Carolyn Jarvis, Physical Examination and Health Assessment
4th Canadian Edition (Jarvis, 2024) TEST BANK, Verified
Chapters 1 - 31, Complete Newest Version
1. The nurse educator is preparing an education module for the nursing staff on the
epidermal layer of skin. Which of these statements would be included in the
module? The epidermis is:
a. Highly vascular.
b. Thick and tough.
c. Thin and nonstratified.
d. Replaced every 4 weeks. - ANSWER: D
2. The nurse educator is preparing an education module for the nursing staff on the
dermis layer of skin. Which of these statements would be included in the module?
The dermis:
a. Contains mostly fat cells.
b. Consists mostly of keratin.
c. Is replaced every 4 weeks.
d. Contains sensory receptors. - ANSWER: D
3. The nurse is examining a patient who tells the nurse, I sure sweat a lot, especially
on my face and feet but it doesnt have an odor. The nurse knows that this condition
could be related to:
a. Eccrine glands.
b. Apocrine glands.
c. Disorder of the stratum corneum.
d. Disorder of the stratum germinativum. - ANSWER: A
4. A newborn infant is in the clinic for a well-baby checkup. The nurse observes the
infant for the possibility of fluid loss because of which of these factors?
a. Subcutaneous fat deposits are high in the newborn.
b. Sebaceous glands are overproductive in the newborn.
c. The newborns skin is more permeable than that of the adult.
d. The amount of vernix caseosa dramatically rises in the newborn. - ANSWER: C
5. 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?
a. Increased vascularity of the skin
b. Increased numbers of sweat and sebaceous glands
c. An increase in elastin and a decrease in subcutaneous fat
d. An increased loss of elastin and a decrease in subcutaneous fat - ANSWER: D
6. During the aging process, the hair can look gray or white and begin to feel thin and
fine. The nurse knows that this occurs because of a decrease in the number of
functioning:
,a. Metrocytes.
b. Fungacytes.
c. Phagocytes.
d. Melanocytes. - ANSWER: D
7. During an examination, the nurse finds that a patient has excessive dryness of the
skin. The best term to describe this condition is:
a. Xerosis.
b. Pruritus.
c. Alopecia.
d. Seborrhea. - ANSWER: A
8. A 22-year-old woman comes to the clinic because of severe sunburn and states, I
was out in the sun for just a couple of minutes. The nurse begins a medication
review with her, paying special attention to which medication class?
a. Nonsteroidal antiinflammatory drugs for pain
b. Tetracyclines for acne
c. Proton pump inhibitors for heartburn
d. Thyroid replacement hormone for hypothyroidism - ANSWER: B
9. A woman is leaving on a trip to Hawaii and has come in for a checkup. During the
examination the nurse learns that she has diabetes and takes oral hypoglycemic
agents. The patient needs to be concerned about which possible effect of her
medications?
a. Increased possibility of bruising
b. Skin sensitivity as a result of exposure to salt water
c. Lack of availability of glucose-monitoring supplies
d. Importance of sunscreen and avoiding direct sunlight - ANSWER: D
10. A 13-year-old girl is interested in obtaining information about the cause of her
acne. The nurse should share with her that acne:
a. Is contagious.
b. Has no known cause.
c. Is caused by increased sebum production.
d. Has been found to be related to poor hygiene. - ANSWER: C
11. A 75-year-old woman who has a history of diabetes and peripheral vascular
disease has been trying to remove a corn on the bottom of her foot with a pair of
scissors. The nurse will encourage her to stop trying to remove the corn with scissors
because:
a. The woman could be at increased risk for infection and lesions because of her
chronic disease.
b. With her diabetes, she has increased circulation to her foot, and it could cause
severe bleeding.
c. She is 75 years old and is unable to see; consequently, she places herself at greater
risk for self-injury with the scissors.
, d. With her peripheral vascular disease, her range of motion is limited and she may
not be able to reach the corn safely. - ANSWER: A
12. The nurse keeps in mind that a thorough skin assessment is extremely important
because the skin holds information about a persons:
a. Support systems.
b. Circulatory status.
c. Socioeconomic status.
d. Psychological wellness. - ANSWER: B
13. A patient comes in for a physical examination and complains of freezing to death
while waiting for her examination. The nurse notes that her skin is pale and cool and
attributes this finding to:
a. Venous pooling.
b. Peripheral vasodilation.
c. Peripheral vasoconstriction.
d. Decreased arterial perfusion. - ANSWER: C
14. A patient comes to the clinic and tells the nurse that he has been confined to his
recliner chair for approximately 3 days with his feet down and he asks the nurse to
evaluate his feet. During the assessment, the nurse might expect to find:
a. Pallor
b. Coolness
c. Distended veins
d. Prolonged capillary filling time - ANSWER: C
15. A patient is especially worried about an area of skin on her feet that has turned
white. The health care provider has told her that her condition is vitiligo. The nurse
explains to her that vitiligo is:
a. Caused by an excess of melanin pigment
b. Caused by an excess of apocrine glands in her feet
c. Caused by the complete absence of melanin pigment
d. Related to impetigo and can be treated with an ointment - ANSWER: C
16. 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?
a. Color variation
b. Border regularity
c. Symmetry of lesions
d. Diameter of less than 6 mm - ANSWER: A
17. A patient comes to the clinic and states that he has noticed that his skin is redder
than normal. The nurse understands that this condition is due to hyperemia and
knows that it can be caused by:
a. Decreased amounts of bilirubin in the blood
b. Excess blood in the underlying blood vessels
4th Canadian Edition (Jarvis, 2024) TEST BANK, Verified
Chapters 1 - 31, Complete Newest Version
1. The nurse educator is preparing an education module for the nursing staff on the
epidermal layer of skin. Which of these statements would be included in the
module? The epidermis is:
a. Highly vascular.
b. Thick and tough.
c. Thin and nonstratified.
d. Replaced every 4 weeks. - ANSWER: D
2. The nurse educator is preparing an education module for the nursing staff on the
dermis layer of skin. Which of these statements would be included in the module?
