NR302 Exam Final Review Questions and
Answers / NR 302 Exam 1 Latest Chamberlain
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The mother of a three-month-old baby tells D.The baby's skin is thin and will get thicker as the baby gets older.
the nurse that her baby's skin is like tissue
paper and scratches easily. Which of the Skin is very thin at birth and thickens throughout childhood. Despite the fact that the
following responses would be appropriate skin is thin during infancy, it is not expected to bruise and bleed easily until the age
for the nurse to say to this mother? of 2. The physician does not need to be notified of this condition. Although this is a
A.Skin is expected to easily bruise and normal finding, using false reassurance and telling the mother not to worry is not
bleed until age 2. utilizing therapeutic communication.
B.This is something that the physician needs
to know about.
C.Don't worry, this is normal.
D.The baby's skin is thin and will get thicker
as the baby gets older.
The nurse notices a slightly musky odor A.This is normal functioning of the apocrine glands.
during the interview of a 14-year-old
teenager. Which of the following could Apocrine glands are found in the axillary and anogenital regions. They are dormant
explain this odor? until the onset of puberty. When apocrine sweat mixes with bacteria on the skin
A.This is normal functioning of the apocrine surface, it assumes a musky odor. The eccrine glands produce clear perspiration
glands. made up of water and salts. The dermis contains a variety of structures including
B.This is normal functioning of the eccrine nerves, blood vessels, lymphatic vessels, hair follicles, and sweat and oil glands. The
glands. hypodermis is the subcutaneous tissue that stores fat cells.
C.This is normal functioning of the dermis.
D.This is normal functioning of the
hypodermis
,The nurse notes that the fold of epidermal C.The client's nail roots can be at risk for infection.
skin around an adolescent client's
fingernails is bleeding. Which of the A fold of epidermal skin, called a cuticle, protects the root and sides of each nail. If
following does this finding indicate about this skin is disrupted, the client is at risk for infection. Vitamin D synthesis and
the client? temperature regulation are functions of the skin. Hair follicles are embedded in the
A.The client will have difficulty synthesizing dermis.
vitamin D.
B.The client will have difficulty regulating
body temperature.
C.The client's nail roots can be at risk for
infection.
D.The client is at risk for losing viable hair
follicles.
The mother of an infant is distressed B."This is called milia and will disappear in a few weeks."
because her "baby has such a bad
complexion with all of those whiteheads on ilia are tiny white facial papules and usually disappear spontaneously within a few
her face." Which of the following would be weeks of birth. Milia are due to sebum that collects in the openings of the hair
an appropriate response for the nurse to follicles and are not baby acne. Mongolian spots are gray, blue, or purple spots on
make to this client? the sacral and buttocks area of newborns. Lanugo is the fine, downy hair of the
A."This is baby acne that will disappear newborn that is replaced within a few months by vellus hair.
soon."
B."This is called milia and will disappear in a
few weeks."
C."These are Mongolian spots and will
usually disappear at about one year of
age."
D."This is called lanugo and will disappear
in a few months."
An elderly client tells the nurse that she is
worried about dark freckles on her hands
and arms. Which of the following can the
nurse say to this client?
A."This is a cutaneous tag and is something
to tell the doctor about."
B."This is a cutaneous horn, which will need
further evaluation."
C."These are senile lentigines and are
completely normal."
D."This is a cherry angioma and is a normal
change of aging."
The nurse notes that a client from a non- D."Can you tell me how you received all of these bruises on your back?"
American culture has multiple bruises over
the upper portion of her back. Which of the Clients from many cultures use therapies that are not part of standard Western
following should the nurse say to this treatment. This client could have had coining done. Coining is the rubbing of the skin
client? of the back with a coin, which results in skin bruising. Also, pinching of the back,
A."What happened to your back?" another nontraditional treatment, results in bruising. These treatments are thought to
B."Areas of bruising are normal in dark- stimulate circulation and restore balance in children and adults with a variety of
skinned clients." ailments. The nurse should inquire about cultural healing practices using appropriate
C."Adult abuse is very dangerous. Have you communication techniques. Areas of bruising are not normal in dark-skinned clients.
contacted the police?" The nurse should not assume that the bruising is the result of abuse without further
D."Can you tell me how you received all of questioning.
these bruises on your back?"
