Nclex Health Assessment Skin, Hair And Nails

Front 1

Functions of the skin include:

Back 1

protection, prevention, perception, and production of vitamin D.

Front 2

You are conducting an in-service on the effects of aging on the skin for nurses and students assigned to a medical floor at the local hospital. Which of the following pieces of information is essential for your in-service to include?

Back 2

The effects of aging on the skin include all of the following: The loss of collagen increases the risk of shearing, tearing injuries, thinning and flattening of the stratum corneum increases absorption of chemicals , and diminished vascularity and increased vascular fragility lead to senile purpura

Front 3

Casey Galen, a student nurse, conducts a dermatology in-service for nurses and students assigned to a medical surgical floor at the local hospital. Ms. Galen stresses the impact of accumulated risk factors in skin disease and breakdown. Such factors include:

Back 3

a lifetime of environmental trauma

Front 4

Casey Galen, a student nurse, conducts a dermatology in-service for nurses and students assigned to a medical surgical floor at the local hospital. Casey covers skin changes indicative of prolonged sun exposure and shows slides of precancerous lesions. Which of the following is descriptive of a precancerous keratotic lesion?

Back 4

A raised, rough plaque of red-tan pigmentation with a silver-white scale

Front 5

John, a baby boy, is admitted to the transition nursery for a comprehensive physical, medications, and a bath prior to being transferred to the postpartum floor. Before you conduct the physical assessment, you review common skin variations of the newborn. Which of the following conditions requires further evaluation by the in-house neonatal nurse practitioner?

Back 5

A grouping of six or more café au lait macules, each more than 1.5 cm in diameter, in a newborn requires further evaluation by the in-house neonatal nurse practitioner as they are diagnostic of neurofibromatosis, an inherited neurocutaneous disease

Front 6

Jesse Carter, a student nurse, has been assigned to teach fourth-graders about hygiene. Part of her lesson will focus on the apocrine glands. Which of the following statements is true?

Back 6

All of the following statements are true of the apocrine glands: The apocrine glands, a type of sweat gland, are mainly located in the axillae, anogenital area, nipples, and navel (option a), these glands produce a thick, milky secretion and open into the hair follicles (option b), and the apocrine glands become active during puberty and decrease functioning in aging adults

Front 7

You are preparing the equipment that will be used to examine patients in the dermatology clinic. The equipment needed to assess the skin, its appendages and, if necessary, lesions include:

Back 7

The equipment needed to assess the skin, its appendages and, if necessary, lesions include: strong direct lighting (natural daylight preferred), ruler, pen light, magnifier, gloves, filtered ultraviolet light, glass slide, and KOH.

Front 8

Mr. Verdana is a 41-year-old gentleman who presents with a complaint of skin problems. On examination you note single-chambered, superficial lesions containing free fluid greater than 1 cm in diameter, which are called:

Back 8

The single-chambered, superficial lesions containing free fluid greater than 1 cm in diameter are called bullae.

Front 9

Elevated skin lesions that are greater than 1 cm in diameter are called:

Back 9

Elevated skin lesions that are greater than 1 cm in diameter are called nodules.

Front 10

A solid, circumscribed palpable skin lesion, which is less than 1 cm in diameter, is a:

Back 10

solid, circumscribed palpable skin lesion, which is less than 1 cm in diameter, is a papule.

Front 11

An elevated cavity containing free fluid that is less than 1 cm in diameter is a(n):

Back 11

An elevated cavity containing free fluid that is less than 1 cm in diameter is a vesicle

Front 12

Lichenification is/are:

Back 12

Lichenification is all of the following: tightly packed sets of papules (option a), thickening of the skin (option b), and is due to prolonged, intense scratching (option c).

Front 13

Which of the following statements about sweat glands is correct?

Back 13

Eccrine glands mature by the time an infant is 2 months old.

Front 14

Jesse Carter, a student nurse, has been assigned to teach fourth-graders about hygiene. She decides to begin the teaching module with a short lecture on the skin. Which of the following facts will Jesse include while discussing the skin's protective and adaptive properties?

Back 14

he skin's protective and adaptive properties include all of the following: the skin regulates body temperature; heat is stored in fat pads or released through sweating , the skin protects against infection; normal skin flora fights off the invasion of microorganisms that can enter the body and cause infection , and the skin is an organ of excretion; it removes a significant amount of metabolic wastes, which are the byproducts of cellular decomposition such as minerals and urea