Question 1

The nurse is preparing to assist the HCP in obtaining a full-thickness skin biopsy. Which information from the nurse is most appropriate?

Accepted Answer

The most appropriate information is that the most pain will be in numbing the area, as local anesthesia is used to minimize discomfort during the procedure.

Question 2

A patient has an open skin lesion and the HCP wants the area covered with a dressing after application of an antibiotic ointment. The patient asks the nurse the purpose of covering the area. Which reason does the nurse provide?

Accepted Answer

Covering the area with a dressing after applying an antibiotic ointment helps enhance the absorption of the medication by keeping it in contact with the skin and preventing it from being wiped away or evaporating.

Question 3

The nurse is preparing to reexamine the skin of a patient who has a history of malignant skin growths. Which preparation by the nurse is incorrect?

Accepted Answer

Allowing the patient to leave on underwear and socks is incorrect because it can prevent the examination of skin areas where malignant growths can occur. A thorough skin examination requires visibility of all skin surfaces.

Question 4

The nurse is assisting with a skin examination for a patient. The patient asks, "I love the sun, why is everyone so concerned about sun exposure?" Which answer by the nurse is best?

Accepted Answer

UV rays are mutagenic, meaning they can cause changes in the DNA of skin cells, which can lead to skin cancers. This is a significant health concern and explains why sun exposure is a risk factor for skin cancer.

Question 5

The nurse is collecting data on an older adult patient with a generalized rash. The patient reports severe itching and the nurse notes open lesions from scratching. Which additional finding causes the nurse the least concern?

Accepted Answer

The patient wearing soft-soled slippers is the least concerning finding in the context of a generalized rash with severe itching and open lesions from scratching. Soft-soled slippers are not directly related to the rash or its complications and represent a safe choice of footwear for an older adult, reducing the risk of falls. The other options (A, C, D) could potentially exacerbate the patient's condition or indicate additional health concerns.

Question 6

A patient with widely distributed chronic eczema is prescribed to receive medicated tar baths. Which important detail does the nurse acknowledge during this procedure?

Accepted Answer

Medicated tar baths, used for conditions like eczema, can release volatile compounds that may be irritating or harmful if inhaled in concentrated amounts. Therefore, ensuring the room is well-ventilated is crucial to prevent inhalation of these compounds and maintain a safe environment for the patient and healthcare providers.

Question 7

The nurse is providing care for a patient with a large skin abrasion to the outer thigh. The HCP has ordered a daily dressing change without disturbance of the healing crusts that have formed in the area. Which dressing material will the nurse select?

Accepted Answer

A nonadherent dressing is ideal for covering a wound without disturbing the healing crusts, as it can be removed without sticking to the wound or pulling off the crusts, unlike gauze or other adherent materials.

Question 8

The nurse is caring for a patient in a wound clinic who is treated with plastic wrap dressings. Which findings indicate complications related to prolonged application of the dressings? (Select all that apply.)

Accepted Answer

The answer of The nurse is caring for a patient...

Question 9

A patient presents with skin lesions that appear reddened, with seeping areas partially crusted over. The HCP orders a viral culture to be performed. Which action by the nurse is inappropriate when collecting the culture specimen?

Accepted Answer

The appropriate method for collecting a viral culture specimen typically involves using a sterile swab to collect fluid from a lesion and then placing the swab in a special viral transport medium, not spreading the fluid over a glass slide. Spreading the fluid over a glass slide is more consistent with preparing a sample for microscopic examination rather than for viral culture.

Question 10

The nurse works in an extended-care facility and is assisting in the development of a policy and procedure addressing foot care of the residents. Which intervention does the nurse identify as needing to be reconsidered in regard to routine foot care?

Accepted Answer

Using a pumice stone to remove dry skin from heels or callused areas may not be appropriate for all residents, especially those with diabetes or poor circulation, as it can lead to skin breakdown or infection.

Question 11

While changing the dressing on a burned arm, the patient informs the nurse of feeling cold and having extreme pain. However, the patient asks the nurse to not apply so much pressure when wrapping gauze around the limb. Which conclusion does the nurse draw from the patient's statements?

Accepted Answer

The patient's ability to feel pain and cold suggests that the encapsulated nerve endings, which are responsible for detecting pressure and vibration, are intact.

Question 12

The nurse is applying wet dressings as ordered to a patient who has a crusted skin lesion. Which assessment finding causes the nurse the most concern?

Accepted Answer

Wet dressings are applied to absorb drainage, decrease inflammation, and cool the skin. Dry, macerated skin indicates overhydration of the skin, which can lead to further skin breakdown and delay healing, making it a significant concern when applying wet dressings.

Question 13

The nurse is assisting with the presentation about skin for a group of senior citizens in a community center. Which normal changes associated with aging does the nurse include? (Select all that apply.)

Accepted Answer

As people age, fibroblasts in the dermis can die, leading to less collagen production. Epidermal cell division slows, causing thinner skin. Hair follicles may become inactive, resulting in hair loss. Subcutaneous fat typically decreases, not increases, and sweat glands become less active, not more.

Question 14

The nurse works in an office with a dermatologist. When preparing to assist with a patch test for a client with suspected allergic contact dermatitis, which nursing action is unnecessary?

Accepted Answer

Resuscitation equipment is not typically required for a patch test, as it is a non-invasive procedure with minimal risk of severe allergic reaction. Patch tests are used to identify skin allergies by applying small amounts of allergens to the skin, usually on the back, and observing the reaction over several days. The procedure is generally safe and does not necessitate resuscitation equipment to be on standby.

Question 15

The nurse is providing care for a patient diagnosed with a fungal infection in the skinfolds beneath the breasts. The HCP has prescribed the application of an antifungal powder to the affected areas. For which reason does the nurse contact the RN for validation of the prescribed treatment?

Accepted Answer

The answer of The nurse is providing care for a...

Question 16

The nurse in a health care provider's (HCP's) office is reassessing a patient's skin and making a comparison with the information from the patient's last visit. For which reason does the nurse focus on any changes noted in the patient's skin?

Accepted Answer

The answer of The nurse in a health care provider's...

Question 17

The nurse is assisting with a patient who has a suspected diagnosis of tinea capitis (ringworm). For which diagnostic test does the nurse prepare the patient?

Accepted Answer

Wood's light examination is used in the diagnosis of tinea capitis, as it can help to visualize the fungal infection which may fluoresce under the ultraviolet light. This is a non-invasive and quick method for identifying fungal infections of the skin.

Question 18

A patient is admitted for treatment for a severe ulcerated pressure injury exhibiting signs of infection. The HCP prescribes open wet dressings to be applied every 6 hours for a period of 30 minutes. For which part of the prescription does the nurse consult with the registered nurse (RN)?

Accepted Answer

The answer of A patient is admitted for treatment for...

Question 19

The nurse is assisting in the care of a patient presenting with painful psoriatic lesions. The HCP is preparing for intralesional therapy using a sterile suspension of corticosteroid. Which side effect does the nurse recognize as a possibility with this therapy?

Accepted Answer

The answer of The nurse is assisting in the care...

Question 20

The nurse is assisting in the care of a patient with second-degree burns to the arm. The blisters are not intact. The HCP prescribes an antibiotic ointment to be applied to the open areas twice daily. Which method will the nurse use for applying the prescribed medication?

Accepted Answer