, A client reports that they consume large C.Carotenemia
quantities of carrots on a routine basis.
Which of the following physical findings is Carotenemia is a yellow-orange tinge due to ingestion of foods high in carotene
the nurse most likely to observe during the such as carrots. Pallor is the loss of color in the skin due to the absence of
assessment? oxygenated hemoglobin. Cyanosis is a blue color in the skin due to inadequate
A.Pallor tissue perfusion with oxygenated blood. Jaundice is a yellow undertone due to
B.Cyanosis increased bilirubin in the blood.
C.Carotenemia
D.Jaundice
A.Erythema
A client has an area of inflammation due to
a localized infection. Which of the
Erythema, or increased redness of the skin, is due to hyperemia, which causes
following assessment findings is the nurse
dilation and congestion of blood in superficial arteries. This can be due to fever,
most likely to note on examination?
localized inflammation, emotions, or a warm environment. Pallor, or loss of color of
A.Erythema
the skin due to the absence of oxygenated hemoglobin, can be caused by
B.Pallor
peripheral vasoconstriction. Cyanosis, the mottled blue color of the skin, is due to
C.Cyanosis
inadequate tissue perfusion with oxygenated blood. Vitiligo is the absence of
D.Absence of color
melanin pigment in patchy areas on the body.
The nurse notices that a client has A."What do you use to style your hair?"
extremely dry and brittle hair. Which of the
following questions would be the most Excessive washing or washing with harsh chemicals can dry the hair. The use of
appropriate to ask this client? styling products can dry or damage the hair as can the use of hair dryers, curling
A."What do you use to style your hair?" irons, and heated rollers. Sunlight, medications, and thyroid disease all can cause
B."Are you exposed to excessive sunlight?" changes in the texture of the hair. However, they are not the most common cause of
C."What medications are you taking?" dry, brittle hair.
D."Do you have a history of thyroid
problems?"
The nurse notes the presence of vitiligo on C.Ask the client how long their skin color has been different in these areas.
the neck and forearms of an African-
American client. Which of the following is Patchy depigmented areas over the face, neck, hands, feet, and body folds are
most appropriate for the nurse to do in this termed vitiligo. This can occur in all races but seems to occur more often in dark-
situation? skinned people. This condition has no known cause but can create severe body
A.Nothing since this is a normal finding. image disturbances in clients with the condition. The nurse should discuss the vitiligo
B.Document the presence of a skin rash. and document its presence. Discussing the client's feelings about the skin
C.Ask the client how long their skin color discoloration does not take precedence over obtaining information about the
has been different in these areas. symptom.
D.Discuss the client's feelings regarding the
skin discoloration.
What does the nurse observe when D.Profuse sweating
performing an assessment on a client who
is diaphoretic? Diaphoresis, or profuse sweating, occurs during exertion, fever, pain, and emotional
A.The presence of paronychia stress and in the presence of some metabolic disorders such as hyperthyroidism. It
B.Clubbing of the nails may also indicate an impending medical crisis such as a myocardial infarction.
C.The presence of seborrhea Paronychia is the infection of the nail cuticle. Clubbing of the nails occurs with
D.Profuse sweating hypoxia. Seborrhea is a dry, flaky scalp, also called dandruff.
A flat lesion measuring less than 1.0 cm A.Macule
would be classified as a:
A.Macule A macule is a flat lesion, less than 1.0 cm. Papules are raised lesions less than 0.5 cm.
B.Papule Patches are flat lesions greater than 1.0 cm. Plaques are elevated lesions greater than
C.Patch 0.5 cm.
