The patient has diabetes mellitus and chronic obstructive pulmonary disease that has been treated with high-dose corticosteroids for the several years. Which dermatologic manifestations could be related to these systemic problems (select one that does not apply)?
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Question 2 of 124
Scar tissue is the result of
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Question 3 of 124
The female client tells the clinic nurse she is going on a seven(7)-day cruise and is worried about getting motion sickness. Which information should the nurse discuss with the client?
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Question 4 of 124
A 55-year-old patient with leukemia is being seen in the clinic for complaints of burning pain in the back. The patient has been diagnosed with shingles. The nurse would expect which medication classification to be ordered to reduce pain and halt the progression of the disease?
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Question 5 of 124
The transparent layer is formed from
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Question 6 of 124
A nurse is assessing the skin of a patient who has been diagnosed with bacterial cellulitis on the dorsal portion of the great toe. When reviewing the patients health history, the nurse should identify what comorbidity as increasing the patients vulnerability to skin infections?
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Question 7 of 124
Two unlicensed assistive personnel (UAP) are using the transfer board to move the client from the bed to the wheelchair. Which action should the nurse take?
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Question 8 of 124
A client has peripheral arterial disease (PAD). What statement by the client indicates misunderstanding about self-management activities?
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Question 9 of 124
For which patient would the nurse question an order for isotretinoin (Accutane)?
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Question 10 of 124
Which of the following is a disease characterized by hyperactive sebaceous glands and often associated with dandruff?
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Question 11 of 124
You are caring for a client who has just had a squamous cell carcinoma removed from the face. Which of these tasks can you delegate to an experienced nursing LPN/LVN?
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Question 12 of 124
Which cell type produces a pigment that affords the skin some protection against ultraviolet radiation?
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Question 13 of 124
Which cells produce the pigment that contributes to hair colour?
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Question 14 of 124
The long-term care nurse has received the a.m. shift report. Which client should the nurse assess first?
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Question 15 of 124
The client comes to the clinic complaining of sudden onset of high fever, chills, and a headache. The nurse assesses a patchy macular rash on the trunk and a circular type of rash that looks like an insect bite. Which question would be most appropriate for the nurse to ask during the interview?
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Question 16 of 124
A patient with a simple arm fracture is receiving discharge education from the nurse. What would the nurse instruct the patient to do?
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Question 17 of 124
What are some of the common skin diseases?
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Question 18 of 124
The nurse debriding a burn wound explains that the purpose of debridement is to:
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Question 19 of 124
Which action would a nurse explain as the next step to take after the flames are extinguished when a person's clothes catch fire?
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Question 20 of 124
For a client diagnosed with lumbar strain, which nursing interventions should be included in the plan of care?
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Question 21 of 124
The public health nurse is caring for a client diagnosed with leprosy (Hansen's disease). Which intervention should the nurse implement?
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Question 22 of 124
Which layer of the skin is responsible for the growth of hair and nails?
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Question 23 of 124
A client is undergoing fluid replacement after being burned on 20% of her body 12 hours ago. The nursing assessment reveals a blood pressure of 90/50 mm Hg, a pulse rate of 110 beats/minute, and a urine output of 20 mL over the past hour. The nurse reports the findings to the health care provider (HCP) and anticipates which prescription?
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Question 24 of 124
What is a reasonable option for pain management for a 50-year-old man who has just sustained 20% partial-thickness burns to his right leg and abdomen?
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Question 25 of 124
Which situation is an example of the nurse fulfilling the role of client advocate?
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Question 26 of 124
Loss of body fluids through the integument is restricted by:
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Question 27 of 124
Help regulate body temp and water content by secreting sweat
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Question 28 of 124
What is the protein that fills the outermost dead cells of the epidermis?
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Question 29 of 124
Which type of sweat glands are responsible for producing odorless sweat that is primarily composed of water, electrolytes, and waste products?
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Question 30 of 124
The one key risk factor for melanoma is:
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Question 31 of 124
A nurse cares for older adult clients in a long-term acute care facility. Which intervention should the nurse implement to prevent skin breakdown?
