HELTH ASSESSMENT ACTUAL FINAL EXAM 2024-2025 NEWEST
VERSION \\ UPDATED EXAM WITH COMPLETE QUESTIONS AND
ACCURATE DETAILED ANSWERS || REAL EXAM WITH VERIFIED
ANSWERS ALREADY GRADED A+
The nurse is assessing a ANS: B
patient who has liver The yellow sclera of jaundice extends up to the edge
disease for jaundice. Which of the iris. Calluses on the palms and soles of the feet
of these assessment often appear yellow but are not classified as jaundice.
findings is indicative of true Scleral jaundice should not be confused with the normal
jaundice? yellow subconjunctival fatty deposits that are common
a. Yellow patches in the outer in the outer sclera of dark-skinned persons.
sclera
b. Yellow color of the
sclera that extends up to
the iris
c. Skin that appears yellow
when examined under low
light
d. Yellow deposits on the
palms and soles of the feet
where jaundice first
appears
The nurse is assessing for ANS: C
inflammation in a dark- Because inflammation cannot be seen in dark-skinned
skinned person. Which persons, palpating the skin for increased warmth, for taut
technique is the best? or tightly pulled surfaces that may be indicative of edema,
a. Assessing the skin for and for a hardening of deep tissues or blood vessels
cyanosis and swelling is often necessary.
b. Assessing the oral
mucosa for
generalized
erythema
c. Palpating the skin for
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edema and increased
warmth
d. Palpating for tenderness and
local areas
of ecchymosis
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A 52-year-old woman has a ANS: B
papule on her nose that has Basal cell carcinoma usually starts as a skin-colored
rounded, pearly borders and papule that develops rounded, pearly borders with a
a central red ulcer. She central red ulcer. It is the most common form of skin
said she first cancer and grows slowly. This description does not fit
noticed it several months acne lesions.
ago and that it has slowly
grown larger. The nurse
suspects which condition?
a. . Acne
b. . Basal cell carcinoma
c. Melanoma
d.Squamous cell carcinoma
A father brings in his 2- ANS: D
month-old infant to the Mobility and turgor are tested over the abdomen in an
clinic because the infant infant. Poor turgor, or tenting, indicates dehydration or
has had malnutrition. The other sites are not appropriate for
checking skin turgor in an infant.
diarrhea for the last 24
hours. He says his baby
has not been able to keep
any
formula down and that the
diarrhea has been at least
every 2 hours. The nurse
suspects dehydration. The
nurse should test skin
mobility and turgor over the
infant's:
a. Sternum.
b. Forehead.
c. Forearms.
d. Abdomen.
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A semiconscious woman is ANS: B
brought to the emergency A bright cherry-red coloring in the face, upper torso, nail
department after she was beds, lips, and oral mucosa appears in cases of
found on the floor in her carbon monoxide poisoning.
kitchen. Her face, nail beds,
lips, and oral mucosa are a
bright cherry-red color.
The nurse suspects that
this coloring is due to:
a. Polycythemia.
b. Carbon monoxide poisoning.
c. Carotenemia.
d. Uremia.
A patient has been ANS: C
admitted for severe Sharply defined pitting and crumbling of the nails,
psoriasis. The nurse each with distal detachment characterize pitting nails
expects to see what and are associated with psoriasis. (See Table 12-13
finding in the patient's for descriptions of the other terms.)
fingernails?
a. Splinter hemorrhages
b. Paronychia
c. Pitting
d. Beau lines
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