Quiz
Health Assessment Exam 1
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Questions in this quiz (86)
1In order, the nursing process goes:
1) [blank_start]Assessment[blank_end]
2) [blank_start]Diagnosis[blank_end]
3) [blank_start]Planning[blank_end]
4) [blank_start]Implementation[blank_end]
5) [blank_start]Evaluation[blank_end]- AAssessment
- BDiagnosis
- CPlanning
- DImplementation
- EEvaluation
2During which phase in the nursing progress should a nurse be documenting?
- AAssessment.
- BDiagnosis.
- CPlanning.
- DImplementation.
- EEvaluation.
- FAssessment, Planning, and Evaluation.
- GAssessment, Diagnosis, Planning, and Evaluation.
- HAssessment, Diagnosis, Planning, Implementation, and Evaluation.
3Establishing priorities, developing outcomes, setting timelines for outcomes, and identifying interventions are all a part of what step in the nursing process?
- AAssessment
- BDiagnosis
- CPlanning
- DImplementation
- EEvaluation
4Check all that apply that are an example of subjective data:
- AThe patient tells the nurse that they have a history of heart disease in their family.
- BThe patient informs the nurse that their blood pressure was 130/95 when they went to their physician last month.
- CThe patient heavily sighs while the nurse measures his height to be 6'0.
- DThe patient makes an offhand comment about feeling lonely since her husband passed away.
- EThe nurse measures the patient's pulse to be 80 bpm.
- FThe patient recalls having the chicken pox as a child to the nurse.
5What are the ways that a health professional gathers observational data?
- AInspecting.
- BPercussing.
- CPalpating.
- DAusculating.
- EInferring.
- FAsking.
6Maslow's Hierarchy of Needs are generally a good guideline for nurses to follow when prioritizing care.
- ATrue
- BFalse
7What is the ABC plus V rule used for?
- AAssessing high priority or first-level priority problems.
- BAssessing hair, skin, and nails.
- CDocumenting properly using NANDA-!.
- DRemembering to be culturally competent.
8Which of the following are used for evidence-based clinical decision making?
- AEvidence from research and evidence-based theories.
- BPhysical examination and assessment of the patient.
- CClinical expertise.
- DPatient preferences and values.
- EUpholding long-standing examination traditions.
9The Complete (Total Health) Database includes a complete health history and physical examination. It forms a baseline against which all future changes can be measured. It yields the first diagnosis.
- ATrue
- BFalse
10Which type of database is used to evaluate any changes in the status of the patient at regular and appropriate intervals?
- AComplete (Total Health) Database.
- BFocused or Problem-Centered Database.
- CFollow-Up Database.
- DEmergency Database.
11Poverty has the greatest influence on health status.
- ATrue
- BFalse
12Which vulnerable population has the highest rates of drug-induced deaths, death from cirrhosis, death by poisoning, and chronic obstructive pulmonary disease?
- ANon-Hispanic Whites.
- BAfrican Americans.
- CDiabetics.
- DLGBTQ.
13What is the nurse's role in regard to patient spirituality?
- ANurses may pray with a patient as long as they are comfortable.
- BNurses must respect religious wishes, even if it means death.
- CNurses should intervene in the event of negative religious coping.
- DNurses need to understand a patient's cultural and religious beliefs.
14The R-COPE can be given as a quick spiritual assessment of a patient and his or her coping of an event.
- ATrue
- BFalse
15Health is defined as the _______ of the person, both within one's being and in the outside world.
- ABalance.
- BWellbeing.
- CStrength.
- DFunctionality.
16Which of the following is NOT a common explanation of the cause of an illness?
- ABiomedical.
- BNaturalistic.
- CYin/yang theory.
- DHot/cold theory.
- EMagicoreligious.
- FRandomized theory.
17Generally, how close should the nurse be to a patient with a cough during an interview?
