RN INTERNATIONAL REVIEW CENTER 5.

Which clinical manifestation would lead the nurse

Integumentary System POST TEST to suspect that the client has psoriasis?
JAY SANTOS ABASOLO, RN
a. Profuse, erythematous scales often covering large
areas of the body
1. Which layer of the skin contains most of the hair
follicles, sebaceous glands, and sweat glands? b. Patchy eruptions with possible hair loss and nail
shedding
A.epidermis
c. Widespread bullae on the skin and mucous
B.dermis
membranes
C.stratum basale d. Shedding of large sheets of epidermis along with
D.stratum spinosum toenails and eyebrows

2.What pigment is responsible for skin tanning ? 6. Which instruction should be included in teaching
plan for the client receiving oral prednisone as
A.carotene treatment for an inflammatory skin disorder?

B.red blood cells a. “Take the medication at night to prevent nocturia.”

C.melanin b. “Do not discontinue the medication abruptly.”

D.sebum c. “Notify your health care provider if you lose weight.”

3. You are assessing the skin of an elderly client for d. Stop taking the medication when the inflammation
dehydration. What finding would indicate this is gone.”
condition?
7. Which would the health care provider suspect after
A.Decreased turgor noticing a loosely adherent, honey-yellow colored
lesion around the client’s nose?
B.Increased moisture
a. impetigo
C.Presence of lesions
b. folliculitis
D.Pallor or cyanosis
c. furuncle
4.While assessing the hair of a family, you note small
white eggs on the hair shaft. What type of infestation d. carbuncle
are you assessing ?
8. When evaluating the effectiveness of client
a. bacterial teaching about health promotion and maintenance
behaviors regarding skin care, which action
b. viral demonstrates that the client understood the teaching?
c. head lice a. The client stays unprotected in the sun between 12
d. fungal pm and 4pm

b. The client avoids repeated exposure to irritants and

allergens.
c. The client is exposed to repeated low dose 13. While working in the emergency room, the nurse
radiation would be most concerned about a bee sting on a
client who has which of the following?
d. The client avoids excessive sun exposure if he is
middle-aged. a. developed a large, reddened, swollen area with the
last sting.
9. Which instruction would be appropriate for a client
diagnosed with tinea pedis? b. had hives and trouble breathing with the last sting.

a. “Wear white cotton socks.” c. had a rise in blood pressure when bitten

b. “Use your own comb or brush.” d. has a history of fever and chills when bitten.

c. “Use a clean towel and washcloth daily.” 14. An elderly client is admitted with painful, open,
weeping vesicles from herpes zoster or shingles. The
d. “Avoid wearing tight-fitting clothing.” nurse would expect their room environment to include
which of the following?
10. The most superficial layer of the epidermis is the:

a. Stratum granulosum a. Isolation Techniques

b. Stratum basale b. semi-private room

c. sharing of equipment between clients.

c. Stratum corneum

d. Stratum spinosum d. unrestricted visiting.

11. Which layer of the epidermis is most adequately 15. The nurse is caring for a client with newly
diagnosed herpes zoster or shingles. They are aware
nourished ?
that the most important priority care is which of the
a. Stratum corneum following ?

b. Stratum spinosum a. frequent dressing changes

c. Stratum granulosum b. frequent wound assessment

d. Stratum germinativum c. isolation precautions

12. Which of the following would indicate that a d. reposition the client every two hours.
biopsy be recommended for skin lesions?
16. A client is seen in the outpatient clinic of Dr.
a. a health history cannot be obtained. Caritativo for treatment of psoriasis. The nurse should
anticipate which of the following findings?
b. a more definitive diagnosis is needed
a. abdominal lesions
c. palpation reveals abnormal findings
b. hyperpigmented skin
d. topical medications have not worked
c. intense pain

d. silvery, white scales

17. Why is turning a client every two hours while c) The outer layer of the skin does not require
lying on a hypothermia blanket important? nutrients because the external layer of cells is not
living.
a. it decreases the skin damage that may result from d) Diffusing through the tissue fluid from blood
vasoconstriction vessels in the dermis.
b. it decreases the amount of time that they will need 22. A male client who has suffered a cerebrovascular
the therapy accident (CVA) is too weak to move his own. To help
the client avoid pressure ulcers, the nurse should:
c. it prevents shivering
a. turn him every 2 hours or as ordered by the
d. it promotes client comfort
physician.
18. keratinocytes are predominant cells in the :
b. perform passive range-of-motion (ROM) exercises.
a. epidermis
c. reduce the client’s fluid intake
b. papillary region of dermis
d. encourage the client to use a footboard.
c. reticular layer of the dermis
23. Which nursing intervention help a client maintain
d. subcutaneous layer healthy skin?

