NURS 5220 Exam 1 : NURS 5220 Exam Practice
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Which of the following statements represents subjective data obtained from the patient regarding his skin?
A) Skin appears dry.
B) No obvious lesions
C) Denies color change
D) Lesion noted lateral aspect right arm –
Correct Answer :C) Denies color change
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Remember that the history (from the chief complaint through review of systems) should be limited to patient
statements or subjective data—factors that the person says were or were not present.
Subjective data is what the patient tells you.
The following information is best placed in which category? "The patient had a stent placed in the left anterior
descending artery (LAD) in 1999."
A) Medical
B) Surgical
C) Obstetrics/gynecology
D) Psychiatric
- Correct Answer :B) Surgical
Provide information relative to Adult Illnesses in each of four areas: Medical, Surgical, Obstetric/Gynecologic, and
Psychiatric.
During the aging process, the hair can look gray or white and begin to feel thin and fine. The nurse practitioner
knows that this occurs because of a decrease in:
A) pigmentation
B) thyroid stimulating hormone
C) phagocytes
D) fungacytes –
Correct Answer :A) pigmentation
Hair undergoes a series of changes. Scalp hair loses its pigment (functioning of melanocytes) so the hair looks
gray or white and feels thin and fine. The other options are not correct.
You are speaking to an 8th grade class about health prevention and are preparing to discuss the ABCDEs of
melanoma. Which of the following descriptions correctly defines the ABCDEs?
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A) A = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6 mm; E = evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E = evolution
C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E = evolution
D) A = asymmetry; B = regular borders; C = color changes, especially orange; D = diameter >6 mm; E = evolution –
Correct Answer :B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6
mm; E = evolution
You are examining the skin on a 22 year old female when you notice a circumscribed superficial lesion that is
elevated approximately 0.5cm in diameter, filled with serous fluid. What type of lesion is this?
A) macule
B) papule
C) vesicle
D) spider angioma –
Correct Answer :C) vesicle
Vesicle - up to 1.0 cm filled with serous fluid
A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after being in the hospital for 6 weeks.
She was treated for sepsis and respiratory failure and had to be on a ventilator for 3 weeks. The nurse is
completing an initial assessment and evaluating the client's skin condition. On her sacrum there is full-thickness
skin loss that is 5 cm in diameter with damage to the subcutaneous tissue. The underlying muscle is not affected.
What is the stage of this pressure ulcer?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4 - Correct Answer :C) Stage 3
A crater appears in the skin, with full-thickness skin loss and damage to or necrosis of subcutaneous tissue that
may extend to, but not through underlying muscle.
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Mrs. Anderson presents with an itchy rash which is raised and appears and disappears in various locations. Each
lesion lasts for many minutes. What most likely accounts for this rash?
A) Insect bites
B) Wheals, urticaria, or hives
C) Psoriasis
D) Purpura –
Correct Answer :B) Wheals, urticaria, or hives
Wheals/urticaria - a somewhat irregular, relatively transient, superficial area of localized skin edema.
Ethel is a 68 year old Caucasian female who is new to your area. She shows you multiple brown colored, flat
lesions on her face, chest, and hands that have been present for years. You respond that these are likely:
A) solar lentigos
B) melanomas
C) keloids
D) fissures –
Correct Answer :A) solar lentigos
solar lentigos are from sun damage, are more common on the face, shoulders, and hands.
A 27 year old female patient has three furuncles connected around a hair follicle. You use the following term in
your charting:
A) nodules
B) carbuncle
C) macules
D) bulla - Correct Answer :B) carbuncle
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