HESI LPN · HESI Questions on the Integumentary System
Question 1 of 123
The nurse is conducting health screening for osteoporosis. Which client is at greatest risk of developing this disorder?
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Question 2 of 123
After educating a caregiver of a home care client, a nurse assesses the caregiver's understanding. Which statement indicates that the caregiver needs additional education?
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Question 3 of 123
The paraplegic client is being admitted to a medical unit from home with a stage IV pressure ulcer over the right ischium. Which assessment tool should be completed on admission to the hospital?
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Question 4 of 123
A male client with psoriasis visits the dermatology clinic. When inspecting the affected areas, the nurse expects to see which type of secondary lesion?
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Question 5 of 123
Which cranial nerve(CN) is most commonly affected by a tumor?
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Question 6 of 123
A newly graduated RN is in the third week of orientation to the medical-surgical unit. Which client is best for you, as charge nurse, to assign to the new graduate?
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Question 7 of 123
Bill Jones is a 24-year-old mechanic who sustained a 25% burn injury cleaning his engine with gasoline. Currently he is in his room with all the lights out. He has refused to see his girlfriend. He requires his mother to stay at the hospital and refuses to eat unless she feeds him. When asked any question, he replies negatively with vulgar language. On the basis of this data what is your nursing diagnosis of his problem?
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Question 8 of 123
A client is scheduled for a mammogram. Which of the following might adversely impact the testing?
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Question 9 of 123
Which statement should the nurse identify as the expected outcome for a client experiencing acute pain?
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Question 10 of 123
The client diagnosed with poison ivy is prescribed a dose pack of prednisone. Which statement best describes the scientific rationale for prescribing the dose pack?
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Question 11 of 123
What are three functions of the skin? To:
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Question 12 of 123
An emollient has a/an effect.
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Question 13 of 123
A male client who has suffered a cerebrovascular accident (CVA) is too weak to move on his own. To help the client avoid pressure ulcers, the nurse should:
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Question 14 of 123
The skin's ability to regenerate and repair itself is primarily attributed to the presence of which cells?
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Question 15 of 123
A client reports to the clinic with a painless, ulcerated area on her labia. Based upon your knowledge, what diagnosis do you anticipate?
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Question 16 of 123
In mammals, the scent glands may be modified-
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Question 17 of 123
A postoperative patient develops cellulitis in the leg. Nursing treatments would include:
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Question 18 of 123
A nurse assesses a client who presents with an increase in psoriatic lesions. Which question should the nurse ask to identify a possible trigger?
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Question 19 of 123
When assessing a suspicious skin lesion, you are looking for Aâ€â€Âasymmetry, Bâ€â€Âirregular borders, Câ€â€Âvariegated colors, Dâ€â€Âdiameter, and Eâ€â€Â:
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Question 20 of 123
A patient has a circular, flat, reddened lesion about 5 cm in diameter on his ankle. To determine whether the lesion is related to blood vessel dilation, the nurse will
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Question 21 of 123
A patient is being treated for a fractured hip and the nurse is aware of the need to implement interventions to prevent muscle wasting and other complications of immobility. What intervention best addresses the patient's need for exercise?
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Question 22 of 123
The most common characteristics of melanoma are:
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Question 23 of 123
The nurse is caring for a patient diagnosed with furunculosis. Which nursing action could the nurse delegate to unlicensed assistive personnel (UAP)?
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Question 24 of 123
What is the name given to the most superficial layer of the integument?
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Question 25 of 123
The nurse differentiates the various types of dermatitis. Which characteristic best describes contact dermatitis?
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Question 26 of 123
When lifting a client up in bed, the nurse feels a pulling in the back. What should be the first action?
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Question 27 of 123
What are the two main layers of the skin?
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Question 28 of 123
Which intervention should be implemented to help prevent complications secondary to osteoporosis in a long-term care resident?
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Question 29 of 123
Which statements characterize malignant melanomas (select one that does not apply)?
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Question 30 of 123
A client is being discharged on warfarin (Coumadin) therapy. What discharge instructions is the nurse required to provide?
