While assessing a 40 yr old female's trunk area, the nurse notices small
smooth, slightly raised bright red dots. Which of the following is
described, if the nurse documents the spots as "normal" - ANSWER
Cherry (senile) angioma
The abnormal condition of the eye as usually the result of weakness or
paralysis or one or more intraocular muscle of the eye. The nerve
affected will be the same side of the eye affected? - ANSWER paralytic
strabismus
This is when the skin is red in color and that indicates fever or local
inflammation - ANSWER Erythema
Which area of the skin is best for assessing skin turgor? - ANSWER
forearm
When assessing the face, which area is best for assessing symmetry of
facial features - ANSWER nasolabial folds
Which action by a nurse is appropriate to prevent the gag reflex during
observation of the uvula? * - ANSWER Depress the tongue slightly off
center
A percussion tone elicited into a normal lung - ANSWER Resonance
Anemia in light-skinned people may be detected in color as to which of
the following? * - ANSWER Pallor
Upon assessment of a black male, the nurse observes that his skin is
dark/dull, and conjunctivae, nail bed and mucosa are slightly blue in
, color. Her observations lead her to believe that the patient may be
suffering from which of the following? - ANSWER Cyanosis
You are assessing the lymph nodes of the head and neck. Where are
the tonsilar node located? - ANSWER the angle of the jaw
A patient has a long history of chronic obstructive pulmonary disease
(COPD). During the assessment, the nurse will most likely observe
which of these? - ANSWER Anteroposterior-to-transverse diameter
ratio of 1:1
Upon assessment of a 55 yr old male, who is a heavy smoker and
drinker, the nurse observes a chalky, white, thick, raised patch with
will- defined borders on the lateral edges of his tongue. The lesion is
firmly attached and will not scrape off. Which of the following
precancerous conditions is described? - ANSWER Leukoplakia
Which of the following conditions begins with the first sign as a clear,
watery discharge, rhinorrhea, which later becomes purulent, and is
accompanied by sneezing and swollen mucosa. Turbinate's will appear
bright red and *
swollen. - ANSWER Acute rhinitis
A patient recently had a malignant melanoma removed from her back.
Which statement by the patient ensures she understood your
instructions about preventing skin cancer and further skin care? * -
ANSWER "I will avoid sun exposure between 11 am to 3 pm."
Impetigo and acne are common examples of a - ANSWER Pustule
During palpation of the anterior chest wall, the nurse notices a coarse,
crackling sensation over the skin surface. On the basis of these findings,
the nurse suspects: