Jarvis Chapter 13 (Hair, Skin, and Nails) Multiple Choice

Select the best description of the secretion of the eccrine glands.

a. thick, milky

b. dilute saline solution

c. protective lipid substance

d. keratin

b

To assess for early jaundice, you will assess:

a. sclera and hard palate

b. nail beds

c. lips

d. all visible skin surface

a

checking for skin temperature is best accomplished by using:

a. the palmar surface of the hands

b. the ventral surface of the hands

c. the fingertips

d. the dorsal surface of the hands

d

Assessing a patient's skin turgor is done to assess which clinical finding?

a. edema

b. dehydration

c. vitiligo

d. scleroderma

b

You note a lesion during a skin assessment. Which is the best way to document this finding?

a. raised, irregular lesion the size of a quarter, located on dorsum of left hand

b. open lesion with no drainage or odor, approx. 1/4 inch in diameter

c. pedunculated lesion below left scapula with consistent red color and no drainage or odor

d. dark brown raised lesion, with irregular border, on dorsum of right foot, 3 cm in size, with no drainage.

d

you examine the nail beds of a patient. Which finding indicates a normal angle?

a. 60 degrees

b. 100 degrees

c. 160 degrees

d. 180 degrees

c

You are assessing capillary refill. The room is warm. Which finding would be considered normal?

a. ≤ 1 second

b. > 2 seconds

c. 2 to 3 seconds

d. time is not significant as long as color returns.

a

during a routine visit, M. B., age 78, asks about small, round, flat, brown macule on the hands. What is your best response after assessing the areas?

a. "these are the result of sun exposure and do not require treatment."

b. "these are related to exposure from the sun. They may become cancerous."

c. "These are the skin tags that occur with aging. No treatment is required."

d. "I'm glad you brought this to my attention. I will arrange for a biopsy."

a

an area of thin shiny skin with decreased visibility of normal skin markings is most likely:

a. lichenification

b. plaque

c. atrophy

d. keloid

c

flattening of the angle between the nail and its base is:

a. found in subacute bacterial endocarditis

b. a description of spoon shaped nails

c. related to calcium deficiency

d. described as clubbing

d

A configuration of individual lesions arranged in circles or arcs, as occurs with ringworm, is described as:

a. linear lesion

b. clustered lesion

c. annular lesion

d. gyrate lesion

c

The "A" in ABCDEF rule for skin cancer stands for:

a. accuracy

b. appearance

c. asymmetry

d. attenuated

c

A risk factor for melanoma is

a. brown eyes

b. darkly pigmented skin

c. skin that freckles or burns before tanning

d. the use of sunscreen products

c

Herpes zoster infection (shingles) is characterized by:

a. a bacterial cause

b. lesion on only one side of the body; does not cross midline

c. absence of pain or edema

d. pustular, umbilicated lesions.

b

To determine if a dark-skinned patient is pale, the nurse should assess the color of the

a. skin in the antecubital space.

b. palms of the hands.

c. conjunctivae.

d. ear lobes.

c

An example of a primary lesion is a(n)

a. urticaria

b. erosion

c. port wine stain

d. ulcer

a

When taking the health history, the patient complains of pruritus. What is a common cause of this symptom?

a. Hyperpigmentation

b. Melasma

c. Drug reactions

d. Excessive bruising

c

A flat macular hemorrhage is called a(n)

a. petechiae

b. purpura

c. ecchymosis.

d. hemangioma

b

A student nurse has been assigned to teach fourth graders about hygiene. While preparing, the student nurse adds information about the sweat glands. Which of the following should be included while discussing this topic?

a. There are two types of sweat glands: eccrine glands and sebaceous glands.

b. Bacteria that normally lives on the skin interacts with apocrine sweat to produce body odor.

c. The evaporation of sweat, a dilute saline solution, increases body temperature.

d. Eccrine glands produce sweat and are mainly located in the axillae, anogenital area, and navel.

b

Functions of the skin include

a. temperature regulation.

b. secretion of a drying substance called sebum.

c. production of vitamin C.

d. production of new cells by melanocytes.

a

Which risk factor increases the risk for skin disease and breakdown among older adults?

a. Decreased vascular fragility

b. A lifetime of environmental trauma

c. Increased thickness of the skin

d. Loss of protective cushioning of the dermal skin layer

b

What term refers to a linear skin lesion that runs along a nerve route?

a. shingles

b. dermatome

c. annular

d. zosteriform

d

The components of a nail examination include

a. clubbing, pitting, and grooving.

b. shape, surface, and circulation.

c. texture, toughness, and translucency.

d. contour, color, and consistency.

d

A scooped-out, shallow depression in the skin is called a(n)

a. excoriation.

b. ulcer.

c. erosion

d. fissure

c