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    Exam Review

    1. A nurse is collecting data from a client who has severe burn injuries. The nurse shades in the diagram indicating the burned surface areas. What percentage of body surface area should the nurse estimate the client has burned? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:31.5 %
    2. A nurse is reinforcing health teaching about skin cancer with a group of clients. Which of the following risk factors should the nurse identify as the leading cause of non-melanoma skin cancer?
      A)
      Exposure to environmental pollutants
      B)
      History of viral illness
      C)
      Scars from a severe burn
      D)
      Sun exposure
    3. A nurse is collecting data on a client's wound. The nurse observes that the wound surface is covered with soft, red tissue that bleeds easily. The nurse should recognize this is a manifestation of which of the following?
      A)
      Decreased perfusion
      B)
      Infection
      C)
      Granulation tissue
      D)
      An inflammatory response
    4. A nurse is planning to change an abdominal dressing for a client who has an incision with a drain. Which of the following actions should the nurse plan to take?
      A)
      Loosen the dressing by pulling the tape away from the wound.
      B)
      Open sterile supplies before removing the dressing.
      C)
      Remove the entire dressing at once.
      D)
      Don clean gloves to remove the dressing.
    Page 1 of 13

    Exam Review

    1. A nurse is assisting with the development of an education program about skin cancer. Which of the following information should the nurse Include in the presentation?
      A)
      "Individuals who have light skin are at greater risk for developing skin cancer."
      B)
      "Tanning bed use should be limited to once per week."
      C)
      "A family history of squamous cell carcinoma is a risk factor for developing skin cancer."
      D)
      "Basal cell carcinoma has a high rate of metastasis."
    2. 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 the 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! The complaint the nurse recognize as a true statement about the cause of acne is:
      A)
      Poor personal hygiene
      B)
      Squeezing the lesions
      C)
      Ingestion of junk food
      D)
      Need for facial scrubs
    3. The daughter of an older adult patient who has just returned from surgery is distressed about her father’s pale, cold hands and feet. The nurse covers the patient with an extra blanket and responds:
      A)
      “Don’t be concerned. It is quite cold in the operating room. Your dad will be warm in a minute.”
      B)
      “Older patients like your dad get a little shocky during surgery.”
      C)
      “When patients have blood loss during surgery, superficial vessels temporarily constrict, resulting in cold extremities.”
      D)
      “We are watching the disturbed circulation in your dad’s hands and feet very carefully.”
    4. In taking the functional assessment of a patient with a skin disorder, the nurse will inquire about:
      A)
      Exposure to chemicals or irritants
      B)
      Previous skin disorders
      C)
      Unusual hair growth
      D)
      A sore that is slow to heal
    Page 2 of 13

    Exam Review

    1. A nurse is caring for a client who is 3 days postoperative following a cholecystectomy. The nurse suspects the client's wound is infected because the drainage from the dressing is yellow and thick. Which of the following findings should the nurse report as the type of drainage found?
      A)
      Purulent
      B)
      Sanguineous
      C)
      Serosanguineous
      D)
      Serous
    2. A nurse is caring for a client who has herpes zoster. Which of the following actions should the nurse take?
      A)
      Instruct family with a history of chickenpox that they should not visit the client.
      B)
      Prepare to administer acyclovir.
      C)
      Apply dry, sterile gauze dressings to affected areas.
      D)
      Apply topical corticosteroids to the affected areas.
    3. A nurse is in a provider's office is collecting data from an older adult client who has type 2 diabetes mellitus. Which of the following findings is a manifestation of hyperglycemia?
      A)
      Random blood glucose 126 mg/dL
      B)
      Report of decreased urinary output
      C)
      History of poor wound healing
      D)
      Clammy skin
    4. The sign or symptom that suggests that a patient with impaired skin integrity is developing systemic infection is a
      A)
      Temperature that has risen to 101 degrees Fahrenheit
      B)
      Request by the patient for medication for severe itching
      C)
      Blood pressure that has risen from 126/84 to 130/86 mm Hg
      D)
      Lesion on the patient's leg that is swollen and warm to the touch
    Page 3 of 13

