Advanced Health Assessment
Exam 2
8, 9, 10, 13
Chapter 8
Submission Details
Submission Date: 10/11/2017
Submission Time: 7:36 PM
Points Awarded: 15
Points Missed: 0
Number of Attempts Allowed: Unlimited
Not Scored: 0
Percentage: 100%
Send Results by Email
Send
1. Questions
1. 1.ID: 986687830
Select the correct statement regarding skin turgor.
A. It reflects the elasticity of the skin. Correct
B. It is measured by using skin calipers.
C. It is used to assess hydration status in elderly patients.
D. It is assessed in the dorsum of the hand in elderly patients.
Skin turgor reflects the elastic quality of the skin. The skin is pinched up and then released. Calipers
are used to measure skinfold thickness in the triceps to estimate body fat stores. Elderly persons
naturally have decreased skin turgor because of loss of subcutaneous fat. Skin turgor does not
reflect hydration status in elderly patients.
Awarded 1.0 points out of 1.0 possible points.
2. 2.ID: 986687859
Upon inspecting the hands, the nurse observes that the patient has a black discoloration of one
fingernail. The patient states the nail is painful. What is this finding?
A. Ganglion cyst
B. Subungual hematoma Correct
C. Fungal infection of the nail.
, D. Pseudomonas aeruginosa infection of the nail
Subungual hematoma blackens the nail because of a collection of blood under the fingernail. A
ganglion cyst is a nodule that overlies tendon sheaths often in the wrist area. Fungal infections
cause the nail to crumble. A bacterial infection caused by P. aeruginosa causes the nail to appear
black green but is not painful.
Awarded 1.0 points out of 1.0 possible points.
3. 3.ID: 986687823
A patient is being treated for Lyme disease based on what assessment finding?
A. Skin inflamed from a mosquito bite
B. Rash with vesicles that follows a dermatome
C. Skin lesions that are circular with clear centers
D. Red macular rash with appearance of a bull’s eye Correct
Lyme disease is caused by a spirochete carried by deer ticks. The bite causes a red rash that
appears as a bull’s eye (erythema migrans). Treatment in the early stage prevents disseminated
disease and serious complications. Mosquitoes are not a vector for Lyme disease. Shingles, which is
caused by herpes zoster, causes vesicles (fluid filled) that follow dermatomes (nerve routes).
Ringworm (tinea corporis) is a fungal infection causing circular lesions.
Awarded 1.0 points out of 1.0 possible points.
4. 4.ID: 986687808
Hormonal changes that occur with puberty cause adolescents to be at risk for which condition?
A. Acne Correct
B. Striae
C. Psoriasis
D. Telangiectasis
Increased levels of androgens that occur with puberty cause an increase in sebum, predisposing
adolescents to acne. Striae are stretch marks occurring with weight gain. Psoriasis is an
autoimmune disease with patchy, flaky skin lesions. Telangiectasis are lesions caused by dilated
capillaries that occur normally and with liver disease.
Awarded 1.0 points out of 1.0 possible points.
5. 5.ID: 986687813
What changes are expected in the skin as a person ages?
A. Increased sweat production
B. Increased production of sebum
, C. Increased incidence of bruising Correct
D. Increase in deposits of subcutaneous fat
With aging, the blood vessels in the skin become more fragile and more likely to bruise. Elderly
people have less ability to sweat and dry skin because of less sebum. The normal layer of
subcutaneous fat decreases with age.
Awarded 1.0 points out of 1.0 possible points.
6. 6.ID: 986687846
Which lesion is suspicious for basal cell cancer?
A. Cherry angioma
B. Freckles after sun exposure
C. Crusty sore that does not heal Correct
D. A nevus that is irregular in shape
Basal cell cancer occurs in skin exposed to the sun. It is a shiny lesion that crusts over but does not
heal. Cherry angioma and freckles are skin lesions that are not significant. A nevus (mole) that is
irregular is suggestive of melanoma.
Awarded 1.0 points out of 1.0 possible points.
7. 7.ID: 986687838
Which description is correct about intertriginous surfaces of skin?
A. Areas prone to friction
B. Areas that are exposed to sun
C. Areas where skin surfaces meet Correct
D. Areas that are covered with hair
Intertriginous surfaces are areas where skin surfaces meet, such as the groin and under pendulous
breasts. The face is exposed to the sun. Soles of feet are prone to friction. The head is covered with
hair in areas that are not bald.
Awarded 1.0 points out of 1.0 possible points.
8. 8.ID: 986687834
Which skin lesion in the elderly patient requires further observation?