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Question 31 of 123
A patient recovering from 25% total body surface area burns has a low-grade fever. What should the nurse do to reduce this patient's risk of developing an infection?
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Question 32 of 123
A client has frequent bursts of ventricular tachycardia on the cardiac monitor. What should the nurse be most concerned about with this dysrhythmia?
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Question 33 of 123
A process in which whole of skin (epidermis and dermis) is preserved by means of some chemicals is known as -
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Question 34 of 123
If a fair-skinned person is sunburned, why does his or her skin turn red?
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Question 35 of 123
The school nurse is assessing a teacher who has pediculosis. Which statement by the teacher makes the nurse suspect that the teacher did not comply with the instructions that were discussed in the classroom with the children?
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Question 36 of 123
During the acute phase of a burn, the nurse in-charge should assess which of the following?
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Question 37 of 123
The nurse is assisting a patient who has a suspected diagnosis of tinea capitis (ringworm). For which diagnostic test should the nurse prepare the patient?
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Question 38 of 123
An individual has spent too much time sun bathing. Not only is his skin painful to touch, but small blisters have appeared in the affected area. This indicates that he has damaged which layers of his skin?
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Question 39 of 123
The hair follicles in dermis are attached with-
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Question 40 of 123
Which layer of the skin is responsible for producing new skin cells through cell division?
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Question 41 of 123
When taking the health history of an older adult, the nurse discovers that the patient has worked in the landscaping business for 40 years. Which clinical manifestation should the nurse teach the patient to self-assess for?
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Question 42 of 123
Skin colour is determined by which pigment?
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Question 43 of 123
A client is brought to the emergency department with partial-thickness burns to his face, neck, arms, and chest after trying to put out a car fire. The nurse should implement which nursing action for this client?
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Question 44 of 123
The fibers important for strength in the dermis are:
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Question 45 of 123
While providing care for a patient who has recently completed chemotherapy for colorectal cancer, the nurse notes the patient has an elevated carcinoembryonic antigen (CEA) level.
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HESI LPN · HESI Questions on the Integumentary System
Question 46 of 123
________ hairs are coarse pigmented hairs.
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Question 47 of 123
What is an appropriate intervention to promote debridement and removal of scales and crusts of skin lesions?
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Question 48 of 123
A patient who was burned at 10:00 AM reports a pre-burn weight of 154 lb (70 kg). The estimated total body surface area (TBSA) burned is 60%. Using the Parkland/Baxter formula, the nurse verifies that the total amount of intravenous lactated Ringer solution to be infused by 6:00 PM on the day of the burn is which of the following?
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Question 49 of 123
Which priority intervention should the day surgery nurse implement for a client who has had right knee arthroscopy?
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Question 50 of 123
The nurse working in a community pediatric clinic knows that which are examples of secondary skin lesions?(Select all that apply.)
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Question 51 of 123
What are some of the ways to keep the skin healthy?
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Question 52 of 123
The nurse is providing discharge teaching to the 12-year-old with a fractured humerus and the parents. Which information should the nurse include regarding cast care?
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Question 53 of 123
Tear contains an anti-bacterial enzyme called-
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Question 54 of 123
The emergency department nurse is performing an assessment on a client who has sustained circumferential burns of both legs. Which assessment would be the priority in caring for this client?
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Question 55 of 123
The protein that gives the skin color is:
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Question 56 of 123
A nurse assesses a client admitted with deep partial-thickness and full-thickness burns on the face, arms, and chest. Which assessment finding should alert the nurse to a potential complication?
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Question 57 of 123
Which of the following are consequences of skin impairment?
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Question 58 of 123
Some people only 'burn' when exposed to the sun. The reason they do not tan is that:
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Question 59 of 123
The home health nurse is admitting a client diagnosed with cancer of the pancreas. Which information is the most important for the nurse to discuss with the client?
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Question 60 of 123
The client has been diagnosed with chronic sorrow related to her husband's recent diagnosis of terminal cancer. Which action by the nurse would be most helpful to the client?
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Question 61 of 123
The nurse is preparing a plan of care for a client with diabetes mellitus who has hyperglycemia. The nurse places priority on which client problem?
