Test Bank For Evidence-Based Physical Examination Best Practices for Health & Well-Being Assessment 2nd Edition (Kate Gawlik, 2024) All Chapters 1-29

TEST BANK FOR Evidence-
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Based Physical Examination Best Practices for Health &
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Well-Being Assessment 2nd Edition
d d d




Admandhasdcomedindtodthedclinicdfordadskindassessmentdbecausedhedisdworrieddhedmightdha
vedskindcancer.dDuringdthedskindassessmentdthednursednoticesdseveraldareasdofdpigmentati
ondthatdlookdgreasy,ddark,danddstuckdondhisdskin.dWhichdisdthedbestdprediction?da.
Seniledlentigines,dwhichddodnotdbecomedcancerousdb
.
Actinicdkeratoses,dwhichdaredprecursorsdtodbasaldcelldcarcinomadc
.
Acrochordons,dwhichdaredprecursorsdtodsquamousdcelldcarcinomadd
.
Seborrheicdkeratoses,dwhichddodnotdbecomedcancerousd-dd

Thednursedjustdnoteddfromdthedmedicaldrecorddthatdthedpatientdhasdadlesiondthatdisdconfluentd
indnature.dOndexamination,dthednursedexpectsdtodfind:
a.
Lesionsdthatdrundtogether.d
b.
Annulardlesionsdthatdhavedgrowndtogether.d
c.
Lesionsdarrangeddindadlinedalongdadnervedroute.dd.
Lesionsdthatdaredgroupeddordclustereddtogether.d-da

Adpatientdhasdhaddadterribleditchdfordseveraldmonthsdthatdhedhasdbeendcontinuouslydscratchi
ng.dOndexamination,dthednursedmightdexpectdtodfind:
a.
Adkeloid.d
b.
Adfissure.
dc.

Keratosis.d
d.
Lichenification.d-dd

Lichenificationdresultsdfromdprolonged,dintensedscratchingdthatdeventuallydthickensdthedski
ndanddproducesdtightlydpackeddsetsdofdpapules.dAdkeloiddisdadhypertrophicdscar.dAdfissuredis
dadlineardcrackdwithdabruptdedges,dwhichdextendsdintodtheddermis;ditdcandbeddry

,ordmoist.dKeratosesdaredlesionsdthatdaredraised,dthickeneddareasdofdpigmentationdthatdappe
ardcrusted,dscaly,danddwarty.

Adphysiciandhasddiagnoseddadpatientdwithdpurpura.dAfterdleavingdthedroom,dadnursingds
tudentdasksdthednursedwhatdthedphysiciandsawdthatdleddtodthatddiagnosis.dThednursedsh
oulddsay,dThedphysiciandisdreferringdtodthe:
a.
Blueddilationdofdblooddvesselsdindadstar-shapeddlineardpatterndondthedlegs.db.
Fierydred,dstar-shapeddmarkingdondthedcheekdthatdhasdadsoliddcirculardcenter.dc.
Confluentdanddextensivedpatchdofdpetechiaedanddecchymosesdondthedfeet.dd
.
Tinydareasdofdhemorrhagedthatdaredlessdthand2dmm,dround,ddiscrete,dandddarkdreddindcolor.
d-dc




Ad45-year-
olddfarmerdcomesdindfordadskindevaluationdanddcomplainsdofdhairdlossdondhisdhead.dHisdhaird
seemsdtodbedbreakingdoffdindpatches,danddhednoticesdsomedscalingdondhisdhead.dThednursed
beginsdthedexaminationdsuspecting:
a.
Tineadcapitis.d
b.
Folliculitis.d
c.
Toxicdalopecia.d
d.
Seborrheicddermatitis.d-da


Thednursedisdexaminingdadpatientdwhodtellsdthednurse,dIdsuredsweatdadlot,despeciallydondmy
dfacedanddfeetdbutditddoesntdhavedandodor.dThednursedknowsdthatdthisdconditiondcoulddbedre

lateddto:
a.
Eccrinedglands.d
b.
Apocrinedglands.d
c.
Disorderdofdthedstratumdcorneum.d
d.
Disorderdofdthedstratumdgerminativum.d-da

Adnewborndinfantdisdindthedclinicdfordadwell-
babydcheckup.dThednursedobservesdthedinfantdfordthedpossibilitydofdfluiddlossdbecausedofdwh
ichdofdthesedfactors?
a.
Subcutaneousdfatddepositsdaredhighdindthednewborn.db.

