Chapter 09: Skin, Hair, and Nails
Ball: Seidel’s Guide to Physical Examination, 9th Edition
MULTIPLE CHOICE
1. The skin repairs surface wounds by:
a. exaggerating cell replacement.
b. excreting lactic acid.
c. producing vitamins.
d. providing a mechanical barrier.
ANS: A
The skin's tissue cells have a rapid rate of turnover and constant renewal,
thereby enabling the skin to repair damaged surfaces.
DIF: Cognitive Level: Remembering (Knowledge) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
2. The adipose tissue in the hypodermis serves to:
a. provide sensory input.
b. generate heat and insulate.
c. create tensile strength.
d. secrete collagen.
ANS: B
, The hypodermis layer consists of adipose tissue that serves to generate heat
and provide insulation, shock absorption and a reserve of calories.
DIF: Cognitive Level: Remembering (Knowledge) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
3. The secretory activity of the sebaceous glands is stimulated by:
a. body heat.
b. ambient temperature.
c. sex hormones.
d. dietary protein.
ANS: C
The sebaceous glands, when stimulated by the sex hormones, produce a lipid -
rich substance that keeps the skin moist.
DIF: Cognitive Level: Remembering (Knowledge) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
4. Mrs. Tuber is a 36-year-old patient who comes into the health center with
complaints that her fingernails are not growing. Which structure is the site of
new nail growth?
a. Cuticle
b. Perionychium
c. Matrix
, d. Nail bed
ANS: C
The white crescent-shaped area beyond the proximal nail fold is called the
matrix, which is the site of new nail growth.
DIF: Cognitive Level: Applying (Application) OBJ: Nursing process—
assessment MSC: Physiologic Integrity: Physiologic Adaptation
5. Mrs. Leonard brings her newborn infant into the pediatrician's office for a first
well-baby visit. As the healthcare provider, you teach her that newborns are more
vulnerable to hypothermia because of:
a. the presence of coarse terminal hair.
b. desquamation of the stratum corneum.
c. their covering of vernix caseosa.
d. a poorly developed subcutaneous fat layer.
ANS: D
Newborns have a poorly developed subcutaneous fat layer and therefore have
a reduced ability to generate heat.
DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
Ball: Seidel’s Guide to Physical Examination, 9th Edition
MULTIPLE CHOICE
1. The skin repairs surface wounds by:
a. exaggerating cell replacement.
b. excreting lactic acid.
c. producing vitamins.
d. providing a mechanical barrier.
ANS: A
The skin's tissue cells have a rapid rate of turnover and constant renewal,
thereby enabling the skin to repair damaged surfaces.
DIF: Cognitive Level: Remembering (Knowledge) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
2. The adipose tissue in the hypodermis serves to:
a. provide sensory input.
b. generate heat and insulate.
c. create tensile strength.
d. secrete collagen.
ANS: B
, The hypodermis layer consists of adipose tissue that serves to generate heat
and provide insulation, shock absorption and a reserve of calories.
DIF: Cognitive Level: Remembering (Knowledge) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
3. The secretory activity of the sebaceous glands is stimulated by:
a. body heat.
b. ambient temperature.
c. sex hormones.
d. dietary protein.
ANS: C
The sebaceous glands, when stimulated by the sex hormones, produce a lipid -
rich substance that keeps the skin moist.
DIF: Cognitive Level: Remembering (Knowledge) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
4. Mrs. Tuber is a 36-year-old patient who comes into the health center with
complaints that her fingernails are not growing. Which structure is the site of
new nail growth?
a. Cuticle
b. Perionychium
c. Matrix
, d. Nail bed
ANS: C
The white crescent-shaped area beyond the proximal nail fold is called the
matrix, which is the site of new nail growth.
DIF: Cognitive Level: Applying (Application) OBJ: Nursing process—
assessment MSC: Physiologic Integrity: Physiologic Adaptation
5. Mrs. Leonard brings her newborn infant into the pediatrician's office for a first
well-baby visit. As the healthcare provider, you teach her that newborns are more
vulnerable to hypothermia because of:
a. the presence of coarse terminal hair.
b. desquamation of the stratum corneum.
c. their covering of vernix caseosa.
d. a poorly developed subcutaneous fat layer.
ANS: D
Newborns have a poorly developed subcutaneous fat layer and therefore have
a reduced ability to generate heat.
DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
