VERIFIED ANSWERS 2026
Existence of systemic diseases that have skin manifestations - CORRECT ANSWER
During the integument health history, the nurse asks the patient about both
current and previous prescription medications, immunizations, and diagnosed
illnesses. What is the primary benefit derived from the data provided by this
questioning?
Providing adequate drapes (privacy).
Assisting the patient to put on a gown.
Wearing gloves when palpating lesions. - CORRECT ANSWER The nurse preparing
to conduct an integumentary assessment will include which interventions when
preparing the patient for this examination? (Select all that apply.)
Color
Elevation
Location and distribution - CORRECT ANSWER After completing an integument
physical examination, the nurse is documenting information about the patient's
lesions. What will the nurse include in this documentation?
assessing the client's hard palate with a bright light - CORRECT ANSWER The nurse
should implement which technique when assessing for jaundice in a dark-skinned
patient diagnosed with liver disease?
,fainting - CORRECT ANSWER What abnormal physical response should the nurse
be prepared to manage after noting pallor in a client?
lips - CORRECT ANSWER When assessing a Pakistani American for possible pallor,
the nurse should focus on what location on the body?
The cyanosis may be a result of a prolonged period of exposure to the cold. -
CORRECT ANSWER The analysis of a client's arterial blood indicates a normal level
of arterial oxygen, but the client's skin is cyanotic. What is the cause of this
observation?
Sebaceous glands will secrete less causing hair to be drier. - CORRECT ANSWER
The nurse expects what change in a client's hair as a result of aging?
"Do you have difficulty swallowing?" - CORRECT ANSWER While the nurse is
obtaining a client's health history regarding the head and neck, the client reports
having a lump in the neck. In order to assess for associated manifestations of this
problem, which of the following questions should the nurse ask next?
hair color - CORRECT ANSWER When documenting the findings from a physical
examination of the head and neck, what will the nurse include when describing
the client's head?
Assess the client's blood pressure. - CORRECT ANSWER A 57-year-old client
reports, "I am having the worst headache I have ever experienced." Which action
should the nurse perform next?
, characteristic symptoms - CORRECT ANSWER A nurse asks the client to describe
the pain associated with a headache by rating the pain on a scale from 1 to 10.
This subjective data should be documented in which section of the assessment?
distant vision - CORRECT ANSWER What eye function is the nurse preparing to
assess when the patient is asked to stand 20 feet from a specific chart that is
mounted on the examination room wall?
extraocular movement - CORRECT ANSWER During the physical examination of a
patient's eyes, the nurse asks the patient to follow the tracing of a giant "H" with
the eyes. What function is the nurse assessing in this patient?
Uses protective eyewear when appropriate
Uses sunglasses when outdoors
Has smoked for last 12 years - CORRECT ANSWER What information, acquired
during an eye assessment and history, would the nurse document as lifestyle
habits?
vertigo - CORRECT ANSWER When planning care for a client with an inner ear
infection, the nurse will need to include interventions for which of the following
potential problems?
are there any other symptoms - CORRECT ANSWER During the health history of
the nose and sinuses, a patient reports having rhinorrhea. What question would
the nurse ask to determine associated manifestations of this symptom?