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SKIN, HAIR, AND NAILS

Total questions: 20

Worksheet time: 30mins

Name
Class
Date
1.

Student nurse Marikit is assessing the skin. Upon reviewing her anatomy and physiology, which of following are true about skin except?

a)

It is the largest organ of the body.

b)

It is a physical barrier that protects the underlying tissues and organs from microorganisms, physical trauma, ultraviolet radiation, and dehydration.

c)

It is only present over most of the body, excluding the soles and palms

d)

It plays a vital role in temperature maintenance, fluid and electrolyte balance, absorption, excretion, sensation, immunity, and vitamin D synthesis.

2.

It refers to the elasticity of your skin. When you pinch the skin on your arm, for example, it should spring back into place with a second or two.

a)

skin moisture

b)

skin temperature

c)

skin color

d)

skin turgor

3.

Student Nurse Rose finding is a normal fingernail plate shape. Which of the following below is correct?

a)

Spoon nail

b)

Convex curvature

c)

Clubbing

d)

None of the these

4.

Student nurse is performing on the nail beds as an indicator of tissue perfusion (the amount of blood flow to tissue) and dehydration. What is this Test?

a)

Blanch Test

b)

Nail Bed Test

c)

Hemoglobin test

d)

Blood Test

5.

In palpating the skin for temperature, we compare the two feet and the two hands, using the backs of your fingers the rationale for this procedure is:

a)

It's often used as a way to check for dehydration.

b)

To identifies tenderness, consistency, induration, depth and fixation.

c)

Changes in sensation or temperature may indicate vascular or neurologic problems such as peripheral neuropathy related to diabetes mellitus or arterial occlusive disease.

d)

All of these

6.

Part of the hair which contract in response to cold or fright, decreasing skin surface area and causing the hair to stand erect (goose flesh).

a)

Follicle

b)

erector pili muscles

c)

Hair shaft

d)

All of these

7.

An older adult woman is brought to the emergency department after being found lying on the kitchen floor for 2 days; she is extremely dehydrated. What would the nurse expect to see during the examination?

a)

White patches on the mucous membranes

b)

Pale mucous membranes

c)

Smooth mucous membranes and lips

d)

Dry mucous membranes and cracked lips

8.

As you assess your patient, you note clubbed fingers. This is a sign of:

a)

Malnutrition.

b)

Hypoxia.

c)

Bacterial infection.

d)

Allergic reaction.

9.

An ABNORMAL angle between the nail base and the nail is called clubbing and may indicate which of the following conditions?

a)

Poor hygiene

b)

Skin cancer

c)

Cardiopulmonary disorder

d)

Dehydration

10.

Skin temperature is best assessed with the:

a)

fingertips.

b)

wrist.

c)

palm of the hand.

d)

back of the hand.

11.

Skin inspection and palpation includes assessment for:

a)

Color, uniformity, and symmetry

b)

Skin lesions

c)

Skin temperature

d)

All of the above

12.

Student Nurse is assessing the skull of the patient. She will document the normal skull has the following findings, except?

a)

Rounded with smooth skull contour.

b)

Negative depression and nodules, uniform consistency.

c)

Symmetric or lightly asymmetrical facial features.

d)

Bigger skull size with prominent forehead.

13.

Which are the best places to check the skin for tenting, which is a sign of dehydration?

a)

Forearm and sternum

b)

Shoulder and thigh

c)

Top of the hand and foot

d)

Neck and top of the head

14.

The two types of sweat glands are

(a)  

15.

Which of the following is considered an ABNORMAL finding in an older adult?

a)

Cherry angioma

b)

Lentigines

c)

Seborrheic keratoses

d)

Malignant melanoma

16.

The ABCD rule of melanoma includes:

a)

Asymmetry of shape

b)

Diameter larger than the eraser of a pencil

c)

Border irregularity and color variation

d)

All of the above

17.

The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and dry. This finding would be related to which factor in the older adult?

a)

An increase in elastin and a decrease in subcutaneous fat

b)

Increased vascularity of the skin

c)

An increased loss of elastin and a decrease in subcutaneous fat

d)

Increased numbers of sweat and sebaceous glands

18.

The nurse is examining a patient who tells the nurse, "I sure sweat a lot, especially on my face and feet but it doesn't have an odor." The nurse knows that this condition could be related to:

a)

Eccrine glands.

b)

Disorder of the stratum corneum.

c)

Apocrine glands.

d)

Disorder of the stratum germinativum.

19.

A 13-year-old girl is interested in obtaining information about the cause of her acne. The nurse should share with her that acne:

a)

Is caused by increased sebum production.

b)

Has been found to be related to poor hygiene.

c)

Has no known cause.

d)

Is contagious.

20.

During a skin assessment, the nurse notices that a Mexican-American patient has skin that is yellowish-brown; however, the skin on the hard and soft palate is pink and the patient's scleras are not yellow. From this finding, the nurse could probably rule out:

a)

Cyanosis

b)

Pallor

c)

Iron deficiency

d)

Jaundice