Chapter 41: The Integumentary System

Chapter 41: The Integumentary System

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. What underlying pathophysiology explains the gradual graying of an older adult’s hair?

a.	Reduced hair follicles
b.	Less sebaceous gland activity
c.	Loss of collagen fibers in dermis
d.	Decreased melanocytes at hair follicle

 

 

ANS:  D

Reduction in melanocytes at the hair follicle is the cause of graying hair. A reduction in the number of hair follicles will result in thinning hair. Reduced sebaceous gland activity and collagen will result in drying.

 

PTS:   1                    DIF:    Cognitive Level: Comprehension     REF:   957

OBJ:   2 (clinical)      TOP:   Skin Assessment: Hair

KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

2. An 80-year-old resident prefers to lie in bed on her left side. The nurse anticipates that the risk for skin breakdown is greatest over which area?

a.	Left buttock
b.	Left heel
c.	Left trochanter
d.	Left ribs

 

 

ANS:  C

The areas that are most prone to break down in the immobile patient are over bony prominences.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   963

OBJ:   5 (theory)       TOP:   Pressure Ulcer: Risk

KEY:  Nursing Process Step: Assessment   MSC:  NCLEX: Health Promotion and Maintenance

 

3. Which chemical irritant causes the most damage to skin of the immobilized patient?

a.	Urine
b.	Topical medication
c.	Bath soap
d.	Laundry soap

 

 

ANS:  A

Urine and feces are the most common chemical irritants that cause skin breakdown.

 

PTS:   1                    DIF:    Cognitive Level: Comprehension     REF:   957

OBJ:   5 (theory)       TOP:   Skin Injury: Chemical

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance

 

4. The nurse observes the CNA who is changing a patient’s bed. Which action demonstrates that the CNA requires additional teaching?

a.	Lifting the patient on the draw sheet to the stretcher.
b.	Pulling the draw sheet out from under the patient.
c.	Rolling the patient to the side to change the draw sheet.
d.	Using the gait belt to lift the patient from the bed to a wheelchair.

 

 

ANS:  B

Pulling linens out from under a patient instead of rolling or lifting the patient causes a shearing type of skin tear. Use of a lift sheet, rolling the patient from side to side, and the use of the gait belt are recommended.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   959

OBJ:   5 (theory)       TOP:   Skin Injury: Shearing

KEY:  Nursing Process Step: Evaluation

MSC:   NCLEX: Physiological Integrity: Reduction of Risk Potential