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2024 SKIN NCLEX EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 SKIN NCLEX EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 SKIN NCLEX EXAMQUESTIONS WITH CORRECT
ANSWERS
Which information should the nurse include in the teaching plan for a patient
diagnosed with basal cell carcinoma (BCC)?
a. Treatment plans include watchful waiting.
b. Screening for metastasis will be important.
c. Minimizing sun exposure reduces risk for future BCC.
d. Low-dose systemic chemotherapy is used to treat BCC. - CORRECT
ANSWERS-C
BCC is frequently associated with sun exposure, and preventive measures
should be taken for future sun exposure. BCC spreads locally and does not
metastasize to distant tissues. Because BCC can cause local tissue
destruction, treatment is indicated. Local (not systemic) chemotherapy may
be used to treat BCC.
Which finding is most important for the nurse to communicate to the health
care provider when caring for a patient who is receiving negative-pressure
wound therapy?
a. Low serum albumin level
b. Serosanguineous drainage
c. Deep red and moist wound bed
d. Cobblestone wound appearance - CORRECT ANSWERS-A
Serum protein levels may decrease with negative pressure therapy, which
will adversely affect wound healing. The other findings are expected with
wound healing.
Which information should the nurse include when teaching patients about
decreasing the risk for sun damage to the skin?
a. Use a sunscreen with an SPF of at least 10 for adequate protection.
b. Water-resistant sunscreens provide good protection when swimming.
c. Try to stay out of the direct sun between the hours of 10 AM and 2 PM.
d. Increase sun exposure by no more than 10 minutes a day to avoid skin
damage - CORRECT ANSWERS-C
The risk for skin damage from the sun is highest with exposure between 10
AM and 2 PM. No sunscreen is completely water resistant. Sunscreens
classified as water resistant still need to be reapplied after swimming.
Sunscreen with an SPF of at least 15 is recommended for people at normal
,risk for skin cancer. Although gradually increasing sun exposure may
decrease the risk for burning, the risk for skin cancer is not decreased.
3.
Which information should the nurse include when teaching a patient who has
just received a prescription for ciprofloxacin (Cipro) to treat a urinary tract
infection?
a. Use a sunscreen with a high SPF when exposed to the sun.
b. Sun exposure may decrease the effectiveness of the medication.
c. Photosensitivity may result in an artificial-looking tan appearance.
d. Wear sunglasses to avoid eye damage while taking this medication. -
CORRECT ANSWERS-A
The patient should stay out of the sun. If that is not possible, teach the
patient to wear sunscreen when taking medications that can cause
photosensitivity. The other statements are not accurate.
4. A patient in the dermatology clinic has a thin, scaly erythematous plaque
on the right cheek. Which action should the nurse take?
a. Prepare the patient for a skin biopsy.
b. Teach the use of corticosteroid cream.
c. Explain how to apply tretinoin (Retin-A) to the face.
d. Discuss the need for topical application of antibiotics. - CORRECT
ANSWERS-A
Because the appearance of the lesion is suggestive of actinic keratosis or
possible squamous cell carcinoma, the appropriate treatment would be
excision and biopsy. Over-the-counter corticosteroids, topical antibiotics, and
Retin-A would not be used for this lesion.
A patient has the following risk factors for melanoma. Which risk factor
should the nurse assign as the priority focus of patient teaching? a. The
patient has multiple dysplastic nevi.
b. The patient uses a tanning booth weekly.
c. The patient is fair-skinned with blue eyes.
d. The patient's mother died of malignant melanoma. - CORRECT ANSWERS-
B
Because the only risk factor that the patient can change is the use of a
tanning booth, the nurse should focus teaching about melanoma prevention
on this factor. The other factors also will contribute to increased risk for
melanoma
6. Which instructions should the nurse include in the teaching plan for a
patient with impetigo?
a. Clean the crusted areas with soap and water. b. Spread alcohol-based
cleansers on the lesions.
, c. Avoid use of antibiotic ointments on the lesions.
d. Use petroleum jelly (Vaseline) to soften crusty areas. - CORRECT
ANSWERS-A
The treatment for impetigo includes softening of the crusts with warm saline
soaks and then soap-and-water removal. Alcohol-based cleansers and use of
petroleum jelly are not recommended for impetigo. Antibiotic ointments,
such as mupirocin (Bactroban), may be applied to the lesions.
7. The nurse notes white lesions that resemble milk curds in the back of a
patient's throat. Which question by the nurse is appropriate at this time?
a. "Are you taking any medications?"
b. "Do you have a productive cough?"
c. "How often do you brush your teeth?"
d. "Have you had an oral herpes infection?" - CORRECT ANSWERS-A
The appearance of the lesions is consistent with an oral candidiasis (thrush)
infection, which can occur in patients who are taking medications such as
immunosuppressants or antibiotics. Candidiasis is not associated with poor
oral hygiene or lower respiratory infections. The lesions do not look like an
oral herpes infection.
8. A teenaged male patient who is on a wrestling team is examined by the
nurse in the clinic. Which assessment finding would prompt the nurse to
teach the patient about the importance of not sharing headgear to prevent
the spread of pediculosis?
a. Ringlike rashes with red, scaly borders over the entire scalp
b. Red, hivelike papules and plaques with circumscribed borders
c. Papular, wheal-like lesions with white deposits on the hair shaft
d. Patchy areas of alopecia with small vesicles and excoriated areas -
CORRECT ANSWERS-C
Pediculosis is characterized by wheal-like lesions with parasites that attach
eggs to the base of the hair shaft. The other descriptions are more
characteristic of other types of skin disorders.
9. The health care provider prescribes topical 5-FU for a patient with actinic
keratosis on the left cheek. Which statement should the nurse include in the
patient's instructions?
a. "5-FU will shrink the lesion to prepare for surgical excision."
b. "Your cheek area will be eroded and take several weeks to heal."
c. "You may develop nausea and anorexia, but good nutrition is important
during treatment." d. "You will need to avoid crowds because of the risk for
infection caused by chemotherapy." - CORRECT ANSWERS-B
Topical 5-FU causes an initial reaction of erythema, itching, and erosion that
lasts 4 weeks after application of the medication is stopped. The medication
is topical, so there are no systemic effects such as increased infection risk,
anorexia, or nausea.
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