Nursing 251 Exam 3 Questions With Complete Solutions
A bluish hue to the skin and nails that develops as a result of
decreased perfusion is called which term? Correct Answer
Cyanosis
A client visits the clinic and tells the nurse that she has joint pain
in her hands, especially in the morning. The nurse should assess
the client further for signs and symptoms of Correct Answer
Rheumatoid Arthritis
A female client visits the clinic and complains to the nurse that
her skin feels "dry". On physical exam, her mucous membranes
are dry and cracked. The nurse should instruct the client that the
skin findings are related to . . . Correct Answer Dehydration
A nurse is examining a new patient admitted to the hospital unit
from home. The patient is bed-ridden and transfers to a chair
only with the assist of family members. The nurse notes an area
of redness that does not blanch with palpation on the patient's
buttocks; however, the area's skin is intact. What stage of
pressure ulcer development does the nurse document? Correct
Answer Stage I
A nurse is performing a nutritional assessment on a client.
Which of the two following clinical skin findings are suggestive
of malnutrition? Correct Answer Poor wound healing; dry
brittle hair
A nurse is preparing to auscultate and percuss a patient's
abdomen as part of a comprehensive physical examination.
, Which of the following 2 findings should the nurse expect?
Correct Answer High-Pitched gurgles; tympany
A patient presents with a linear crack with abrupt edges that
extends into the dermis. This is described as what type of
secondary skin lesion? Correct Answer fissure
Abrupt stopping of breathing when palpating RUQ; gallbladder
Correct Answer Murphy's Sign
All of the following are common shapes and configurations of
lesions except? Correct Answer wheal, or superficial, raised
Carpal tunnel syndrome is Correct Answer Positive Tinel sign
During a musculoskeletal assessment, for which one of the
following parameters are you examining each joint? Correct
Answer Deformity and/or crepitus; pain and swelling; warmth
and redness
During a physical examination of an adult client, when should
the nurse auscultate the client's abdomen? Correct Answer
After inspection of the abdomen and before palpation
Ecchymosis around umbilicus; internal bleeding Correct
Answer Cullen's Sign
If a patient has a diagnosis of jaundice, what skin finding might
you note on exam? Correct Answer Yellow sclera
A bluish hue to the skin and nails that develops as a result of
decreased perfusion is called which term? Correct Answer
Cyanosis
A client visits the clinic and tells the nurse that she has joint pain
in her hands, especially in the morning. The nurse should assess
the client further for signs and symptoms of Correct Answer
Rheumatoid Arthritis
A female client visits the clinic and complains to the nurse that
her skin feels "dry". On physical exam, her mucous membranes
are dry and cracked. The nurse should instruct the client that the
skin findings are related to . . . Correct Answer Dehydration
A nurse is examining a new patient admitted to the hospital unit
from home. The patient is bed-ridden and transfers to a chair
only with the assist of family members. The nurse notes an area
of redness that does not blanch with palpation on the patient's
buttocks; however, the area's skin is intact. What stage of
pressure ulcer development does the nurse document? Correct
Answer Stage I
A nurse is performing a nutritional assessment on a client.
Which of the two following clinical skin findings are suggestive
of malnutrition? Correct Answer Poor wound healing; dry
brittle hair
A nurse is preparing to auscultate and percuss a patient's
abdomen as part of a comprehensive physical examination.
, Which of the following 2 findings should the nurse expect?
Correct Answer High-Pitched gurgles; tympany
A patient presents with a linear crack with abrupt edges that
extends into the dermis. This is described as what type of
secondary skin lesion? Correct Answer fissure
Abrupt stopping of breathing when palpating RUQ; gallbladder
Correct Answer Murphy's Sign
All of the following are common shapes and configurations of
lesions except? Correct Answer wheal, or superficial, raised
Carpal tunnel syndrome is Correct Answer Positive Tinel sign
During a musculoskeletal assessment, for which one of the
following parameters are you examining each joint? Correct
Answer Deformity and/or crepitus; pain and swelling; warmth
and redness
During a physical examination of an adult client, when should
the nurse auscultate the client's abdomen? Correct Answer
After inspection of the abdomen and before palpation
Ecchymosis around umbilicus; internal bleeding Correct
Answer Cullen's Sign
If a patient has a diagnosis of jaundice, what skin finding might
you note on exam? Correct Answer Yellow sclera
