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RNRS 119 SUMMER EXAM 4 (SINGLETON) QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED LATEST RELEASE 2025/2026
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The nurse provides 1. Correct answer: b
diligent skincare Rationale: The primary function of the skin is
because the primary to protect the underlying tissues of the body
function of the skin is by serving as a surface barrier to the external
a. insulation. environment. The skin acts as a barrier
b. protection.
against invasion by bacteria and viruses and
c. sensation.
prevents excess water loss.
d. absorption.
Age-related Correct answers: b, d, e
assessment findings of Rationale: Decreased oil causes hair to
the hair and nails become dry and coarse and the scalp to
include (select all become scaly. Decreased peripheral blood
that supply causes nails to become thick and
apply) brittle. Longitudinal ridging in the nails may
a. oily scalp.
occur with aging.
b. scaly scalp.
c. thinner nails.
d. thicker, brittle nails.
e. longitudinal nail
ridging.
3. When assessing the Correct answer: c
nutritional- Rationale: When assessing the nutritional-
metabolic pattern in metabolic pattern, the nurse asks the following
relation to the skin, the questions: “Describe any changes in the
nurse asks the condition of your skin, hair,
patient about nails, and mucous membranes. Have you
a. joint pain.
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b. the use of moisturizing noticed any recent changes in the way sores
shampoo. or wounds heal? Have you had any weight
c. recent changes in
loss or dietary changes,
wound healing. including supplemental vitamins and minerals?”
d. self-care habits
related to daily
hygiene.
The nurse assessed a 1. Correct answer: a
patient's skin lesions as Rationale: A wheal is a firm, edematous,
firm, edematous, and irregularly shaped area with variable diameter.
irregularly Examples include insect
shaped with a variable bites, angioedema, and
diameter. They would urticaria.
be called
a. wheals.
b. papules.
c. fissures.
d. plaques.
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During the physical Correct answer: c
assessment of a Rationale: Turgor is the elasticity of the skin. The nurse
should assess turgor by
patient's skin, the
gently pinching an area of skin under the
nurse would
a. use a flashlight in a
clavicle or on the back of the hand. Skin with
poorly lit room.
good turgor should move easily when lifted
b. note cool, moist
and should immediately return to its original
skin as a normal
position when released.
finding.
c. pinch up a fold of
skin to assess for
turgor.
d. perform a lesion-
specific assessment
and then a general
inspection.
Patients with dark skin Correct answer: a
are more likely to Rationale: Persons with dark skin are
develop predisposed to certain skin and hair
a. keloids. conditions, such as keloids, which are
b. wrinkles.
overgrowths of collagenous tissue at the site
c. skin rashes.
of a skin injury.
d. skin cancer.
On inspection of a Correct answer: c
patient's dark skin, the Rationale: Nevus of Ota is a slate-gray to blue-
nurse notes a blue- gray pigmentation on the forehead and eye
gray birthmark on the area of the face; it may involve the sclera. This
forehead and eye area. condition may occur in those with dark skin.
This assessment
finding is called
a. vitiligo.
b. intertrigo.
c. Nevus of Ota.
d. telangiectasia.
Diagnostic testing is Correct answer: b
recommended for skin Rationale: Biopsy is one of the most common
diagnostic tests used in the
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lesions when evaluation of a skin lesion. A biopsy is needed
a. a health history cannot
be obtained. in all conditions in which cancer is suspected
b. a more definitive or a specific diagnosis is questionable.
diagnosis is needed.
c. percussion reveals an
abnormal finding.
d. treatment with
prescribed medication
has failed.
Which safe sun practices Correct answers: a, b, d
would the nurse include Rationale: Patients should recognize that sun
in a teaching plan for safety guidelines include sun avoidance,
a patient with especially during the midday hours; protective
photosensitivity? clothing; and broad- spectrum sunscreen (e.g.,
(select all that sun protective factor [SPF] 15; SPF 30 if a
apply) patient has a history of skin cancer or sun
a. Wear protective
sensitivity). Sunscreens should be applied 20
clothing.
to 30 minutes before the patient goes
b. Apply sunscreen
liberally and often. outdoors and should be reapplied every 2
c. Emphasize the hours and after swimming. Patients should
short-term use of a avoid tanning booths and sun lamps.
tanning booth.
d. Avoid exposure to
the sun, especially
during midday.
e. Wear any sunscreen
that is available from
the drugstore.
When teaching a Correct answer: a
patient with Rationale: The most important prognostic
melanoma, the nurse factor is tumor thickness at the time of
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