1. A nurse is assessing a patient’s skin for signs of dehydration. Which finding would indicate dehydration?
A) Warm, dry skin
B) Moist, cool skin
C) Elastic skin turgor
D) Pale, clammy skin
Answer: A) Warm, dry skin
Rationale: Dehydrated skin is often warm and dry due to decreased moisture...
1. A nurse is assessing a patient’s skin for signs of dehydration. Which finding would
indicate dehydration?
A) Warm, dry skin
B) Moist, cool skin
C) Elastic skin turgor
D) Pale, clammy skin
Answer: A) Warm, dry skin
Rationale: Dehydrated skin is often warm and dry due to decreased moisture content and
impaired blood flow.
2. A patient presents with a rash that is raised, red, and itchy. What type of skin lesion is
most likely present?
A) Macule
B) Papule
C) Plaque
D) Vesicle
Answer: B) Papule
Rationale: Papules are small, raised lesions that can be red and itchy, often seen in allergic
reactions or other dermatological conditions.
3. Which of the following findings should alert the nurse to the possibility of a pressure
ulcer?
A) Pale skin
B) Redness over a bony prominence that blanches
C) Warmth and swelling of the skin
D) A deep, open wound
Answer: A) Pale skin
Rationale: Pale skin can indicate compromised blood flow, which is a risk factor for developing
pressure ulcers.
4. The nurse is educating a patient about how to perform skin self-examinations. Which
instruction is most important?
,A) Examine the skin under bright sunlight.
B) Report any changes in moles or new growths.
C) Avoid touching any lesions.
D) Use a magnifying glass for better visualization.
Answer: B) Report any changes in moles or new growths.
Rationale: It is crucial for patients to report changes in their skin, as these can be indicators of
malignancy.
5. A patient with a history of skin cancer asks about the use of sunscreen. What is the
nurse's best response?
A) "Use a sunscreen with at least SPF 15."
B) "You don’t need sunscreen if you’re not outdoors."
C) "Sunscreen should be applied only once a day."
D) "A higher SPF offers better protection."
Answer: D) "A higher SPF offers better protection."
Rationale: Higher SPF provides greater protection against harmful UV rays, which is
particularly important for individuals with a history of skin cancer.
6. When teaching about the signs of infection in a wound, which symptom should the nurse
emphasize?
A) Increased drainage
B) Edema
C) Redness around the wound
D) Fever
Answer: D) Fever
Rationale: A fever is a systemic sign of infection and indicates that the body is fighting an
infection, necessitating further assessment.
7. A patient is diagnosed with shingles. What teaching point should the nurse include?
A) Shingles is contagious, and you should avoid contact with others.
B) The rash will resolve in 1-2 days.
C) Once you have shingles, you can’t get it again.
D) Antiviral medication is not necessary for shingles.
, Answer: A) Shingles is contagious, and you should avoid contact with others.
Rationale: Shingles can spread to those who have not had chickenpox; therefore, precautions
should be taken.
8. Which assessment finding would indicate that a patient has developed a stage II pressure
ulcer?
A) A non-blanchable erythema
B) A shallow open ulcer with a red-pink wound bed
C) Full thickness tissue loss
D) A deep tissue injury
Answer: B) A shallow open ulcer with a red-pink wound bed
Rationale: A stage II pressure ulcer presents as a shallow open ulcer with a red-pink wound bed
and may include serous drainage.
9. The nurse is caring for a patient with a burn. Which is the priority nursing diagnosis?
A) Impaired skin integrity
B) Risk for infection
C) Acute pain
D) Impaired mobility
Answer: B) Risk for infection
Rationale: Following a burn, the skin barrier is compromised, increasing the risk of infection,
which is a priority concern.
10. A patient with psoriasis is experiencing a flare-up. What should the nurse recommend
to manage symptoms?
A) Daily use of a thick moisturizer
B) Avoidance of all sunlight
C) Frequent hot baths
D) Use of alcohol-based skin products
Answer: A) Daily use of a thick moisturizer
Rationale: Moisturizers help alleviate dryness and reduce scaling associated with psoriasis.
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