Nursing Care of Patients with Integumentary Disorders: Quizzes and Study Guide

Question 1

For a Stage III pressure ulcer, which wound management method is appropriate?

Accepted Answer

Surgical removal of necrotic tissue followed by skin transplant

Answer

Moist wound healing

Answer

Employing negative pressure to promote wound healing

Answer

Administering high-pressure oxygen therapy

Question 2

Postoperatively, what instruction should be given to a patient with a healing surgical incision?

Accepted Answer

Keep the incision dry and protected

Answer

Apply pressure to the incision

Answer

Remove the bandage daily to inspect for infection

Answer

Rub the incision to enhance blood flow

Question 3

In palliative care for patients with integumentary disorders, which intervention is a top priority?

Accepted Answer

Addressing pain and discomfort

Answer

Preventing further skin damage

Answer

Educating the patient about their condition

Answer

Enhancing their social and emotional well-being

Question 4

Pressure ulcers are a common complication in healthcare settings. Explain how they develop and discuss their impact on patient outcomes.

Accepted Answer

Pressure ulcers result from prolonged pressure on the skin, leading to tissue ischemia and necrosis due to impaired blood flow.

Answer

Pressure ulcers are primarily caused by bacterial infections that invade the skin and underlying tissues.

Answer

Pressure ulcers are a type of autoimmune disorder that affects the skin's immune system, leading to tissue destruction.

Answer

Pressure ulcers are a contagious skin condition that can spread through direct contact with affected individuals.

Question 5

When caring for patients with integumentary disorders, which ethical principle is paramount?

Accepted Answer

Respecting patient autonomy and obtaining informed consent

Answer

Prioritizing treatment based on the nurse's judgment

Answer

Withholding information from patients to avoid distress

Answer

Administering treatments without patient consent in emergencies

Question 6

When assessing a patient with a skin rash, which of the following is the most important factor to consider?

Accepted Answer

Distribution and pattern

Answer

Color and texture

Answer

Patient's history

Answer

Duration of symptoms

Question 7

Which type of wound dressing is appropriate for a superficial wound with minimal drainage?

Accepted Answer

Transparent film dressing

Answer

Hydrocolloid dressing

Answer

Alginate dressing

Answer

Foam dressing

Question 8

When preparing a patient for a skin biopsy, which of the following is essential prior to the procedure?

Accepted Answer

Obtain informed consent

Answer

Cleanse the biopsy site

Answer

Apply a topical anesthetic

Answer

Administer antibiotics

Question 9

What is the gold standard diagnostic test for skin cancer?

Accepted Answer

Excisional biopsy

Answer

Punch biopsy

Answer

Fine needle aspiration

Answer

Skin scraping

Question 10

Which of the following is NOT a nursing intervention for end-of-life care for a patient with skin cancer?

Accepted Answer

Administering chemotherapy

Answer

Providing comfort and symptom management

Answer

Promoting skin integrity

Answer

Supporting the family

Question 11

What is the most common type of skin cancer treated in the United States?

Accepted Answer

Basal cell carcinoma

Answer

Squamous cell carcinoma

Answer

Melanoma

Answer

Merkel cell carcinoma

Question 12

Which of the following is a common integumentary disorder characterized by a thickening of the skin with abnormal keratinization?

Accepted Answer

Psoriasis

Answer

Eczema

Answer

Contact dermatitis

Answer

Urticaria

Question 13

When assessing a wound, which factor is NOT important to document?

Accepted Answer

Depth of the wound bed

Answer

Size and shape

Answer

Color and drainage

Answer

Presence of surrounding tissue inflammation

Question 14

Which type of dressing maintains a moist environment to facilitate wound healing?

Accepted Answer

Hydrocolloid dressing

Answer

Gauze dressing

Answer

Transparent film dressing

Answer

Alginate dressing

Question 15

What is the initial step in postoperative care for a patient with an integumentary disorder?

Accepted Answer

Patient assessment

Answer

Dressing change

Answer

Pain medication administration

Answer

Incision site evaluation

Question 16

Which of the following indicates the development of a pressure ulcer?

Accepted Answer

Non-blanching erythema

Answer

Increased warmth

Answer

Firm, intact skin

Answer

Increased hair growth

Question 17

Which complication is most commonly associated with advanced skin cancer?

Accepted Answer

Metastasis

Answer

Infection

Answer

Scarring

Question 18

Classify the following wound: It extends through the epidermis, dermis, and subcutaneous tissue, damaging blood vessels and nerves.

Accepted Answer

Full-thickness wound

Answer

Superficial partial-thickness wound

Answer

Deep partial-thickness wound

Answer

Third-degree burn

Question 19

For patients with severe burns, which intervention is the first-line treatment for pain management?

