NURS 5220: Exam #1 Module
2: Ch 9, 10, 11, 12, 14, 15, 16
EXAM QUESTIONS AND
VERIFIED CORRECT
ANSWERS GRADED A+
[ LATEST] 100%
GUARANTEED PASS
The examiner notes a large blue-black spot on the buttock of a 4-week-old black neonate. The
mother states that the infant was born with it. The examiner should recognize that this:
A. is an expected finding.
B. may indicate child abuse.
C. is related to birth trauma.
D. suggests a congenital defect. - CORRECT ANSWER-A:CorrectThis finding is indicative of
Mongolian spots. Mongolian spots are irregular areas of deep blue pigmentation, usually in the
sacral and gluteal regions, and are seen predominantly in newborns of African, Native
American/American Indian, Asian, or Latin descent. They commonly appear on the back,
buttocks, shoulders, and legs of well babies and usually disappear in the preschool years.
A skin lesion that may be associated with neurofibromatosis or pulmonary stenosis is:
A. café au lait spots.
,B. nevus vasculosus.
C. port wine limb stain.
D. spider angioma. - CORRECT ANSWER-A:CorrectCafé au lait spots are flat, evenly pigmented
spots varying in color from light brown to dark brown or black on dark skin, are larger than 5
mm in diameter, and are present at birth or shortly thereafter. They may be associated with
neurofibromatosis or miscellaneous other conditions, including pulmonary stenosis, temporal
lobe dysrhythmia, and tuberous sclerosis.
Mr. Tucker is a 68-year-old man who comes to your office complaining of spots on his skin. On
examination, which lesion is an expected finding on the skin of healthy older adults?
A. Acne vulgaris
B. Cherry angioma
C. Miliaria
D. Trichotillomania - CORRECT ANSWER-B: CorrectCherry angiomas are tiny, bright ruby-red,
round papules that may become brown with time. They occur in virtually everyone older than
30 years and increase numerically with age.
The examiner notes hyperkeratosis on a patient's palms and soles. The examiner recognizes that
this:
A. may be a sign of a systemic disorder.
B. may be an indication of a congenital heart defect.
C. is commonly found among individuals with Down syndrome.
D. is considered a normal finding. - CORRECT ANSWER-D:CorrectHyperkeratosis or callus is a
superficial area that occurs on the weight-bearing areas of the feet and on the palmar surface of
the hands. Calluses are less well demarcated than corns and are usually not tender.
,A patient with diabetes presents to the clinic complaining of an infected foot. On removing the
patient's sock, the examiner notes an odor that resembles rotting apples. What type of infection
is this consistent with?
A. Pseudomonas infection
B. Peritonitis
C. Anaerobic infection
D. Clostridium gas gangrene - CORRECT ANSWER-D:CorrectThe skin, like other body parts, may
have odors suggesting a variety of problems: infectious, metabolic, or neurologic. The smell of
rotting apples usually indicates Clostridium gas gangrene.
Mrs. Nieland brings her toddler in for a routine office visit. She tells you that she has a new
babysitter. Which finding is consistent with a physical abuse injury in a toddler?
A. A burn to the skin with a splash pattern
B. Bruising of the skin over soft tissue
C. Bruising of the skin over a bony prominence
D. Café au lait patches - CORRECT ANSWER-B: CorrectPhysical findings in children who are
physically abused include bruises, burns, lacerations, scars, bony deformities, alopecia, retinal
hemorrhages, dental trauma, and head and abdominal injuries. Bruising associated with abuse
occurs over soft tissue; toddlers and older children who bruise themselves accidentally do so
over bony prominences.
Which of the following techniques helps the examiner determine whether a palpable skin mass
is filled with fluid?
A. Using a Wood's lamp
B. Biopsy
C. Transillumination
, D. Noting the odor of the lesion - CORRECT ANSWER-C:CorrectTransillumination may be used to
determine the presence of fluid in cysts and masses. Fluid-filled lesions will transilluminate with
a red glow, whereas solid lesions will not.
Which of the following findings suggests that a patient has a fungal infection of the nail beds?
A. The nail bed is wide and thick.
B. The nail plate has a central depression, causing a spoon appearance.
C. Superficial white spots are present in the nail plate.
D. The nail plate is yellow and crumbling. - CORRECT ANSWER-D:CorrectOnychonyocosis is a
fungal infection of the nail that commonly presents as a crumbling as the fungus grows.
Which of the following are functions of the skin (select all that apply)?
A. Secrete sweat, urea, and lactic acid
B. Produce vitamin C from precursors in the skin
C. Contribute to blood pressure regulation by dilation of skin blood vessels
D. Protect against microbial/foreign substance invasion and minor physical trauma - CORRECT
ANSWER-A, C, D
The skin is the first layer of protection against microbial/foreign substance invasion and minor
physical trauma. It excretes sweat, urea, and lactic acid, and it contributes to blood pressure
regulation through constriction of skin blood vessels.
Physical differences between black and white Americans include which of the following?