19. absorption of damaging light rays is the primary a. keep the client well hydrated.
function of:
b. avoid bathing the client with mild soap.
a. keratin
c. remove adhesive take quickly from the skin.
b. sebum
d. recommend wearing tight-fitting clothes in hot
c. cerumen weather

d. melanin 24. A recent recipient of a xenograft asked what the

heck it was, so you told him:
20. The function(s) of keratin is/are to:
a. we took a piece of your skin from somewhere else
a. make bone hard and put it where you needed it
b. make skin tough and hard b. we took a piece of skin from your twin and placed it
where you needed it
c. protect skin from ultraviolet light
c. we took a piece of skin from an animal and placed
d. provide added pigmentation
it where you needed it
21. Nutrients reach the surface of the skin (epidermis)
d. we took a piece of skin from another person and
through the process of:
placed it where you needed it
a. Absorbing material applied to the surface layer of
the skin
b) Utilizing the products of merocrine glands to
nourish the epidermis
 25. The friend of a friend asks you if they should take 29. The nurse is teaching a female client with a leg
antibiotics to help get rid of their shingles. You tell ulcer about tissue repair and wound healing. Which of
them: the following statements by the client indicates
effective teaching?
a. “I’ll limit my intake of protein.”
A. what do I look like, a doctor? b. “I’ll make sure that the bandage is wrapped
B. a hammer would probably work better tightly.”
C. yes, they would work fine as shingles are a bacterial c. “My foot should feel cold.”
infection d. “I’ll eat plenty of fruits and vegetables.”

30. Bundle of smooth muscles associated with hair

D. no, because shingles are a virus
follicles is called.
26. When considering the nutritional needs of the
patient, you would include which of the following: a. orbicularis muscles

a. increase protein intake b. sebaceous bundle

b. increase vit. C c. arrector pili

d. none of the above

c. increase caloric intake

d. all of the above 31. The most common type of skin cancer is

27. A male client scheduled for skin biopsy is a. basal cell carcinoma
concerned and asks the nurse how painful the b. squamous cell carcinoma
procedure is. The appropriate response by the nurse
is: c. malignant melanoma

a. “there is no pain associated with this procedure.” d. none of the above

b. “the local anesthetic may cause a burning or sting 32. This is a type of biopsy which an incision is made
sensation” and the entire skin lesion is removed for analysis?

c. “a preoperative medication will be given so you will A.Incisional Biopsy

be sleeping and will not feel any pain.”
B. Excisional Biopsy
d. “There is some pain, but the physician will
prescribe an opioid analgesic C. Shave Biopsy

28. The nurse is assigned to care for a female client D. NONE OF THE ABOVE
with herpes zoster (Shingles). Which of the following 33. The clinic nurse notes that the physician has
characteristics would the nurse expect to note when documented a diagnosis of herpes zoster (shingles)
assessing the lesions of this infection? in the male client’s chart. Based on an understanding
a. Clustered skin vesicles of the cause of this disorder, the nurse determines
b. A generalized body rash that this definitive diagnosis was made following
c. Small blue-white spots with a red base which diagnostic test?
d. A fiery red, edematous rash on the cheeks A. Patch Test
B. Skin biopsy A. Wash hands thoroughly