- A0 -1 1/2 feet (Intimate Zone)
- B1 1/2 - 4 feet (Personal Distance)
- C4 - 12 feet (Social Distance)
- D12+ feet (Public Distance)
18Generally, how close should the nurse be to a patient during the physical assessment?
- A0 - 1 1/2 feet (Intimate Zone)
- B1 1/2 - 4 feet ( Personal Distance)
- C4 - 12 feet (Social Distance)
- D12+ feet (Public Distance)
19Which of the following are important when creating a comfortable atmosphere for the patient during an interview?
- AEqual-status seating.
- BBeing 9 to 10 feet away from the client.
- CSetting room temperature at a comfortable level.
- DSecuring a quiet environment.
- EEnsuring privacy.
20A nurse should try to write down everything a client says during an interview because a nurse cannot forget or lose important details.
- ATrue
- BFalse
21Which is an example of a closed or direct question?
- A"Have you taken any medications in the last 48 hours?"
- B"How have you been feeling since your last appointment?"
- C"Tell me about your headaches."
- D"Anything else?"
- E"Can you describe the pain in your abdomen?"
22Which of these is NOT a trap of interviewing a patient?
- AProviding false assurance or reassurance.
- BGiving unwanted advice.
- CUsing authority.
- DUsing "why?" questions.
- EReflection by echoing client's words.
23It is just as important to watch for nonverbal modes of communication during an interview as it is to listen to verbal communication.
- ATrue
- BFalse
24Biographic Data includes:
- AName.
- BAddress.
- CPhone number.
- DAge.
- EBirth Date.
- FBirthplace.
- GGender.
- HMarital partner status.
- IRace.
- JOccupation
25A [blank_start]symptom[blank_end] is a subjective sensation that the person feels from the disorder.
A [blank_start]sign[blank_end] is an objective abnormality that you as the examiner could detect on physical examination or in laboratory reports.- Asymptom
- Bsign
26Match the present health critical characteristic to it's definition:
[blank_start]Location[blank_end]: Be specific; ask the patient to point to the location.
[blank_start]Character or Quality[blank_end]: This calls for specific descriptive terms such as burning, sharp, dull, aching, gnawing, throbbing, shooting, viselike.
[blank_start]Quantity or Severity[blank_end]: Attempt to quantify the sign of symptom. Use a pain scale to quantify pain.
[blank_start]Timing[blank_end]: Onset, Duration, Frequency. When did the symptom first appear?
[blank_start]Setting[blank_end]: Where was the person or what was the person doing when the symptom started?
[blank_start]Aggravating or Relieving Factors[blank_end]: What makes the pain worse? What seemed to help?
[blank_start]Associated Factors[blank_end]: Is this primary symptom associated with any others?
[blank_start]Patient's Perception[blank_end]: Find out the meaning of the symptom by asking how it affects daily activities.- ALocation
- BCharacter or Quality
- CQuantity or Severity
- DTiming
- ESetting
- FAggravating or Relieving Factors
- GAssociated Factors
- HPatient's Perception
27What does the mnemonic PQRSTU for asking patient perception of a symptom stand for?
P: [blank_start]Provocative[blank_end] or [blank_start]Palliative[blank_end]
Q: [blank_start]Quality[blank_end] or [blank_start]Quantity[blank_end]
R: [blank_start]Region[blank_end] or [blank_start]Radiation[blank_end]
T: [blank_start]Timing[blank_end]
U: [blank_start]Understand[blank_end]- AProvocative
- BPalliative
- CQuality
- DQuantity
- ERegion
- FRadiation
- GTiming
- HThought
- IUnderstand
- JUnderestimate
- KPain
- LReason
28Which of the following would a nurse generally NOT ask about in a past health events recall?
- AChildhood Illness
- BAccident or Injury
- CSerious or Chronic Illness
- DHospitalization
- EOperation
- FObstetric History
- GImmunizations
- HMarital status
- IAllergy
- JCurrent Medications
29Match the observation of the component of the mental status exam to the definition:
[blank_start]Appearance[blank_end]: The patient is sitting erect and relaxed.