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Question 62 of 123
Sudorific glands are confined to external ears in
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Question 63 of 123
Which epidermal layer is lacking within the skin of the head and torso?
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Question 64 of 123
One of the following is NOT a gland found in the integument. Which one?
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Question 65 of 123
On assessment, a nurse notes a flat brown circular nevi on the skin of a client that measures less than one centimeter. The client asks, 'Is this cancer?' The nurse makes which response to the client?
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Question 66 of 123
Each of the following is a function of the integumentary system except
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Question 67 of 123
Which of the following is a disease characterized by the presence of hives?
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Question 68 of 123
A patient with a suspected malignant melanoma is referred to the dermatology clinic. The nurse knows to facilitate what diagnostic test to rule out a skin malignancy?
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Question 69 of 123
Which test would the client undergo to diagnose systemic lupus erythematosus?
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Question 70 of 123
Which of the following is a disadvantage of using cultured skin?
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Question 71 of 123
Stratum spinosum and stratum basale are together called-
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Question 72 of 123
A patient has been using a corticosteroid ointment for several weeks on an inflamed skin region. The nurse should be aware that prolonged use of this medication may result in:
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Question 73 of 123
The primary function of the arrector pili muscles is to:
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Question 74 of 123
A home health nurse is preparing to begin a series of visits with a client. Based upon the client's condition, the client is expected to require home care visits weekly for the next two months. Which of the following tasks should take place first?
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Question 75 of 123
Which of the following organs is located in the cranial cavity?
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Question 76 of 123
The nurse needs to change a dressing on the client's abdomen. Which of the following techniques should be implemented?
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Question 77 of 123
The client is prescribed silver sulfadiazine for a partial-thickness burn to the back. Which information should the nurse discuss concerning this medication?
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Question 78 of 123
The long and hard hairs, located upon the upper lip in rabbit are especially meant for
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Question 79 of 123
Which statement is NOT true of the skin and body temperature?
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Question 80 of 123
As charge nurse in a long-term-care (LTC) facility, you are developing a care plan for a client with a stage 3 pressure ulcer located over the sacrum. Which nursing intervention is most appropriate to delegate to an LPN who works as a team leader in the facility?
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Question 81 of 123
Langerhans cells are commonly found in the
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Question 82 of 123
Which layer of the skin contains blood vessels, sweat glands, and hair follicles?
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Question 83 of 123
The sweat produced by eccrine sweat glands is primarily composed of:
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Question 84 of 123
Which conclusion is made by a nurse who admits a client receiving patient-controlled analgesia (PCA) after surgery?
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Question 85 of 123
While walking barefoot on the beach, Joe stepped on a thorn that penetrated through the sole of his foot to the dermis. How many layers of epidermis did the thorn penetrate?
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Question 86 of 123
A patient with human immunodeficiency virus (HIV) has sought care because of the recent development of new skin lesions. The nurse should interpret these lesions as most likely suggestive of what?
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Question 87 of 123
Treatment of psoriasis includes
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Question 88 of 123
If a rabbit is deprived of its vibrissae (stiff long hair on the snout)
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Question 89 of 123
Pacinian corpuscles' are found in
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Question 90 of 123
One of the following is NOT a type of sweat gland. Which one?
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Question 91 of 123
The dermis contains which of the following?
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Question 92 of 123
Which of the following statements are correct regarding papillomas?
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Question 93 of 123
The nurse is advising a 20-year-old college sophomore with acne vulgaris. Which information is most important for the nurse to include in the teaching plan?
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Question 94 of 123
The nurse is caring for a patient with a chemical burn injury. The priority nursing intervention is to:
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Question 95 of 123
All of the following are characteristics of the epidermis except that it
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Question 96 of 123
Which layer of the integument is the most superficial layer?
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Question 97 of 123
You are teaching a patient about changing his own dressing at home. In addition to teaching the specific dressing routine, you would teach him to evaluate the appearance of the wound and notify his physician if
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Question 98 of 123
A frail, older adult home health patient who had chickenpox as a child has been exposed to varicella (chickenpox) several days ago. What should the nurse do?
