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NURS 614 EXAM 2 (2025-2026) QUESTIONS AND ANSWERS GRADED A+, Exams of Nursing

NURS 614 EXAM 2 (2025-2026) QUESTIONS AND ANSWERS GRADED A+ Which structure is the site of new nail growth? Eponychium Risk factors for skin cancer include: repeated trauma or irritation to skin. Which of the following, if reported, belongs in the family history of a patient with a skin rash? Father has chronic asthma. The type and brand of grooming products used are important to the health history of: everyone Inspection to determine color variations of the skin is best conducted:

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2024/2025

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NURS 614 EXAM 2 (2025-2026) QUESTIONS AND
ANSWERS GRADED A+
Which structure is the site of new nail growth?
Eponychium
Risk factors for skin cancer include:
repeated trauma or irritation to skin.
Which of the following, if reported, belongs in the family history of a patient with
a skin rash?
Father has chronic asthma.
The type and brand of grooming products used are important to the health history
of:
everyone
Inspection to determine color variations of the skin is best conducted:
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NURS 614 EXAM 2 (2025-2026) QUESTIONS AND

ANSWERS GRADED A+

Which structure is the site of new nail growth?

Eponychium

Risk factors for skin cancer include:

repeated trauma or irritation to skin.

Which of the following, if reported, belongs in the family history of a patient with a skin rash?

Father has chronic asthma.

The type and brand of grooming products used are important to the health history of:

everyone

Inspection to determine color variations of the skin is best conducted:

with illumination provided by daylight.

Individuals with dark pigmentary demarcation lines show lighter coloration on _____ body surfaces.

inward

Which cultural group has the lowest incidence of nevi?

African Americans

A slightly elevated brownish papule with indistinct borders is a typical characteristic of a(n) _____ nevus.

compound

A 29-year-old white woman appears jaundiced. An etiology of liver disease has been excluded. What history questions should the nurse ask?

If she eats a lot of yellow and orange vegetables

We have an expert-written solution to this problem!

Skin temperature is best assessed with the:

The nurse assesses the patient's nails and finds transverse white bands that cover the nail except for a narrow zone at the distal tip. Additional physical examination of this patient should include:

inspection for icterus.

Which nail change found on examination would be most alarming?

A single dark band in a white adult

Transient mottling of the patient's skin in a cool room is a common finding in:

newborn infants.

Café au lait patches are numbered with each assessment of infants and young children because:

the presence of more than five patches suggests neurofibromatosis.

A Dennie-Morgan fold is probably caused by:

chronic rubbing

Linea nigra is commonly found on the abdomens of:

pregnant women.

Cherry angiomas are a common finding in:

adults older than 30 years

Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish:

seborrheic keratoses from actinic keratoses.

AD

Which decubitus ulcer stage indicates damage into the subcutaneous tissue?

Stage III

Age spots are also called:

senile lentigines.

The most common inflammatory skin condition is:

The most common cutaneous neoplasm is:

basal cell carcinoma.

Soft, painless, bluish papules in persons who are HIV-positive are most likely:

Kaposi sarcoma (KS).

AD

A 5-year-old child presents with discrete vesicles on an erythemic base (dew drops on a rose petal appearance) that began near her scalp and are spreading to the trunk. The child has a low-grade fever and feels tired. What is the nurse's next action?

Teach infectious control measures.

During history taking, a mother states that her son awoke in the middle of the night complaining of intense itching to his legs. Today your inspection reveals honey- colored exudate from the vesicular rash on his legs. Which condition is consistent with the above findings?

Impetigo

You are conducting a preschool examination on a 5-year-old child. Which injury would most likely raise your suspicion that the child was being abused?

Bruises in various stages of resolution over body soft tissues

Assessment of poor hygiene, healed fractures with deformity, or unexplained trauma in older adults indicates:

physical neglect.

Produce vitamin D

from precursors in the skin

Stratum corneum

Protects the body against harmful environmental substances

and restricts water loss

Cellular stratum

Keratin cells are synthesized

vellus hair

―short, fine, soft, and nonpigmented

terminal hair

―coarser, longer, thicker, and usually pigmented

paronychium

Soft tissue surrounding the nail border is the

.

