Question 1

What information concerning "goose bumps" should the nurse provide a client? Select all that apply.

Accepted Answer

A)   Triggered by fear
B)   Result of voluntary muscles contract
C)   Resulting erect hairs provide an "air cushion" for the skin
D)   Also referred to as the pilomotor reflex
E)   Can be a result of skin exposure to the cold environment

Question 2

What cause should the nurse identify as the most likely trigger for the development of an ear infection?

Accepted Answer

A)   Insertion of a pointed object in the ear
B)   Infection in the sebaceous gland
C)   Secretion from the eccrine glands
D)   Accumulation of cerumen

Question 3

How should the nurse describe stratum basale layer of epidermis? Select all that apply.

Accepted Answer

A)   It is relatively waterproof
B)   It provides a barrier against light, heat, bacteria, and other foreign substances
C)   It is the innermost layer of the epidermis
D)   It plays a role in germinating new cells
E)   It prevents the invasion of foreign substances C, D

Question 4

What is the role of the hypodermis?

Accepted Answer

A)   Acts as a waterproof barrier protecting the inside of the body
B)   Restricts penetration from microorganisms
C)   Nourishes and supports the epidermis
D)   Anchors the skin to the underlying tissues and organs

Question 5

What nursing intervention should be implemented to minimize the risk of injury to a client who has lost sensation to the integumentary system over the lower portion of the body?

Accepted Answer

A)   Exercise extreme care when handling the client's legs.
B)   Inspect the entire affected area for skin tears.
C)   Inspect skin frequently, especially bony prominences.
D)   Preserve elasticity by minimizing the skin's exposure to the sun.

Question 6

What information is essential for the nurse to include when teaching clients about the importance of having sufficient amounts of vitamin D?

Accepted Answer

A)   It prevents aging of skin
B)   It facilitates absorption of calcium and phosphorus
C)   It helps in the heat loss mechanism
D)   It helps increases body metabolism

Question 7

A client questions why the skin appears to lose color when in a cold environment. What should the nurse identify as being the cause of this phenomenon?

Accepted Answer

A)   Low level of calcitriol
B)   Lack of oxygen in blood stream
C)   Constriction of capillary blood flow
D)   Loss of subcutaneous fat

Question 8

Which statement describes the skin's dermis layer?

Accepted Answer

A)   Is the skin's thin, superficial outer layer
B)   Contains hair, glands, blood vessels, and nerves
C)   Cushions, supports, nourishes, and insulates the skin
D)   Anchors the skin to underlying tissues and organs

Question 9

What statement about sweat glands is true?

Accepted Answer

A)   Sudoriferous glands are located in the epidermis.
B)   Apocrine glands are stimulated by anxiety or fear.
C)   Mammary glands secrete sweat into numerous ducts that empty into pores.
D)   Eccrine glands respond to external and internal heat.

Question 10

What should the nurse review with the client about the importance of sebum?

Accepted Answer

A)   It prevents hardening of collagen
B)   It prevents drying of skin
C)   It keeps skin bacteria free
D)   It minimizes diaphoresis

Question 11

What information should the nurse include when discussing the function of ceruminal glands?

Accepted Answer

A)   They secrete a thick, oily, milky sweat into the hair follicle
B)   They are distributed widely over the body
C)   They regulation body temperature by providing a cooling effect
D)   They protect the tympanic membrane D

Question 12

A 65-year-old client reports often feeling cold. What is the primary reason for older adults to feel cold?

Accepted Answer

A)   The skin of an elderly person tends to be more fragile.
B)   Elderly people usually have impaired circulation.
C)   Elderly people have less subcutaneous fat.
D)   Epidermal turnover decreases in elderly people.

Question 13

The loss of body heat via convection is described by which statement?

Accepted Answer

A)   The body gives off waves of heat from uncovered surfaces.
B)   An oscillating fan blows currents of cool air across the surface of a warm body.
C)   Body fluid in the form of perspiration is vaporized from the skin.
D)   The body transfers heat to an ice pack, causing the ice to melt. B

Question 14

What is the appropriate nursing intervention for a client diagnosed with cyanotic skin?

Accepted Answer

A)   The nurse should give the client a tepid bath.
B)   The nurse should monitor for a sudden increase in temperature.
C)   The nurse should monitor the oxygen level in the client's bloodstream.
D)   The nurse should place a cool cloth on the client's forehead.

