Exam 1 NURS 5220 Advanced Health Assessment
Review Test Bank with 290 Questions and Correct
Answers with Rationales/ NURS 5220 Exam 1 M2
Review Test Bank- Correctly Answered
CH 9, 10, 11, 12, 14, 15, 16
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 - 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 - 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.
1
,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 - 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. - 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
- ANSWER-A, C, D
2
,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.
D. Whites eliminate sweat, urea, and lactic acid more quickly. - ANSWER-A:
CorrectIndividuals with dark skin may show pigmentary demarcation lines. These
lines, a normal variation, mark the border between deeply pigmented skin and
lighter pigmented skin. They are most commonly seen on the arms, legs, chest, and
back and have been reported most often in black and Japanese populations.
Mr. Marlin is a 58-year-old man who presents to your office for a follow-up
examination. You are treating him for rosacea. Rosacea is:
A. a recurrent disease of keratin synthesis.
B. an inflammatory skin disorder with papules and pustules.
C. an area filled with fluid near the skin of the nose.
D. macules connected to the dermis by keratinocytes. - ANSWER-B:
CorrectRosacea is a chronic inflammatory disorder characterized by telangiectasia,
erythema, papules, and pustules that occur particularly in the central area of the
face. Although it resembles acne, comedones are never present.
Skin color is dependent on which of the following cells?
A. Carotenocytes
B. Melanocytes
C. Dermatocytes
3
, D. Keratinocytes - ANSWER-B: CorrectMelanocytes are the cells that synthesize
melanin. Melanin gives the skin its color.
The eccrine glands are mainly responsible for:
A. synthesis of eccrinolic acid.
B. transport of body waste to the surface.
C. regulation of body temperature.
D. regulation of tissue growth and repair. - ANSWER-C: CorrectThe eccrine
sweat glands open directly onto the surface of the skin and regulate body
temperature through water secretion.
The apocrine gland responds primarily to which type of stimuli?
A. Thermal
B. Painful
C. Emotional
D. Environmental - ANSWER-C: CorrectThe apocrine glands are specialized
structures found only in the axillae, nipples, areolae, anogenital area, eyelids, and
external ears. These glands are larger and located more deeply than the eccrine
glands. In response to emotional stimuli, the glands secrete a white fluid containing
protein, carbohydrate, and other substances.
The sebaceous gland secretes sebum primarily in response to which of the
following hormones?
A. Testosterone
B. Estrogen
C. Progesterone
D. Growth hormone - ANSWER-A:CorrectThe sebaceous glands secrete sebum, a
lipid-rich substance that keeps the skin and hair from drying out. Secretory
4
Review Test Bank with 290 Questions and Correct
Answers with Rationales/ NURS 5220 Exam 1 M2
Review Test Bank- Correctly Answered
CH 9, 10, 11, 12, 14, 15, 16
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 - 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 - 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.
1
,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 - 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. - 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
- ANSWER-A, C, D
2
,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.
D. Whites eliminate sweat, urea, and lactic acid more quickly. - ANSWER-A:
CorrectIndividuals with dark skin may show pigmentary demarcation lines. These
lines, a normal variation, mark the border between deeply pigmented skin and
lighter pigmented skin. They are most commonly seen on the arms, legs, chest, and
back and have been reported most often in black and Japanese populations.
Mr. Marlin is a 58-year-old man who presents to your office for a follow-up
examination. You are treating him for rosacea. Rosacea is:
A. a recurrent disease of keratin synthesis.
B. an inflammatory skin disorder with papules and pustules.
C. an area filled with fluid near the skin of the nose.
D. macules connected to the dermis by keratinocytes. - ANSWER-B:
CorrectRosacea is a chronic inflammatory disorder characterized by telangiectasia,
erythema, papules, and pustules that occur particularly in the central area of the
face. Although it resembles acne, comedones are never present.
Skin color is dependent on which of the following cells?
A. Carotenocytes
B. Melanocytes
C. Dermatocytes
3
, D. Keratinocytes - ANSWER-B: CorrectMelanocytes are the cells that synthesize
melanin. Melanin gives the skin its color.
The eccrine glands are mainly responsible for:
A. synthesis of eccrinolic acid.
B. transport of body waste to the surface.
C. regulation of body temperature.
D. regulation of tissue growth and repair. - ANSWER-C: CorrectThe eccrine
sweat glands open directly onto the surface of the skin and regulate body
temperature through water secretion.
The apocrine gland responds primarily to which type of stimuli?
A. Thermal
B. Painful
C. Emotional
D. Environmental - ANSWER-C: CorrectThe apocrine glands are specialized
structures found only in the axillae, nipples, areolae, anogenital area, eyelids, and
external ears. These glands are larger and located more deeply than the eccrine
glands. In response to emotional stimuli, the glands secrete a white fluid containing
protein, carbohydrate, and other substances.
The sebaceous gland secretes sebum primarily in response to which of the
following hormones?
A. Testosterone
B. Estrogen
C. Progesterone
D. Growth hormone - ANSWER-A:CorrectThe sebaceous glands secrete sebum, a
lipid-rich substance that keeps the skin and hair from drying out. Secretory
4
