PN ATI MED SURG ; ONCOLOGY AND INTEGUMENTARY PROCTORED EXAM 2023-2024

8. On assessment of a child, the nurse notes the presence of white patches on the child’s tongue and determines that they may be indicative of candidiasis (thrush). The nurse understands that the white patches of candidiasis (thrush): a. adhere to the tongue even when scraped with tongue blade b. cause the tongue to bleed continuously around the patch c. produce a red circle in the center of the white lesion d. will occur only in the tongue 9. On assessment, a nurse notes a flat brown circular nevi on the skin of a client that measures less than one centimeter. The client asks, “Is this cancer?” The nurse makes which response to the client? a. “These are likely to be benign moles.” b. “These require immediate attention because they are probably cancer.” c. “These indicate malignancy.” d. “These are probably verrucae.” 10. A nurse is performing a skin assessment on a client. The nurse understands that moles with variegated color, irregular borders, and/or an irregular surface should be considered: a. suspicious b. normal c. common d. benign 11. A client is diagnosed with herpes zoster (shingles). Which pharmacological therapy would the nurse expect to be prescribed to treat this disorder? a. tetracycline hydrochloride (achromycin). b. erythromycin base (e-mycin) c. acyclovir (zovirax) d. indomethacin (indocin) 12. A nurse reviews the record of a client diagnosed with pemphigus and notes that the physician has documented the presence of Nikolsky’s sign. Based on this documentation, which of the following would the nurse expect to note? a. client complains of discomfort behind the knee on forced dorsiflexion of the foot b. a spasm of the facial muscles elicited by tapping the facial nerve in the region of the parotid gland c. carpal spasm elicited by compressing the upper arm d. the epidermis of the client’s skin can be rubbed off by slight friction or injury 13. A hospitalized client is diagnosed with scabies. Which of the following would a nurse expect to note on inspection of the client’s skin? a. the appearance of vesicles or pustules b. the presence of white patches scattered about the trunk c. multiple straight or wavy threadlike lines beneath the skin d. patchy hair loss and round, red macules with scales 14. A client is seen in the health care clinic and the physician suspects herpes zoster. The nurse prepares the items needed to perform the diagnostic test to confirm this diagnosis. Which item will the nurse obtain? a. a biopsy kit b. a wood’s light c. a culture swab and tube d. a patch test kit 15. A nurse reviews the health care record of a client diagnosed with herpes zoster. Which finding would the nurse expect to note as characteristic of this disorder? a. a generalized red body rash that causes pruritus b. small blue-white spots with a red base noted on the extremities c. a fiery red edematous rash on the cheeks and neck d. clustered and grouped skin vesicles 16. A client returns to the clinic for a follow-up treatment following a skin biopsy of a suspicious lesion performed 1 week ago. The biopsy report indicated that the lesion is a squamous cell carcinoma. The nurse plans care knowing that which of the following describes the characteristic of this type of a lesion? a. it is highly metastatic b. it does not metastasize c. it is characterized by local invasion d. it is encapsulated 17. A nurse reviews the record of a client scheduled for removal of a skin lesion. The record indicates that the lesion is an irregularly shaped, pigmented papule with a blue-toned color. The nurse determines that this description of the lesion is characteristic of: a. melanoma b. basal cell carcinoma c. squamous cell carcinoma d. actinic keratosis 18. A nurse is reviewing the nursing care plan for a client for whom a stage 4 decubiti ulcer has been documented. Which of the following would the nurse expect to note on assessment of the client? a. a reddened area that returns to a normal skin color after 15 to 20 minutes of pressure relief b. intact skin c. an area in which the top layer of skin is missing d. a deep ulcer that extends into muscle and bone. 19. A nurse notes documentation of a stage 3 pressure ulcer in a client’s record. Which of the following would the nurse expect to note on assessment of the client? a. a deep ulcer that extends into muscle and bone b. a deep ulcer that extends into the dermis and the subcutaneous tissue c. an area in which the top layer of skin is missing d. a reddened area that returns to normal skin color after 15 to 20 minutes of pressure relief