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Question 32 of 124
The client, age 20, dies after an unsuccessful resuscitation attempt. What nursing action is indicated first?
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Question 33 of 124
The primary function of the integumentary system is:
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Question 34 of 124
Which statements are true about skin and skin care (select one that does not apply)?
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Question 35 of 124
The papillary layer of the dermis is most closely associated with which layer of the epidermis?
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Question 36 of 124
The hypodermis is which of the following?
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Question 37 of 124
As you change Carol’s dressing, she asks why the wound looks so red around the edges, what are the black spots, and why the drainage is green. Your answer to her would be that the wound
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Question 38 of 124
The sunshine vitamin is vitamin:
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Question 39 of 124
Which skin function involves the regulation of body temperature through sweating and blood vessel dilation?
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Question 40 of 124
Goose-flesh' is-
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Question 41 of 124
You take the health history for a 60-year-old client who has been admitted to same-day surgery for elective facial dermabrasion. Which information is most important to convey to the plastic surgeon?
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Question 42 of 124
The objective of management of psoriasis is to
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Question 43 of 124
What is the survival rate of a localized malignant melanoma that is detected and removed in the early stages of the cancer?
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Question 44 of 124
The cells of stratum malpighi are-
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Question 45 of 124
A client is scheduled for patch testing to determine allergies to several substances. Which nursing activities associated with this test are best delegated to a medical assistant working in the allergy clinic?
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Question 46 of 124
In mammals maximum energy is lost by the
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Question 47 of 124
The student studying pediatric integumentary problems learns that which are functions of the skin?(Select all that apply.)
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Question 48 of 124
A client is prescribed drug therapy for the treatment of lice in addition to recovering from postoperative surgery. What is the drug class treatment for this disorder?
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Question 49 of 124
The client diagnosed with a stage 4 pressure ulcer is being treated with enzymatic debriding agent and occlusive dressing. The nurse notices a foul odor. Which intervention should the nurse implement?
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Question 50 of 124
Which statement indicates to the nurse the client is experiencing some hearing loss?
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Question 51 of 124
The nurse is documenting findings from collecting data with a patient. What term should the nurse use to document transverse depressions in the nails?
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Question 52 of 124
Which of the following is a function of the arrector pili muscles in the skin?
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Question 53 of 124
What should the nurse do when administering a therapeutic bath to a patient who has severe pruritus?
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Question 54 of 124
A client has been taking prednisone (Deltasone) 20 mg once a day to treat severe seborrheic dermatitis. Which of the following assessment findings is of most concern?
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Question 55 of 124
The client is diagnosed with stage 1 of Lyme disease. The nurse assesses the client for the hallmark characteristic of this stage. Which assessment finding would the nurse expect to note?
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Question 56 of 124
The emergency department nurse is caring for a 6-year-old child with a fractured forearm and suspects the injury is the result of abuse. Which x-ray finding would confirm the suspicions for the nurse?
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Question 57 of 124
Which of the following structures forms part of the integumentary system?
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Question 58 of 124
In an industrial accident, a male client that weighs 155 lb. (70 kg) sustained full thickness burns over 40% of his body. He is in the burn unit receiving fluid resuscitation. Which observation shows that the fluid resuscitation is benefiting the client?
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Question 59 of 124
The client admitted to rule out pancreatic islet tumors complains of feeling weak, shaky, and sweaty. Which priority intervention should be implemented by the nurse?
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Question 60 of 124
The integument consists of which of the following layers?
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Question 61 of 124
A patient with cancer is receiving a dose of an oral radioactive isotope. What should the nurse keep in mind to ensure personal safety when caring for this patient?
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Question 62 of 124
Melanocytes or melanophores are placed at places in between-
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Question 63 of 124
The structure partly responsible for 'goosebumps' is known as the ...
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Question 64 of 124
Which of the following is a longitudinal incision through eschar and down to subcutaneous tissue?
