Med Surg Practice Exam 3 Questions with Correct Answers
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Course
Psoriasis
Institution
Psoriasis
The clinic nurse assesses the skin of a client with psoriasis after the client has used a new topical treatment for 2 months. The nurse identifies which characteristics as improvement in the manifestations for psoriasis? Select all that apply.
A. Presence of striae
B. Palpable radial pulses
...
Med Surg Practice Exam 3 Questions
with Correct Answers
The clinic nurse assesses the skin of a client with psoriasis after the client has used a
new topical treatment for 2 months. The nurse identifies which characteristics as
improvement in the manifestations for psoriasis? Select all that apply.
A. Presence of striae
B. Palpable radial pulses
C. Absence of an ecchymosis on the extremities
D. Thinner and decrease in number of reddish papules
E. Scarce amount of silvery-white scaly patches on the arms - Answer-D, E
Psoriasis skin lesions include thick reddened papules or plaques covered by slivery-
white patches. A decrease in the severity of these skin lesions is noted as an
improvement.
The clinic nurse notes that the health care provider has documented a diagnosis of
herpes zoster (shingles) in the client's chart. Based on an understanding of the cause of
this disorder, the nurse determines that this definitive diagnosis was made by which
diagnostic test?
A. Positive patch test
B. Positive culture results
C. Abnormal biopsy results
D. Wood's light examination indicative of infection - Answer-B.
With the classic presentation of herpes zoster, the clinical examination is diagnostic.
However, a viral culture of the lesion provides the definitive diagnosis. Herpes zoster is
caused by a reactivation of the varicella-zoster virus, the virus that causes chickenpox.
A client returns to the client for follow-up treatment following skin biopsy of a suspicious
lesion preformed 1 week ago. The biopsy report indicates that the lesion is a melanoma.
The nurse understands that melanoma has which characteristics? Select all that apply.
A. Lesion is painful to touch
B. Lesion is highly metastatic
C. Lesion is a nevus that has changed in color
D. Skin under the lesion is reddened and warm to touch
E. Lesion occurs in body area exposed to outdoor sunlight - Answer-B, C.
Melanoma are pigmented malignant lesions originating in the melanin-producing cells of
the epidermis. Melanomas cause changes in the nevus, including color and borders.
, This skin cancer is highly metastatic, and a person's survival depends on early
diagnosis and treatment.
When assessing a lesion diagnosed as basal cell carcinoma, the nurse most likely
expects to note which findings? Select all that apply.
A. An irregularly shaped lesion
B. A small papule with a dry, rough scale
C. A firm, nodular lesion topped with crust
D. A pearly papule with a central crater and a waxy border
E. Location in the bald spot atop the head that is exposed to outdoor sunlight - Answer-
D, E.
Basal cell carcinoma appears as a pearly papule with central crater and rolled waxy
border. Exposure to ultraviolet sunlight is a major risk factor. A melanoma is an
irregularly shaped pigmented papule or plaque with a red, white, or blue-toned color.
The evening nurse reviews the nursing documentation in a client's chart and notes that
the day nurse has documented that the client has a stage II pressure ulcer in the sacral
area. Which finding would the nurse expect to note on assessment of the client's sacral
area?
A. Intact skin
B. Full-thickness skin loss
C. Exposed bone, tendon, or muscle
D. Partial -thickness skin loss of the dermis - Answer-D,
In a stage II pressure ulcer, the skin is not intact. Partial-thickness skin loss of the
dermis has occurred. It presents as a shallow open ulcer with a red-pink wound bed,
without slough.
The nurse witnessed a vehicle hit a pedestrian. The victim is dazed and tries to get up.
A leg appears fractured. Which intervention should the nurse take?
A. Try to reduce the fracture manually
B. Assist the victim to get up and walk to the sidewalk
C. Leave the victim for a few moments to call an ambulance
D. Stay with the victim and encourage him/her to remain still - Answer-D,
With a suspected fracture, the victim is not moved unless it is dangerous to remain in
the spot. The nurse should remain with the victim
Which cast care instructions should the nurse provide to a client who just had a plaster
cast applied to the right forearm? Select all that apply.
A. Keep the cast clean and dry
B. Allow the cast 24-72 hour to dry
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