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Question 99 of 123
The sensitivity to touch of an area of skin is determined by the:
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Question 100 of 123
Six weeks after an above-the-knee amputation (AKA), a patient returns to the outpatient office for a routine postoperative checkup. During the nurse's assessment, the patient reports symptoms of phantom pain. What should the nurse tell the patient to do to reduce the discomfort of the phantom pain?
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Question 101 of 123
The nurse is admitting a client to rule out aldosteronism. Which assessment data support the client's diagnosis?
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Question 102 of 123
In which skin layer a chemical substance 'eleidin' is found-
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Question 103 of 123
Which of the following is a holocrine exocrine gland?
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Question 104 of 123
The two components of the integumentary system are the
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Question 105 of 123
A child has been diagnosed with scabies and the parents are taught about the use of 5% permethrin lotion(Elimite). Which statement by the parents indicates the need for further instruction?
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HESI LPN · HESI Questions on the Integumentary System
Question 106 of 123
The nails, claws, horns and hooves in mammals are produced by-
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HESI LPN · HESI Questions on the Integumentary System
Question 107 of 123
A client is being admitted for the treatment of acute cellulitis of the thigh. The client asks the admitting nurse to explain what cellulitis means. The nurse bases the response on the understanding that the characteristics of cellulitis include:
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HESI LPN · HESI Questions on the Integumentary System
Question 108 of 123
Which risk factor should the nurse discuss with the client concerning reasons for hearing loss?
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HESI LPN · HESI Questions on the Integumentary System
Question 109 of 123
The nurse writes the diagnosis"risk for injury related to impaired balance" for the client diagnosed with vertigo. Which nursing intervention should be included in the plan of care?
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HESI LPN · HESI Questions on the Integumentary System
Question 110 of 123
An elderly client with diabetes mellitus is taught how to care for the carbuncle on her foot and to prevent the spread of infection. What is the most important action to prevent the spread of infection?
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HESI LPN · HESI Questions on the Integumentary System
Question 111 of 123
The health department nurse is caring for the client who has leprosy (Hansen's disease). Which assessment data indicate the client is experiencing a complication of the disease?
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HESI LPN · HESI Questions on the Integumentary System
Question 112 of 123
Which description characterizes seborrheic keratosis?
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HESI LPN · HESI Questions on the Integumentary System
Question 113 of 123
Which of the following types of wounds match the criteria: plantar aspect of foot, met heads, heel?
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HESI LPN · HESI Questions on the Integumentary System
Question 114 of 123
What is the primary role of the stratum basale in the epidermis?
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HESI LPN · HESI Questions on the Integumentary System
Question 115 of 123
A patient has been admitted to the hospital with burns to the upper chest. The nurse notes singed nasal hairs. The nurse needs to assess this patient frequently for which condition?
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HESI LPN · HESI Questions on the Integumentary System
Question 116 of 123
Sudiferous glands are also known as:
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HESI LPN · HESI Questions on the Integumentary System
Question 117 of 123
The school nurse is discussing impetigo with the teachers in an elementary school. One of the teachers asks the nurse, 'How can I prevent getting impetigo?' Which statement would be the most appropriate response?
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HESI LPN · HESI Questions on the Integumentary System
Question 118 of 123
All of these clients are being discharged from the hospital. In planning discharge teaching, for which are you most concerned about the need to use sunscreen?
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HESI LPN · HESI Questions on the Integumentary System
Question 119 of 123
Similar to the hair, nails grow continuously throughout our lives. Which of the following is furthest from the nail growth center?
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HESI LPN · HESI Questions on the Integumentary System
Question 120 of 123
Which list of structures is NOT all part of the integumentary system?
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HESI LPN · HESI Questions on the Integumentary System
Question 121 of 123
Cells from the stratum germinativum reach the stratum corneum in approximately:
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HESI LPN · HESI Questions on the Integumentary System
Question 122 of 123
An older patient has areas of psoriasis on the arms and legs. What should the nurse expect to be prescribed for this patient?
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HESI LPN · HESI Questions on the Integumentary System
Question 123 of 123
A patient has a secondary closure surgical wound. What was most likely used to close this wound?
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