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Question 65 of 124
All of the following are true of perspiration produced by merocrine sweat glands except that it
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Question 66 of 124
Which one of the following cell types is responsible for forming the skin's stratum corneum?
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Question 67 of 124
Melanoblasts lie-
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Question 68 of 124
The cuticle around a nail is the
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Question 69 of 124
A parent calls the pediatric clinic asking for advice on treating lice. The child has already been treated once with lindane(Qwell). Which advice from the nurse is the most appropriate?
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Question 70 of 124
The physician has ordered for the client to receive a trough blood level to evaluate the therapeutic effect of an antibiotic. The nurse understands that the trough should be ordered:
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Question 71 of 124
Which of the following statements are true regarding cystic hygromas?
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Question 72 of 124
Bedsores
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Question 73 of 124
The nurse is caring for a patient with an electrical injury. The nurse understands that patients with electrical injury are at a high risk for acute kidney injury secondary to:
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Question 74 of 124
The home health nurse observes several small, round bruises on the back side of an elderly client's arms. What action by the nurse is indicated first?
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Question 75 of 124
What is the laser attracted to in hair removal?
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Question 76 of 124
All of the following can be used in the management of severe burn except
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Question 77 of 124
Which one of the following muscles are responsible for moving and shaking the skin-
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Question 78 of 124
Which psychosocial problem should be included in the plan of care for a female client diagnosed with Cushing's syndrome?
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Question 79 of 124
A nurse uses the rule of nines to assess a client with burn injuries to the entire back region and left arm. How should the nurse document the percentage of the client's body that sustained burns?
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Question 80 of 124
A client asks which method of contraception will provide the greatest protection against sexually transmitted infections. What method can the nurse recommend?
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Question 81 of 124
Another name for oil glands in the skin is:
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Question 82 of 124
The HCP prescribed morphine 2 to 5 mg intramuscular (IM) every 2 hours for the client diagnosed with full-thickness burns to the chest and abdominal area reporting pain of 10 on a 1-10 scale. Which intervention should the nurse implement?
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Question 83 of 124
The nurse is caring for a patient with 70% total body surface area chemical burns. Which approach should the nurse anticipate to meet this patient's nutritional needs?
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Question 84 of 124
Which of the following are the complications of a sebaceous cyst?
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Question 85 of 124
Which is the deepest layer of the integument?
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Question 86 of 124
Which abnormality on the skin of an older patient is the priority to discuss immediately with the health care provider?
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Question 87 of 124
Which of the following dietary recommendations regarding protein and calorie intake should a nurse suggest to a client recovering from a burn injury?
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Question 88 of 124
Which method for putting out flames is most effective and would be discussed by a nurse teaching campfire safety to a group of community members?
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Question 89 of 124
The nurse is monitoring a client newly diagnosed with diabetes mellitus for signs of complications. Which sign or symptom, if exhibited in the client, indicates that the client is at risk for chronic complications of diabetes if the blood glucose is not adequately managed?
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Question 90 of 124
Lacrimal glands are responsible for secreting-
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Question 91 of 124
Copious secretion of sweat is termed
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Question 92 of 124
The nurse is educating patients about dietary selections that will promote wound healing. Which menu option is most beneficial?
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Question 93 of 124
For a patient with a mild dermatitis rash, a physician would encourage:
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Question 94 of 124
Nurse Melinda is caring for an elderly bedridden adult. To prevent pressure ulcers, which intervention should the nurse include in the plan of care?
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Question 95 of 124
A client is approximately 4 weeks pregnant. The client reports noting a scant amount of vaginal bleeding. The examination reveals the cervix is closed. Based upon your knowledge, which of the following hormones do you anticipate will be lower than expected for the client?
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Question 96 of 124
Sweating to lose excess body heat depends on the process of:
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Question 97 of 124
What are the right practices for self-care to be followed by a client with onychomycosis of the foot?
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Question 98 of 124
Milk is produced by ________ glands.
