Assessment of Integumentary Disorders: Quizzes and Practice Questions

Question 1

Which of the following is the most prevalent type of skin cancer in the United States?

Accepted Answer

Basal cell carcinoma

Answer

Squamous cell carcinoma

Answer

Melanoma

Answer

Actinic keratosis

Question 2

What is the defining characteristic of a decubitus ulcer?

Accepted Answer

Full-thickness skin loss

Answer

Necrosis

Answer

Infection

Answer

Inflammation

Question 3

What is the primary purpose of measuring a patient's skin fold thickness?

Accepted Answer

To evaluate nutritional status

Answer

To detect edema

Answer

To monitor wound healing

Answer

To determine pressure ulcer risk

Question 4

Which laboratory test is most valuable in diagnosing a bacterial skin infection?

Accepted Answer

Wound culture and sensitivity

Answer

Complete blood count

Answer

Erythrocyte sedimentation rate

Answer

Skin biopsy

Question 5

When managing a patient with a burn injury, which action takes precedence?

Accepted Answer

Establishing an airway

Answer

Removing clothing and debris

Answer

Cooling the burn

Answer

Applying a dressing

Question 6

What is the primary objective of using a wound VAC dressing?

Accepted Answer

To facilitate the removal of wound exudate

Answer

To stimulate the formation of granulation tissue

Answer

To alleviate pain

Answer

To prevent infection

Question 7

Which type of skin cancer is the most prevalent?

Accepted Answer

Basal cell carcinoma

Answer

Squamous cell carcinoma

Answer

Melanoma

Answer

Merkel cell carcinoma

Question 8

Describe the typical appearance of a seborrheic keratosis.

Accepted Answer

Raised, warty growth with a rough surface

Answer

Flat, brown or black macule

Answer

Blister-like lesion filled with clear fluid

Answer

Red, inflamed patch of skin

Question 9

Identify the factor that does NOT contribute to the development of pressure ulcers.

Accepted Answer

Frequent bathing

Answer

Immobility

Answer

Malnutrition

Answer

Incontinence

Question 10

Which type of wound drainage poses a significant risk of infection?

Accepted Answer

Purulent

Answer

Serous

Answer

Sanguineous

Answer

Serosanguineous

Question 11

Which skin lesion is characteristically associated with psoriasis?

Accepted Answer

Raised, erythematous plaques with silvery scales

Answer

Vesicles and bullae on an erythematous base

Answer

Depigmented patches with raised borders

Answer

Nodular lesions with central necrosis

Question 12

To confirm a diagnosis of psoriasis, which diagnostic test is considered the most appropriate?

Accepted Answer

Biopsy

Answer

Potassium hydroxide (KOH) preparation

Answer

Wood's lamp examination

Answer

Culture and sensitivity testing

Question 13

How do diabetes and obesity influence the assessment and management of integumentary disorders?

Accepted Answer

They can increase the risk and alter the presentation of certain disorders, requiring adjustments in assessment and management.

Answer

They have no impact on the assessment or management of integumentary disorders.

Answer

They improve the healing of integumentary disorders.

Answer

They only affect the assessment and management of neoplastic integumentary disorders.

Question 14

When selecting a wound dressing, which characteristic is crucial for effectively managing wound drainage?

Accepted Answer

Capacity to absorb and retain fluids

Answer

Ability to block air and moisture

Answer

Strength of adhesion to the skin

Answer

Resistance to penetration by liquids

Question 15

During a physical examination to assess skin turgor, which technique is commonly used?

Accepted Answer

Pinching the skin and releasing it

Answer

Tapping the skin with a finger

Answer

Applying pressure to the skin with a stethoscope

Answer

Inspecting the skin under ultraviolet light

Question 16

For confirming a diagnosis of psoriasis, which diagnostic test is most commonly employed?

Accepted Answer

Skin biopsy

Answer

KOH preparation

Answer

Blood test

Answer

Urinalysis

Question 17

For managing eczema in patients, which of the following interventions is not recommended?

Accepted Answer

Exposing the skin to sunlight

Answer

Moisturizing the skin

Answer

Avoiding harsh soaps and detergents

Answer

Using topical corticosteroids

Question 18

Which topical agent is commonly used to treat fungal skin infections?

