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NUR 242 Ch 24 Skin Assessment | 180+ Q&A | Lesions, Aging Skin, Color Changes, Biopsy, Nail Conditions

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This comprehensive expert-verified resource includes over 180 high-yield questions and answers from Chapter 24 of the 2026 NUR 242 curriculum, focusing on skin assessment, dermatologic conditions, and clinical manifestations. Based on Ignatavicius & Workman: Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care, the document provides a thorough review of nursing care related to the integumentary system. Key topics include: Age-related skin changes: fragility, decreased elasticity, delayed wound healing, increased risk for pressure injuries, dry skin, heat stroke, and altered pigmentation Assessment techniques: inspection and palpation of lesions, folds, nail beds, oral mucosa, and scalp; cultural/ethnic considerations for darker skin tones Lesion identification: Primary lesions: macules, papules, nodules, plaques, cysts, vesicles, pustules, wheals Secondary lesions: ulcers, scales, crusts, fissures, lichenifications, atrophy Color changes and implications: pallor, jaundice, cyanosis, ecchymosis, and their causes (e.g., liver disease, anemia, circulatory issues) Nail assessments: clubbing, spoon nails (koilonychia), Beau’s lines, fungal infections, discoloration, ridges, and systemic associations Diagnostic tools: Tzanck smear, KOH test, Wood's light exam, punch biopsy, shave biopsy, diascopy Patient teaching: skin hygiene, sun protection, moisturizing techniques, lesion tracking for malignancy, and cultural nuances in skin assessment Additional areas include common skin conditions like urticaria, psoriasis, acne, dermatitis, fungal and bacterial infections, and complications from medications or systemic disease. Cultural and ethnic assessment variations are emphasized for accurate interpretation of signs in diverse patient populations. This document is designed for: Nursing students in ADN, BSN, and bridge programs Students in Medical-Surgical Nursing, Pathophysiology, or Integumentary System-focused courses Those preparing for NCLEX-RN, ATI, HESI, or unit-based competency exams Presented in a Q&A format to facilitate mastery of key dermatologic concepts, this tool supports critical thinking and exam success. Keywords: skin assessment, primary lesions, secondary lesions, ABCDE skin cancer, biopsy types, skin color changes, clubbing nails, koilonychia, Beau’s lines, aging skin care, cyanosis, urticaria, tzanck smear, wood’s light exam, wound healing, dry skin nursing, nail disorders, integumentary NCLEX, NUR 242

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Test 1 NUR 242 Ch 24 2026
Expert Verified | Ace the Test


Skin's appearance, function and texture can be altered by - 🧠 ANSWER

✔✔emotional stress, systemic disease, drugs, and injury


What is the main componant of dermal tissue? - 🧠 ANSWER ✔✔collagen


When skin fragility and transparency present - 🧠 ANSWER ✔✔handle

patients carefully

assess for excessive dryness or moisture

avoid taping skin

,With delayed wound healing the nurse should - 🧠 ANSWER ✔✔avoid skin

trauma and protect open areas

with skin hyperplasia (increase in cell reproduction) and skin cancers the

nurse should - 🧠 ANSWER ✔✔assess non sun exposed areas for baseline

skin features

assess exposed skin areas for sun induced changes


with increased risk for irritation the nurse should - 🧠 ANSWER ✔✔teach

patients how to avoid exposure to skin irritants

with decreased skin inflammatory response the nurse should - 🧠 ANSWER

✔✔make sure to NOT RELY on degree of redness answelling to correlate

with the severity of skin jury or localized infection


with increased risk of sunburn the nurse should - 🧠 ANSWER ✔✔teach

patients to wear hats, sunscreen, protective clothing

teach to avoid sun between 10-4

with changes in pigmentation (liver spots) then nurse should - 🧠 ANSWER

✔✔teach patients to keep track of pigmented lesions


teach them what changes should be evaluated for malignancy

,with increased risk for osteomalcia (soft bones) the nurse should - 🧠

ANSWER ✔✔urge patients to take vitamin or calcium supplement with

vitamin D

With increased risk for shearing forces (causing blisters,purpura, tears,

pressure problems) the nurse should - 🧠 ANSWER ✔✔avoid pulling or

dragging patients.

change positions every two hours

use care when removing adhesive

with increases susceptability to dry skin the nurse should - 🧠 ANSWER

✔✔teach patients to apply moisturizer when skin is still MOIST


avoid drying agents

with increased risk for heat stroke and hypothermia the nurse should - 🧠

ANSWER ✔✔teach patients to dress for enviornmental temps


with paper thin translucent skin the nurse should - 🧠 ANSWER ✔✔avoid

tape/tight dressings

handle carefully




COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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, with decreased tone and elasticity the nurse should - 🧠 ANSWER ✔✔check

skin turgor on FOREHEAD or CHEST


with cherry hemangiomas the nurse should - 🧠 ANSWER ✔✔teach patient

these are benign


with reduced sensory perception the nurse should - 🧠 ANSWER ✔✔teach

patients to reduce water heater temp and use bath themometer


with increased hair thinning the nurse should - 🧠 ANSWER ✔✔suggest

wearing hats to avoid sunburn and prevent heat loss in winter

with gradual loss of hair color (graying) the nurse should - 🧠 ANSWER

✔✔teach patients that hair color loss can happen at any age


with increased risk for nail fungal infections the nurse should - 🧠 ANSWER

✔✔inspect nails and teach patients to keep feet warm and dry


with longitudinal nail ridges the nurse should - 🧠 ANSWER ✔✔use the

mucosa to assess for nail ridges

with thickened toenails that may overhang the toes the nurse should - 🧠

ANSWER ✔✔use fingernails to assess capillary refill


do not use nail appearance alone to assess for fungal

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