Questions and Answers
When inspecting the nails of a patient with dark skin, what would the nurse expect to record as normal findings? (Select all that apply)
When inspecting the hair of a 25-year-old man, in which area of the body would the nurse not expect to find hair?
Palms
Which terms would the nurse use to describe normal skin texture? (Select all that apply)
What type of hair does the nurse expect to palpate on an adult patient's torso?
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When inspecting the hands and feet of a newborn, what normal finding can suggest the gestational age of the patient?
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In which ways would the nurse classify the skin of a newborn? (Select all that apply)
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A reduction in the number of functioning melanocytes is responsible for what age-related change in older adults?
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A decrease in peripheral circulation is responsible for what age-related change in nail growth?
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The nurse is examining the skin of a patient and notes a lesion 0.5 cm in diameter, elevated, firm, and without pus. What type of lesion does the nurse suspect?
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What type of primary skin lesion does the nurse suspect upon noting dilated capillaries that appear as fine, irregular red lines?
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The nurse notes a rough, thickened epidermis on a patient who reports skin irritation and excessive itching. What type of lesion does the nurse suspect?
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The nurse is inspecting the nails of a patient and notes median nail dystrophy. What findings are suggestive of this condition?
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Upon inspection of a patient's face and scalp, the nurse identifies destruction of the hair follicles and associated hair loss, which the patient has reported had a sudden onset. What condition does the nurse suspect?
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What findings would the nurse identify as normal during palpation of a patient's nails? (Select all that apply)
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The apocrine glands of infants and children do not function. The nurse understands that this affects the skin of these patients in which way?
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The nurse is examining the skin of a newborn and understands that which color changes are normal for this patient? (Select all that apply)
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Which skin examination findings would the nurse consider normal in a 75-year-old patient? (Select all that apply)
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Which findings, related to the hair examination, would the nurse note as normal in an 80-year-old patient? (Select all that apply)
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Which findings would the nurse consider normal for a middle-aged male patient? (Select all that apply)
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Which findings would the nurse identify as normal during a skin inspection of a healthy adult patient? (Select all that apply)
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While inspecting the nails of a patient, the nurse asks the patient to place the dorsal surfaces of the fingertips together. The nurse expects the nail base angle to be __ degrees or less.
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What finding would the nurse record as normal when palpating the patient's nails?
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During assessment of a middle-aged adult patient, the nurse gently pinches the skin of the patient's forearm. What would the nurse note as an expected finding?
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The nurse understands that the hair covering a newborn's body can be classified in which way?
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Match the secondary skin lesion to its appropriate description:
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Study Notes
Nail Inspection in Patients with Dark Skin
- Normal findings include variations of pink coloration, pigment deposits, varying opacity, and some white spots.
Hair Absence Areas
- In adults, hair is typically absent on palms.
Normal Skin Texture Descriptions
- Desirable skin texture characteristics are smooth, soft, and even.
Hair on Adult Torso
- Adults usually exhibit fine vellus hair on the torso area.
Newborn Gestational Age Indicators
- The number of creases on hands and feet indicates the newborn's gestational age.
Newborn Skin Characteristics
- Newborn skin is smoother than adult skin, lacks coarse terminal hair, and has less subcutaneous fat.
Age-Related Hair Changes
- A decrease in melanocyte function leads to gray hair in older adults.
Nail Growth in Older Adults
- Peripheral circulation decline results in slower nail growth.
Skin Lesion Identification
- A lesion measuring 0.5 cm, elevated, firm, and without pus is classified as a papule.
- Dilated capillaries forming fine, irregular red lines are indicative of telangiectasia.
- Rough, thickened epidermis with irritation and itching suggests lichenification.
Median Nail Dystrophy Signs
- Midline ridge or split along with nail biting indicates median nail dystrophy.
Hair Loss Conditions
- Sudden destruction of hair follicles and loss of hair points toward alopecia areata.
Normal Nail Palpation Findings
- Expected normal findings during nail palpation are hard and smooth textures.
Skin Oiliness in Infants
- Non-functioning apocrine glands in infants lead to less oily skin compared to adults.
Normal Color Changes in Newborns
- Expected color changes in newborns include mottling, acrocyanosis, deep pink areas, and hyperpigmented areas.
Normal Aging Skin Features
- Common skin examination findings in elderly patients are dryness, a thin parchment appearance, and wrinkles.
Hair Examination in Older Adults
- Normal observations for hair in an 80-year-old include gray hair, vellus hair on the scalp, and loss of axillary hair.
Middle-Aged Male Hair Characteristics
- Typical findings for middle-aged males include back and shoulder hair, scalp hair loss, and coarse terminal hair in designated areas.
Healthy Adult Skin Inspection
- Normal skin inspection results include uniformly tan skin and pigmented nevi.
Nail Base Angle Measurement
- Nail base angle should be 160 degrees or less when the fingertips are placed together.
Nail Firmness During Palpation
- Normal palpation finding is that nails feel firm.
Skin Resilience in Middle-Aged Adults
- Gently pinching the skin of the forearm should reveal expected resilience.
Newborn Body Hair Classification
- Hair on a newborn's body is categorized as silky.
Secondary Skin Lesion Descriptions
- Scar: Fibrous tissue replacement after injury.
- Fissure: A crack extending from the epidermis to the dermis.
- Scale: Flaky skin caused by keratinized cells, varying in dryness and size.
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Description
Test your knowledge on normal findings for skin, hair, and nails as observed in patients, focusing on variations in pigmentation and common anatomical hair patterns. This quiz is designed for nursing students and healthcare professionals to enhance their inspection skills and understanding of diversity in presentations.