Accepted Answer

Administer morphine

Answer

Administer acetaminophen

Answer

Administer ibuprofen

Answer

Administer aspirin

Question 20

Which nursing intervention is essential in preventing skin breakdown in immobile patients?

Accepted Answer

Turning the patient every 2 hours and providing pressure relief

Answer

Maintaining a dry environment only

Answer

Administering antibiotics to prevent infection only

Answer

Providing a pressure-reducing mattress only

Question 21

A patient with a wound infection exhibits which clinical manifestation?

Accepted Answer

Purulent drainage and inflammation

Answer

Dry wound bed and absence of exudate

Answer

Minimal pain and erythema

Answer

Absence of drainage and inflammation

Question 22

Which assessment finding would indicate that a patient is at risk for developing a pressure ulcer?

Accepted Answer

Immobility and decreased sensation

Answer

Frequent position changes and pressure relief

Answer

Healthy skin integrity and adequate nutrition

Question 23

When providing preoperative care for a patient with an integumentary disorder, the nurse should:

Accepted Answer

Assess the extent of the lesion, document vital signs, and obtain informed consent for surgery

Answer

Document vital signs only

Answer

Apply a dressing to the wound only

Answer

Obtain informed consent for surgery only

Question 24

Which type of wound dressing is appropriate for a clean, dry wound with minimal drainage?

Accepted Answer

Saline gauze or transparent film

Answer

Alginate dressing only

Answer

Foam dressing only

Answer

Hydrocolloid dressing only

Question 25

A patient with a skin graft is experiencing excessive bleeding. Which nursing action is most appropriate?

Accepted Answer

Apply direct pressure to the graft site and elevate the affected extremity

Answer

Administer pain medication only

Answer

Notify the surgeon immediately only

Answer

Elevate the affected extremity only

Question 26

Which type of skin cancer is characterized by irregular borders, multiple colors, and a tendency to bleed?

Accepted Answer

Melanoma

Answer

Basal cell carcinoma typically presents with a pearly border and slow growth

Answer

Actinic keratosis typically manifests as rough, dry, scaly patches on sun-exposed areas

Answer

Squamous cell carcinoma typically appears as a red, scaly patch or bump

Question 27

A patient with an extensive burn injury is at risk for developing hypovolemia. Which nursing intervention is crucial?

Accepted Answer

Monitor fluid intake and output closely, and administer intravenous fluids as ordered

Answer

Administer antibiotics prophylactically only

Answer

Provide emotional support only

Answer

Promote rest and relaxation only

Question 28

Which ethical consideration is paramount when caring for a patient with an integumentary disorder that affects their appearance?

Accepted Answer

Maintaining patient privacy, confidentiality, and dignity

Answer

Promoting patient self-care only

Answer

Ensuring informed consent before any procedures only

Answer

Providing pain relief as needed only

Question 29

A patient with end-stage skin cancer is experiencing severe pain. Which pharmacological intervention is appropriate?

Accepted Answer

Opioid analgesics, such as morphine or fentanyl, as prescribed by the healthcare provider

Answer

Antidepressants are not typically used as first-line pain relievers for cancer pain

Answer

Acetaminophen may not be effective for severe cancer pain

Answer

Nonsteroidal anti-inflammatory drugs (NSAIDs) may not provide sufficient pain relief

Question 30

A patient with a full-thickness burn requires which type of wound care?

Accepted Answer

Surgical debridement

Answer

Topical antibiotics

Answer

Hydrotherapy

Answer

Negative-pressure wound therapy

Question 31

Which assessment finding is suggestive of pressure ulcer development?

Accepted Answer

Erythema that blanches with pressure

Answer

Skin temperature within normal limits

Answer

Dry, intact skin

Answer

Absence of pain

Question 32

What is a common complication associated with wound infection?

Accepted Answer

Sepsis

Answer

Anemia

Answer

Dehydration

Question 33

Which type of wound assessment tool is used to evaluate tissue viability?

Accepted Answer

Pressure Ulcer Scale for Healing (PUSH)

Answer

Braden Scale

Answer

Visual Analogue Scale

Answer

Glasgow Coma Scale

Question 34

When caring for a patient with a wound infection, the most important nursing intervention is to:

Accepted Answer

Obtain a wound culture.

Answer

Monitor for fever.

Answer

Change the wound dressing.

Answer

Administer pain medication.

Question 35

An early sign of pressure ulcer development includes:

Accepted Answer

Redness over a bony prominence

Answer

A wound that is draining pus

Answer

A blister filled with clear fluid

Answer

A rash that is itchy and red

Question 36

A nursing intervention for a patient with a skin graft involves:

Accepted Answer

Inspecting the graft site for signs of infection.