[blank_start]Thought processes[blank_end]: What the patient is saying makes sense.
[blank_start]Behavior[blank_end]: The patient is awake, alert, and aware of stimuli.
[blank_start]Cognition[blank_end]: Patient is oriented to time, place, and person.- AAppearance
- BThought processes
- CBehavior
- DCognition
30Match the observation of the component of the mental status exam to the definition:
[blank_start]Cognition[blank_end]: The patient is able to complete a thought, able to recall recent and remote memories.
[blank_start]Thought processes[blank_end]: The patient is consistently aware of reality.
[blank_start]Behavior[blank_end]: The patient's facial expressions change appropriately and laryngeal speech is effortless.
[blank_start]Appearance[blank_end]: Body movements are voluntary and deliberate.- ACognition
- BThought processes
- CBehavior
- DAppearance
31[blank_start]Affect[blank_end] is a temporary expression of feelings or state of mind.
[blank_start]Mood[blank_end] is the more durable, prolonged display of feelings that color the whole emotional life.- AAffect
- BMood
32Mental status examination must be:
- AInferred through assessment of an individual's behaviors.
- BMeasured through quantifiable tests.
- CCompleted by an expert in the field.
- DLearned through a lifelong pattern of behavior.
33Match the mental status abnormal posture finding to it's definition:
[blank_start]Hyperthyroidism[blank_end] or [blank_start]anxiety[blank_end]: Sitting on edge of chair or curled in bed, tense muscles, frowning, darting and watchful eyes, and restless pacing.
[blank_start]Depression[blank_end] or [blank_start]some organic brain disease[blank_end]: Sitting slumped in chair, slow walk, dragging feet.- AHyperthyroidism
- Banxiety
- CDepression
- Dsome organic brain disease
34Match the mental status abnormal body movement finding to it's definition:
[blank_start]Schizophrenia[blank_end]: Abnormal posturing and bizarre gestures.
[blank_start]Depression[blank_end] or [blank_start]dimentia[blank_end]: Apathy and psychomotor slowing.
[blank_start]Anxiety[blank_end]: Restless, fidgety movement or hyper-kinetic appearance.- ASchizophrenia
- BDepression
- Cdimentia
- DAnxiety
35Match the Level of Consciousness to it's definition:
[blank_start]Obtunded[blank_end]: Sleeps most of the time; difficult to arouse - needs loud shout or vigorous shake; acts confused when aroused; speech may be mumbled or incoherent.
[blank_start]Alert[blank_end]: Awake or readily aroused; oriented, fully aware of external and internal stimuli and responds appropriately.
[blank_start]Stupor[blank_end]: Spontaneously unconscious; responds only to persistent and vigorous shake or pain; has appropriate motor response; otherwise can only groan, mumble, or move restlessly.
[blank_start]Lethargic[blank_end]: Not fully alert; drifts off to sleep when not stimulated; can be aroused to name when called in a normal voice but looks drowsy; responds appropriately but inattentive.
[blank_start]Coma[blank_end]: Completely unconscious; no response to pain or any external or internal stimuli.
[blank_start]Delirium[blank_end]: Clouding of consciousness; inattentive; incoherent conversation; impaired recent memory, often agitated and having visual hallucinations.- AObtunded
- BAlert
- CStupor
- DLethargic
- EComa
- FDelirium
36Match the screening to the definition:
[blank_start]GAD-7[blank_end]: Screen for core anxiety symptoms.
[blank_start]PHQ-2[blank_end]: Screen for depressed mood and anhedonia.
[blank_start]Denver II[blank_end]: Screen for detecting developmental delays in infants and preschoolers.- AGAD-7
- BPHQ-2
- CDenver II
37The Mini- Mental Status Examination (MMSE) scores what component of the mental examination?
