HESI LPN · HESI Integumentary System Exam Questions
Question 1 of 121
Appropriate treatment for a patient with cellulitis includes:
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Question 2 of 121
The nurse is caring for a client who sustained superficial partial-thickness burns on the anterior lower legs and anterior thorax. Which finding does the nurse expect to note during the resuscitation/emergent phase of the burn injury?
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Question 3 of 121
Which of the following edema assessment levels corresponds with: Depression resolving in 10-15 sec?
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Question 4 of 121
A client hospitalized for diagnostic testing reports an intense fear of being found to have a terminal condition. What response by the nurse will be most therapeutic?
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Question 5 of 121
The wound care nurse documented a client's pressure ulcers on admission as 3.3 cm × 4.0 cm stage II on the coccyx. Which information would alert the nurse that the client's pressure ulcer is getting worse?
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Question 6 of 121
Which information noted by a nurse when caring for a patient with a bladder infection is most important to report to the healthcare provider?
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Question 7 of 121
One of the following is NOT part of the integumentary system. Which one?
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Question 8 of 121
While changing the dressing on a burned arm the patient complains of feeling cold and having extreme pain. However, the patient asks the nurse to not apply so much pressure when wrapping gauze around the limb. What should these findings indicate to the nurse?
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Question 9 of 121
What teaching should the nurse implement regarding taking calcium carbonate (Tums) for osteoporosis?
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Question 10 of 121
What is the primary function of melanocytes in the epidermis?
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Question 11 of 121
Dermatoscopy refers to:
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Question 12 of 121
The nurse differentiates the various types of dermatitis. Which characteristic best describes stasis dermatitis?
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Question 13 of 121
When providing education to a client concerning breast self-examinations, the client asks what days are best to perform the examination. What information should be included in the response given to the client?
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Question 14 of 121
Which is the most superficial layer of the integument that also has capillaries, lymphatics and sensory neurons?
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Question 15 of 121
Which nursing intervention is the highest priority when administering pain medication to a client experiencing acute pain?
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Question 16 of 121
The school nurse is discussing how to prevent tinea cruris with the football players. Which intervention should the nurse implement?
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Question 17 of 121
A client admitted to the ED complains of itching of the trunk and groin. You note the presence of multiple reddened wheals on the chest, back, and groin. Which question is most appropriate to ask next?
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Question 18 of 121
A nurse caring for a disheveled patient with poor hygiene observes that the patient has small red lesions flush with the skin on the head and body. The patient complains of severe itching at the sites. For what should the nurse further assess the patient?
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Question 19 of 121
The nurse is assessing the client's cranial nerves. Which assessment data indicate cranial nerve I is intact?
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Question 20 of 121
A patient has a blood-filled blister surrounded by tissue that is painful, mushy, and warm to the touch. How should the nurse classify this skin presentation?
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Question 21 of 121
The nurse is using the antimicrobial binding dressing Actisorb Silver 222 for a stage 3 pressure ulcer on the left hip area. Which intervention should the nurse implement?
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Question 22 of 121
The child diagnosed with pediculosis capitis is prescribed lindane. Which information should the nurse discuss with the parents?
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Question 23 of 121
A nurse is caring for a patient who had a right below-the-knee amputation (BKA). The nurse recognizes the importance of implementing measures that focus on preventing flexion contracture of the hip and maintaining proper positioning. Which of the following measures will best achieve these goals?
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Question 24 of 121
Integument is usually called by the proverb 'Jack of all trades' because it-
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Question 25 of 121
Identify the chemical symbol for potassium
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Question 26 of 121
Elephant is an inhabitant of hot climate. This is suggested by-
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Question 27 of 121
A preschool child is found to have atopic dermatitis. The nurse emphasizes that the child should be discouraged from scratching. The child's mother asks why scratching should be avoided. Which response by the nurse is appropriate?
