Question 1 of 12
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What are the skin features that should be assessed as part of a comprehensive skin examination?
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- ColorThe nurse should look for uniform color and areas of discoloration.
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- ThicknessThe nurse should note skin thickness that varies over the body.
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- SymmetryThe nurse should note symmetry.
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- Underlying fatThe nurse would not note underlying fat of the skin.
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- TurgorThe nurse should check the turgor of the skin.
Question 2 of 12
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As part of a thorough hair examination, the nurse inspects which features?
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- ColorThe nurse should inspect the color of the hair.
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- TurgorTurgor should be palpated by the nurse, not inspected.
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- DistributionThe nurse should inspect the distribution of the hair.
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- QuantityThe nurse should inspect the quantity of the hair.
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- Presence of lice and nitsThe nurse should inspect the hair for the presence of lice and nits.
Question 3 of 12
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When assessing the location and distribution of skin lesions, the nurse should look for which features?
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- Whether the lesion is generalized or localizedThe nurse should note whether the lesion is generalized or localized.
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- Color of the lesionThe color of the lesion is not related to the assessment of the location and distribution.
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- On which region of the body the lesion appearsThe nurse should note where the lesion appears.
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- Patterns of lesion distributionThe nurse should note whether there are any obvious patterns of distribution.
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- Whether the lesion is discrete or confluentThe nurse should note whether the lesion is discrete or confluent.
Question 4 of 12
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Which aspects of nevi would the nurse instruct a patient to assess when teaching the common method of distinguishing normal nevi from melanomas?
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- SymmetryAsymmetrical nevi are a sign of melanoma.
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- SmellThe smell or odor of the nevi is typically not used to distinguish normal nevi from melanoma.
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- BorderA normal nevus would have a clearly defined border, whereas melanoma typically has an irregular border.
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- ColorNormal nevi will have a uniform brown color, while melanoma would have a heterogeneous color.
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- DiameterThe size of nevi should be assessed. A normal nevus will typically be smaller than 6 mm in diameter
Question 5 of 12
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The size of a normal nevus is typically less than __ mm.
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- Your answer: 6Correct answer: 6A nevus larger than 6 mm may be dysplastic.
Question 6 of 12
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When assessing a patient’s nevus, the nurse knows that which characteristic is considered abnormal?
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- Brown colorA normal nevus may be uniformly tan or brown.
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- Irregular bordersA normal nevus should have regular borders.
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- Found on the neckA normal nevus will most likely be found above the waist on sun-exposed skin.
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- Raised surfaceA normal nevus may have a raised surface.
Question 7 of 12
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As part of a thorough nail assessment, which features are necessary to note on palpation?
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- Angle of nail baseThe nurse would expect the nail base to be angled at about 160 degrees.
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- SmoothnessThe nurse would expect the nail to be smooth.
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- ColorThe color of the nail would be identified by inspection, not by palpation.
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- ThicknessThe nurse would expect the nail to be of uniform thickness.
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- Adhesion of nail to nail bedThe nurse would expect the nail to adhere to the nail bed.
Question 8 of 12
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The nurse pinches the skin to assess which feature?
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- ColorThe color is not assessed by pinching the skin.
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- TextureThe texture is not assessed by pinching the skin.
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- TemperatureThe temperature is not assessed by pinching the skin.
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- TurgorThe skin should return to place immediately when pinched.
Question 9 of 12
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The dorsal surface of the hand should be used to assess which feature of the skin?
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- ThicknessThe dorsal surface of the hand is not used to assess skin thickness.
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- MoistureThe dorsal surface of the hand is not used to assess moisture.
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- ColorThe color of skin is not assessed with the hand.
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- TemperatureThe temperature should be palpated with the dorsal surface of the hand.
Question 10 of 12
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A patient presents with an oozing skin lesion. Which features regarding the exudate should the nurse note?
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- ConsistencyThe nurse should note the consistency of exudate.
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- AmountThe nurse should note the amount of exudate.
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- ColorThe nurse should note the color of exudate.
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- TemperatureThe temperature of the exudate is not assessed.
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- OdorThe nurse should note the odor of exudate.
Question 11 of 12
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The nurse notes that a patient has a pedunculated lesion. Which lesion feature does this describe?
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- Color“Pedunculated” does not describe color.
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- Texture“Pedunculated” does not describe texture.
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- Attachment at the baseA pedunculated lesion is attached at the base by a stalk.
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- Thickness“Pedunculated” does not describe thickness.
Question 12 of 12
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When assessing a skin lesion, which configurations are important for the nurse to note?
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- AnnularLesions may be in an annular configuration (in rings).
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- GroupedLesions may be grouped together.
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- Raised“Raised” does not describe the configuration of a lesion.
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- LinearLesions may be found in a linear arrangement.
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- ArciformLesions may be in an arciform arrangement (bow-shaped).