Health Assessment NSG3160 Exam Questions &
Answers | Complete Review
A client is prescribed Furosemide for fluid volume overload. What is the most important
teaching point related to skin care?
A. Apply sunscreen only when outside for over an hour
B. Furosemide makes skin dry but does not affect sun exposure
C. Furosemide can cause severe sunburn; use sunscreen and protective clothing
D. No precautions are needed related to sun exposure
C
When assessing for jaundice in a client with dark skin, the nurse should check for yellow
discoloration in which area?
A. Under the tongue
B. Inner canthus of the eyes
C. Palms of the hands
D. Fingertips
C
The nurse is assessing inflammation in a client with dark skin. Which of the following
techniques is most appropriate?
A. Check for redness
B. Palpate for warmth and edema
C. Look for bruising
D. Inspect for scaling
B
A nurse is evaluating a client's nail shape and notices spoon-shaped nails. What should the
nurse suspect?
A. Iron deficiency anemia
B. Normal aging
C. Vitamin D toxicity
D. Dehydration
A
Which of the following findings during skin assessment requires immediate intervention?
A. Skin turgor returns in 2 seconds
B. Linear pigmentation under fingernails in a dark-skinned client
,C. A pale, round wound with irregular edges on the coccyx
D. A flat patch that is slightly lighter than the rest of the skin
C
A nurse is assessing the fingernails of a client. Which of the following should the nurse
recognize as expected?
A. The nail base angle is 180 degrees
B. The nails base is spongy when palpated
C. The name base angle is 160 degrees
D. The nail plate is concave
C
During a nail assessment of a client with dark skin, the nurse notes linear pigmentation on the
nail bed. What action should the nurse take?
A. Document this as an abnormal finding
B. Notify the provider immediately
C. Ask the client about recent trauma
D. Document this as a normal finding
D
The nurse pinches the skin on the back of an older adult's hand to assess skin turgor. What is
an expected finding?
A. The skin remains tented for more than 3 seconds
B. The skin returns to its original position immediately
C. The skin appears bluish and cold
D. The skin develops petechiae at the site
B
A client has a 5cm round wound on the heel with a pale ischemic base and irregular edges.
There is no drainage. What is the most likely cause?
A. Venous ulcer
B. Diabetic ulcer
C. Pressure ulcer
D. Arterial ulcer
C
Which of the following descriptions best characterizes a hyperpigmented skin patch?
A. Raised, red, and warm to touch
,B. Flat and lighter than surrounding skin
C. Flat and darker than surrounding skin
D. Raised and oozing fluid
C
A nurse is documenting an expected finding during a nail assessment. Which note is
appropriate?
A. "Nail base firm with an angle of 160 degrees."
B. "Nail beds pale with delayed capillary refill"
C. "Proximal nail fold raised and spongy"
D. "Nail plate yellow and thickened"
A
A nurse observes that the skin on a client's forearm does not return to its original position
after being pinched. What should the nurse expect?
A. Normal aging
B. Hyperpigmentation
C. Dehydration
D. Good hydration status
C
A client with lighter skin has a flat area on the lower extremities that is lighter than the
surrounding tissue. How should the nurse document this?
A. Erythematous papule
B. Hypopigmentation macule
C. Excoriated patch
D. Petechiae
B
A client reports pain and swelling on the heel. On inspection, the nurse finds a pale, 3cm
wound with no drainage and irregular borders. Which stage pressure ulcer is this most likely?
A. Stage 1
B. Stage 2
C. Stage 3
D. Deep tissue pressure injury
D
, A client taking tetracycline reports planning a beach trip. What is the most important advice
the nurse should give?
A. "You can go outside without sunscreen for short periods."
B. "Avoid all outdoor activities while on the medication."
C. "Wear long sleeves and apply broad-spectrum sunscreen every 2 hours."
D. "Take the medication only after returning from your trip."
C
A nurse is performing the Weber test on a patient. The tuning fork is placed on the midline of
the patient's head. The patient reports hearing the sound louder in the right ear. What does
this finding suggest?
A. Normal hearing
B. Conductive hearing loss in the right ear
C. Sensorineural hearing loss in the right ear
D. Otitis media in the left ear
B
Which of the following is the correct placement of the tuning fork during the Weber test?
A. On the mastoid process
B. On the forehead
C. On the midline of the skull
D. Near the external ear canal
C
Which of the following is a common cause of conductive hearing loss?
A. Acoustic neuroma
B. Presbycusis
C. Cerumen impaction
D. Noise-induced hearing loss
C
Which condition is least likely to cause conductive hearing loss?