The dermis:
a. Contains mostly fat cells.
b. Consists mostly of keratin.
c. Is replaced every 4 weeks.
d. Contains sensory receptors. - ANSWER: D
3. The nurse is examining a patient who tells the nurse, I sure sweat a lot, especially
on my face and feet but it doesnt have an odor. The nurse knows that this condition
could be related to:
a. Eccrine glands.
b. Apocrine glands.
c. Disorder of the stratum corneum.
d. Disorder of the stratum germinativum. - ANSWER: A
4. A newborn infant is in the clinic for a well-baby checkup. The nurse observes the
infant for the possibility of fluid loss because of which of these factors?
a. Subcutaneous fat deposits are high in the newborn.
b. Sebaceous glands are overproductive in the newborn.
c. The newborns skin is more permeable than that of the adult.
d. The amount of vernix caseosa dramatically rises in the newborn. - ANSWER: C
5. 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?
a. Increased vascularity of the skin
b. Increased numbers of sweat and sebaceous glands
c. An increase in elastin and a decrease in subcutaneous fat
d. An increased loss of elastin and a decrease in subcutaneous fat - ANSWER: D
6. During the aging process, the hair can look gray or white and begin to feel thin and
fine. The nurse knows that this occurs because of a decrease in the number of
functioning:
,a. Metrocytes.
b. Fungacytes.
c. Phagocytes.
d. Melanocytes. - ANSWER: D
7. During an examination, the nurse finds that a patient has excessive dryness of the
skin. The best term to describe this condition is:
a. Xerosis.
b. Pruritus.
c. Alopecia.
d. Seborrhea. - ANSWER: A
8. A 22-year-old woman comes to the clinic because of severe sunburn and states, I
was out in the sun for just a couple of minutes. The nurse begins a medication
review with her, paying special attention to which medication class?
a. Nonsteroidal antiinflammatory drugs for pain
b. Tetracyclines for acne
c. Proton pump inhibitors for heartburn
d. Thyroid replacement hormone for hypothyroidism - ANSWER: B
9. A woman is leaving on a trip to Hawaii and has come in for a checkup. During the
examination the nurse learns that she has diabetes and takes oral hypoglycemic
agents. The patient needs to be concerned about which possible effect of her
medications?
a. Increased possibility of bruising
b. Skin sensitivity as a result of exposure to salt water
c. Lack of availability of glucose-monitoring supplies
d. Importance of sunscreen and avoiding direct sunlight - ANSWER: D
10. A 13-year-old girl is interested in obtaining information about the cause of her
acne. The nurse should share with her that acne:
a. Is contagious.
b. Has no known cause.
c. Is caused by increased sebum production.
d. Has been found to be related to poor hygiene. - ANSWER: C
11. A 75-year-old woman who has a history of diabetes and peripheral vascular
disease has been trying to remove a corn on the bottom of her foot with a pair of
scissors. The nurse will encourage her to stop trying to remove the corn with scissors
because:
a. The woman could be at increased risk for infection and lesions because of her
chronic disease.
b. With her diabetes, she has increased circulation to her foot, and it could cause
severe bleeding.
c. She is 75 years old and is unable to see; consequently, she places herself at greater
risk for self-injury with the scissors.
, d. With her peripheral vascular disease, her range of motion is limited and she may
not be able to reach the corn safely. - ANSWER: A
12. The nurse keeps in mind that a thorough skin assessment is extremely important
because the skin holds information about a persons:
a. Support systems.
b. Circulatory status.
c. Socioeconomic status.
d. Psychological wellness. - ANSWER: B
13. A patient comes in for a physical examination and complains of freezing to death
while waiting for her examination. The nurse notes that her skin is pale and cool and
attributes this finding to:
a. Venous pooling.
b. Peripheral vasodilation.
c. Peripheral vasoconstriction.
d. Decreased arterial perfusion. - ANSWER: C
14. A patient comes to the clinic and tells the nurse that he has been confined to his
recliner chair for approximately 3 days with his feet down and he asks the nurse to
evaluate his feet. During the assessment, the nurse might expect to find:
a. Pallor
b. Coolness
c. Distended veins
d. Prolonged capillary filling time - ANSWER: C
15. A patient is especially worried about an area of skin on her feet that has turned
white. The health care provider has told her that her condition is vitiligo. The nurse
explains to her that vitiligo is:
a. Caused by an excess of melanin pigment
b. Caused by an excess of apocrine glands in her feet
c. Caused by the complete absence of melanin pigment
d. Related to impetigo and can be treated with an ointment - ANSWER: C
16. 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?
a. Color variation
b. Border regularity
c. Symmetry of lesions
d. Diameter of less than 6 mm - ANSWER: A
17. A patient comes to the clinic and states that he has noticed that his skin is redder
than normal. The nurse understands that this condition is due to hyperemia and
knows that it can be caused by:
a. Decreased amounts of bilirubin in the blood
b. Excess blood in the underlying blood vessels
