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Chapter 12: Skin, Hair, and Nails
Chapter 12: Skin, Hair, and Nails
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1. The nurse educator is preparing an education module for the nursing staff on
the epidermal layer of skin. Which of these statements would be included in the
module? The epidermis is:
a. Highly vascular.
b. Thick and tough.
c. Thin and nonstratified.
d. Replaced every 4 weeks.
,ANS: D
The epidermis is thin yet tough, replaced every 4 weeks, avascular, and
stratified into several zones.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 199
MSC: Client Needs: General
2. The nurse educator is preparing an education module for the nursing staff on
the dermis layer of skin. Which of these statements would be included in the
module? The dermis:
a. Contains mostly fat cells.
b. Consists mostly of keratin.
c. Is replaced every 4 weeks.
d. Contains sensory receptors.
ANS: D
The dermis consists mostly of collagen, has resilient elastic tissue that allows
the skin to stretch, and contains nerves, sensory receptors, blood vessels, and
lymphatic vessels. It is not replaced every 4 weeks.
,DIF: Cognitive Level: Understanding (Comprehension) REF: p. 200
MSC: Client Needs: General
3. The nurse is examining a patient who tells the nurse, “I sure sweat a lot,
especially on my face and feet but it doesn’t have an odor.” The nurse knows
that this condition could be related to:
a. Eccrine glands.
b. Apocrine glands.
c. Disorder of the stratum corneum.
d. Disorder of the stratum germinativum.
ANS: A
The eccrine glands are coiled tubules that directly open onto the skin surface
and produce a dilute saline solution called sweat. Apocrine glands are primarily
located in the axillae, anogenital area, nipples, and naval area and mix with
bacterial flora to produce the characteristic musky body odor. The patient’s
statement is not related to disorders of the stratum corneum or the stratum
germinativum.
DIF: Cognitive Level: Applying (Application) REF: p. 200
, MSC: Client Needs: Physiologic Integrity: Physiologic Adaptation
4. A newborn infant is in the clinic for a well-baby checkup. The nurse observes
the infant for the possibility of fluid loss because of which of these factors?
a. Subcutaneous fat deposits are high in the newborn.
b. Sebaceous glands are overproductive in the newborn.
c. The newborn’s skin is more permeable than that of the adult.
d. The amount of vernix caseosa dramatically rises in the newborn.
ANS: C
The newborn’s skin is thin, smooth, and elastic and is relatively more
permeable than that of the adult; consequently, the infant is at greater risk for
fluid loss. The subcutaneous layer in the infant is inefficient, not thick, and the
sebaceous glands are present but decrease in size and production. Vernix
caseosa is not produced after birth.
DIF: Cognitive Level: Applying (Application) REF: p. 201
MSC: Client Needs: Health Promotion and Maintenance
One Account Get all Test Banks
Chapter 12: Skin, Hair, and Nails
Chapter 12: Skin, Hair, and Nails
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1. The nurse educator is preparing an education module for the nursing staff on
the epidermal layer of skin. Which of these statements would be included in the
module? The epidermis is:
a. Highly vascular.
b. Thick and tough.
c. Thin and nonstratified.
d. Replaced every 4 weeks.
,ANS: D
The epidermis is thin yet tough, replaced every 4 weeks, avascular, and
stratified into several zones.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 199
MSC: Client Needs: General
2. The nurse educator is preparing an education module for the nursing staff on
the dermis layer of skin. Which of these statements would be included in the
module? The dermis:
a. Contains mostly fat cells.
b. Consists mostly of keratin.
c. Is replaced every 4 weeks.
d. Contains sensory receptors.
ANS: D
The dermis consists mostly of collagen, has resilient elastic tissue that allows
the skin to stretch, and contains nerves, sensory receptors, blood vessels, and
lymphatic vessels. It is not replaced every 4 weeks.
,DIF: Cognitive Level: Understanding (Comprehension) REF: p. 200
MSC: Client Needs: General
3. The nurse is examining a patient who tells the nurse, “I sure sweat a lot,
especially on my face and feet but it doesn’t have an odor.” The nurse knows
that this condition could be related to:
a. Eccrine glands.
b. Apocrine glands.
c. Disorder of the stratum corneum.
d. Disorder of the stratum germinativum.
ANS: A
The eccrine glands are coiled tubules that directly open onto the skin surface
and produce a dilute saline solution called sweat. Apocrine glands are primarily
located in the axillae, anogenital area, nipples, and naval area and mix with
bacterial flora to produce the characteristic musky body odor. The patient’s
statement is not related to disorders of the stratum corneum or the stratum
germinativum.
DIF: Cognitive Level: Applying (Application) REF: p. 200
, MSC: Client Needs: Physiologic Integrity: Physiologic Adaptation
4. A newborn infant is in the clinic for a well-baby checkup. The nurse observes
the infant for the possibility of fluid loss because of which of these factors?
a. Subcutaneous fat deposits are high in the newborn.
b. Sebaceous glands are overproductive in the newborn.
c. The newborn’s skin is more permeable than that of the adult.
d. The amount of vernix caseosa dramatically rises in the newborn.
ANS: C
The newborn’s skin is thin, smooth, and elastic and is relatively more
permeable than that of the adult; consequently, the infant is at greater risk for
fluid loss. The subcutaneous layer in the infant is inefficient, not thick, and the
sebaceous glands are present but decrease in size and production. Vernix
caseosa is not produced after birth.
DIF: Cognitive Level: Applying (Application) REF: p. 201
MSC: Client Needs: Health Promotion and Maintenance