A. Blacks have a greater incidence of pigmentary demarcation lines.
B. Whites have greater stratum lucidum.
C. Blacks synthesize reticulum fibers more readily.
2: Ch 9, 10, 11, 12, 14, 15, 16
EXAM QUESTIONS AND
VERIFIED CORRECT
ANSWERS GRADED A+
[ LATEST] 100%
GUARANTEED PASS
The examiner notes a large blue-black spot on the buttock of a 4-week-old black neonate. The
mother states that the infant was born with it. The examiner should recognize that this:
A. is an expected finding.
B. may indicate child abuse.
C. is related to birth trauma.
D. suggests a congenital defect. - CORRECT ANSWER-A:CorrectThis finding is indicative of
Mongolian spots. Mongolian spots are irregular areas of deep blue pigmentation, usually in the
sacral and gluteal regions, and are seen predominantly in newborns of African, Native
American/American Indian, Asian, or Latin descent. They commonly appear on the back,
buttocks, shoulders, and legs of well babies and usually disappear in the preschool years.
A skin lesion that may be associated with neurofibromatosis or pulmonary stenosis is:
A. café au lait spots.
,B. nevus vasculosus.
C. port wine limb stain.
D. spider angioma. - CORRECT ANSWER-A:CorrectCafé au lait spots are flat, evenly pigmented
spots varying in color from light brown to dark brown or black on dark skin, are larger than 5
mm in diameter, and are present at birth or shortly thereafter. They may be associated with
neurofibromatosis or miscellaneous other conditions, including pulmonary stenosis, temporal
lobe dysrhythmia, and tuberous sclerosis.
Mr. Tucker is a 68-year-old man who comes to your office complaining of spots on his skin. On
examination, which lesion is an expected finding on the skin of healthy older adults?
A. Acne vulgaris
B. Cherry angioma
C. Miliaria
D. Trichotillomania - CORRECT ANSWER-B: CorrectCherry angiomas are tiny, bright ruby-red,
round papules that may become brown with time. They occur in virtually everyone older than
30 years and increase numerically with age.
The examiner notes hyperkeratosis on a patient's palms and soles. The examiner recognizes that
this:
A. may be a sign of a systemic disorder.
B. may be an indication of a congenital heart defect.
C. is commonly found among individuals with Down syndrome.
D. is considered a normal finding. - CORRECT ANSWER-D:CorrectHyperkeratosis or callus is a
superficial area that occurs on the weight-bearing areas of the feet and on the palmar surface of
the hands. Calluses are less well demarcated than corns and are usually not tender.
,A patient with diabetes presents to the clinic complaining of an infected foot. On removing the
patient's sock, the examiner notes an odor that resembles rotting apples. What type of infection
is this consistent with?
A. Pseudomonas infection
B. Peritonitis
C. Anaerobic infection
D. Clostridium gas gangrene - CORRECT ANSWER-D:CorrectThe skin, like other body parts, may
have odors suggesting a variety of problems: infectious, metabolic, or neurologic. The smell of
rotting apples usually indicates Clostridium gas gangrene.
Mrs. Nieland brings her toddler in for a routine office visit. She tells you that she has a new
babysitter. Which finding is consistent with a physical abuse injury in a toddler?
A. A burn to the skin with a splash pattern
B. Bruising of the skin over soft tissue
C. Bruising of the skin over a bony prominence
D. Café au lait patches - CORRECT ANSWER-B: CorrectPhysical findings in children who are
physically abused include bruises, burns, lacerations, scars, bony deformities, alopecia, retinal
hemorrhages, dental trauma, and head and abdominal injuries. Bruising associated with abuse
occurs over soft tissue; toddlers and older children who bruise themselves accidentally do so
over bony prominences.
Which of the following techniques helps the examiner determine whether a palpable skin mass
is filled with fluid?
A. Using a Wood's lamp
B. Biopsy
C. Transillumination
, D. Noting the odor of the lesion - CORRECT ANSWER-C:CorrectTransillumination may be used to
determine the presence of fluid in cysts and masses. Fluid-filled lesions will transilluminate with
a red glow, whereas solid lesions will not.
Which of the following findings suggests that a patient has a fungal infection of the nail beds?
A. The nail bed is wide and thick.
B. The nail plate has a central depression, causing a spoon appearance.
C. Superficial white spots are present in the nail plate.
D. The nail plate is yellow and crumbling. - CORRECT ANSWER-D:CorrectOnychonyocosis is a
fungal infection of the nail that commonly presents as a crumbling as the fungus grows.
Which of the following are functions of the skin (select all that apply)?
A. Secrete sweat, urea, and lactic acid
B. Produce vitamin C from precursors in the skin
C. Contribute to blood pressure regulation by dilation of skin blood vessels
D. Protect against microbial/foreign substance invasion and minor physical trauma - CORRECT
ANSWER-A, C, D
The skin is the first layer of protection against microbial/foreign substance invasion and minor
physical trauma. It excretes sweat, urea, and lactic acid, and it contributes to blood pressure
regulation through constriction of skin blood vessels.
Physical differences between black and white Americans include which of the following?
A. Blacks have a greater incidence of pigmentary demarcation lines.
B. Whites have greater stratum lucidum.
C. Blacks synthesize reticulum fibers more readily.