A. Skin tags
B. Solar lentigines
C. Actinic keratosis Correct
Exam 2
8, 9, 10, 13
Chapter 8
Submission Details
Submission Date: 10/11/2017
Submission Time: 7:36 PM
Points Awarded: 15
Points Missed: 0
Number of Attempts Allowed: Unlimited
Not Scored: 0
Percentage: 100%
Send Results by Email
Send
1. Questions
1. 1.ID: 986687830
Select the correct statement regarding skin turgor.
A. It reflects the elasticity of the skin. Correct
B. It is measured by using skin calipers.
C. It is used to assess hydration status in elderly patients.
D. It is assessed in the dorsum of the hand in elderly patients.
Skin turgor reflects the elastic quality of the skin. The skin is pinched up and then released. Calipers
are used to measure skinfold thickness in the triceps to estimate body fat stores. Elderly persons
naturally have decreased skin turgor because of loss of subcutaneous fat. Skin turgor does not
reflect hydration status in elderly patients.
Awarded 1.0 points out of 1.0 possible points.
2. 2.ID: 986687859
Upon inspecting the hands, the nurse observes that the patient has a black discoloration of one
fingernail. The patient states the nail is painful. What is this finding?
A. Ganglion cyst
B. Subungual hematoma Correct
C. Fungal infection of the nail.
, D. Pseudomonas aeruginosa infection of the nail
Subungual hematoma blackens the nail because of a collection of blood under the fingernail. A
ganglion cyst is a nodule that overlies tendon sheaths often in the wrist area. Fungal infections
cause the nail to crumble. A bacterial infection caused by P. aeruginosa causes the nail to appear
black green but is not painful.
Awarded 1.0 points out of 1.0 possible points.
3. 3.ID: 986687823
A patient is being treated for Lyme disease based on what assessment finding?
A. Skin inflamed from a mosquito bite
B. Rash with vesicles that follows a dermatome
C. Skin lesions that are circular with clear centers
D. Red macular rash with appearance of a bull’s eye Correct
Lyme disease is caused by a spirochete carried by deer ticks. The bite causes a red rash that
appears as a bull’s eye (erythema migrans). Treatment in the early stage prevents disseminated
disease and serious complications. Mosquitoes are not a vector for Lyme disease. Shingles, which is
caused by herpes zoster, causes vesicles (fluid filled) that follow dermatomes (nerve routes).
Ringworm (tinea corporis) is a fungal infection causing circular lesions.
Awarded 1.0 points out of 1.0 possible points.
4. 4.ID: 986687808
Hormonal changes that occur with puberty cause adolescents to be at risk for which condition?
A. Acne Correct
B. Striae
C. Psoriasis
D. Telangiectasis
Increased levels of androgens that occur with puberty cause an increase in sebum, predisposing
adolescents to acne. Striae are stretch marks occurring with weight gain. Psoriasis is an
autoimmune disease with patchy, flaky skin lesions. Telangiectasis are lesions caused by dilated
capillaries that occur normally and with liver disease.
Awarded 1.0 points out of 1.0 possible points.
5. 5.ID: 986687813
What changes are expected in the skin as a person ages?
A. Increased sweat production
B. Increased production of sebum
, C. Increased incidence of bruising Correct
D. Increase in deposits of subcutaneous fat
With aging, the blood vessels in the skin become more fragile and more likely to bruise. Elderly
people have less ability to sweat and dry skin because of less sebum. The normal layer of
subcutaneous fat decreases with age.
Awarded 1.0 points out of 1.0 possible points.
6. 6.ID: 986687846
Which lesion is suspicious for basal cell cancer?
A. Cherry angioma
B. Freckles after sun exposure
C. Crusty sore that does not heal Correct
D. A nevus that is irregular in shape
Basal cell cancer occurs in skin exposed to the sun. It is a shiny lesion that crusts over but does not
heal. Cherry angioma and freckles are skin lesions that are not significant. A nevus (mole) that is
irregular is suggestive of melanoma.
Awarded 1.0 points out of 1.0 possible points.
7. 7.ID: 986687838
Which description is correct about intertriginous surfaces of skin?
A. Areas prone to friction
B. Areas that are exposed to sun
C. Areas where skin surfaces meet Correct
D. Areas that are covered with hair
Intertriginous surfaces are areas where skin surfaces meet, such as the groin and under pendulous
breasts. The face is exposed to the sun. Soles of feet are prone to friction. The head is covered with
hair in areas that are not bald.
Awarded 1.0 points out of 1.0 possible points.
8. 8.ID: 986687834
Which skin lesion in the elderly patient requires further observation?
A. Skin tags
B. Solar lentigines
C. Actinic keratosis Correct