- AAppearance.
- BBehavior.
- CCognition.
- DThought processes.
- EAll components of mental status.
38How would the nurse document a patient who is alert but only cognitively aware of his or her name and current location?
- AAlert and oriented (X3).
- BAlert and oriented (X2).
- CAlert and oriented to name and place.
- DAlert and not oriented to time.
39Which of the following is an available newly developed, reliable, quick, and easily available instrument to screen for cognitive impairment in otherwise healthy older adults?
- AThe Mini-Cog.
- BMMSE.
- CDenver I.
- DDenver II.
40Eugene, a 70 year old man, comes in to the hospital and has difficulty speaking. His speech sounds distorted and unintelligible. His basic language is intact. The nurse would note that he has what type of speech disorder?
- ADysphonia.
- BDysarthria.
- CBroca aphasia.
- DWernicke aphasia.
41Mary Sue, age 84, is a lifelong smoker. She has difficulty and discomfort and talking. Her voice sounds whispered, but articulation and language are intact. What kind of speech disorder does the nurse make a note of?
- ADysphonia.
- BDysarthria.
- CBroca aphasia.
- DWernicke aphasia.
42Match the type of aphasia to the condition:
[blank_start]Global aphasia:[blank_end] The most common and severe form. Spontaneous speech is absent or reduced to a few stereotyped words or sounds. Comprehension is absent or reduced to the person's own name and a few select words.
[blank_start]Broca aphasia[blank_end]: Expressive aphasia. The person can understand language but not express himself or herself using language. This is characterized by nonfluent, dysarthric, and effortful speech.
[blank_start]Wernicke aphasia[blank_end]: Receptive aphasia. The person can hear sounds and words but cannot relate them to previous experiences. Speech is fluent, effortless, and well articulated but has many paraphasias and neologisms and often lacks substantive words.- AGlobal aphasia:
- BBroca aphasia
- CWernicke aphasia
43Match the abnormal mood and affect to the clinical example:
[blank_start]Flat affect[blank_end]: Topic varies, expression does not.
[blank_start]Fear[blank_end]: Fear of flying in airplanes.
[blank_start]Anxiety[blank_end]: "I feel nervous and high-strung. I worry all the time."
[blank_start]Lability[blank_end]: Person expresses euphoric, tearful, angry feelings in rapid succession.
[blank_start]Depersonalization[blank_end]: "I don't feel real. I feel like I'm not really here."
[blank_start]Rage[blank_end]: Person has expressed violence toward self or others.
[blank_start]Inappropriate affect[blank_end]: Laughs while discussing admission for liver biopsy.
[blank_start]Euphoria[blank_end]: "I feel on top of the world!"
[blank_start]Depression[blank_end]: "I've got the blues."
[blank_start]Ambivalence[blank_end]: A person feels love and hate toward another person at the same time.
[blank_start]Elation[blank_end]: "I'm feeling very happy."
[blank_start]Irritability[blank_end]: Person internalizes a feeling of tension, and a seemingly mild stimulus "sets him or her off"- AFlat affect
- BFear
- CAnxiety
- DLability
- EDepersonalization
- FRage
- GInappropriate affect
- HEuphoria
- IDepression
- JAmbivalence
- KElation
- LIrritability
44Which type of anxiety disorder could a person with anxiety experience in a crowded train to work?
- AAgoraphobia.
- BSocial Anxiety Disorder.
- CObsessive-Compulsive Disorder.
- DGeneralized Anxiety Disorder.
45Match the correct mental disorder to the definition:
[blank_start]Delirium[blank_end]: An acute confusional state, potentially preventable in hospitalized persons. Characterized by disorientation, disordered thinking perceptions, defective memory, agitation, inattention.
[blank_start]Dementia[blank_end]: A chronic progressive loss of cognitive function and intellectual functions, although perception and consciousness are intact. Characterized by disorientation, impaired judgement, memory loss.