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Question 99 of 124
An older adult patient has fallen in her home and is brought to the emergency department by ambulance with a suspected fractured hip. X-rays confirm a fracture of the left femoral neck. When planning assessments during the patient's presurgical care, the nurse should be aware of the patient's heightened risk of what complication?
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Question 100 of 124
Sebaceous glands
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Question 101 of 124
The nurse notes that an older patient complains of always feeling cold. Which age-related change to the skin could be causing this in the patient?
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Question 102 of 124
The layer of the skin that contains bundles of collagen and elastic bers responsible for the strength of the skin is the ________ layer.
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Question 103 of 124
Thick hairy skin is found in bear because, it lives in
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Question 104 of 124
A nurse is caring for a client who has a pressure ulcer on the right ankle. Which action should the nurse take first?
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Question 105 of 124
Which of the following matches the definition: The loss of circulatory fluids into interstitial spaces?
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Question 106 of 124
A new patient has come to the dermatology clinic to be assessed for a reddened rash on his abdomen. What diagnostic test would most likely be ordered to identify the causative allergen?
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Question 107 of 124
The client admitted with a diagnosis of a fractured hip who is in Buck's traction is complaining of severe pain. Which intervention should the nurse implement?
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Question 108 of 124
In teaching ambulance personnel to assist the depth of burn injury, they should understand that a fresh partial-thickness wound
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Question 109 of 124
The nurse notes that a patient's wound is weeping and edematous. In which phase of healing is this wound?
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HESI LPN · HESI Integumentary System Questions
Question 110 of 124
Which assessment information documented in a patient's chart indicates that the nurse may need to continue to monitor the skin condition of an 82-year-old patient admitted with bacterial pneumonia?
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HESI LPN · HESI Integumentary System Questions
Question 111 of 124
What information is most important when discussing ways to prevent osteoporosis with pregnant teenagers?
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HESI LPN · HESI Integumentary System Questions
Question 112 of 124
Glands of Zeis are associated with the eye lashes. These are modified-
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HESI LPN · HESI Integumentary System Questions
Question 113 of 124
The nurse instructs a patient about application of corticosteroid cream to an area of contact dermatitis on the right leg. Which patient action indicates that further teaching is needed?
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HESI LPN · HESI Integumentary System Questions
Question 114 of 124
Which of the following substances is not present in sweat?
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HESI LPN · HESI Integumentary System Questions
Question 115 of 124
What are the most appropriate dressings to use to promote comfort for a patient with an inflamed, pruritic dermatitis?
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HESI LPN · HESI Integumentary System Questions
Question 116 of 124
Which is the proper sequence of epidermal layers pierced as a sliver penetrates the dermis of the hand?
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HESI LPN · HESI Integumentary System Questions
Question 117 of 124
On assessment of a child, the nurse notes the presence of white patches on the child's tongue and determines that they may be indicative of candidiasis (thrush). The nurse understands that the white patches of candidiasis (thrush):
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HESI LPN · HESI Integumentary System Questions
Question 118 of 124
Which statement is NOT true of accessory skin structures?
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HESI LPN · HESI Integumentary System Questions
Question 119 of 124
What pigment gives skin its color and provides some protection against UV radiation?
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HESI LPN · HESI Integumentary System Questions
Question 120 of 124
What is the scientific rationale for placing lift pads under an immobile client?
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HESI LPN · HESI Integumentary System Questions
Question 121 of 124
Which of the following intracellular structures is part of the cytoskeleton of a human cell?
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HESI LPN · HESI Integumentary System Questions
Question 122 of 124
The nurse is watching the cardiac monitor and notices that the rhythm suddenly changes. There are no P waves, the QRS complexes are wide, and the ventricular rate is regular but more than 140 beats/minute. The nurse determines that the client is experiencing which dysrhythmia?
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HESI LPN · HESI Integumentary System Questions
Question 123 of 124
What is the name for papillomavirus infection seen on the skin?
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HESI LPN · HESI Integumentary System Questions
Question 124 of 124
What layer of the epidermis is most superficial?
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