A. Otitis externa
B. Tympanic membrane perforation
C. Otosclerosis
D. Damage to the cochlear nerve
D
Answers | Complete Review
A client is prescribed Furosemide for fluid volume overload. What is the most important
teaching point related to skin care?
A. Apply sunscreen only when outside for over an hour
B. Furosemide makes skin dry but does not affect sun exposure
C. Furosemide can cause severe sunburn; use sunscreen and protective clothing
D. No precautions are needed related to sun exposure
C
When assessing for jaundice in a client with dark skin, the nurse should check for yellow
discoloration in which area?
A. Under the tongue
B. Inner canthus of the eyes
C. Palms of the hands
D. Fingertips
C
The nurse is assessing inflammation in a client with dark skin. Which of the following
techniques is most appropriate?
A. Check for redness
B. Palpate for warmth and edema
C. Look for bruising
D. Inspect for scaling
B
A nurse is evaluating a client's nail shape and notices spoon-shaped nails. What should the
nurse suspect?
A. Iron deficiency anemia
B. Normal aging
C. Vitamin D toxicity
D. Dehydration
A
Which of the following findings during skin assessment requires immediate intervention?
A. Skin turgor returns in 2 seconds
B. Linear pigmentation under fingernails in a dark-skinned client
,C. A pale, round wound with irregular edges on the coccyx
D. A flat patch that is slightly lighter than the rest of the skin
C
A nurse is assessing the fingernails of a client. Which of the following should the nurse
recognize as expected?
A. The nail base angle is 180 degrees
B. The nails base is spongy when palpated
C. The name base angle is 160 degrees
D. The nail plate is concave
C
During a nail assessment of a client with dark skin, the nurse notes linear pigmentation on the
nail bed. What action should the nurse take?
A. Document this as an abnormal finding
B. Notify the provider immediately
C. Ask the client about recent trauma
D. Document this as a normal finding
D
The nurse pinches the skin on the back of an older adult's hand to assess skin turgor. What is
an expected finding?
A. The skin remains tented for more than 3 seconds
B. The skin returns to its original position immediately
C. The skin appears bluish and cold
D. The skin develops petechiae at the site
B
A client has a 5cm round wound on the heel with a pale ischemic base and irregular edges.
There is no drainage. What is the most likely cause?
A. Venous ulcer
B. Diabetic ulcer
C. Pressure ulcer
D. Arterial ulcer
C
Which of the following descriptions best characterizes a hyperpigmented skin patch?
A. Raised, red, and warm to touch
,B. Flat and lighter than surrounding skin
C. Flat and darker than surrounding skin
D. Raised and oozing fluid
C
A nurse is documenting an expected finding during a nail assessment. Which note is
appropriate?
A. "Nail base firm with an angle of 160 degrees."
B. "Nail beds pale with delayed capillary refill"
C. "Proximal nail fold raised and spongy"
D. "Nail plate yellow and thickened"
A
A nurse observes that the skin on a client's forearm does not return to its original position
after being pinched. What should the nurse expect?
A. Normal aging
B. Hyperpigmentation
C. Dehydration
D. Good hydration status
C
A client with lighter skin has a flat area on the lower extremities that is lighter than the
surrounding tissue. How should the nurse document this?
A. Erythematous papule
B. Hypopigmentation macule
C. Excoriated patch
D. Petechiae
B
A client reports pain and swelling on the heel. On inspection, the nurse finds a pale, 3cm
wound with no drainage and irregular borders. Which stage pressure ulcer is this most likely?
A. Stage 1
B. Stage 2
C. Stage 3
D. Deep tissue pressure injury
D
, A client taking tetracycline reports planning a beach trip. What is the most important advice
the nurse should give?
A. "You can go outside without sunscreen for short periods."
B. "Avoid all outdoor activities while on the medication."
C. "Wear long sleeves and apply broad-spectrum sunscreen every 2 hours."
D. "Take the medication only after returning from your trip."
C
A nurse is performing the Weber test on a patient. The tuning fork is placed on the midline of
the patient's head. The patient reports hearing the sound louder in the right ear. What does
this finding suggest?
A. Normal hearing
B. Conductive hearing loss in the right ear
C. Sensorineural hearing loss in the right ear
D. Otitis media in the left ear
B
Which of the following is the correct placement of the tuning fork during the Weber test?
A. On the mastoid process
B. On the forehead
C. On the midline of the skull
D. Near the external ear canal
C
Which of the following is a common cause of conductive hearing loss?
A. Acoustic neuroma
B. Presbycusis
C. Cerumen impaction
D. Noise-induced hearing loss
C
Which condition is least likely to cause conductive hearing loss?
A. Otitis externa
B. Tympanic membrane perforation
C. Otosclerosis
D. Damage to the cochlear nerve
D