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Question 28 of 121
Physician who specializes in diagnosing and treating disorders of the skin
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Question 29 of 121
Melanin in the skin serves to:
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Question 30 of 121
The nurse is caring for a 32-year-old with circumferential full-thickness burns to the right arm and trunk. Which nursing intervention has the highest priority in the plan of care?
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Question 31 of 121
A nurse delegates care for a client who has open skin lesions. Which statement should the nurse include when delegating hygiene care to an unlicensed assistive personnel (UAP)?
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Question 32 of 121
The keratinocytes are tightly connected with each other by
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Question 33 of 121
Squamous cell carcinomas are the second most common of the skin cancers and are capable of metastasizing if not treated. This cancer affects which cells?
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Question 34 of 121
The nurse is caring for a client diagnosed with acute otitis media. Which sign/symptom supports this medical diagnosis?
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Question 35 of 121
Which skin condition would be treated with laser surgery?
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Question 36 of 121
Each of the following statements concerning hair is true except
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Question 37 of 121
The integumentary system helps protect the body from harmful external factors such as:
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Question 38 of 121
Which of the following structures is not an accessory component of the skin?
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Question 39 of 121
A client with herpes simplex II is concerned about sexual relations. What information should be provided to the client?
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Question 40 of 121
Assessment of a patients leg reveals the presence of a 1.5-cm circular region of necrotic tissue that is deeper than the epidermis. The nurse should document the presence of what type of skin lesion?
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Question 41 of 121
Colouration of the skin depends on-
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Question 42 of 121
The nurse is evaluating nutritional teaching provided to a patient recovering from 24% total body surface area burns. Which information indicates that teaching has been effective?
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Question 43 of 121
Which may indicate a malignant melanoma in a nevus on a patient's arm?
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Question 44 of 121
What important safety measure regarding the use of insect repellents does the nurse teach a parenting group?
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Question 45 of 121
A patient has herpes zoster (shingles) and is being treated with acyclovir (Zovirax). What should the nurse do when administering this drug?
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Question 46 of 121
Sebaceous glands secrete
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Question 47 of 121
Which of the following actions helps the nurse assess the skin temperature?
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Question 48 of 121
A nurse is explaining the importance of sunlight on the skin to a woman with decreased mobility who rarely leaves her house. The nurse would emphasize that ultraviolet light helps to synthesize what vitamin?
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Question 49 of 121
Which statement by the client diagnosed with a fractured ulna indicates to the nurse the client needs further teaching?
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Question 50 of 121
Leather for shoes is obtained from dermis because-
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Question 51 of 121
The healthcare provider has ordered Collagenase for a patient with a left leg necrotic ulcer. What does the nurse understands about the use of collagenase?
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Question 52 of 121
What are the different types of skin appendages?
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Question 53 of 121
The nurse needs to send a specimen for a wound culture. What should the nurse do prior to obtaining the specimen?
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Question 54 of 121
Patients with burns may have mesh grafts or sheet grafts. Which of the following sites is most likely to have a sheet graft applied?
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Question 55 of 121
Some cells in the subcutaneous tissue produce histamine, which contributes to the process of:
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Question 56 of 121
In applying topical steroids to psoriatic lesions clients are taught to
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Question 57 of 121
Which of the following is NOT a cell?
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Question 58 of 121
Mrs. Stevens asks you how to treat an irritated, erythematous area on her left hand. It would be most important to first determine if she has
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Question 59 of 121
Which activity can the nurse working in the outpatient clinic delegate to a licensed practical/vocational nurse (LPN/LVN)?
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Question 60 of 121
A patient with psoriasis is placed on PUVA therapy. What factors compose this therapy?
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Question 61 of 121
Which layer of skin is water-proof
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Question 62 of 121
The evening nurse reviews the nursing documentation in the male client's chart and notes that the day nurse has documented that the client has a stage II pressure ulcer in the sacral area. Which of the following would the nurse expect to note on assessment of the client's sacral area?
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Question 63 of 121
One of the functions of the integumentary system is protection. Which of the following does not directly contribute to that function?
