Question 1

Which layer of the skin is primarily responsible for forming new skin cells and contains the protein keratin?

Accepted Answer

Epidermis

Question 2

A patient presents with a wound that has jagged edges and uncontrolled bleeding after an accidental fall. Which wound classification best describes this scenario?

Accepted Answer

Unintentional open wound

Question 3

Which function of the skin is most directly related to the synthesis of vitamin D?

Accepted Answer

Absorption of UV radiation

Question 4

A nurse is assessing a patient’s skin and notes a nonblanchable erythema of intact skin over the sacrum. According to pressure ulcer staging, what stage is this?

Accepted Answer

Stage I

Question 5

Which of the following is a primary skin lesion characterized by a flat, non-palpable change in skin color?

Accepted Answer

Macule

Question 6

A patient with diabetes and poor circulation develops a chronic wound that remains in the inflammatory phase and has edges that are not well approximated. What is the most likely reason for delayed healing?

Accepted Answer

Impaired circulation and chronic illness

Question 7

Which type of sweat gland is primarily responsible for thermoregulation and is distributed widely across the body?

Accepted Answer

Eccrine gland

Question 8

A patient presents with a purple-red spot on the skin that does not blanch with pressure. Which vascular lesion is this most likely to be?

Accepted Answer

Purpura

Question 9

Which of the following is a secondary skin lesion resulting from the evolutionary change of a primary lesion and is characterized by permanent fibrotic changes?

Accepted Answer

Scar

Question 10

A patient with AIDS presents with a vascular tumor on the skin. Which condition is most likely present?

Accepted Answer

Kaposi sarcoma

Question 11

Which equation best represents the relationship between pressure, area, and force in the development of pressure ulcers?

Accepted Answer

$$F = P 	imes A$$

Question 12

A newborn infant is noted to have fine, downy hair covering the body. What is the term for this type of hair?

Accepted Answer

Lanugo

Question 13

Which of the following is a risk factor for skin cancer that is more prevalent in men under 50 years old?

Accepted Answer

High exposure to UV radiation

Question 14

A patient presents with a wound that is healing by secondary intention. Which of the following best describes this process?

Accepted Answer

Wound is left open and heals from the base up with increased risk of infection

Question 15

Which of the following changes is commonly seen in the skin of older adults?

Accepted Answer

Thinner skin and delayed healing

Question 16

A patient presents with a linear bleeding under the fingernail after trauma. What is the most likely finding?

Accepted Answer

Splinter hemorrhage

Question 17

Which of the following is a local factor that can delay wound healing?

Accepted Answer

Pressure on the wound

Question 18

A patient with a wound presents with purulent drainage, increased redness, swelling, and elevated body temperature. What complication is most likely occurring?

Accepted Answer

Infection

Question 19

Which of the following is a secondary skin lesion characterized by thickened, leathery skin resulting from prolonged scratching or rubbing?

Accepted Answer

Lichenification

Question 20

A patient presents with a shallow, open ulcer with partial-thickness skin loss. Which stage of pressure ulcer does this represent?

Accepted Answer

Stage II

Integumentary System: Skin, Hair, Nails, and Wound Care – Study Notes

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