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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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RNRS 119 SUMMER EXAM 4 (SINGLETON) QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST RELEASE 2025/2026 5.0 (10 review) Terms in this set (356) The nurse provides diligent skincare because the primary function of the skin is a. insulation. b. protection. c. sensation. d. absorption. 1. Correct answer: b Rationale: The primary function of the skin is to protect the underlying tissues of the body by serving as a surface barrier to the external environment. The skin acts as a barrier against invasion by bacteria and viruses and prevents excess water loss. Age-related assessment findings of the hair and nails include (select all that apply) a. oily scalp. b. scaly scalp. c. thinner nails. d. thicker, brittle nails. e. longitudinal nail ridging. Correct answers: b, d, e Rationale: Decreased oil causes hair to become dry and coarse and the scalp to become scaly. Decreased peripheral blood supply causes nails to become thick and brittle. Longitudinal ridging in the nails may occur with aging. 3. When assessing the nutritional- metabolic pattern in relation to the skin, the nurse asks the patient about a. joint pain. b. the use of moisturizing shampoo. c. recent changes in wound healing. d. self-care habits related to daily hygiene. Correct answer: c Rationale: When assessing the nutritional-metabolic pattern, the nurse asks the following questions: “Describe any changes in the condition of your skin, hair, nails, and mucous membranes. Have you noticed any recent changes in the way sores or wounds heal? Have you had any weight loss or dietary changes, including supplemental vitamins and minerals?” The nurse assessed a patient's skin lesions as firm, edematous, and irregularly shaped with a variable diameter. They would be called a. wheals. b. papules. c. fissures. d. plaques. 1. Correct answer: a Rationale: A wheal is a firm, edematous, irregularly shaped area with variable diameter. Examples include insect bites, angioedema, and urticaria. During the physical assessment of a patient's skin, the nurse would a. use a flashlight in a poorly lit room. b. note cool, moist skin as a normal finding. c. pinch up a fold of skin to assess for turgor. d. perform a lesion-specific assessment and then a general inspection. Correct answer: c Rationale: Turgor is the elasticity of the skin. The nurse should assess turgor by gently pinching an area of skin under the clavicle or on the back of the hand. Skin with good turgor should move easily when lifted and should immediately return to its original position when released. Patients with dark skin are more likely to develop a. keloids. b. wrinkles. c. skin rashes. d. skin cancer. Correct answer: a Rationale: Persons with dark skin are predisposed to certain skin and hair conditions, such as keloids, which are overgrowths of collagenous tissue at the site of a skin injury. On inspection of a patient's dark skin, the nurse notes a blue-gray birthmark on the forehead and eye area. This assessment finding is called a. vitiligo. b. intertrigo. c. Nevus of Ota. d. telangiectasia. Correct answer: c Rationale: Nevus of Ota is a slate-gray to blue-gray pigmentation on the forehead and eye area of the face; it may involve the sclera. This condition may occur in those with dark skin. Diagnostic testing is recommended for skin lesions when a. a health history cannot be obtained. b. a more definitive diagnosis is needed. c. percussion reveals an abnormal finding. d. treatment with prescribed medication has failed. Correct answer: b Rationale: Biopsy is one of the most common diagnostic tests used in the evaluation of a skin lesion. A biopsy is needed in all conditions in which cancer is suspected or a specific diagnosis is questionable. Which safe sun practices would the nurse include in a teaching plan for a patient with photosensitivity? (select all that apply) a. Wear protective clothing. b. Apply sunscreen liberally and often. c. Emphasize the short-term use of a tanning booth. d. Avoid exposure to the sun, especially during midday. e. Wear any sunscreen that is available from the drugstore. Correct answers: a, b, d Rationale: Patients should recognize that sun safety guidelines include sun avoidance, especially during the midday hours; protective clothing; and broad- spectrum sunscreen (e.g., sun protective factor [SPF] 15; SPF 30 if a patient has a history of skin cancer or sun sensitivity). Sunscreens should be applied 20 to 30 minutes before the patient goes outdoors and should be reapplied every 2 hours and after swimming. Patients should avoid tanning booths and sun lamps.

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4/26/25, 5:21 RNRS 119 Summer Exam 4 (Singleton) |
PM


RNRS 119 SUMMER EXAM 4 (SINGLETON) QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED LATEST RELEASE 2025/2026
5.0 (10 review)
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Terms in this set (356)


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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,4/26/25, 5:21 RNRS 119 Summer Exam 4 (Singleton) |
PM
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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,4/26/25, 5:21 RNRS 119 Summer Exam 4 (Singleton) |
PM


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
3/34

, 4/26/25, 5:21 RNRS 119 Summer Exam 4 (Singleton) |
PM
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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