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Question 64 of 121
The nurse assesses a patient who has just arrived in the postanesthesia recovery area (PACU) after a blepharoplasty. Which assessment data should be reported to the surgeon immediately?
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Question 65 of 121
A nurse is assessing an obese client in the clinic for follow-up after an episode of deep vein thrombosis. The client has lost 20 pounds since the last visit. What action by the nurse is best?
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Question 66 of 121
The hair of mammalian skin get erected when the temperature is low. The muscles which pull the hair follicles and hairs is-
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Question 67 of 121
Which is a modifiable risk factor for developing osteoarthritis (OA)?
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Question 68 of 121
The nurse is reviewing the discharge instructions for a client who had skin biopsy. Which statement by the client indicates a need for further instructions?
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Question 69 of 121
What is the primary role of sweat glands in the skin?
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Question 70 of 121
The home health nurse visits a client with a diagnosis of type 1 diabetes mellitus. The client relates a history of vomiting and diarrhea and tells the nurse that no food has been consumed for the last 24 hours. Which additional statement by the client indicates a need for further teaching?
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Question 71 of 121
Which of the following statements are correct regarding neurofibromatosis?
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Question 72 of 121
Which problem should the nurse identify for the client recently diagnosed with leprosy (Hansen's disease)?
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Question 73 of 121
The physician has ordered for the nurse to obtain a sputum specimen. The nurse understands that the sputum specimen should be collected:
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Question 74 of 121
You perform a skin assessment on a new resident in an LTC facility. Which of the following is of most concern?
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Question 75 of 121
When a medicine is delivered via a patch attached to the skin, it is said to be delivered:
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Question 76 of 121
Which statement is NOT true of the dermis?
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Question 77 of 121
All of the following are true of epidermal ridges except that they
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Question 78 of 121
In planning Mr. Baker’s daily care, you wish to give him as much independence and control as possible. In relation to a required dressing change, which would be an appropriate question to ask?
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Question 79 of 121
Dr. Martinez prescribes an emollient for a client with pruritus of recent onset. The client asks why the emollient should be applied immediately after a bath or shower. How should the nurse respond?
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Question 80 of 121
Priority Decision: A 46-year-old African American patient is scheduled to have a basal cell carcinoma on his cheek excised in the health care provider’s office. What factor is most important for the nurse to obtain in the patient's history?
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Question 81 of 121
What is the secretion produced by sudiferous glands?
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Question 82 of 121
Freckles are simply:
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Question 83 of 121
Which of the following statements are correct regarding seborrhoeic keratosis?
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Question 84 of 121
Collagen lends to the skin.
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Question 85 of 121
What instruction should the nurse give to an elderly client to reduce the itching that results from dry skin?
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Question 86 of 121
Which of the following animal is having sweat glands only on pinnae
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Question 87 of 121
The following are stages in the regeneration of skin following an injury: blood clot/scab formation, calcium injection, epidermis covers granulation tissue, epidermis covers scar tissue. The correct order for these events is:
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Question 88 of 121
An albino individual lacks the ability to produce
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Question 89 of 121
Nurse Bea plans to administer dexamethasone cream to a client who has dermatitis over the anterior chest. How should the nurse apply this topical agent?
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Question 90 of 121
A nurse is caring for a client with an allograft. Which of the following describes the source of the allograft?
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Question 91 of 121
From what layer of skin are melanosomes released?
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Question 92 of 121
Which layer of the skin contains immune cells that help protect against pathogens?
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Question 93 of 121
To what in the skin does the term 'nociceptors' refer?
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Question 94 of 121
The client is prescribed Fosamax, a bisphosphonate. Which information should the nurse teach?
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Question 95 of 121
Hair, epidermis, and nails are all made up of:
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Question 96 of 121
When examining an 87-year-old home health patient, the nurse notes a musky, sour body odor. Based on this assessment, the most appropriate nursing action is to
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Question 97 of 121
A postoperative client is preparing for discharge. A home health nurse has been scheduled to call on the client in two days. The client tires easily and voices an inability to concentrate on all of the information the nurse is attempting to review. Which of the subjects concerning the client's condition and home care may be deferred for the home health nurse?
