Group Quiz

NCM 101:
Integumentary System
UNDERSTAND/REMEMBER/APPLY

SEBUM is an oily
1. _______
substance that lubricates
hair and skin and reduces
water loss through the
skin.
 VELLUS
HAIR or (peach fuzz)
2. ________
is short, pale, fine, and
present over much of the
body.
3. Perspiration increases
with aging because sweat
gland activity increases.
FALSE
4. Melatonin is
considered as the color
pigmentation of the skin.
FALSE
5. ________
TURGOR refers to the
skin’s elasticity and how
quickly the skin returns to
its original shape after
being pinched.
 A.The skin is the smallest body
organ.

6. When preparing to B. The skin is composed of three

layers.
exam a patient’s skin,
the nurse understands: C. The skin plays a major role in
Select all that apply temperature regulation.

D. The skin has sensory functions

that protect the body.
7. What statement by the patient
demonstrates a need for further
education regarding sun safety?

A. My skin should be safe from the sun

damage. I wear SPF 25 sunscreen
outdoors.

B. There is no need to reapply

sunscreen after I go for a swim.

C. UV rays can damage the skin in as

little as 15 minutes.

D. I need to check the expiration date

on my sunscreen before I use it.
8. Which of the following is a
normal variant when examining
patient’s hair?
A.Presence of nits
B.White coloration
C.Alopecia
D.Seborrheic dermatitis
9. When describing appropriate
technique for assessing the
fingernails, the nurse is correct
in stating:

A. Nail polish must be removed to facilitate a

complete exam.

B. Prof ile sign is per formed when the

f if th digit of both lef t and right f ingernails
forms a diamond shape.

C. Capillar y ref ill indicates a patient’s hydration

status.

D. The nails provide minimal information on a

patient’s health status.
10. While examining the patient’s
skin, the nurse appreciate a slight
bluish tint that is more
pronounced around the mouth.
The nurse would document this
variant as:

A.Pallor
B.Central Cyanosis
C.Peripheral Cyanosis
D.Erythema
Picture Prompt
11.Identify
this
picture.

PETECHIAE
12.Identify
this
picture.

ACANTHOSIS
NIGRICANS
13.Identify
this
picture.

CUTANEOUS
TAG
14.Identify
this
picture.

SCALP
RINGWORM
(tinea capitis)
15.Identify
this
picture.

BEAU’S LINE
ANALYZE/
APPLY
16. The nurse notes multiple elevated masses
with irregular transient borders that are
superficial, raised, and erythematous in a
client who complains of an “itching rash.”
Which question would be most important for
the nurse to ask?

A. “Are you allergic to foods, medications, or other

substances?”
B. “Does anyone else in your family have a rash like this?”
C. “How painful is your rash?”
D. “What have you been doing to control the itching?”
17. A client has sought care because he
is concerned that a mole on his scalp
may be evidence of skin cancer. Which
finding would the nurse identify as
being most suggestive of melanoma?

A. Solid, dark brown color

B. Asymmetric, irregular borders
C. Diameter of 3 mm
D. Flat with silvery scales
18. During an integumentary
assessment, the nurse notes that the
client's fingernails are very thin and
concave. The nurse knows the client
needs medical follow-up for further
assessment to rule out which condition?
A. Diabetes mellitus
B. Iron deficiency anemia
C. Vitamin A deficiency
D. Peripheral vascular disease
19. The nurse is performing an
assessment of a client admitted to the
emergency department in status
asthmaticus. The nurse should carefully
inspect which part of the body in an
effort to differentiate central cyanosis
from peripheral cyanosis?
A. Nail beds
B. Sclerae
C. Palms
D. Oral mucosa
 20. What does
ABCDE means in
Skin MOLE
Assessment?

ASYMMETRY
BORDER
COLOR
DIAMETER
EVOLUTION/Evolving
 21. Formulate a Nsg Dx:

A male client was admitted on ICU, bedridden and expresses

feelings of pain on his sacral area. Upon assessment, his
sacral area is hot and tender to touch, there is redness and
swelling. The client was irritable and has guarding behavior
and grimacing on contact with the affected area. v/s was
taken as follows: T = 39 C; HR = 110 bpm; RR = 20 cpm
and BP = 130/90 mmHg.
 Possible Nsg Dx:

Impaired Skin Integrity

r/t client is bedridden, amb client expresses feelings
Ineffective Peripheral Tissue Perfusion of pain on his sacral area, hot
there is presence of
redness and swelling and tender to touch, v/s:
Impaired Physical Mobility
on sacral area T=39 C
Impaired Bed Mobility

Acute Pain r/t client is bedridden, amb client expresses feelings of pain,
sacral area is hot and guarding behavior and grimacing on
Adult, Pressure Injury tender to touch contact with affected area, v/s: T=39C,
HR =110bpm, BP=130/90 mmHg