Question 1
Surgical Nursing 1-Quiz. A nurse is providing education to a client with a skin condition. The nurse explains that the physiologic functions of keratin in the skin is to: Select all that apply.
- a) Producing antibodies
- b) Absorbing electrolytes
- c) Maintaining acid-base balance
- d) Physically repelling pathogens
- e) Preventing fluid loss
- f) Reflecting ultraviolet rays from the sun
Question 2
A client is scheduled for audiometry to evaluate hearing. When teaching the client about this test, which characteristic would the nurse include as being evaluated? Select all that apply.
- a) pitch
- b) frequency
- c) intensity
- d) compliance
- e) postural control capabilities
- f) presence of vertigo
Question 3
A nurse suspects that an older adult client may be experiencing hearing loss. Which finding would support the nurse’s suspicion? Select all that apply.
- a) Dropping of word endings
- b) Disinterest in conversations
- c) Social withdrawal
- d) Domination of conversations
- e) Quick decision making
- f) Seeking out social situations
Question 4
A nurse is assessing a client’s skin and notes a small, solid, elevated lesion less than 1 cm in diameter. The nurse should document this finding as a: Surgical Nursing 1-Quiz
- a) Macule
- b) Papule
- c) Vesicle
- d) Pustule
Question 5
A nurse is caring for a client who is at risk for developing pressure injuries due to immobility. The nurse has provided education to the client about pressure injury prevention measures, including repositioning and skin care. Which statement by the client indicates a good understanding of pressure injury prevention?
- a) “I’ll stay in the same position for long periods to avoid frequent movement.”
- b) “I’ll make sure to sit on the hard, firm surface of my chair.”
- c) “I’ll change my body position every two hours when I’m sitting in my chair.”
- d) “I’ll apply a heating pad to areas at risk for pressure injuries to improve blood flow.”
Question 6
A nurse is providing education to a teenager who has acne vulgaris. The teenager is concerned about the appearance of acne lesions on their face and wants to know how to manage them effectively. Which instruction should the nurse prioritize when educating the teenager about acne vulgaris management?
- a) “Avoid washing your face too frequently to prevent dryness and irritation.”
- b) “Use abrasive scrubbing pads to exfoliate the skin and remove acne lesions.”
- c) “Apply an over-the-counter antibiotic ointment to each acne lesion daily.”
- d) “Wash your face gently with a mild cleanser twice a day and use a moisturizer known not to clog pores.” Surgical Nursing 1-Quiz
Question 7
A nurse is interviewing a middle-aged client at the clinic. During the interview, the client states, “I’ve noticed that I keep having to move the newspaper farther away to read it. Soon my arms will be too short!” The nurse interprets this finding as indicative of which age-related change?
- a) loss of accommodation
- b) shrinkage of the vitreous body
- c) meibomian gland dysfunction (MGD)
- d) loss of skin elasticity
Question 8
A medical-surgical nurse is caring for an older adult patient who has been experiencing age-related skin changes, including thinning, increased dryness, and reduced elasticity. The patient is at risk for skin breakdown. Which action by the nurse demonstrates effective care planning to prevent skin issues in this patient? Surgical Nursing 1-Quiz
- a) Applying a daily moisturizing lotion to the patient’s skin.
- b) Encouraging the patient to soak in a hot bath to soften the skin.
- c) Recommending that the patient avoid turning and repositioning to minimize skin friction.
- d) Assessing the patient’s skin regularly for signs of breakdown or pressure ulcers.
Question 9
A nurse is preparing to educate a patient who is scheduled to have a skin cancer growth removed by excision. Which of the following information should the nurse include in the preoperative teaching for the patient?
- a) The importance of applying sunscreen only after the surgery site has completely healed.
- b) Instructions to avoid showering for at least a week after the procedure.
- c) Details about the risk of infection and signs to watch for after surgery.
- d) Information about resuming strenuous exercise immediately after the excision.