Vernix caseosa,

a mixture of sebum and cornified

epidermis, covers the infant's body at birth.

Lanugo is the fine silky hair that covers the newborn's

body, particularly on the shoulders and back.

Shed within 10 to 14 days

In Adolescents

Apocrine glands enlarge and become active.

Increased axillary sweating and sometimes body odor

Gray hair

is due to a decrease in the number of

functioning melanocytes

Dysplastic

Tend to occur on the upper back in men and on the legs in women

A ×5 to ×10 handheld magnifying lens

is useful in

evaluating the subtle details of a lesion.

AD

Lymph

Older people have fibrous and fatty lymph nodes

is a solid, raised, flat-topped lesion greater than 1 cm. in diameter. It is analogous to the geological formation, the plateau.

Skin Vesicles

are raised lesions less than 1 cm. in diameter that are filled with clear fluid.

Bullae

are circumscribed fluid-filled lesions that are greater than 1 cm. in diameter

Pustules

are circumscribed elevated lesions that contain pus. They are most commonly infected (as in folliculitis) but may be sterile (as in pustular psoriasis).

Wheal

is an area of edema in the upper epidermis.

Telangiectasia

are the permanent dilatation of superficial blood vessels in the skin and may occur as isolated phenomena or as part of a generalized disorder

Cyst

Elevated, circumscribed, encapsulated lesion; in dermis or subcutaneous layer; filled with liquid or semisolid material

Scale

consists of flakes or plates that represent compacted desquamated layers of stratum corneum.

Fissure

Linear crack or break from the epidermis to the dermis; may be moist or dry

Crusting

is the result of the drying of plasma or exudate on the skin. Please remember that crusting is different from scaling.

Skin Atrophy

is thinning or absence of the epidermis or subcutaneous fat; and loss of skin markings; skin translucent and paper-like

complex interaction of skin barrier dysfunction, exaggerated immune response, inherited susceptibility, and environmental factors

Vitiligo

depigmenting disorder due to loss of epidermal melanocytes

Warts

caused by the human papillomavirus (HPV), a nonenveloped double-stranded DNA virus. There are over 200 known HPV types, and over 100 have been totally sequenced. The virus infects basal keratinocytes resulting in keratinocyte hyperproliferation.

Cellulitis

an infectious inflammatory process that involves the subcutaneous tissue and is caused most frequently by Streptococci or Staphylococci. Predisposing factors with increased prevalence in the elderly include chronic edema, compromised circulation, diabetes mellitus, and surgical sites

Xerosis

dry, rough quality of skin that is almost universal in the elderly and may be attributed to a subtle disturbance of epidermal maturation;Results in Pruritus

Lichen sclerosus (LS)

an inflammatory condition that primarily affects the epidermis and the superficial dermis. The disease process results in thinned or atrophic white papules and plaques of the skin. It is estimated that lichen sclerosus affects 1:60 women. primarily affects the anogenital region, but it can also present on the trunk or extremities. Lichen sclerosus of the vulva most commonly affects postmenopausal women, but it can also develop in 7% to 15% of prepubertal females.

Skin repairs epidermal wounds by

exaggerating cell replacement.

adipose tissue in the hypodermis serves to

generate heat and insulate

Sweat glands, hair, and nails are all formed from

invaginations of epidermis into dermis

Secretory activity of the sebaceous glands is stimulated by

nails of older adults grow slowly because of

decreased circulation.

Risk factors for skin cancer include

repeated trauma or irritation to the skin

Inspection to determine color variations of the skin is best conducted

with illumination provided by daylight

Tangential lighting is best used for inspecting skin

contour

Unusual white areas on the skin may be caused by

vitiligo

Pigmentary demarcation lines

are a normal variation

Pale, shiny skin of the lower extremities may reflect

systemic disease

blanches over a vascular lesion the site blanches and refills evenly from the center outward

a spider angioma

Small, less than 0.5-cm in diameter, red-purple nonblanchable discolorations of the skin are

petechiae

A flat, nonpalpable lesion is described as a macule if the diameter is

less than 1 cm

Fluorescing lesions and annular lesion, additional lighting source should be used for further assessment

Wood's lamp