ATI Basic Medical-Surgical Dermatology Test.
A nurse is assessing a client who has a lesion on his skin. Which of the following
findings is a clinical manifestation of a malignant melanoma?
Rough, dry, scaly lesion
Firm nodule with crust
Pearly papule with ulcerated center
Irregularly shaped lesion with blue tones:
Correct✓- Irregularly shaped lesion with blue tones
Malignant melanomas are irregularly shaped and can be blue, red, or white in tone.
They often occur on the client's upper back and lower legs.
A nurse is planning care for a client who has been admitted for treatment of a
malignant melanoma of the upper leg without metastasis. The nurse should plan to
prepare the client for which of the following procedures?
Curettage
External radiation therapy
Regional chemotherapy
Surgical excision:
Correct✓- Surgical excision
A nurse is caring for a client who has a lesion on the back of his right hand. The
client asks the nurse which type of skin cancer is the most serious. Which of the
following responses by the nurse is appropriate?
Basal cell carcinomas
Melanomas
Actinic keratoses
Squamous cell carcinomas:
Correct✓- Melanomas
A nurse in the emergency department is caring for a client who has a snakebite on
her arm. Which of the following interventions should the nurse implement?
Immobilize the limb at the level of the heart.
Apply a tourniquet to the affected limb.
Use a sterile scapula to incise the wound.
Apply ice to the skin over the snakebite wound.:
Correct✓- Immobilize the limb at the level of the heart
, The emergency management of a client who has a snakebite focuses on limiting
the spread of venom. Any constrictive clothing or jewelry should be removed
before swelling worsens, and the affected limb should be immobilized at the level
of the heart.
A nurse is caring for a client who has burn injuries to his trunk. The nurse is
explaining what to expect from the prescribed hydrotherapy. Which of the
following statements by the client indicates an understanding of the teaching?
"I will be on a special shower table."
"The water temperature will be very cool to ease my pain."
"The nurse will use a firm-bristled brush to remove loose skin."
"The nurse will use scissors to open small blisters.":
Correct✓- "I will be on a special shower table."
The special shower table facilitates examination and debridement of the wound
during hydrotherapy. An advantage of using the showering technique as opposed
to a tub bath is that the water can be kept at a constant temperature and there is a
lower risk of wound infection.
A nurse in a provider's office is assessing a client's skin lesions. The nurse notes
that the lesions are 0.5 cm (0.20 in) in size, elevated, and solid, with very distinct
borders. The nurse should document the findings as which of the following skin
lesions?
Papules
Macules
Wheals
Vesicles:
Correct✓- Papules
A papule is a small, solid, elevated lesion with distinct borders. It is usually smaller
than 10 mm in diameter. Papules are common lesions of warts and elevated moles.
A nurse is evaluating the laboratory values of a client who is in the resuscitation
phase following a major burn. Which of the following laboratory findings should
the nurse expect?
Hemoglobin 10 g/dL
A nurse is assessing a client who has a lesion on his skin. Which of the following
findings is a clinical manifestation of a malignant melanoma?
Rough, dry, scaly lesion
Firm nodule with crust
Pearly papule with ulcerated center
Irregularly shaped lesion with blue tones:
Correct✓- Irregularly shaped lesion with blue tones
Malignant melanomas are irregularly shaped and can be blue, red, or white in tone.
They often occur on the client's upper back and lower legs.
A nurse is planning care for a client who has been admitted for treatment of a
malignant melanoma of the upper leg without metastasis. The nurse should plan to
prepare the client for which of the following procedures?
Curettage
External radiation therapy
Regional chemotherapy
Surgical excision:
Correct✓- Surgical excision
A nurse is caring for a client who has a lesion on the back of his right hand. The
client asks the nurse which type of skin cancer is the most serious. Which of the
following responses by the nurse is appropriate?
Basal cell carcinomas
Melanomas
Actinic keratoses
Squamous cell carcinomas:
Correct✓- Melanomas
A nurse in the emergency department is caring for a client who has a snakebite on
her arm. Which of the following interventions should the nurse implement?
Immobilize the limb at the level of the heart.
Apply a tourniquet to the affected limb.
Use a sterile scapula to incise the wound.
Apply ice to the skin over the snakebite wound.:
Correct✓- Immobilize the limb at the level of the heart
, The emergency management of a client who has a snakebite focuses on limiting
the spread of venom. Any constrictive clothing or jewelry should be removed
before swelling worsens, and the affected limb should be immobilized at the level
of the heart.
A nurse is caring for a client who has burn injuries to his trunk. The nurse is
explaining what to expect from the prescribed hydrotherapy. Which of the
following statements by the client indicates an understanding of the teaching?
"I will be on a special shower table."
"The water temperature will be very cool to ease my pain."
"The nurse will use a firm-bristled brush to remove loose skin."
"The nurse will use scissors to open small blisters.":
Correct✓- "I will be on a special shower table."
The special shower table facilitates examination and debridement of the wound
during hydrotherapy. An advantage of using the showering technique as opposed
to a tub bath is that the water can be kept at a constant temperature and there is a
lower risk of wound infection.
A nurse in a provider's office is assessing a client's skin lesions. The nurse notes
that the lesions are 0.5 cm (0.20 in) in size, elevated, and solid, with very distinct
borders. The nurse should document the findings as which of the following skin
lesions?
Papules
Macules
Wheals
Vesicles:
Correct✓- Papules
A papule is a small, solid, elevated lesion with distinct borders. It is usually smaller
than 10 mm in diameter. Papules are common lesions of warts and elevated moles.
A nurse is evaluating the laboratory values of a client who is in the resuscitation
phase following a major burn. Which of the following laboratory findings should
the nurse expect?
Hemoglobin 10 g/dL
