WGU PATHO D236 INTEGUMENTARY
EXAM QUESTIONS AND ANSWERS
When a provider assesses a patient with bright red, edematous skin after a long day at
the beach, the provider notes that the anterior face and neck, anterior and posterior
arms, the anterior and posterior torso above the waist, and the anterior and posterior
lower legs are burned. Using the Rule of Nines, what percentage of body surface area
is burned? - ANSWER -58.5%
A patient presents to the primary care office concerned about irregular patches of skin
on the neck and arms that appear white. The patches are flat and smooth but burn
easily in the sun. Which diagnosis is most likely? - ANSWER -Vitiligo
A child is brought to the clinic for an itchy, scaly, dry lesion on the scalp. The healthcare
provider uses a Wood's light to examine the lesion, which turns fluorescent yellow
green. The healthcare provider prescribes a topical antifungal medication. Which type of
tinea infection does the child have? - ANSWER -Tinea capitis
While caring for a client with a skin disorder, the nurse finds wheals on the skin, as well
as swelling of the eyes, face, lips and mucous membranes of the client. Which reason
does the nurse attribute to this disorder? - ANSWER -Release of histamine from mast
cells
Which physiological changes occur in the body after a thermal injury? - ANSWER -
Decreased intravascular fluid volume
Increased systemic vascular resistance
Increased potassium ion flow into the extracellular fluid
Which patient is at high risk for psoriasis? - ANSWER -The pt who has a history of skin
trauma
The pt who uses the medication lithium
The pt who uses the medication Plaquenil
A nurse in an emergency department is caring for a patient with thermal burns on 30%
of the body. Which nursing intervention prevents the risk of burn shock in the patient? -
ANSWER -Ensuring adequate fluid resuscitation
Which zone exhibits the greatest degree of thermal injury within the skin? - ANSWER -
Zone of coagulation
You receive a patient who has experienced a burn on the right leg. The burn has small
blisters, is markedly pinkish red and has a shiny and moist appearance. When the
patient is asked about pain level, the patient describes it as severe. What level of burn
does this patient present? - ANSWER -Second degree (partial thickness)
, A 56-year-old female presents with superficial partial-thickness burns to the anterior
head and neck, front and back of the left arm, front of the right arm, posterior trunk, front
and back of the right leg, and back of the left leg. Calculate the total body surface area
percentage that is burned using the Rule of Nines. - ANSWER -63%
A patient presents with normal vital signs and urinary output of 49 mL/hr. They
experienced a full thickness burn 72 hours ago. What phase of burn management is this
patient experiencing? - ANSWER -Acute
Albinism is a defect in what pigment? - ANSWER -Melanin
A fair-skinned 64-year-old male patient presents to the clinic with an 8mm purplish-
black, flat, irregularly shaped lesion over his left shoulder-blade. The patient is unsure of
how long he has had the lesion and only presented after his spouse thought the lesion
was getting larger. Which diagnosis is most likely? - ANSWER -Melanoma
An adolescent male patient is brought to the emergency department after spending a
long day at the beach. The patient's head, neck, and trunk from the waist upwards and
legs from the knees downward are bright red and edematous. The patient is crying and
reports 8 out of 10 on the pain scale and an inability to find a comfortable position. What
is the most likely classification of this burn? - ANSWER -Superficial
While assessing a patient, the nurse finds evidence of superficial burns. Which
treatment does the nurse anticipate to be beneficial for this patient? - ANSWER -
Analgesics
While assessing a patient, a nurse finds the skin on the wrist appears pearl-pink, wet,
and blistered and the patient's dermis is exposed. The patient reports exposure to
nearly boiling water. Which diagnosis does the nurse make? - ANSWER -The patient
has superficial partial-thickness burns.