[blank_start]Depression[blank_end]: A long-term depressed mood, with a lack of pleasure; disturbed sleep and appetite; feelings of hopelessness, guilt, worthlessness, sadness, loneliness, and despair; suicide ideation.- ADelirium
- BDementia
- CDepression
46Match the abnormal thought process to the clinical example:
[blank_start]Blocking[blank_end]: "Forgot what I was going to say."
[blank_start]Confabulation[blank_end]: Gives detailed description of his long walk around the hospital although you know patient remained in his room all afternoon.
[blank_start]Neologism[blank_end]: "I have to turn on my thinkilator."
[blank_start]Circumlocution[blank_end]: Says "the thing you open the door with" instead of "key".
[blank_start]Circumstantiality[blank_end]: "When was my surgery? Well I was 28, I was living with my aunt, she's the one with psoriasis, she had it bad that year because of the heat, the heat was worse then than it was the summer of '92..."
[blank_start]Loosening associations[blank_end]: "My boss is angry with me, and it wasn't even my fault. (pause) I saw that movie too, Lassie. I felt really bad about it. But she kept trying to land the airplane and she never knew what was going on."
[blank_start]Flight of ideas[blank_end]: "Take this pill? The pill is blue. I feel blue. (sings) She wore blue velvet."
[blank_start]Word salad[blank_end]: "Beauty, red-based five, pigeon, the street corner, soft of."
[blank_start]Perseveration[blank_end]: "I'm going to lock the door, lock the door. I walk every day, and I lock the door. I usually take the dog, and I lock the door."
[blank_start]Echolalia[blank_end]: Nurse, "I want you to take your pill." Patient (mocking), "Take your pill. Take your pill."
[blank_start]Clanging[blank_end]: "My feet are cold. Cold, bold, told. The bell tolled for me."- ABlocking
- BConfabulation
- CNeologism
- DCircumlocution
- ECircumstantiality
- FLoosening associations
- GFlight of ideas
- HWord salad
- IPerseveration
- JEcholalia
- KClanging
47An illusion is a created sensory perception where there is none.
- ATrue
- BFalse
48Hallucinations are sensory perceptions for which there are no external stimuli; may strike any sense.
- ATrue
- BFalse
49Match the characteristics of an eating problem to the definition:
[blank_start]Bulimia Nervosa[blank_end]: Recurrent episodes of uncontrollable binging followed by inappropriate compensatory behaviors (vomiting, laxatives, diuretics).
[blank_start]Anorexia Nervosa[blank_end]: Intense fear of weight gain, restricted caloric intake.
[blank_start]Binge Eating[blank_end]: Recurrent episodes of uncontrollable binging without compensatory behaviors.- ABulimia Nervosa
- BAnorexia Nervosa
- CBinge Eating
50Where would you expect to hear the following characteristics of percussion notes?
[blank_start]Resonant[blank_end]: Over normal lung tissue.
[blank_start]Hyperresonant[blank_end]: Normal over child's lung (abnormal in adult), increased amount of air as in emphysema.
[blank_start]Tympany[blank_end]: Over air-filled viscus (stomach, intestine)
[blank_start]Dull[blank_end]: Relatively dense organ as lives or spleen.
[blank_start]Flat[blank_end]: When no air present, over thigh muscles or bone or over tumor.- AResonant
- BHyperresonant
- CTympany
- DDull
- EFlat
51The bell endpiece of the stethoscope is best for high-pitched sounds - breath, bowel, and normal heart sounds.
- ATrue
- BFalse
52How should the nurse hold his or her hand when percussing?
- AHyperextend middle finger on dominant hand only and pull all other fingers back.
- BExtend index, middle, and ring finger and tuck pinky and thumb.
- CCurl hand into fist and swing as hard as possible.
- DExtend index and middle finger, tuck all other fingers away.
53When does the nurse wash his or her hands?
- ABefore and after every physical patient encounter.
