Exam (elaborations)
Unit 4 - Skin, Hair & Nails.
- Module
- Gpstc Criminal Law.
- Institution
- Gpstc Criminal Law.
Unit 4 - Skin, Hair & Nails.
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Unit 4 - Skin, Hair & NailsThe nurse is conducting a focused interview on the client's integumentary system and
prepares to obtain data related to risk factors for the development of integumentary
disorders. Which question by the nurse would be unexpected based on the specific data the
nurse is attempting to gain during the interview? Select all that apply.
1. "How much time do you spend outdoors?"
2. "How do you care for your skin?"
3. "Do you have any tattoos or body piercings?"
4. "Have you noticed any drainage from your skin?"
5. "Do you take any medications on a regular basis?" - correct answer-1, 2, 3, 5
The nurse is completing a focused interview to assess the skin, hair, and nails of a pregnant
client. Which question would be most important for the nurse to include in the interview?
1. "Do you use any skin creams?"
2. "Do you try to avoid exposure to the sun?"
3. "Have you lost any hair during your pregnancy?"
4. "Have you had any nail changes?" - correct answer-1
The nurse is preparing to assess the client's skin, hair, and nails. Which technique will the
nurse use initially during this assessment?
1. Percussion.
2. Palpation.
3. Auscultation.
4. Inspection. - correct answer-4
The client is visiting the healthcare provider's office for a head-to-toe assessment. During the
nurse's assessment of the client's skin, the nurse notes that the client is pale. Which
assessment data may be related to the client's color? Select all that apply.
1. Client's blood pressure is 96/62.
2. The client states, "I just smoked a cigarette before I came in the office."
3. The client's oxygen saturation level is 86% on room air.
4. The client states, "I have been diagnosed with osteoporosis."
5. The client states, "It is snowing again outside with a wind chill factor of -11 degrees
Fahrenheit." - correct answer-1, 2, 3, 5
The nurse is assessing a client with liver disease and notes that the skin, mucous
membranes, and sclerae are yellowish in color. Which term is most appropriate for the nurse
to use to describe this condition when documenting in the medical record?
1. Uremia.
2. Cyanosis.
, 3. Jaundice.
4. Carotenemia. - correct answer-3
The nurse is performing a skin assessment on a client and notes a round, elevated,
fluid-filled mass approximately 0.4 cm in size. Which term is the most appropriate for the
nurse to use when documenting this finding in the medical record?
1. Vesicle.
2. Macule.
3. Papule.
4. Tumor. - correct answer-1
The nurse is caring for a client who has smoked for many years and documents that
"clubbing is present." Which technique is the best way for the nurse to determine the
presence of clubbing?
1. Place two thumbs touching side-by-side.
2. Place two of the same fingers from each hand together.
3. Place two index fingers together tip-to-tip.
4. Place the hands out straight with the palm sides down. - correct answer-2
The nurse is assessing a female client and notes facial hirsutism. The client asks the nurse,
"Why did this happen to me?" Which statement is the nurse's best response?
1. "Your diet is not nutritionally balanced."
2. "You may have some hormone imbalances."
3. "Usually, there is not a known cause for this condition."
4. "You need to take vitamins." - correct answer-2
The nurse is inspecting the fingernails of a client who is diagnosed with polycythemia. Which
assessment data would be expected for this client?
1. Dark red nails.
2. Horizontal white bands.
3. Pale nail beds.
4. Spoon-shaped nails. - correct answer-1
The nurse is assessing the skin of an adolescent client and notes the presence of a musky
odor. The client states that this is embarrassing for him and that he showers daily. Which
action should the nurse take in this situation?
1. Reassure the teen that this is normal.
2. Notify the client's healthcare provider.
3. Obtain a dietary referral.
4. Educate the client regarding the importance of increased water intake. - correct answer-1
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