    Exam Review

    1. A nurse is reinforcing teaching with a client who has herpes zoster. The nurse should include which of the following statements in the teaching?
      A)
      Recurrence of infection can be triggered by stress or trauma.
      B)
      Recovery occurs in 6 to 8 weeks.
      C)
      Herpes zoster is only contagious to others who have had chickenpox.
      D)
      The client is contagious only if the lesions are draining.
    2. A nurse is reinforcing teaching with a client who has a superficial lesion. A biopsy indicates malignant melanoma. Which of the following treatment choices should the nurse include in the teaching?
      A)
      Surgical excision
      B)
      Cryosurgery
      C)
      Radiation therapy
      D)
      Chemotherapy
    3. A nurse is reinforcing teaching with a client who has genital herpes caused by herpes simplex virus type 2 (HSV 2). Which statement by the client indicates understanding of the teaching?
      A)
      "My partner and I will use a condom for sexual intercourse when I have lesions present."
      B)
      "I will need a 7 day course of antibiotics to treat this infection."
      C)
      "The first indication of HSV 2 is a hard, red, painless sore."
      D)
      "I can transmit the infection to another person even when I don't have symptoms."
    4. An appropriate implementation for a patient with severe psoriasis who has a nursing diagnosis of "Disturbed body image, related to skin lesions" would be:
      A)
      Reassuring the patient of a quick remission
      B)
      Reminding the patient to bathe often
      C)
      Touching the patient often
      D)
      Prompt administration of medications as needed
    Page 4 of 13

    Exam Review

    1. A nurse is caring for a client with severe burns to both lower extremities. The client is scheduled for an escharotomy and wants to know what the procedure involves. Which of the following statements is appropriate for the nurse to make?
      A)
      "A cannula will be inserted into the bone to infuse fluids and antibiotics."
      B)
      "A piece of skin will be removed and grafted over the burned area."
      C)
      "An escharotomy surgically removes dead tissue."
      D)
      "Large incisions will be made in the burned tissue to improve circulation."
    2. A nurse is collecting date on a client who has a major burn injury. The nurse should recognize which of the following findings as a priority?
      A)
      The client has edema at the burn site.
      B)
      The client has large blistered areas over his chest.
      C)
      The client produces black colored sputum.
      D)
      The client has decreased sensation over the burn areas.
    3. A nurse is planning preventive care for a client who is at risk for pressure ulcers and requires bed rest. Which of the following actions should the nurse take?
      A)
      Reposition the client at least every 2 hr.
      B)
      Keep the head of the bed elevated.
      C)
      Massage the client's bony prominences.
      D)
      Keep the client's skin moist.
    4. A nurse is collecting data from a client who has scleroderma. Which of the following findings should the nurse expect?
      A)
      Periorbital edema
      B)
      Excessive salivation
      C)
      A dry raised rash
      D)
      Hardened skin
    Page 5 of 13

    Exam Review

    1. A patient with severe psoriasis who is to be treated with the systemic drug, methotrexate sodium, anxiously asks. "Is this cancer drug safe? Are there some side effects I need to know about? The nurse's best response would be:
      A)
      "Yes, methotrexate is used to treat cancer and psoriasis and it has no major side effects"
      B)
      "We use this drug to treat many kinds of patients, including patient's with cancer. You will have periodic blood tests
      C)
      "No, it is not a cancer drug, but you should ask your physician about concerns regarding your therapy"
      D)
      "I don't know if it is used with patients with cancer, but the drugs can be used when conditions are as severe as yours"
    2. A nurse is changing the dressing on a client's wound. The nurse should recognize that which of the following findings is an indication of a wound infection?
      A)
      Crusting over granulated tissue
      B)
      Urticaria
      C)
      Petechiae
      D)
      Edema
    3. A nurse is reinforcing teaching with a client who has questions concerning the various treatment options for his new diagnosis of basal cell carcinoma (BCC). Which of the following treatments should she include in the teaching? (Select all that apply).
      A)
      Cryosurgery
      B)
      Electrodessication
      C)
      Mohs surgery
      D)
      Photochemotherapy
      E)
      Radiation therapy
    4. A nurse is collecting data from a client who sustained severe burn injuries. The nurse notes a diagram indicating the burned surface areas. What percentage of client's body surface area should the nurse estimate has been burned? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    Page 6 of 13