A patient with an electrical burn to one hand and arm is admitted to the intensive care
unit (ICU). Entrance and exit wounds of electricity exhibit full-thickness burns, with
partial-thickness and superficial burns to the remaining area. Which nursing intervention
is appropriate before the first prescribed dressing change? - ANSWER -Medicate with
an IV opioid before changing the dressing
The nurse finds the medication betamethasone in the prescription of a patient with a
skin disorder. Which skin disorder does the nurse suspect in the patient? - ANSWER -
Eczema
The nurse is preparing teaching material for a community presentation about the
prevention of skin cancer. Which factor presents a dilemma for the nurse regarding
conflicting information? - ANSWER -Vitamin D production
EXAM QUESTIONS AND ANSWERS
When a provider assesses a patient with bright red, edematous skin after a long day at
the beach, the provider notes that the anterior face and neck, anterior and posterior
arms, the anterior and posterior torso above the waist, and the anterior and posterior
lower legs are burned. Using the Rule of Nines, what percentage of body surface area
is burned? - ANSWER -58.5%
A patient presents to the primary care office concerned about irregular patches of skin
on the neck and arms that appear white. The patches are flat and smooth but burn
easily in the sun. Which diagnosis is most likely? - ANSWER -Vitiligo
A child is brought to the clinic for an itchy, scaly, dry lesion on the scalp. The healthcare
provider uses a Wood's light to examine the lesion, which turns fluorescent yellow
green. The healthcare provider prescribes a topical antifungal medication. Which type of
tinea infection does the child have? - ANSWER -Tinea capitis
While caring for a client with a skin disorder, the nurse finds wheals on the skin, as well
as swelling of the eyes, face, lips and mucous membranes of the client. Which reason
does the nurse attribute to this disorder? - ANSWER -Release of histamine from mast
cells
Which physiological changes occur in the body after a thermal injury? - ANSWER -
Decreased intravascular fluid volume
Increased systemic vascular resistance
Increased potassium ion flow into the extracellular fluid
Which patient is at high risk for psoriasis? - ANSWER -The pt who has a history of skin
trauma
The pt who uses the medication lithium
The pt who uses the medication Plaquenil
A nurse in an emergency department is caring for a patient with thermal burns on 30%
of the body. Which nursing intervention prevents the risk of burn shock in the patient? -
ANSWER -Ensuring adequate fluid resuscitation
Which zone exhibits the greatest degree of thermal injury within the skin? - ANSWER -
Zone of coagulation
You receive a patient who has experienced a burn on the right leg. The burn has small
blisters, is markedly pinkish red and has a shiny and moist appearance. When the
patient is asked about pain level, the patient describes it as severe. What level of burn
does this patient present? - ANSWER -Second degree (partial thickness)
, A 56-year-old female presents with superficial partial-thickness burns to the anterior
head and neck, front and back of the left arm, front of the right arm, posterior trunk, front
and back of the right leg, and back of the left leg. Calculate the total body surface area
percentage that is burned using the Rule of Nines. - ANSWER -63%
A patient presents with normal vital signs and urinary output of 49 mL/hr. They
experienced a full thickness burn 72 hours ago. What phase of burn management is this
patient experiencing? - ANSWER -Acute
Albinism is a defect in what pigment? - ANSWER -Melanin
A fair-skinned 64-year-old male patient presents to the clinic with an 8mm purplish-
black, flat, irregularly shaped lesion over his left shoulder-blade. The patient is unsure of
how long he has had the lesion and only presented after his spouse thought the lesion
was getting larger. Which diagnosis is most likely? - ANSWER -Melanoma
An adolescent male patient is brought to the emergency department after spending a
long day at the beach. The patient's head, neck, and trunk from the waist upwards and
legs from the knees downward are bright red and edematous. The patient is crying and
reports 8 out of 10 on the pain scale and an inability to find a comfortable position. What
is the most likely classification of this burn? - ANSWER -Superficial
While assessing a patient, the nurse finds evidence of superficial burns. Which
treatment does the nurse anticipate to be beneficial for this patient? - ANSWER -
Analgesics
While assessing a patient, a nurse finds the skin on the wrist appears pearl-pink, wet,
and blistered and the patient's dermis is exposed. The patient reports exposure to
nearly boiling water. Which diagnosis does the nurse make? - ANSWER -The patient
has superficial partial-thickness burns.
A patient with an electrical burn to one hand and arm is admitted to the intensive care
unit (ICU). Entrance and exit wounds of electricity exhibit full-thickness burns, with
partial-thickness and superficial burns to the remaining area. Which nursing intervention
is appropriate before the first prescribed dressing change? - ANSWER -Medicate with
an IV opioid before changing the dressing
The nurse finds the medication betamethasone in the prescription of a patient with a
skin disorder. Which skin disorder does the nurse suspect in the patient? - ANSWER -
Eczema
The nurse is preparing teaching material for a community presentation about the
prevention of skin cancer. Which factor presents a dilemma for the nurse regarding
conflicting information? - ANSWER -Vitamin D production