Question 10
While performing an initial assessment of a client admitted with appendicitis, the nurse suspects the client has a malignant melanoma on the client’s ear. The nurse knows that this type of skin cancer appears as:
- a) Raised, smooth, pearly appearing lesion
- b) A scaly patch/lesion on the skin
- c) Raised reddish pink lesion
- d) A bluish black lesion
Question 11
A nurse is caring for a patient who presents with a suspicious skin lesion on their back. The healthcare provider suspects malignant melanoma. Which diagnostic test is most appropriate for confirming the diagnosis of malignant melanoma?
- a) Blood tests to assess tumor markers.
- b) Fine-needle aspiration biopsy of the lesion.
- c) Ultrasonography to visualize the lesion.
- d) Excisional biopsy of the entire lesion for histopathologic examination.
Question 12
A nurse is caring for a patient who has been diagnosed with squamous cell carcinoma on their forearm. The healthcare provider has recommended treatment. What is the primary goal of treatment for squamous cell carcinoma, and which treatment modality is most commonly used to achieve this goal?
- a) The primary goal is to reduce pain, and treatment includes the administration of analgesic medications.
- b) The primary goal is to prevent metastasis, and treatment includes radiation therapy.
- c) The primary goal is to remove the tumor, and treatment includes surgical excision.
- d) The primary goal is to alleviate pruritus, and treatment includes topical corticosteroids.
Question 13
While assessing a dark-skinned client at the clinic, the nurse notes the presence of vitiligo. The nurse knows that this finding has symptoms of what?
- a) Cyanosis
- b) Xerostomia
- c) Polycythemia
- d) Patchy, milky-white spots
Question 14
A school nurse is assessing a student who presents with redness, irritation, and discharge from one eye. Upon examination, the nurse suspects conjunctivitis (pink eye). What is the most appropriate action for the nurse to take in this situation?
- a) Instruct the student to wash the affected eye with warm water and soap.
- b) Administer over-the-counter oral antibiotics to the student.
- c) Isolate the student and notify their parents to pick them up from school.
- d) Continue routine activities for the student while monitoring for improvement.
Question 15
An 82-year-old client is being treated in the hospital for a sacral pressure ulcer. What age-related change is most likely to affect the client’s course of treatment?
- a) Increased thickness of the subcutaneous skin layer
- b) Increased vascular supply to epidermal skin layer
- c) Changes in the quantity of bacterial skin flora
- d) Increased time required for wound healing
Question 16
A nurse is caring for a client who presents with a raised, pruritic rash on their arms and legs. The client reports that the rash appeared after hiking in a wooded area. Which of the following conditions should the nurse suspect as a possible cause of the client’s rash?
- a) Contact dermatitis
- b) Scabies
- c) Psoriasis
- d) Impetigo
Question 17
A nurse is reviewing gerontologic considerations relating to the care of clients with dermatologic problems. What vulnerability results from the age-related loss of subcutaneous tissue?
- a) Decreased resistance to ultraviolet radiation
- b) Increased vulnerability to infection
- c) Diminished protection of tissues and organs
- d) Increased risk of skin malignancies
Question 18
A health care provider orders 250 mg of an antibiotic suspension. The label on the suspension reads “500 mg/5 mL.” How much would the nurse administer? Surgical Nursing 1-Quiz
- a) 2.5 mL
- b) 5 mL
- c) 7.5 mL
- d) 10 mL
Question 19
A client has been prescribed 15 mL of an oral liquid potassium supplement. The nurse should administer how many teaspoons?
- a) 2
- b) 1
- c) 0.5
- d) 3
Question 20
The PCP orders amoxicillin 250 mg by mouth two times a day. The drug label reads “Amoxicillin 125 mg/5 ml.” How much will the nurse administer?
- a) 5 mL
- b) 2.5 mL
- c) 10 mL
- d) 7.5 mL