D.Plaque
Answers / NR 302 Exam 1 Latest Chamberlain
College of Nursing |100% Correct Q & A|
Save
Students also studied
ATI PN Mental Health Proctored Ex... ped final ATI Mental Health Online Practice 2... Learnin
141 terms 73 terms 56 terms Teacher
itsmekath01 Preview lisaliberti Preview DevaneeL Preview mar
The mother of a three-month-old baby tells D.The baby's skin is thin and will get thicker as the baby gets older.
the nurse that her baby's skin is like tissue
paper and scratches easily. Which of the Skin is very thin at birth and thickens throughout childhood. Despite the fact that the
following responses would be appropriate skin is thin during infancy, it is not expected to bruise and bleed easily until the age
for the nurse to say to this mother? of 2. The physician does not need to be notified of this condition. Although this is a
A.Skin is expected to easily bruise and normal finding, using false reassurance and telling the mother not to worry is not
bleed until age 2. utilizing therapeutic communication.
B.This is something that the physician needs
to know about.
C.Don't worry, this is normal.
D.The baby's skin is thin and will get thicker
as the baby gets older.
The nurse notices a slightly musky odor A.This is normal functioning of the apocrine glands.
during the interview of a 14-year-old
teenager. Which of the following could Apocrine glands are found in the axillary and anogenital regions. They are dormant
explain this odor? until the onset of puberty. When apocrine sweat mixes with bacteria on the skin
A.This is normal functioning of the apocrine surface, it assumes a musky odor. The eccrine glands produce clear perspiration
glands. made up of water and salts. The dermis contains a variety of structures including
B.This is normal functioning of the eccrine nerves, blood vessels, lymphatic vessels, hair follicles, and sweat and oil glands. The
glands. hypodermis is the subcutaneous tissue that stores fat cells.
C.This is normal functioning of the dermis.
D.This is normal functioning of the
hypodermis
,The nurse notes that the fold of epidermal C.The client's nail roots can be at risk for infection.
skin around an adolescent client's
fingernails is bleeding. Which of the A fold of epidermal skin, called a cuticle, protects the root and sides of each nail. If
following does this finding indicate about this skin is disrupted, the client is at risk for infection. Vitamin D synthesis and
the client? temperature regulation are functions of the skin. Hair follicles are embedded in the
A.The client will have difficulty synthesizing dermis.
vitamin D.
B.The client will have difficulty regulating
body temperature.
C.The client's nail roots can be at risk for
infection.
D.The client is at risk for losing viable hair
follicles.
The mother of an infant is distressed B."This is called milia and will disappear in a few weeks."
because her "baby has such a bad
complexion with all of those whiteheads on ilia are tiny white facial papules and usually disappear spontaneously within a few
her face." Which of the following would be weeks of birth. Milia are due to sebum that collects in the openings of the hair
an appropriate response for the nurse to follicles and are not baby acne. Mongolian spots are gray, blue, or purple spots on
make to this client? the sacral and buttocks area of newborns. Lanugo is the fine, downy hair of the
A."This is baby acne that will disappear newborn that is replaced within a few months by vellus hair.
soon."
B."This is called milia and will disappear in a
few weeks."
C."These are Mongolian spots and will
usually disappear at about one year of
age."
D."This is called lanugo and will disappear
in a few months."
An elderly client tells the nurse that she is
worried about dark freckles on her hands
and arms. Which of the following can the
nurse say to this client?
A."This is a cutaneous tag and is something
to tell the doctor about."
B."This is a cutaneous horn, which will need
further evaluation."
C."These are senile lentigines and are
completely normal."
D."This is a cherry angioma and is a normal
change of aging."
The nurse notes that a client from a non- D."Can you tell me how you received all of these bruises on your back?"