- BAfter contact with blood, bodily fluids, secretions, and excretions.
- CAfter contact with any equipment contaminated with bodily fluids.
- DAfter removing gloves.
54The vital signs are:
- ATemperature.
- BBlood pressure.
- CPulse.
- DRespirations.
- EGlucose levels.
- FHeight and weight.
55The nurse should be palpating and taking note of:
- ATexture.
- BTemperature.
- CMoisture.
- DRigidity or spasticity.
- ECrepitation.
- FPresence of lumps or masses.
- GPresence of tenderness or pain.
- HMuscle tone.
- IVibration or pulsation
56What part of the hand is used for what part of palpation?
[blank_start]Fingertips[blank_end]: Fine tactile discrimination (skin texture, swelling, pulsation, lumps)
[blank_start]Fingers and thumb grasping[blank_end]: Detect position, shape, and consistency of an organ or mass.
[blank_start]Dorsa (backs) of hands and fingers[blank_end]: Determine temperature.
[blank_start]Base of fingers or ulnar surface of hand[blank_end]: Vibration.- AFingertips
- BFingers and thumb grasping
- CDorsa (backs) of hands and fingers
- DBase of fingers or ulnar surface of hand
57If a waist circumfrerence of __ inches or more in women and __ inches or more in men, then that person is at higher risk for heart disease and type 2 diabetes.
- A35; 40
- B20; 25
- C30; 35
- D25; 30
58Match the heart rate diagnosis to the definition:
[blank_start]Bradycardia[blank_end]: The adult has a resting heart rate of less than 50 beats/min.
[blank_start]Tachycardia[blank_end]: The adult has a resting heart rate of greater than 95 beats/min.
[blank_start]Sinus arrhythmia[blank_end]: The heart varies with the respiratory cycle, speeding up and slowing down.- ABradycardia
- BTachycardia
- CSinus arrhythmia
59Which forms of temperature measurement are considered core temperatures?
- AOral temperature.
- BRectal temperature.
- CTympanic membrane temperature.
- DTemporal temperature.
- EAxillary temperature.
60The first sound heard after beginning to deflate the blood pressure cuff is the [blank_start]systolic[blank_end] pressure.
The last audible sound heard after deflating the blood pressure cuff is the [blank_start]diastolic[blank_end] pressure.- Asystolic
- Bdiastolic
61The pulse oximeter is a noninvasive method to assess the arterial oxygen saturation (SpO2).
- ATrue
- BFalse
62The abnormal characteristics of pigmented lesions are summarized in the mnemonic ABCDE, which stands for:
A: [blank_start]Asymmetry[blank_end]
B: [blank_start]Border[blank_end]
C: [blank_start]Color[blank_end]
D: [blank_start]Diameter[blank_end]
E: [blank_start]Elevation[blank_end]- AAsymmetry
- BBorder
- CColor
- DDiameter
- EElevation
63Match the abnormal skin coloring to the definition:
[blank_start]Pallor[blank_end]: The skin takes on the color of connective tissue, which is mostly white.
[blank_start]Erthyema[blank_end]: Intense redness of the skin from excess blood in dilated superficial capillaries.
[blank_start]Cyanosis[blank_end]: Blueish mottled color from decreased perfusion.
[blank_start]Jaundice[blank_end]: A yellowish skin color indicates rising amounts of bilirubin in the blood.- APallor
- BErthyema
- CCyanosis
- DJaundice
64Match the abnormal skin coloring to the condition it could indicate:
Pallor: [blank_start]Shock[blank_end]
Erythema: [blank_start]Polycythemia[blank_end]
Cyanosis: [blank_start]Hypoxemia[blank_end]
Jaundice: [blank_start]Hepatitis[blank_end]- AShock
- BPolycythemia
- CHypoxemia
- DHepatitis
65The patient is profusely sweating at the time of the interview. The nurse would note that the patient is currently undergoing what skin condition?
