NURSING 131 UNIT 1 QUESTIONS WITH
100% ACCURATE ANSWERS
1. While collecting the health history the nurse inquires regarding exposure to ultraviolet
(UV) rays. The nurse should encourage the patient to include any exposure to tanning
bed lights as this contributes to the risk of melanoma. - Accurate answers true
When inspecting the skin the nurse should use an overhead light and obscure natural
light using blinds or curtains in order to assess lesions and color appropriately. -
Accurate answers False
3. Which of the following are considered risk factors for skin integrity impairment?
SELECT ALL THAT APPLY: - Accurate answers Urinary and fecal incontinence
Poor nutritional intake
impaired physical mobility
decrease level of consciousness
The nurse discovers the patient has a bluish/gray discoloration of the lips. This should
be documented as: - Accurate answers cyanosis
A common variation of the skin where a patient has lost pigment is referred to as: -
Accurate answers vitiligo
A patient has acquired a serous filled intact blister to their right heel as a result of
friction/sheering and pressure. This pressure ulcer would be staged as: - Accurate
answers Stage 2
A pus filled primary lesion that is elevated, circumscribed and measures < 0.5 cm is
referred to as a: - Accurate answers Pustule
The nurse discovers red/purple macules to a patient's chest, that each measure 1-2 mm
The patient has been taking a blood thinner. These should be documented as: -
Accurate answers Petechiae
A patient has a small group of vesicles on his chest in a circular configuration. The
configuration would be described as: - Accurate answers annular
Which of the following are included in the ABCDEs of melanoma? SELECT ALL THAT
APPLY: - Accurate answers lesion has irregular boarder
lesion has multiple or unusual colors
lesion appears to be growing
Which of the following are components of the general survey? (select all that apply): -
Accurate answers Observing physical appearance
100% ACCURATE ANSWERS
1. While collecting the health history the nurse inquires regarding exposure to ultraviolet
(UV) rays. The nurse should encourage the patient to include any exposure to tanning
bed lights as this contributes to the risk of melanoma. - Accurate answers true
When inspecting the skin the nurse should use an overhead light and obscure natural
light using blinds or curtains in order to assess lesions and color appropriately. -
Accurate answers False
3. Which of the following are considered risk factors for skin integrity impairment?
SELECT ALL THAT APPLY: - Accurate answers Urinary and fecal incontinence
Poor nutritional intake
impaired physical mobility
decrease level of consciousness
The nurse discovers the patient has a bluish/gray discoloration of the lips. This should
be documented as: - Accurate answers cyanosis
A common variation of the skin where a patient has lost pigment is referred to as: -
Accurate answers vitiligo
A patient has acquired a serous filled intact blister to their right heel as a result of
friction/sheering and pressure. This pressure ulcer would be staged as: - Accurate
answers Stage 2
A pus filled primary lesion that is elevated, circumscribed and measures < 0.5 cm is
referred to as a: - Accurate answers Pustule
The nurse discovers red/purple macules to a patient's chest, that each measure 1-2 mm
The patient has been taking a blood thinner. These should be documented as: -
Accurate answers Petechiae
A patient has a small group of vesicles on his chest in a circular configuration. The
configuration would be described as: - Accurate answers annular
Which of the following are included in the ABCDEs of melanoma? SELECT ALL THAT
APPLY: - Accurate answers lesion has irregular boarder
lesion has multiple or unusual colors
lesion appears to be growing
Which of the following are components of the general survey? (select all that apply): -
Accurate answers Observing physical appearance