American culture has multiple bruises over
the upper portion of her back. Which of the Clients from many cultures use therapies that are not part of standard Western
following should the nurse say to this treatment. This client could have had coining done. Coining is the rubbing of the skin
client? of the back with a coin, which results in skin bruising. Also, pinching of the back,
A."What happened to your back?" another nontraditional treatment, results in bruising. These treatments are thought to
B."Areas of bruising are normal in dark- stimulate circulation and restore balance in children and adults with a variety of
skinned clients." ailments. The nurse should inquire about cultural healing practices using appropriate
C."Adult abuse is very dangerous. Have you communication techniques. Areas of bruising are not normal in dark-skinned clients.
contacted the police?" The nurse should not assume that the bruising is the result of abuse without further
D."Can you tell me how you received all of questioning.
these bruises on your back?"
, A client reports that they consume large C.Carotenemia
quantities of carrots on a routine basis.
Which of the following physical findings is Carotenemia is a yellow-orange tinge due to ingestion of foods high in carotene
the nurse most likely to observe during the such as carrots. Pallor is the loss of color in the skin due to the absence of
assessment? oxygenated hemoglobin. Cyanosis is a blue color in the skin due to inadequate
A.Pallor tissue perfusion with oxygenated blood. Jaundice is a yellow undertone due to
B.Cyanosis increased bilirubin in the blood.
C.Carotenemia
D.Jaundice
A.Erythema
A client has an area of inflammation due to
a localized infection. Which of the
Erythema, or increased redness of the skin, is due to hyperemia, which causes
following assessment findings is the nurse
dilation and congestion of blood in superficial arteries. This can be due to fever,
most likely to note on examination?
localized inflammation, emotions, or a warm environment. Pallor, or loss of color of
A.Erythema
the skin due to the absence of oxygenated hemoglobin, can be caused by
B.Pallor
peripheral vasoconstriction. Cyanosis, the mottled blue color of the skin, is due to
C.Cyanosis
inadequate tissue perfusion with oxygenated blood. Vitiligo is the absence of
D.Absence of color
melanin pigment in patchy areas on the body.
The nurse notices that a client has A."What do you use to style your hair?"
extremely dry and brittle hair. Which of the
following questions would be the most Excessive washing or washing with harsh chemicals can dry the hair. The use of
appropriate to ask this client? styling products can dry or damage the hair as can the use of hair dryers, curling
A."What do you use to style your hair?" irons, and heated rollers. Sunlight, medications, and thyroid disease all can cause
B."Are you exposed to excessive sunlight?" changes in the texture of the hair. However, they are not the most common cause of
C."What medications are you taking?" dry, brittle hair.
D."Do you have a history of thyroid
problems?"
The nurse notes the presence of vitiligo on C.Ask the client how long their skin color has been different in these areas.
the neck and forearms of an African-
American client. Which of the following is Patchy depigmented areas over the face, neck, hands, feet, and body folds are
most appropriate for the nurse to do in this termed vitiligo. This can occur in all races but seems to occur more often in dark-
situation? skinned people. This condition has no known cause but can create severe body
A.Nothing since this is a normal finding. image disturbances in clients with the condition. The nurse should discuss the vitiligo
B.Document the presence of a skin rash. and document its presence. Discussing the client's feelings about the skin
C.Ask the client how long their skin color discoloration does not take precedence over obtaining information about the
has been different in these areas. symptom.
D.Discuss the client's feelings regarding the
skin discoloration.
What does the nurse observe when D.Profuse sweating
performing an assessment on a client who
is diaphoretic? Diaphoresis, or profuse sweating, occurs during exertion, fever, pain, and emotional
A.The presence of paronychia stress and in the presence of some metabolic disorders such as hyperthyroidism. It
B.Clubbing of the nails may also indicate an impending medical crisis such as a myocardial infarction.
C.The presence of seborrhea Paronychia is the infection of the nail cuticle. Clubbing of the nails occurs with
D.Profuse sweating hypoxia. Seborrhea is a dry, flaky scalp, also called dandruff.
A flat lesion measuring less than 1.0 cm A.Macule
would be classified as a:
A.Macule A macule is a flat lesion, less than 1.0 cm. Papules are raised lesions less than 0.5 cm.
B.Papule Patches are flat lesions greater than 1.0 cm. Plaques are elevated lesions greater than
C.Patch 0.5 cm.
D.Plaque