,Sebaceousdglandsdaredoverproductivedindthednewborn.d
c.
Thednewbornsdskindisdmoredpermeabledthandthatdofdthedadult.dd.
Thedamountdofdvernixdcaseosaddramaticallydrisesdindthednewborn.d-dc

Duringdandexamination,dthednursedfindsdthatdadpatientdhasdexcessiveddrynessdofdthedskin.dT
hedbestdtermdtoddescribedthisdconditiondis:
a.dXeros
is.db.
Pruritus.d
c.
Alopecia.
dd.

Seborrhea.d-da

Adpatientdcomesdindfordadphysicaldexaminationdanddcomplainsdofdfreezingdtoddeathdwhiledw
aitingdfordherdexamination.dThednursednotesdthatdherdskindisdpaledanddcooldanddattributesdt
hisdfindingdto:
a.
Venousdpooling.
db.

Peripheraldvasodilation.
dc.

Peripheraldvasoconstriction.
dd.

Decreaseddarterialdperfusion.d-dc

Adpatientdcomesdtodthedclinicdanddstatesdthatdhedhasdnoticeddthatdhisdskindisdredderdthandnor
mal.dThednursedunderstandsdthatdthisdconditiondisdduedtodhyperemiadanddknowsdthatditdcand
bedcauseddby:
a.
Decreaseddamountsdofdbilirubindindthedbloodd
b.
Excessdblooddindthedunderlyingdblooddvesselsdc
.
Decreaseddperfusiondtodthedsurroundingdtissuesd
d.
Excessdblooddindtheddilateddsuperficialdcapillariesd-dd

AdnewborndinfantdhasdDowndsyndrome.dDuringdthedskindassessment,dthednursednoticesdadt
ransientdmottlingdindthedtrunkdanddextremitiesdindresponsedtodthedcooldtemperaturedindthede
xaminationdroom.dThedinfantsdmotherdalsodnoticesdthedmottlingdanddasksdwhatditdis.dThednu
rsedknowsdthatdthisdmottlingdisdcalled:
a.

, Cafdaudlait.d
b.
Carotenemia.d
c.
Acrocyanosis.
dd.

Cutisdmarmorata.d-dd

Ad35-year-
olddpregnantdwomandcomesdtodthedclinicdfordadmonthlydappointment.dDuringdthedassessme
nt,dthednursednoticesdthatdshedhasdadbrowndpatchdofdhyperpigmentationdondherdface.dThedn
ursedcontinuesdthedskindassessmentdawaredthatdanotherdfindingdmaydbe:da.
Keratoses.d
b.
Xerosis.
dc.

Chloasma.d
d.
Acrochordons.d-dc

Adsemiconsciousdwomandisdbroughtdtodthedemergencyddepartmentdafterdshedwasdfounddon
dthedfloordindherdkitchen.dHerdface,dnaildbeds,dlips,danddoraldmucosadaredadbrightdcherry-

dreddcolor.dThednursedsuspectsdthatdthisdcoloringdisdduedto:

a.dPolycythem
ia.db.
Carbondmonoxidedpoisoning.dc
.
Carotenemia.d
d.
Uremia.d-db

Adpatientdhasdbeendadmitteddtodadhospitaldafterdthedstaffdindthednursingdhomednoticeddadpre
ssuredulcerdindhisdsacraldarea.dThednursedexaminesdthedpressuredulcerdandddeterminesdtha
tditdisdadstagedIIdulcer.dWhichdofdthesedfindingsdaredcharacteristicdofdadstagedIIdpressuredulcer
?dSelectdalldthatdapply.
a.
Intactdskindappearsdreddbutdisdnotdbroken.db
.
Partialdthicknessdskinderosiondisdobserveddwithdadlossdofdepidermisdorddermis.dc
.
Ulcerdextendsdintodthedsubcutaneousdtissue.d
d.
Localizeddrednessdindlightdskindwilldblanchdwithdfingertipdpressure.de.
Opendblisterdareasdhavedadred-pinkdwounddbed.