- ADiaphoresis.
- BDehydration.
- CHypothermia.
- DHyperthermia.
66Edema is scored on a four-point scale. A score of 2+ would indicate what?
- AMild pitting; slight indentation; no perceptible swelling of the leg.
- BModerate pitting; indentation subsides rapidly.
- CDeep pitting; indentation remains for a short time; leg looks swollen.
- DVery deep pitting; indentation lasts a long time; leg is very swollen.
67The nurse imprints with his or her thumb against a patient's ankle malleolus. It pits deeply and the indentation lasts for a short time. What score would the nurse give the patient?
- A1+
- B2+
- C3+
- D4+
68Anasarca is what kind of edema?
- AUnilateral.
- BBilateral.
- CMild.
- DSevere.
69The nurse palpates that the skin feels very smooth and soft, like velvet. This could be a sign of what?
- AHyperthyroidism.
- BHypothyroidism.
- CDehydration.
- DDiaphoresis.
70What age group would the nurse expect to have cherry (senile) angiomas?
- ANeonates.
- BToddlers.
- CAdolescents.
- DAdults older than 30 years.
71A secondary lesion...
- A... develops on previously unaltered skin.
- B... changes over time or changes because of scratching or infection.
- C... develops as a result of being immunocompromised.
- D... is normal and part of the epidermis.
72At what size should a client seek treatment for a growing pigmented lesion?
- A6 mm (the size of a pencil eraser).
- B2 mm (the size of a pencil tip).
- C10 mm (the size of a fingernail).
- D14 mm (the size of a dime).
73Poor turgor suggests what?
- ADehydration.
- BDiaphoresis.
- CEdema.
- DBruises easily.
74The profile sign of a nail should be about what?
- A160 degrees.
- B180 degrees.
- C140 degrees.
- D120 degrees.
75The nurse examines the capillary refill on a healthy-looking patient. What should he or she expect?
- AInstant or nearly instant refill.
- B1 to 2 seconds refill.
- C1 to 2 minutes refill.
- D25 to 35 seconds refill.
76If a newborn has 6 or more of these spots, each more than 1.5cm in diameter, it is diagnostic of neurofibromatosis. What are the spots?
- AMongolian spot.
- BCafe au lait spot.
- CCutis marmorata.
- DAcrocyanosis.
77Match the population at risk to the condition:
Neonates: [blank_start]permeable skin causes fluid loss[blank_end]
Adolescents: [blank_start]Acne[blank_end]
Pregnant Woman: [blank_start]Vascular spiders and striae[blank_end]
Older Adults: [blank_start]Senile lentigines[blank_end].- Apermeable skin causes fluid loss
- BAcne
- CVascular spiders and striae
- DSenile lentigines
78Match the description of the common shapes and configurations of lesions to the definition:
[blank_start]Annular[blank_end]: circular, begins in center and spreads to periphery
[blank_start]Confluent[blank_end]: lesions run together
[blank_start]Discrete[blank_end]: individual lesions that remain seperate
[blank_start]Gyrate[blank_end]: twisted, coiled spiral, snakelike
[blank_start]Grouped[blank_end]: clusters of lesions
[blank_start]Linear[blank_end]: a scratch, streak, line, or stripe
[blank_start]Target[blank_end]: iris, concentric rings of color in lesions
[blank_start]Zosteriform[blank_end]: linear arrangement along unilateral nerve route
[blank_start]Polycyclic[blank_end]: annular lesions grow together- AAnnular
- BConfluent
- CDiscrete
- DGyrate
- EGrouped
- FLinear
- GTarget
- HZosteriform
- IPolycyclic
79When would be a perfect time to perform a skin assessment?
- ADuring bed bath time.
- BThe entire time the nurse sees the patient.
- CWhen checking vital signs.
- DWhen conducting the interview.
80Match the skin etiology to the observation:
[blank_start]Albinism[blank_end]: whitish, creamy, pink color throughout the integument.