Question 15

A nurse is caring for a client with vitiligo. The client wants to know the reason for the white patches on his skin. What information should the nurse provide?

Accepted Answer

A)   "The white patches are caused by a deficiency of vitamin D."
B)   "The white patches occur when melanocytes stop making melanin."
C)   "The white patches occur when there is a low carotene level."
D)   "The white patches occur as a result of the lack of calcitriol in the body."

Question 16

What information should the nurse review with a client when discussing ways to protect the skin from sun damage by applying sunscreen? Select all that apply.

Accepted Answer

A)   SPF determines the amount of UV rays that reach the skin.
B)   SPF 45-70 is most often used.
C)   Apply sunscreen thoroughly and evenly.
D)   Reapply sunscreen after sweating
E)   Sunscreens help prevent skin cancers

Question 17

Which statements accurately describe the function of keratin in the skin? Select all that
Apply.

Accepted Answer

A)   It provides a barrier to external water
B)   Makes unbroken skin impenetrable to most microorganisms
C)   Gives color to human hair
D)   Help detect foreign substances to defend against infection
E)   Source of skin color

Question 18

What are the primary functions of the integumentary system? Select all that apply.

Accepted Answer

A)   Protection
B)   Thermoregulation
C)   Metabolism
D)   Sensation
E)   Maintain pH balance

Question 19

A 55-year-old female client reports increased coarse facial hair growth. What should the nurse identify as the cause of this situation?

Accepted Answer

A)   Decrease of female hormones
B)   Excess exposure to sunlight
C)   Loss of skin turgor
D)   Unhealthy diet

Question 20

What is a possible reason the nurse could identify as a cause of a client's alopecia?

Accepted Answer

A)   High secretion of melanin
B)   Hereditary factors
C)   Use of inexpensive hair care products
D)   Active lifestyle

Exam 16: The Integumentary System

What information concerning "goose bumps" should the nurse provide a client? Select all that apply.

Correct AnswerverifiedShow Answer

What cause should the nurse identify as the most likely trigger for the development of an ear infection?

Correct AnswerverifiedShow Answer

How should the nurse describe stratum basale layer of epidermis? Select all that apply.

Correct AnswerverifiedC, D

What is the role of the hypodermis?

Correct AnswerverifiedShow Answer

What nursing intervention should be implemented to minimize the risk of injury to a client who has lost sensation to the integumentary system over the lower portion of the body?

Correct AnswerverifiedShow Answer

What information is essential for the nurse to include when teaching clients about the importance of having sufficient amounts of vitamin D?

Correct AnswerverifiedShow Answer

A client questions why the skin appears to lose color when in a cold environment. What should the nurse identify as being the cause of this phenomenon?

Correct AnswerverifiedShow Answer

Which statement describes the skin's dermis layer?

Correct AnswerverifiedShow Answer

What statement about sweat glands is true?

Correct AnswerverifiedShow Answer

What should the nurse review with the client about the importance of sebum?

Correct AnswerverifiedShow Answer

What information should the nurse include when discussing the function of ceruminal glands?

Correct AnswerverifiedD

A 65-year-old client reports often feeling cold. What is the primary reason for older adults to feel cold?

Correct AnswerverifiedShow Answer

The loss of body heat via convection is described by which statement?

Correct AnswerverifiedB

What is the appropriate nursing intervention for a client diagnosed with cyanotic skin?

Correct AnswerverifiedShow Answer

A nurse is caring for a client with vitiligo. The client wants to know the reason for the white patches on his skin. What information should the nurse provide?

Correct AnswerverifiedShow Answer

What information should the nurse review with a client when discussing ways to protect the skin from sun damage by applying sunscreen? Select all that apply.

Correct AnswerverifiedShow Answer

Which statements accurately describe the function of keratin in the skin? Select all that Apply.

Correct AnswerverifiedShow Answer

What are the primary functions of the integumentary system? Select all that apply.

Correct AnswerverifiedShow Answer

A 55-year-old female client reports increased coarse facial hair growth. What should the nurse identify as the cause of this situation?

Correct AnswerverifiedShow Answer

What is a possible reason the nurse could identify as a cause of a client's alopecia?

Correct AnswerverifiedShow Answer

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C, D

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D

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B

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