Answer

Applying a warm compress to the graft site.

Answer

Massaging the graft site to promote circulation.

Answer

Removing the dressing from the graft site promptly.

Question 37

When caring for a patient at the end of life with a skin disorder, it is appropriate to:

Accepted Answer

Provide comfort measures to alleviate pain and itching.

Answer

Focus on aggressive treatment to improve the skin condition.

Answer

Encourage the patient to participate in research studies.

Question 38

A patient with a large, open wound is at risk for infection. Which nursing intervention is most effective in preventing wound infection?

Accepted Answer

Maintaining sterile technique during wound care.

Answer

Keeping the wound moist with saline dressings.

Answer

Administering antibiotics prophylactically.

Answer

Encouraging the patient to eat a high-protein diet.

Question 39

A patient with a pressure ulcer is receiving treatment with negative pressure wound therapy (NPWT). What assessment should the nurse prioritize?

Accepted Answer

Monitoring for signs of wound infection.

Answer

Checking the patient's blood pressure.

Answer

Measuring the patient's temperature.

Answer

Assessing the patient's pain level.

Question 40

A patient is scheduled for a skin graft procedure. What is the most crucial nursing intervention before surgery?

Accepted Answer

Assess the donor site for adequate circulation and skin viability.

Answer

Administer antibiotics as ordered.

Answer

Teach the patient about post-operative wound care.

Answer

Prepare the operating room for the procedure.

Question 41

A patient with a stage IV pressure ulcer is receiving palliative care. What is the primary nursing goal in this situation?

Accepted Answer

Promote comfort and pain management.

Answer

Encourage wound healing.

Answer

Prevent further tissue damage.

Answer

Prepare the patient for surgery.

Question 42

A patient with psoriasis is experiencing significant skin irritation and discomfort. Which nursing intervention would be most helpful?

Accepted Answer

Applying cool compresses to affected areas.

Answer

Exfoliating the affected skin.

Answer

Using a warm bath with soap.

Answer

Applying harsh topical medications.

Question 43

A patient with eczema is experiencing intense itching. What instruction should the nurse provide to the patient?

Accepted Answer

Avoid scratching the affected areas.

Answer

Use hot water to bathe the affected areas.

Answer

Apply harsh soaps to the affected areas.

Answer

Ignore the itching as it will eventually go away.

Question 44

Which characteristic describes a stage II pressure ulcer?

Accepted Answer

Partial-thickness skin loss involving the epidermis and dermis.

Answer

Full-thickness tissue loss with exposed muscle, tendon, or bone.

Answer

Full-thickness skin loss with exposed subcutaneous fat.

Answer

Intact skin with non-blanchable redness.

Question 45

A patient with a skin cancer diagnosis is undergoing chemotherapy. Which nursing intervention is most important to prevent skin complications?

Accepted Answer

Monitoring for signs of infection and inflammation.

Answer

Administering pain medication as ordered.

Answer

Encouraging the patient to eat a balanced diet.

Answer

Teaching the patient about skin care techniques.

Question 46

What is the most important initial nursing action for a patient with a burn injury?

Accepted Answer

Assess the depth and extent of the burn.

Answer

Cover the wound with a sterile dressing.

Answer

Start an IV fluid line.

Answer

Give the patient morphine for pain.

Question 47

Which type of wound healing occurs when the wound edges are brought together and closed, allowing for direct healing?

Accepted Answer

Primary intention healing.

Answer

Secondary intention healing.

Answer

Delayed primary intention healing.

Answer

Tertiary intention healing.

Question 48

Which of the following is an important principle of postoperative wound care?

Accepted Answer

Maintain a moist wound environment

Answer

Change dressings frequently

Answer

Apply antiseptic solutions to the wound

Answer

Keep the wound dry

Question 49

What is the primary goal of end-of-life care for patients with integumentary disorders?

Accepted Answer

Provide comfort and dignity

Answer

Prevent further complications

Answer

Cure the underlying disorder

Answer

Prolong life at all costs

Question 50

What is the typical appearance of a granulating wound?

Accepted Answer

Red and moist with visible blood vessels

Answer

Yellow and dry with eschar

Answer

Pink and epithelialized

Answer

Black and necrotic

Question 51

Which of the following is a major risk factor for developing skin cancer?

Accepted Answer

Excessive sun exposure

Answer

Diabetes

Answer

Smoking

Answer

Obesity

Question 52

What is the nursing priority for a patient with a deep partial-thickness burn?

Accepted Answer

Manage pain and prevent infection

Answer

Cover the wound with a burn dressing

Answer

Administer antibiotics

Answer

Debride the wound