NURS 612 ADVANCED HEALTH ASSESSMENT
EXAM 2
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NUR 612 Exam 2
When palpating skin surfaces for temperature, the examiner should use the
a. Palmar aspect of the hand
b. Fingertips of the dominant hand
c. Dorsal aspect of the hands or fingers
d. Ulnar surface of the hand
c. Dorsal aspect of the hands or fingers
Hyperkeratosis is noted on a patient's palms and soles. The examiner
recognizes that this
a. May be a sign of systemic disorder
b. May be an indication of a congenital heart defect
c. Is common among individuals with Down syndrome
d. Is considered a normal finding
d. Is considered a normal finding
A patient with diabetes presents to the clinic complaining of an infected foot.
Upon removing the patient's sock, the examiner notes an odor that resembles
rotting apples. This finding is consistent with what type of infection?
a. Pseudomonas aeruginosa
b. Proteus
c. Viridans streptococci
d. Clostridium perfringens
d. Clostridium perfringens
Which finding is consistent with a physical abuse injury in a toddler?
a. Burn to the skin with a splash pattern
b. Bruising of the skin over soft tissue
c. Bruising of the skin over a bony prominence
d. Café au lait patches
b. Bruising of the skin over soft tissue
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Which of the following techniques helps the examiner determine whether a
palpable skin mass is filled with fluid?
a. Using a wood's lamp
b. Palpating
c. Transilluminating
d. Noting the odor of the lesion
c. Transilluminating
Which of the following findings suggests that a patient has a fungal infection
of the nail beds?
a. The nail bed is wide and thick
b. The nail plate has a central depression, causing a spoon appearance
c. Superficial white spots are present in the nail plate
d. The nail plate is yellow and crumbling
d. The nail plate is yellow and crumbling
During an examination, which of the following questions would be most
appropriate for the examiner to ask a patient to elicit information about the
lymph system?
a. Are you aware of any lumps?
b. Have you had a change in appetite?
c. Do your lymph nodes hurt?
d. Where are your largest lymph nodes?
a. Are you aware of any lumps?
While palpating lymph nodes on an adult, the examiner should remember that
a. Tubercular nodes are hot and firm to the touch
b. Nodes that are fixed and palpable are a normal finding
c. Heavy pressure is required to locate and identify nodes
d. Easily palpable nodes are generally not found in healthy adults
d. Easily palpable nodes are generally not found in healthy adults
In comparison with those of a young adult, the lymph nodes of an older adult
will be
a. Large and soft
b. Small and fatty
c. Hard and irregular
d. Large and hard
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b. Small and fatty
A 19-year-old man has a severe infection involving the fifth digit of his right
hand. Where should the examiner expect to palpate enlarged and tender lymph
nodes?
a. Radial aspect of the right wrist
b. Palmar aspect of the right hand
c. Lateral aspect of the right forearm
d. Medial aspect of the right elbow
d. Medial aspect of the right elbow
Which of the following examination findings is cause for concern in an adult?
a. A palpable fluctuant lymph node moveable under the examiner's fingers
b. A palpable hard lymph node fixed in its setting
c. A palpable soft lymph node approximately 2 mm in size
d. Absence of any palpable lymph nodes
b. A palpable hard lymph node fixed in its setting
The most common causes of acute suppurative lymphadenitis are which
organisms?
a. Pseudomonas and Clostridium spp.
b. Streptococcus and Staphylococcus spp.
c. Candida and Chlamydia spp.
d. Aspergillus and Escherichia spp.
b. Streptococcus and Staphylococcus spp.
The examiner typically assesses the lymph system using which of the
following methods?
a. Assesses the entire lymph system as a unit, exploring all areas of
accessible nodes
b. Assesses both the superficial and deep nodes using palpation and a
doppler study
c. Assess the lymph system region by region as each body system is
assessed
d. Assess the lymph nodes only when the patient's history suggests a need to
do so
c. Assess the lymph system region by region as each body system is assessed