NURS 612 Exam 2 Maryville University Respiratory and
Lymphatic Assessment Comprehensive Exam Review with
Questions and Answers
1. Skin inspection and palpation includes assessment for:
Color, uniformity, and symmetry
Skin lesions
Skin temperature
All of the above
2. Lichenification refers to:
Skin excoriation
Skin hyperpigmentation
Pruritis and itchiness
Skin thickening
3. Describe the significance of the occipital lymph nodes in the lymphatic
system.
The occipital lymph nodes are responsible for filtering blood in the
neck region.
The occipital lymph nodes are primarily involved in draining lymph
from the arms.
The occipital lymph nodes play a role in draining lymph from the
scalp and posterior head region.
The occipital lymph nodes do not have a significant role in the
lymphatic system.
,4. Describe a vesicle.
Elevated lesion containing serous fluid, less than 1 cm in diameter.
Elevated lesion containing pus-like fluid, more than 1 cm in diameter.
Pustule that is 1 cm in diameter.
Lower papule that is smaller than 1 cm in diameter.
5. What is the definition of excoriation in dermatological terms?
The loss of the epidermis resulting in a linear hollowed-out, crusted
area.
A type of skin lesion characterized by redness and swelling.
A condition where skin becomes excessively dry and flaky.
An abnormal growth of skin cells leading to a tumor.
6. When evaluating a patient's skin, what 3 components are assessed?
Color, moisture, elasticity
Color, texture, moisture
Color, temperature, texture
Color, temperature, moisture
7. A client comes to the clinic reporting skin lesions. The nurse assesses the
lesions and notes they are 0.5 cm in size, elevated and solid, with very distinct
borders. Based on the findings, which of the following should the nurse
document the presence of?
Vesicles
Wheals
, Macules
papules
8. What is the typical location for bronchovesicular breath sounds?
Over the major bronchi
Over the trachea
Over the alveoli
Over the lungs
9. A patient presents with a respiratory rate of 10 breaths per minute. What
assessment should be prioritized based on this finding?
Evaluate for neurologic or electrolyte disturbances.
Assess for increased physical activity.
Check for signs of dehydration.
Monitor for signs of anxiety.
10. Which of the following most accurately describes a nodule?
Flat elevation of the skin >1 cm
Circumscribed, solid elevation >1 cm in diameter that usually
extends into the deeper layers of the skin
Sharply circumscribed raised lesion filled with edema
A small, solid elevation of the skin <1 cm in diameter that consists of a
superficial infiltrate
11. Which of the following correctly describes the supraclavicular lymph nodes?
, usually demonstrates metastatic changes when level I and II nodes
are clear
usually demonstrate metastatic changes when level I nodes are clear
they are part of the axillary chain
they are considered a distant site of metastasis and if affected, the
prognosis is poor
12. What are the four characteristics assessed during nail palpation?
Texture, firmness, thickness, and adherence.
Firmness, adherence, color, and size.
Color, shape, size, and adherence.
Thickness, texture, color, and shape.
13. Describe the characteristics that define a plaque in dermatological
assessments.
A plaque is an elevated, firm, rough lesion with a flat top surface
greater than 1 cm.
A plaque is a flat, smooth lesion that is less than 1 cm in diameter.
A plaque is a discolored area of skin that is not elevated.
A plaque is a raised, soft lesion with a rounded surface.
14. A patient presents with a respiratory rate of 25 breaths per minute and
reports feeling anxious and in pain. What condition might this indicate, and
what should be the next step in assessment?
This indicates respiratory distress; the next step should be to
administer oxygen immediately.
Lymphatic Assessment Comprehensive Exam Review with
Questions and Answers
1. Skin inspection and palpation includes assessment for:
Color, uniformity, and symmetry
Skin lesions
Skin temperature
All of the above
2. Lichenification refers to:
Skin excoriation
Skin hyperpigmentation
Pruritis and itchiness
Skin thickening
3. Describe the significance of the occipital lymph nodes in the lymphatic
system.
The occipital lymph nodes are responsible for filtering blood in the
neck region.
The occipital lymph nodes are primarily involved in draining lymph
from the arms.
The occipital lymph nodes play a role in draining lymph from the
scalp and posterior head region.
The occipital lymph nodes do not have a significant role in the
lymphatic system.
,4. Describe a vesicle.
Elevated lesion containing serous fluid, less than 1 cm in diameter.
Elevated lesion containing pus-like fluid, more than 1 cm in diameter.
Pustule that is 1 cm in diameter.
Lower papule that is smaller than 1 cm in diameter.
5. What is the definition of excoriation in dermatological terms?
The loss of the epidermis resulting in a linear hollowed-out, crusted
area.
A type of skin lesion characterized by redness and swelling.
A condition where skin becomes excessively dry and flaky.
An abnormal growth of skin cells leading to a tumor.
6. When evaluating a patient's skin, what 3 components are assessed?
Color, moisture, elasticity
Color, texture, moisture
Color, temperature, texture
Color, temperature, moisture
7. A client comes to the clinic reporting skin lesions. The nurse assesses the
lesions and notes they are 0.5 cm in size, elevated and solid, with very distinct
borders. Based on the findings, which of the following should the nurse
document the presence of?
Vesicles
Wheals
, Macules
papules
8. What is the typical location for bronchovesicular breath sounds?
Over the major bronchi
Over the trachea
Over the alveoli
Over the lungs
9. A patient presents with a respiratory rate of 10 breaths per minute. What
assessment should be prioritized based on this finding?
Evaluate for neurologic or electrolyte disturbances.
Assess for increased physical activity.
Check for signs of dehydration.
Monitor for signs of anxiety.
10. Which of the following most accurately describes a nodule?
Flat elevation of the skin >1 cm
Circumscribed, solid elevation >1 cm in diameter that usually
extends into the deeper layers of the skin
Sharply circumscribed raised lesion filled with edema
A small, solid elevation of the skin <1 cm in diameter that consists of a
superficial infiltrate
11. Which of the following correctly describes the supraclavicular lymph nodes?
, usually demonstrates metastatic changes when level I and II nodes
are clear
usually demonstrate metastatic changes when level I nodes are clear
they are part of the axillary chain
they are considered a distant site of metastasis and if affected, the
prognosis is poor
12. What are the four characteristics assessed during nail palpation?
Texture, firmness, thickness, and adherence.
Firmness, adherence, color, and size.
Color, shape, size, and adherence.
Thickness, texture, color, and shape.
13. Describe the characteristics that define a plaque in dermatological
assessments.
A plaque is an elevated, firm, rough lesion with a flat top surface
greater than 1 cm.
A plaque is a flat, smooth lesion that is less than 1 cm in diameter.
A plaque is a discolored area of skin that is not elevated.
A plaque is a raised, soft lesion with a rounded surface.
14. A patient presents with a respiratory rate of 25 breaths per minute and
reports feeling anxious and in pain. What condition might this indicate, and
what should be the next step in assessment?
This indicates respiratory distress; the next step should be to
administer oxygen immediately.
