Health Assessment Week 5 Quiz
The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax,
and dry. This finding would be related to which factor in the older adult? - answer An
increased loss of elastin and a decrease in subcutaneous fat
A patient tells the nurse that he has noticed that one of his moles has started to burn
and bleed. When assessing his skin, the nurse pays special attention to the danger
signs for pigmented lesions and is concerned with which additional finding? - answer
Color variation
A black patient is in the intensive care unit because of impending shock after an
accident. The nurse expects to find what characteristics in this patient's skin? - answer
Ashen, gray, or dull
The nurse has discovered decreased skin turgor in a patient and knows that this finding
is expected in which condition? - answer Severe dehydration
A mother brings her 2-month-old daughter in for an examination and says, "My daughter
rolled over against the wall, and now I have noticed that she has this spot that is soft on
the top of her head. Is something terribly wrong?" The nurse's best response would be:
- answer"That 'soft spot' is normal, and actually allows for growth of the brain during the
first year of your baby's life."
During a skin assessment, the nurse notices that a Mexican-American patient has skin
that is yellowish-brown; however, the skin on the hard and soft palate is pink and the
patient's scleras are not yellow. From this finding, the nurse could probably rule out: -
answerJaundice
A patient is unable to differentiate between sharp and dull stimulation to both sides of
her face. The nurse suspects: - answerDamage to the trigeminal nerve.
The nurse has just completed a lymph node assessment on a 60-year-old healthy
female patient. The nurse knows that most lymph nodes in healthy adults are normally: -
answerNonpalpable
A patient says that she has recently noticed a lump in the front of her neck below her
"Adam's apple" that seems to be getting bigger. During the assessment, the finding that
leads the nurse to suspect that this may not be a cancerous thyroid nodule is that the
lump (nodule): - answerIs mobile and not hard
The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax,
and dry. This finding would be related to which factor in the older adult? - answer An
increased loss of elastin and a decrease in subcutaneous fat
A patient tells the nurse that he has noticed that one of his moles has started to burn
and bleed. When assessing his skin, the nurse pays special attention to the danger
signs for pigmented lesions and is concerned with which additional finding? - answer
Color variation
A black patient is in the intensive care unit because of impending shock after an
accident. The nurse expects to find what characteristics in this patient's skin? - answer
Ashen, gray, or dull
The nurse has discovered decreased skin turgor in a patient and knows that this finding
is expected in which condition? - answer Severe dehydration
A mother brings her 2-month-old daughter in for an examination and says, "My daughter
rolled over against the wall, and now I have noticed that she has this spot that is soft on
the top of her head. Is something terribly wrong?" The nurse's best response would be:
- answer"That 'soft spot' is normal, and actually allows for growth of the brain during the
first year of your baby's life."
During a skin assessment, the nurse notices that a Mexican-American patient has skin
that is yellowish-brown; however, the skin on the hard and soft palate is pink and the
patient's scleras are not yellow. From this finding, the nurse could probably rule out: -
answerJaundice
A patient is unable to differentiate between sharp and dull stimulation to both sides of
her face. The nurse suspects: - answerDamage to the trigeminal nerve.
The nurse has just completed a lymph node assessment on a 60-year-old healthy
female patient. The nurse knows that most lymph nodes in healthy adults are normally: -
answerNonpalpable
A patient says that she has recently noticed a lump in the front of her neck below her
"Adam's apple" that seems to be getting bigger. During the assessment, the finding that
leads the nurse to suspect that this may not be a cancerous thyroid nodule is that the
lump (nodule): - answerIs mobile and not hard
