Exam 2: NUR 2180/ NUR2180 Physical Assessment Questions and Answers with Rationales| Latest Update 2023/2024| Grade A| Rasmussen

Exam 2: NUR 2180/ NUR2180 Physical Assessment Questions and Answers with Rationales| Latest Update 2023/2024| Grade A| Rasmussen Which patient has the least risk for unhealthy fat distribution? a. The man whose triceps skinfold is at the 25th percentile b. The woman whose triceps skinfold is at the 72nd percentile c. The man whose waist circumference is 46 inches and hip circumference is 40 inches d. The woman whose waist circumference is 30 inches and hip circumference is 38 inches Answer: D Rationale: A Triceps skinfold is an estimate for total body fat, rather than risk. The expected value is near the 50th percentile. B Triceps skinfold is an estimate for total body fat, rather than risk. The expected value is near the 50th percentile. C This man's waist-to-hip ratio is 1.15, which is higher than the 1.0 or less expected value for a man. D This woman's waist-to-hip ratio is 0.789, which is below 0.8, the expected value for women A patient who has anorexia nervosa reports a healthy diet and no protein calorie malnutrition. Which lab value best confirms this patient's report? a. Prealbumin b. Serum albumin c. Blood glucose d. Serum cholesterol Answer: A Rationale: A Prealbumin is a reflection of protein and calorie intake for the previous 2 to 3 days A nurse is assessing an 80-year-old patient who is cared for at home by his 79-year-old wife. Which data indicate this patient has malnutrition? Select all that apply. a. Body mass index (BMI) of 17 b. Waist-to-hip ratio of 1.0 c. Weight loss of 6% since last month's visit d. Prealbumin level of 16 mg/dl e. Hematocrit level of 50% f. Hemoglobin level of 20 g/dl Answer: A, C, F A woman who is 4 feet 11 inches tall is told by her provider to lose weight so that she is closer to her desired body weight. She asks the nurse, "How can I find out what my desired body weight should be?" The nurse responds, "Let me show you how to calculate it. Your desired body weight (DBW) should be _____ lb." Answer: 103.25 4 feet 11 inches = 59 inches. DBW = 105 lb for the 60 inches + 5 lb for every other inch. However this woman is under 5 feet in height. Thus 105 lb/60 inches = 1.75 lb/inch. 1.75 ´ 59 inches = 103.25 lb. A patient asks the nurse if it is possible to grow new skin. What is the nurse's most appropriate response? a. "Even if new skin growth is required, the melanocytes do not regenerate." b. "The avascular epidermis sheds slowly and is replaced completely every 4 weeks." c. "The outer layer of skin remains the same over the lifetime except for repairing injuries." d. "Epidermal regeneration is impossible because it is avascular." Answer: B A nurse assessing a patient with liver disease expects to find which manifestation during the examination? a. Yellowish color in the axilla and groin b. Yellow pigmentation in the sclera c. Very pale skin on the palms d. Ashen-gray color in the oral mucous membranes Answer: B How does the nurse recognize jaundice in a dark-skinned patient? a. Inspect the conjunctiva for ashen-gray color. b. Inspect the nail beds for a deeper brown or purple skin tone. c. Inspect the palms and soles for yellowish-green color. d. Inspect the oral mucous membrane for yellow color. Answer: C What signs of cyanosis does a nurse inspect for in a dark-skinned patient? a. Ashen-gray color of the oral mucous membranes b. Blue color in the nail beds c. Ashen-blue color in the palms and soles d. Blue-gray color in the ear lobes and lips Answer: A When the patient's chart includes a notation that petechiae are present, what finding does a nurse expect during inspection? a. Purplish-red pinpoint lesions b. Deep purplish or red patches of skin c. Small raised fluid-filled pinkish nodules d. Generalized reddish discoloration of an area of skin Answer: A A Purplish-red pinpoint lesions describes the appearance of petechiae. B Petechiae are pinpoints, not as large as a patch. C Petechiae are pinpoints, not raised as a nodule. D Petechiae are pinpoints, not generalized. When performing a skin assessment of an adult patient, the nurse expects what finding? a. Reddened area does not blanch when gentle pressure is applied b. Indentation of the finger remains in the skin after palpation c. Flaking or scaling of the skin d. Return of skin to its original position when pinched up slightly Answer: D Rationale: