QUESTIONS AND CORRECT ANSWERS GRADED
A+
A 65-year-old man with emphysema has come to the clinic for a follow-up appt.
On assessment of the skin, the nurse might expect to assess the following:
a.Jaundice
b.Senile angiomas
c.Herpes zoster
d.Clubbing of the nails
d. Clubbing of the nails
A mother presents with her son, who has been in a new day care facility. On
examination the nurse assesses moist, thin vesicles with an erythematous base
around the nose and mouth. The nurse suspects:
a.Eczema
b.Impetigo
c.Herpes zoster
d.Dermatitis
b. Impetigo
,A healthcare provider has diagnosed a client with purpura. The nurse knows this is:
a.Blue dilation of blood vessels in a star-shaped linear pattern on the legs
b.Fiery red star-shaped markings on the cheek with a solid center
c.Confluent & extensive patches of petechiae
d.Tiny little areas of hemorrhage less than 2 mm, round & discrete
c. Confluent & extensive patches of petechiae
Match the following:
1)Tiny punctuate hemorrhages
2)A large patch of capillary bleeding into tissues
3)A hypertrophic scar
4)Elevated cavity containing free fluid up to 1 cm
5)Variations of hyperpigmentation
6)Solid, elevated, hard or soft lesion larger than 1 cm
___Lentigine
___Petechiae
___Nodule
___Keloid
___Vesicle
___Ecchymosis
___Lentigine
, ___Petechiae
___Nodule
___Keloid
___Vesicle
___Ecchymosis
A nurse is assessing a client admitted with congestive heart failure (CHF) for
edema. The nurse assesses the following in dependent parts of the body. - when
applying pressure there is a dent in the skin that lasts a very long time. The nurse
should document this as:
a.1+ - (2mm depth)
b.2+ - (4mm depth)
c.3+ - (6mm depth)
d.4+ - (8mm depth)
d. 4+ - (8mm depth)
The nurse is performing a skin assessment on a client & assesses the skin for
turgor. The nurse grasps a fold of skin in which body area to best assess?
a.Back of the hand
b.Sternal area
c.Top of foot
d.Sacral area