Integumentary Assessment Practice Questions: Skin and Documentation

1. Question 1
   • Cutaneous membrane
   • Fascia
   • Mucous membrane
   • Subcutaneous tissue
2. Question 2
   • Storing most of the body's calcium
   • Producing red blood cells
   • Generating voluntary muscle movement
   • Providing a barrier against environmental threats
3. Question 3
   • Alveoli
   • Sweat glands
   • Pancreatic islets
   • Glomeruli
4. Question 4
   • Gas exchange
   • Insulation and cushioning
   • Bile production
   • Impulse transmission across synapses
5. Question 5
   • To establish a baseline for future comparison
   • To replace all subsequent skin assessments
   • To determine a patient's exact nutritional requirements
   • To confirm a dermatologic diagnosis
6. Question 6
   • A later change can be compared with the patient's original condition
   • Only visible wounds need to be monitored
   • The need for documentation is eliminated after admission
   • The assessment determines whether the patient can be discharged
7. Question 7
   • It detects sensations such as touch, pressure, and temperature
   • It filters metabolic waste from the blood
   • It controls skeletal muscle contraction
   • It produces digestive enzymes
8. Question 8
   • Use the patient's usual coloration as a reference and assess multiple body areas
   • Assume that all patients should have the same pink undertone
   • Assess only exposed skin
   • Treat darker pigmentation as evidence of poor oxygenation
9. Question 9
   • The thickest area of the scalp
   • The center of the forehead only
   • The hair shaft
   • Nail beds and oral mucosa
10. Question 10
    • Sweat duct lumen
    • Dermal nerve ending
    • Hair shaft
    • Blood vessel
11. Question 11
    • Secretion of insulin
    • Sweating and changes in cutaneous blood flow
    • Filtration of plasma
    • Production of synovial fluid
12. Question 12
    • Skin integrity, color, moisture, temperature, and existing lesions
    • Only areas covered by clothing
    • A presumed diagnosis for every mole
    • Only the patient's stated allergy history
13. Question 13
    • Rapidly enlarging ulceration
    • A newly spreading area of redness
    • Thinner, less elastic skin in an older adult
    • Sudden bluish discoloration of the lips
14. Question 14
    • Removing all clothing without explanation
    • Using one color standard for every patient
    • Assuming a hairstyle indicates poor hygiene
    • Respecting cultural practices while objectively assessing skin condition
15. Question 15
    • Inspecting only the area identified by the patient
    • Inspecting from head to toe while comparing bilateral areas
    • Palpating before looking at the skin
    • Recording findings from memory at the end of the shift
16. Question 16
    • Bowel sounds
    • Uniformity and distribution of pigmentation
    • Joint range of motion
    • Auditory acuity
17. Question 17
    • A primary lesion by definition
    • An alteration in nail angle
    • A finding limited to the hair follicle
    • A change in the skin's moisture characteristic
18. Question 18
    • Estimate temperature from skin color alone
    • Use only the fingertips on one body area
    • Use the dorsal surface of the hand and compare symmetrical areas
    • Assess temperature only after applying lotion
19. Question 19
    • It proves the patient is dehydrated
    • It is an asymmetrical temperature finding requiring further assessment
    • It is always an expected variation
    • It confirms a specific diagnosis
20. Question 20
    • Distribution and areas of unexpected loss
    • The patient's preferred shampoo
    • The length of one isolated hair
    • The brand of hairbrush used
21. Question 21
    • Excessive sweating
    • Hair loss
    • Thickening of the nail plate
    • Yellow discoloration of the skin
22. Question 22
    • Diffuse dark drainage beneath the nail
    • Smooth nail plate with intact surrounding skin
    • Separation of every nail from the nail bed
    • Marked clubbing as a universal finding
23. Question 23
    • The nail profile
    • Skin turgor
    • Lesion depth
    • Hair density
24. Question 24
    • Presence of freckles
    • Skinfold thickness
    • Hair shaft diameter
    • Capillary refill
25. Question 25
    • Uniformly rapid capillary refill
    • Increased curvature of the nail with a more rounded profile
    • A completely flat and paper-thin nail
    • Loss of all hair from the scalp
26. Question 26
    • Patient has unhealthy nails
    • Nails brittle with longitudinal ridges noted on several fingers
    • Nails indicate a nutritional disorder
    • Patient does not care for the nails
27. Question 27
    • Avoid explaining the assessment to save time
    • Expose the entire body throughout the examination
    • Ask visitors to inspect the skin
    • Expose only the area being assessed and explain the assessment
28. Question 28
    • The skin's elasticity and return after being gently lifted
    • The depth of a wound
    • The amount of hair on the scalp
    • The color of the nail bed after pressure
29. Question 29
    • Skin turgor is unrelated to tissue elasticity
    • Age-related loss of elasticity can make the skin remain tented without dehydration
    • Older adults always have excessive skin moisture
    • Older adults do not have dermal tissue
30. Question 30
    • The center of the palm
    • An area over the sternum or below the clavicle
    • The hair shaft
    • The nail plate

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