Chapter 57: Skin Disorders
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. An excited mother of a teenage boy with severe acne furiously reports to the nurse, “I’ve
told him a thousand times he should bathe more often! I’ve kept after him about all that
junk food he eats: I jump on him when I see him squeezing his zits: I tried to get him to
scrub his face three times a day!” Which statement indicates the most likely cause of the
boy’s acne?
a. Poor personal hygiene
b. Ingestion of junk food
c. Squeezing lesions
d. Need for facial scrubs
ANS: C
Squeezing the lesions may cause them to spread and push the infection deeper into the
follicles: Poor personal hygiene, eating junk food, and the need for facial scrubs are
myths:
DIF: Cognitive Level: Application REF: pp: 1120-1121
OBJ: 2 TOP: Acne KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
2. A patient who has undergone treatment for herpes simplex virus type 2 (HSV type 2)
expresses relief that she is cured: What should the nurse include in her teaching?
a. Daily douches of Burow solution are needed:
b. HSV is permanently cured by acyclovir (Zovirax):
c. Sexual partners are now safe from infection from her:
d. HSV lies dormant and can be triggered without any sexual contact:
ANS: D
, The virus goes dormant but can recur: Herpes is always present:
DIF: Cognitive Level: Application REF: p: 1122 OBJ: 2
TOP: Herpes Simplex KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
3. An 80-year-old patient comes to the emergency department with extreme pain and itching
in the hip and leg and has herpetic vesicular lesions on the left hip: What should the nurse
inquire about patient exposure to?
a. HSV, type 1
b. HSV, type 2
c. Smallpox
d. Chickenpox
ANS: D
Chickenpox is a virus that lies latent in the neural sheath and can be activated as
shingles in older adults:
DIF: Cognitive Level: Application REF: p: 1122 OBJ: 2
TOP: Herpes Zoster KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
4. A physician asks a nurse to take a smear from herpetic lesions in an older patient’s hip to
diagnose the disorder: What is the most probable test that will be performed?
a. Culture and sensitivity test to a bactericide
b. Tzanck test to test for viral culture
c. Complete blood count to assess the white blood count for response to a pathogen
d. Titration for the strength of the pathogen
ANS: B
The Tzanck test rapidly confirms the specific virus: the results are available sooner
than they would be from a culture:
DIF: Cognitive Level: Comprehension REF: p: 1122 OBJ: 2
TOP: Tzanck Test KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. An excited mother of a teenage boy with severe acne furiously reports to the nurse, “I’ve
told him a thousand times he should bathe more often! I’ve kept after him about all that
junk food he eats: I jump on him when I see him squeezing his zits: I tried to get him to
scrub his face three times a day!” Which statement indicates the most likely cause of the
boy’s acne?
a. Poor personal hygiene
b. Ingestion of junk food
c. Squeezing lesions
d. Need for facial scrubs
ANS: C
Squeezing the lesions may cause them to spread and push the infection deeper into the
follicles: Poor personal hygiene, eating junk food, and the need for facial scrubs are
myths:
DIF: Cognitive Level: Application REF: pp: 1120-1121
OBJ: 2 TOP: Acne KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
2. A patient who has undergone treatment for herpes simplex virus type 2 (HSV type 2)
expresses relief that she is cured: What should the nurse include in her teaching?
a. Daily douches of Burow solution are needed:
b. HSV is permanently cured by acyclovir (Zovirax):
c. Sexual partners are now safe from infection from her:
d. HSV lies dormant and can be triggered without any sexual contact:
ANS: D
, The virus goes dormant but can recur: Herpes is always present:
DIF: Cognitive Level: Application REF: p: 1122 OBJ: 2
TOP: Herpes Simplex KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
3. An 80-year-old patient comes to the emergency department with extreme pain and itching
in the hip and leg and has herpetic vesicular lesions on the left hip: What should the nurse
inquire about patient exposure to?
a. HSV, type 1
b. HSV, type 2
c. Smallpox
d. Chickenpox
ANS: D
Chickenpox is a virus that lies latent in the neural sheath and can be activated as
shingles in older adults:
DIF: Cognitive Level: Application REF: p: 1122 OBJ: 2
TOP: Herpes Zoster KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
4. A physician asks a nurse to take a smear from herpetic lesions in an older patient’s hip to
diagnose the disorder: What is the most probable test that will be performed?
a. Culture and sensitivity test to a bactericide
b. Tzanck test to test for viral culture
c. Complete blood count to assess the white blood count for response to a pathogen
d. Titration for the strength of the pathogen
ANS: B
The Tzanck test rapidly confirms the specific virus: the results are available sooner
than they would be from a culture:
DIF: Cognitive Level: Comprehension REF: p: 1122 OBJ: 2
TOP: Tzanck Test KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