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Question 98 of 121
A nurse is providing information to clients in a dermatologist’s office about prevention of skin cancer. Which of the following is the most important prevention measure when teaching a client who frequents a swimming pool?
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Question 99 of 121
The faculty member explains fungal skin diseases to a group of students. Which are the common types of this disorder?(Select all that apply.)
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Question 100 of 121
The 'prickle-cell layer' of the skin is -
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Question 101 of 121
A nurse is performing a skin assessment on a client. The nurse understands that moles with variegated color, irregular borders, and/or an irregular surface should be considered:
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Question 102 of 121
What is another name for sweat glands?
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Question 103 of 121
The nurse has given instructions to a client returning home after knee arthroscopy. Which statement by the client indicates that the instructions are understood?
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Question 104 of 121
Secretion of sebaceous glands help to keep-
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Question 105 of 121
Which skin function involves the synthesis of vitamin D when exposed to ultraviolet (UV) light?
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Question 106 of 121
What is one difference between the dermis and the epidermis? The
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HESI LPN · HESI Integumentary System Exam Questions
Question 107 of 121
The subcutaneous tissue (hypodermis) contains a high concentration of which type of tissue?
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HESI LPN · HESI Integumentary System Exam Questions
Question 108 of 121
The nurse caring for a client diagnosed with cancer of the pancreas writes the nursing diagnosis of 'risk for altered skin integrity related to pruritus.' Which intervention should the nurse implement?
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HESI LPN · HESI Integumentary System Exam Questions
Question 109 of 121
Which of the following is the deepest layer of the epidermis?
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HESI LPN · HESI Integumentary System Exam Questions
Question 110 of 121
The client is admitted to the medical floor diagnosed with cellulitis of the left arm. Which assessment data would warrant immediate intervention by the nurse?
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HESI LPN · HESI Integumentary System Exam Questions
Question 111 of 121
A patient who has had an amputation is being cared for by a multidisciplinary rehabilitation team. What is the primary goal of this multidisciplinary team?
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HESI LPN · HESI Integumentary System Exam Questions
Question 112 of 121
A client is having frequent premature ventricular contractions. The nurse should place priority on assessment of which item?
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HESI LPN · HESI Integumentary System Exam Questions
Question 113 of 121
Which response would a nurse give to a client who has just had a total hip replacement and states that the plan is to go swimming at the community pool the day after discharge?
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HESI LPN · HESI Integumentary System Exam Questions
Question 114 of 121
Which organ of the body is known as 'Jack of all trades' -
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HESI LPN · HESI Integumentary System Exam Questions
Question 115 of 121
Which client history is most significant in the development of symptoms for a client who has iatrogenic Cushing's disease?
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HESI LPN · HESI Integumentary System Exam Questions
Question 116 of 121
The nurse manager is planning the clinical assignments for the day. Which staff members can be assigned to care for a client with herpes zoster?
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HESI LPN · HESI Integumentary System Exam Questions
Question 117 of 121
After teaching a client who is at risk for the formation of pressure ulcers, a nurse assesses the client's understanding. Which dietary choice by the client indicates a good understanding of the teaching?
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HESI LPN · HESI Integumentary System Exam Questions
Question 118 of 121
A nurse delegates hydrotherapy to an unlicensed assistive personnel (UAP). Which statement should the nurse include when delegating this activity?
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HESI LPN · HESI Integumentary System Exam Questions
Question 119 of 121
The receptors for touch present in mammalian skin are known as -
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HESI LPN · HESI Integumentary System Exam Questions
Question 120 of 121
Fingerprint patterns are established prenatally during development of the:
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HESI LPN · HESI Integumentary System Exam Questions
Question 121 of 121
The protein that reduces water loss at the skin surface is
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