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Sweat glands, hair, and nails are all formed from


A) basement membranes under cellular strata.
B) closely packed squamous cells.
C) invaginations of epidermis into dermis.
D) papillae that penetrate the epidermis.
E) evaginations of the hypodermis.

F) C) and D)
G) A) and D)

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


A) cutaneous tags from lentigines.
B) furuncles from folliculitis.
C) sebaceous hyperplasia from eczema.
D) seborrheic keratoses from actinic keratoses.
E) herpes zoster from varicella.

F) B) and E)
G) A) and D)

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A 4 Γ—\times 3-cm, rough, elevated area of psoriasis is an example of a


A) plaque.
B) patch.
C) macule.
D) papule.
E) wheal.

F) A) and B)
G) None of the above

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


A) menopausal women.
B) newborn infants.
C) pregnant women.
D) sedentary adults.
E) older adults.

F) C) and D)
G) B) and D)

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


A) greater than 1 cm.
B) less than 1 cm.
C) greater than 2 cm.
D) too irregular to measure.
E) exactly 5 mm.

F) A) and B)
G) B) and C)

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Newborns are more vulnerable to hypothermia because of


A) the presence of coarse terminal hair.
B) desquamation of the stratum corneum.
C) their covering of vernix caseosa.
D) a poorly developed subcutaneous fat layer.
E) excessive secretion of eccrine sweat glands.

F) D) and E)
G) A) and D)

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Which of the following is a noncandidal fungal infection?


A) Pityriasis rosea
B) Psoriasis
C) Milia
D) Rosacea
E) Tinea corporis

F) All of the above
G) C) and E)

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Risk factors for skin cancer include


A) an olive complexion.
B) repeated trauma or irritation to the skin.
C) a history of allergic reactions to sunscreen.
D) dark eyes and hair.
E) pigmented bands in the nails.

F) A) and C)
G) A) and B)

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Tangential lighting is best used for inspecting skin


A) color.
B) turgor.
C) exudates.
D) symmetry.
E) contour.

F) A) and B)
G) B) and C)

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Skin lesions are transilluminated to determine


A) vascular from nonvascular lesions.
B) furuncles from folliculitis lesions.
C) fluid-filled lesions in solid cysts or masses.
D) herpes zoster from varicella.
E) macules from papules.

F) B) and E)
G) A) and B)

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


A) using an episcope.
B) under fluorescent lighting.
C) with illumination provided by daylight.
D) using a Wood's lamp.
E) using a pen light.

F) C) and E)
G) C) and D)

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Which nail change found on examination would be most alarming?


A) Dark bands seen in all fingernails of a dark-skinned person
B) A yellow discoloration of the great toe of an older adult
C) A single blue nail
D) Pits in both index fingernails of an adult
E) Longitudinal ridges in an older adult

F) C) and E)
G) C) and D)

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The nurse blanches over a vascular lesion on a pregnant patient. The site blanches and refills evenly from the center outward. The nurse documents this lesion as


A) telangiectasia.
B) a spider angioma.
C) petechiae.
D) purpura.
E) ecchymosis.

F) A) and D)
G) B) and C)

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Skin turgor checks are performed to determine


A) the temperature of the skin.
B) hydration status.
C) skin texture.
D) the extent of an ecchymosis.
E) skin moisture.

F) None of the above
G) C) and D)

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A Dennie-Morgan fold is probably caused by


A) birth trauma.
B) high fever.
C) excess adipose tissue.
D) kidney disease.
E) chronic rubbing.

F) B) and E)
G) D) and E)

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Unusual white areas on the skin may be caused by:


A) adrenal disease.
B) polycythemia.
C) vitiligo.
D) Down syndrome.
E) lentigo.

F) A) and B)
G) D) and E)

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Linea nigra is commonly found on the abdomens of


A) newborns.
B) infants and children.
C) adolescents.
D) pregnant women.
E) older adults.

F) None of the above
G) C) and E)

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The skin repairs epidermal wounds by


A) exaggerating cell replacement.
B) excreting lactic acid.
C) producing vitamins.
D) providing a mechanical barrier.
E) increasing the vascularity of the epidermis.

F) A) and E)
G) All of the above

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Which decubitus ulcer stage indicates damage into the subcutaneous tissue?


A) Stage I
B) Stage II
C) Stage III
D) Stage IV
E) Stage V

F) C) and E)
G) A) and C)

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


A) Whether she had unprotected sex
B) If she has a history of diabetes mellitus
C) Whether she has unusual bleeding problems
D) If she eats a lot of yellow and orange vegetables
E) If she has a family history of peripheral vascular disease

F) C) and D)
G) None of the above

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