Accepted Answer

Nystatin

Answer

Mupirocin

Answer

Silver sulfadiazine

Answer

Hydrocortisone

Question 19

Which of the following is not a characteristic of a pressure ulcer?

Accepted Answer

Unbroken skin

Answer

Pain

Answer

Redness

Answer

Hardening of the skin

Question 20

A patient has a history of eczema. Which lifestyle change should the nurse recommend to minimize skin irritation?

Accepted Answer

Using fragrance-free products

Answer

Taking frequent hot baths

Answer

Wearing tight clothing

Answer

Scratching the affected areas

Question 21

Which of the following is a contraindication for using a Doppler ultrasound to assess peripheral circulation?

Accepted Answer

Severe edema

Answer

Presence of arterial insufficiency

Answer

Obesity

Answer

Recent injury to the extremity being assessed

Question 22

A patient presents with a pigmented, irregular-shaped mole. What is the most important aspect of the nursing assessment?

Accepted Answer

Growth pattern and changes over time

Answer

Size and symmetry

Answer

Palpability and consistency

Answer

Location and distribution

Question 23

When assessing a patient with a suspected skin infection, which of the following is NOT a relevant observation to document?

Accepted Answer

Patient's occupation and potential exposures

Answer

Color and appearance of the rash

Answer

Distribution and pattern of the rash

Answer

Presence or absence of drainage

Question 24

Which of the following physical examination techniques is most appropriate for assessing skin turgor?

Accepted Answer

Palpation with gentle pinching

Answer

Auscultation with a stethoscope

Answer

Percussion with a reflex hammer

Answer

Transillumination with a light source

Question 25

Which of the following is a common manifestation of psoriasis?

Accepted Answer

Silvery or white scales on erythematous plaques

Answer

Raised, itchy patches with oozing and crusting

Answer

Blisters and pustules filled with clear fluid

Answer

Hyperpigmentation and thickening of the skin

Question 26

Which laboratory test is most commonly used to confirm a diagnosis of a suspected skin infection?

Accepted Answer

KOH preparation

Answer

Fungal culture

Answer

Skin biopsy

Answer

Blood culture

Question 27

When performing a comprehensive head-to-toe assessment, the correct sequence for examining the integumentary system is:

Accepted Answer

Head, neck, trunk, extremities

Answer

Extremities, trunk, head, neck

Answer

Head, neck, extremities, trunk

Answer

Trunk, extremities, head, neck

Question 28

For a patient suspected of having a fungal skin infection, which diagnostic test is most appropriate?

Accepted Answer

Fungal culture

Answer

Biopsy

Answer

Blood test

Answer

Imaging study

Question 29

When assessing a patient with a skin lesion, which of the following characteristics is NOT crucial to document?

Accepted Answer

Patient's subjective experience

Answer

Anatomic location

Answer

Size and dimensions

Answer

Color and appearance

Question 30

Which medication class is commonly used to treat inflammatory skin conditions?

Accepted Answer

Corticosteroids

Answer

Antihistamines

Answer

Antibiotics

Answer

Antivirals

Question 31

When assessing a patient with a suspected pressure ulcer, which method is most appropriate for determining the stage of the ulcer?

Accepted Answer

Visual inspection and palpation

Answer

Palpation only

Answer

Radiography

Answer

Ultrasound

Question 32

Which diagnostic test is commonly used to evaluate a suspected skin infection?

Accepted Answer

Culture

Answer

Biopsy

Answer

MRI

Answer

X-ray

Question 33

When assessing a patient with a wound, which factor is not important to consider?

Accepted Answer

Patient's occupation

Answer

Wound size

Answer

Wound depth

Answer

Patient's pain level

Question 34

How does Wound Vacuum Assisted Closure (VAC) therapy primarily promote the formation of granulation tissue?

Accepted Answer

By applying negative pressure, stimulating the release of growth factors that enhance granulation tissue formation.

Answer

By reducing inflammation, allowing granulation tissue to form.

Answer

By creating a moist environment that promotes the migration of granulation tissue cells.

Question 35

Which of the following is the most common symptom of contact dermatitis?