[blank_start]Vitiligo[blank_end]: Patchy milky-white spots, often symmetric bilaterally.
[blank_start]Carotenemia[blank_end]: Yellow-orange tinge.
[blank_start]Uremia[blank_end]: Orange-green or gray overlying pallor of anemia.
[blank_start]Addison disease[blank_end]: Bronzed appearance, especially around trunk.
[blank_start]Cafe au lait spots[blank_end]: Tan to light brown, irregular shaped, oval patch.- AAlbinism
- BVitiligo
- CCarotenemia
- DUremia
- EAddison disease
- FCafe au lait spots
81What shape and configuration are urticaria (hives)?
- AConfluent.
- BGrouped.
- CPolycyclic.
- DZosteriform.
82Match the primary skin lesion to its definition:
[blank_start]Macule[blank_end]: Solely a color change, flat and circumscribed, less than 1 cm.
[blank_start]Papule[blank_end]: Something you can feel, solid, raised, circumscribed, less than 1 cm.
[blank_start]Patch[blank_end]: Macules that are larger than 1 cm.
[blank_start]Plaque[blank_end]: Surface elevation that is pleateaulike, wider than 1 cm.
[blank_start]Nodule[blank_end]: Solid, elevated, hard or soft, not fluid filled, larger than 1 cm.
[blank_start]Wheal[blank_end]: Superficial, raised, transient, and erythematous, slight irregular shape.
[blank_start]Tumor[blank_end]: Larger than a few cm's in diameter.
[blank_start]Vesicle[blank_end]: Elevated cavity containing free fluid, up to 1 cm.
[blank_start]Bulla[blank_end]: Larger than 1 cm diameter, fluid filled.
[blank_start]Cyst[blank_end]: Encapsulated fluid-filled cavity in dermis, elevating skin.
[blank_start]Pustule[blank_end]: Turbid fluid in the cavity. Circumscribed and elevated.- AMacule
- BPapule
- CPatch
- DPlaque
- ENodule
- FWheal
- GTumor
- HVesicle
- IBulla
- JCyst
- KPustule
83Match the secondary skin lesion to its definition:
[blank_start]Crust[blank_end]: Thickened, dried-out exudate left when vesicles/pustules dry up.
[blank_start]Scale[blank_end]: Compact, desiccated flakes of skin, dry or greasy, silvery or white.
[blank_start]Fissure[blank_end]: Linear crack with abrupt edges, deep into dermis.
[blank_start]Erosion[blank_end]: Scooped out but shallow depression.
[blank_start]Ulcer[blank_end]: Deeper depression extending into dermis, irregular shape.
[blank_start]Excoriation[blank_end]: Self-inflicted abrasion.
[blank_start]Scar[blank_end]: After tissue repair, collagen replaces normal tissue.
[blank_start]Atrophic scar[blank_end]: Skin level is depressed with loss of dermis.
[blank_start]Lichenification[blank_end]: Prolonged exposure to irritant thickens skin, becomes leathery.
[blank_start]Keloid[blank_end]: Excess of scar tissue beyond sites of injury.- ACrust
- BScale
- CFissure
- DErosion
- EUlcer
- FExcoriation
- GScar
- HAtrophic scar
- ILichenification
- JKeloid
84Acne is what kind of skin lesion?
- APustule.
- BCyst.
- CWheal.
- DBulla.
85A mosquito bite would cause what kind of lesion?
- AWheal.
- BPapule.
- CPatch.
- DVesicle.
86A hematoma is a bruise you can...
- Afeel.
- Bsee.
- Ctreat.
- Dmeasure.
Information
- Description
- Evidence-Based Practice Assessment Cultural Competence The Interview Health History Assessment techniques Vital Signs & General Survey Developmental Considerations Hair, Skin, and Nails
- Author
- Harry Westbrooks
- Language
- English
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- 511
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