 11 days after exposure. - ANSWER-2. 3 to 7 days after exposure.
What should a patient be assessed for upon the diagnosis of genital
herpes?
1. Hepatitis B
2. Syphilis
3. Human immunodeficiency virus (HIV).
4. Cirrhosis - ANSWER-3. Human immunodeficiency virus (HIV).
The nurse is care for a patient with shingles. Which statement should the
nurse include in patient
teaching?
a. Herpes simplex 2 causes shingles.
b. Shingles is caused by herpes simplex 1 virus.
c. Varicella zoster is the virus responsible for shingles.
d. Herpes zoster is a virus that is common in older patients. - ANSWER-c.
Varicella zoster is the virus responsible for shingles.
,Which of the following should the nurse instruct a client who is prescribed
a topical medication for a skin condition?
1. Apply directly to broken or irritated skin.
2. Apply before bathing.
3. Apply after bathing.
4. Cover the area with an occlusive dressing. - ANSWER-3. Apply after
bathing.
A client is diagnosed with a dermatologic condition causing pruritis and
inflammation. Which of the following should the nurse instruct this client?
1. Use regular perfumed lotion to moisturize the skin.
2. Use scented soap to bathe the skin daily.
3. Apply skin oil daily.
4. Apply a body moisturizer to the skin within 3 to 5 minutes after bathing.
- ANSWER-4. Apply a body moisturizer to the skin within 3 to 5 minutes
after bathing.
What is the initial intervention for relief of the pruritus of dermatitis
venenata?
1. Apply baking soda to lesions
2. Wash area with copious amounts of water
3. Apply cool compresses continuously
4. Expose area to air - ANSWER-2. Wash area with copious amounts of
water
A patient developed a severe contact dermatitis of the hands, arms, and
lower legs after spending an afternoon picking strawberries. The patient
states that the itching is severe and cannot keep from scratching. Which
instruction would be most helpful in managing the pruritus?
1. Use cool, wet dressings and baths to promote vasoconstriction.
2. Trim the fingernails short to prevent skin damage from scratching.
3. Expose the areas to the sun to promote drying and healing of the
lesions.
4. Wear cotton gloves and cover all other affected areas with clothing to
prevent environmental
irritation. - ANSWER-1. Use cool, wet dressings and baths to promote
vasoconstriction.
A client is experiencing a circular lesion with an advancing, red, scaly
border on the abdomen. The nurse recognizes this lesion as being:
1. tinea capitis.
2. tinea corporis.
3. tinea cruris.
4. tinea pedis. - ANSWER-2. tinea corporis
, A middle-aged construction worker has a raised lesion with a pearly
border on his arm that bleeds easily. The nurse realizes that this client
most likely is experiencing a(n):
1. actinic keratosis.
2. basal cell carcinoma.
3. malignant melanoma.
4. melanoma in situ. - ANSWER-2. basal cell carcinoma.
A client is experiencing elevated fluid-filled lesions on the skin. The nurse
would document these lesions as being:
1. macules
2. nodules
3. vesicles
4. wheals
ANS: 3
macules. nodules. vesicles. wheals. - ANSWER-3. vesicles
Vesicles are elevated, fluid-containing lesions. Macules are flat,
circumscribed changes of the skin. Nodules are elevated, solid lesions.
Wheals are solid elevations formed by local, superficial, transient edema,
usually in response to a pruritic condition.
A client has a nonpalpable skin lesion that is causing a change in skin
color greater than 1 cm in diameter. The nurse would document this
finding as being a(n):
1. patch.
2. macule.
3. wheal.
4. vesicle. - ANSWER-1. patch.
The home health nurse assessing skin lesions uses the PQRST mnemonic
as a guide. What does the S in this guide indicate?
1. Severity of the symptoms
2. Site of the lesions
3. Symptomatology of the lesions
4. Surface area of the lesions - ANSWER-1. Severity of the symptoms
A client who has just given birth is planning on breastfeeding the baby.
The nurse realizes that which of the following hormones influences breast
milk secretion?
1.Follicle-stimulating hormone
2.Luteinizing hormone
3.Oxytocin
QUESTIONS AND ANSWERS
(GRADED A+)
A client is experiencing a circular lesion with an advancing, red, scaly
border on the abdomen. The nurse recognizes this lesion as being:
1. tinea capitis.
2. tinea corporis.
3. tinea cruris.
4. tinea pedis. - ANSWER-2. tinea corporis
A client is diagnosed with tinea versicolor. Which of the following should
the nurse instruct this client regarding the care for this skin condition?
1. Do nothing since there is no treatment.
2. Utilize shampoo with selenium.
3. Utilize an oral antifungal preparation as prescribed.
4. Apply warm compresses to the affected areas. - ANSWER-2. Utilize
shampoo with selenium.
A school nurse assesses a child who has an erythematous circular patch of
vesicles on her scalp with alopecia and complains of pain and pruritus.
Why would the nurse use a Woods lamp?
1. To dry out the lesions
2. To reduce the pruritus
3. To kill the fungus
4. To cause fluorescence of the infected hairs - ANSWER-4. To cause
fluorescence of the infected hairs
A client has what appears to be a bacterial infection or warts on her
fingertips. This can be a sign of:
1. herpes gladiatorum.
2. herpes simplex.
3. herpes zoster.
4.herpetic whitlow. - ANSWER-4.herpetic whitlow.