Accepted Answer

Itching

Answer

Fever

Answer

Skin dryness

Answer

Pain

Question 36

During a physical examination of a patient with psoriasis, the nurse observes thick, silvery scales on the skin. Which type of psoriasis is this most consistent with?

Accepted Answer

Plaque psoriasis

Answer

Inverse psoriasis

Answer

Guttate psoriasis

Answer

Erythrodermic psoriasis

Question 37

Which of the following diagnostic tests is considered the gold standard for confirming a diagnosis of atopic dermatitis?

Accepted Answer

Skin biopsy

Answer

Chest X-ray

Answer

Blood test

Answer

Urinalysis

Question 38

A patient presents with a rash on their trunk and extremities. The rash is characterized by discrete erythema, papules, and vesicles. Which of the following integumentary disorders is most likely?

Accepted Answer

Varicella-zoster virus (chickenpox)

Answer

Measles

Answer

Mumps

Answer

Rubella

Question 39

Which of the following is a well-established risk factor for developing skin cancer?

Accepted Answer

Ultraviolet (UV) radiation exposure

Answer

Smoking

Answer

Diabetes

Answer

Obesity

Question 40

Which of the following assessment findings is indicative of a stage 2 pressure injury?

Accepted Answer

Partial-thickness skin loss involving the epidermis and dermis

Answer

Blister formation

Answer

Erythema

Question 41

When diagnosing a suspected skin infection, which diagnostic test is commonly employed?

Accepted Answer

Microbial culture and sensitivity testing

Answer

Blood test

Answer

Skin biopsy

Answer

Imaging study

Question 42

In the physical assessment of a patient with eczema, which characteristic skin findings should the nurse expect to observe?

Accepted Answer

Dry, itchy, erythematous plaques

Answer

Ulceration

Answer

Blisters

Answer

Scales

Question 43

When providing care to a patient with a pressure ulcer, which nursing intervention takes precedence?

Accepted Answer

Repositioning the patient regularly

Answer

Debriding the ulcer

Answer

Applying a sterile dressing

Answer

Administering pain medication

Question 44

Which type of skin cancer is characterized by a slow-growing, pearly lesion?

Accepted Answer

Basal cell carcinoma

Answer

Merkel cell carcinoma

Answer

Squamous cell carcinoma

Answer

Melanoma

Question 45

In the initial assessment of a patient with a burn, which aspect should be prioritized?

Accepted Answer

Ensuring airway patency, breathing, and circulation

Answer

Calculating fluid resuscitation needs

Answer

Administering pain medication

Answer

Assessing the depth and extent of the burn

Question 46

During the assessment of a skin infection, which sign strongly suggests a bacterial etiology?

Accepted Answer

Purulent drainage

Answer

Itching

Answer

Hyperpigmentation

Answer

Dryness

Question 47

In the context of assessing a suspected pressure ulcer, which measurement is crucial in determining its severity?

Accepted Answer

Measurement of wound size

Answer

Assessment of drainage

Answer

Assessment of pain

Answer

Assessment of skin temperature

Question 48

When evaluating a mole for potential malignancy, which characteristic serves as a key indicator?

Accepted Answer

Asymmetry

Answer

Homogeneous color

Answer

Smooth edges

Answer

Flatness

Question 49

When taking the history of a patient with suspected sexually transmitted infection (STI), which aspect is most critical to explore?

Accepted Answer

Sexual history

Answer

Occupation history

Answer

Travel history

Answer

Drug use history

Question 50

In the assessment of a suspected allergic reaction, which evaluation holds the utmost importance?

Accepted Answer

Assessment of airway patency

Answer

Assessment of vital signs

Answer

Assessment of skin rash

Answer

Assessment of neurological status

Question 51

Which laboratory test is commonly employed to confirm the diagnosis of an autoimmune disorder?

Accepted Answer

Antinuclear antibody (ANA) test

Answer

Complete blood count (CBC)

Answer

Urinalysis

Answer

Chest X-ray

Question 52

When assessing a suspected drug reaction, which aspect of the patient's history is most essential to establish?

Accepted Answer

Assessment of the timeline of medication use

Answer

Assessment of vital signs

Answer

Assessment of skin rash

Answer

Assessment of neurological status