C. Culture of the lesion B. Put on latex gloves

D. Wood’s light Examination C. Slowly remove the soiled dressing

34. A female client with genital herpes simplex is D. Assess the drainage of the dressing.
being treated in the outpatient department. The nurse
teaches her about measures that may prevent herpes 38. It is the infestation of the scalp by the head louse
recurrences and emphasizes the need for prompt is called?
treatment if complications arise. Genital herpes A. Tinea Capitis
simplex increases the risk of:
B. Pediculosis Capitis
A. Cancer of the vagina
C. Pediculosis Corporis
B. cancer of the Cervix
D. Tinea Corporis
C. Cancer of the uterus
39. Patient Tiny came to the clinic and reported to
D. Cancer of the Ovaries have waxy nodule, shiny, pearly borders near his
35. When caring for a male client with severe mouth. Upon assessment to Tiny, Nurse Pia suspects
impetigo, the nurse should include which intervention the condition to be:
in the plan of care? A. Basal Cell Carcinoma
A. Administering systemic antibiotics as prescribed
B. Squamous Cell Carcinoma
B. Continuing to administer antibiotics for 21 days as
C. Malignant Melanoma
prescribed.
D. None of the above
C. Applying topical antibiotics as prescribed
40. A female client with a severe staphylococcal
D. Placing mitts on the client’s hands. infection is receiving the aminoglycoside gentamicin
36. The nurse is teaching a female client with a leg sulfate (Garamycin) by the I.V. route. The nurse
ulcer about tissue repair and wound healing. Which of should assess the client for which adverse reaction to
the following statements by the client indicates this drug?
effective teaching? a. Aplastic anemia
b. Ototoxicity
A. “I’ll eat plenty of fruits and vegetables.” c. Cardiac arrhythmias
d. Seizures
B. “I’ll make sure that the bandage is wrapped tightly.”
41. When planning care for a male client with burns
C. “I’ll limit my protein intake.” on the upper torso, which nursing diagnosis should
take the highest priority?
D. “My foot should feel cold.”
a. Ineffective airway clearance related to edema of
37.Nurse Catherine is changing a dressing and the respiratory passages
providing wound care. Which activity should she b. Impaired physical mobility related to
perform first? the disease process
c. Disturbed sleep pattern related to facility nurse anticipates that which laboratory test will be
environment prescribed?
d. Risk for infection related to breaks in the skin
A. Platelet count
42. Which of the following is the initial intervention for
a male client with external bleeding? B. Triglyceride level
a. Elevation of the extremity
C. Complete blood count
b. Pressure point control
c. Direct pressure D. White blood cell count
d. Application of a tourniquet
47. A client with severe acne is seen in the clinic and
43.Is a contagious fungal infection of the hair shaft. the health care provider (HCP) prescribes isotretinoin.
The nurse reviews the client’s medication record and
A. Tinea Capitis would contact the HCP if the client is taking which
B. Tinea Corporis medication?

C. Pediculosis Capitis A. Vitamin A

D. Pediculosis Pubis B. Digoxin (Lanoxin)

44. The following are interventions for a patient with C. Furosemide (Lasix)
pediculosis, Except ? D. Phenytoin (Dilantin)
A. Instruct the patient to proper hygiene 48. The health education nurse provides instructions
B. Patient should be warned to share combs, to a group of clients regarding measures that will
brushes, and hats. assist in preventing skin cancer. Which instructions
should the nurse provide, except?
C. The patient and members of the family are
inspected for at least 2 weeks. A. Use sunscreen when participating in outdoor
activities
D. Clothing and bedding should be washed in hot
water and dried in a hot dryer. B. Wear hat, opaque clothing, and sunglasses when
in the sun.
45. The camp nurse asks the children preparing to
swim in the lake if they have applied sunscreen. The C. Examine your body monthly for any lesions that
nurse reminds the children that chemical sunscreens may be suspicious.
are most effective when applied at which times? D. Avoid sun exposure in the late afternoon and early
A. Immediately before swimming evening hours.

B. 5 minutes before exposure to the sun 49. The nurse is conducting a session about the
principles of first aid and is discussing the
C. Immediately before exposure to the sun interventions for snakebite to an extremity. The nurse
should inform those attending the session that the
D. At least 30 mins. Before exposure to the sun first priority intervention in the event of this
46. Isotretinoin is prescribed for a client with severe occurrence is which action?
acne. Before the administration of this medication, the
A. Immobilize the affected extremity

B. Remove jewelry and constricting clothing from the

victim.

C. Place the extremity in a position so that it is below

the level of the heart.

D. Move the victim to a safe area away from the

snake and encourage the victim to rest.

50. The nurse is caring for a client following an

autograft and grafting to a burn wound on the right
knee. What would the nurse anticipate to be
prescribed for the client?

A.OUT-OF-BED activities

B. Bathroom privileges

C. Immobilization of the affected leg

D. Placing the affected leg in a dependent position