A school-age child is experiencing pruritic vesicles around the mouth. The
lesions have a honey- colored crust. The nurse realizes that the child is
most likely experiencing:
1. candidiasis.
2. herpes simplex.
,3. impetigo.
4. tinea corporis. - ANSWER-3. impetigo.
Which patient statement indicates that more teaching is needed regarding
antibiotic therapy for the treatment of cellulitis?
1. My skin is cleared up. I don't think I need the medication anymore.
2, Cellulitis can come back at any time.
3. If I had washed that scratch with soap and water, I probably would not
have gotten cellulitis.
4. Cellulitis is contagious. - ANSWER-1. My skin is cleared up. I don't think I
need the medication anymore.
The nurse is participating in planning care for a patient with pemphigus.
What nursing diagnosis
should the nurse recommend be used to guide this patients care?
a. Risk for Infection
b. Fluid Volume Excess
c. Self-Care Deficit: Skin Care
d. Imbalanced Nutrition: Less Than Body Requirements - ANSWER-a. Risk
for Infection
2.A client is diagnosed with genital herpes simplex virus. The nurse know
that symptoms of the primary infection occur:
1. 1 to 4 days after exposure.
2. 3 to 7 days after exposure.
3. 5 to 9 days after exposure.
4. 7 to 11 days after exposure. - ANSWER-2. 3 to 7 days after exposure.
What should a patient be assessed for upon the diagnosis of genital
herpes?
1. Hepatitis B
2. Syphilis
3. Human immunodeficiency virus (HIV).
4. Cirrhosis - ANSWER-3. Human immunodeficiency virus (HIV).
The nurse is care for a patient with shingles. Which statement should the
nurse include in patient
teaching?
a. Herpes simplex 2 causes shingles.
b. Shingles is caused by herpes simplex 1 virus.
c. Varicella zoster is the virus responsible for shingles.
d. Herpes zoster is a virus that is common in older patients. - ANSWER-c.
Varicella zoster is the virus responsible for shingles.
,Which of the following should the nurse instruct a client who is prescribed
a topical medication for a skin condition?
1. Apply directly to broken or irritated skin.
2. Apply before bathing.
3. Apply after bathing.
4. Cover the area with an occlusive dressing. - ANSWER-3. Apply after
bathing.
A client is diagnosed with a dermatologic condition causing pruritis and
inflammation. Which of the following should the nurse instruct this client?
1. Use regular perfumed lotion to moisturize the skin.
2. Use scented soap to bathe the skin daily.
3. Apply skin oil daily.
4. Apply a body moisturizer to the skin within 3 to 5 minutes after bathing.
- ANSWER-4. Apply a body moisturizer to the skin within 3 to 5 minutes
after bathing.
What is the initial intervention for relief of the pruritus of dermatitis
venenata?
1. Apply baking soda to lesions
2. Wash area with copious amounts of water
3. Apply cool compresses continuously
4. Expose area to air - ANSWER-2. Wash area with copious amounts of
water
A patient developed a severe contact dermatitis of the hands, arms, and
lower legs after spending an afternoon picking strawberries. The patient
states that the itching is severe and cannot keep from scratching. Which
instruction would be most helpful in managing the pruritus?
1. Use cool, wet dressings and baths to promote vasoconstriction.
2. Trim the fingernails short to prevent skin damage from scratching.
3. Expose the areas to the sun to promote drying and healing of the
lesions.
4. Wear cotton gloves and cover all other affected areas with clothing to
prevent environmental
irritation. - ANSWER-1. Use cool, wet dressings and baths to promote
vasoconstriction.
A client is experiencing a circular lesion with an advancing, red, scaly
border on the abdomen. The nurse recognizes this lesion as being:
1. tinea capitis.
2. tinea corporis.
3. tinea cruris.
4. tinea pedis. - ANSWER-2. tinea corporis
, A middle-aged construction worker has a raised lesion with a pearly
border on his arm that bleeds easily. The nurse realizes that this client
most likely is experiencing a(n):
1. actinic keratosis.
2. basal cell carcinoma.
3. malignant melanoma.
4. melanoma in situ. - ANSWER-2. basal cell carcinoma.
A client is experiencing elevated fluid-filled lesions on the skin. The nurse
would document these lesions as being:
1. macules
2. nodules
3. vesicles
4. wheals
ANS: 3
macules. nodules. vesicles. wheals. - ANSWER-3. vesicles
Vesicles are elevated, fluid-containing lesions. Macules are flat,
circumscribed changes of the skin. Nodules are elevated, solid lesions.
Wheals are solid elevations formed by local, superficial, transient edema,
usually in response to a pruritic condition.
A client has a nonpalpable skin lesion that is causing a change in skin
color greater than 1 cm in diameter. The nurse would document this
finding as being a(n):
1. patch.
2. macule.
3. wheal.
4. vesicle. - ANSWER-1. patch.
The home health nurse assessing skin lesions uses the PQRST mnemonic
as a guide. What does the S in this guide indicate?
1. Severity of the symptoms
2. Site of the lesions
3. Symptomatology of the lesions
4. Surface area of the lesions - ANSWER-1. Severity of the symptoms
A client who has just given birth is planning on breastfeeding the baby.
The nurse realizes that which of the following hormones influences breast
milk secretion?
1.Follicle-stimulating hormone
2.Luteinizing hormone
3.Oxytocin
