Questions With Complete Solutions
Close, careful scrutiny, first of individual as a whole and then of
each body system
Begins when you first meet person with a general survey
As you proceed through examination, start assessment of each
body system with inspection
Inspection always comes first
Inspection requires
Good lighting
Adequate exposure
Occasional use of instruments, including otoscope,
ophthalmoscope, penlight, or nasal and vaginal specula, to
enlarge your view
4 levels to Edema - +1 Correct Answer mild pitting - small
indentation, no perceptible swelling of the leg
4 levels to Edema - +2 Correct Answer moderate pitting -
Indentation subsized rapidly
4 levels to Edema - +3 Correct Answer Deep pitting -
Remains for a short time, leg is very swollen
4 levels to Edema - +4 Correct Answer Very deep pitting,
Last for a long time, extremely swollen
Acromealy Correct Answer
Acute infection
,Chronic Inflammation
Cancerous
Auto Immune Correct Answer Enlarged Lymph Node
Alopecia Areata Correct Answer Patchy loss of hair occurring
on the scalp or other parts of the body; Autoimmune
Sudden loss of hair in round or irregular patches without display
of an inflamed scalp.
Annular Correct Answer Ringworm
Aphasia Correct Answer Impairment of language ability
secondary to brain damage
Apocrine glands Correct Answer White glands, produces
body odor. Oiled structures attached to the hair follicles found
under the arms and in the genital area - Stimulated from sex and
emotional stimulation
Appearance
Behavior
Cognition
Thought processes Correct Answer Keep in mind the four
main headings of mental status assessment: A-B-C-T
Assessment
Diagnosis
Outcome identification
Planning
Implementation
Evaluation Correct Answer Steps of the Nursing Process (6)
, Assessment Correct Answer Collection of data from multiple
sources; The collection of data about an individual's health state
Assessment Phase of Skin Correct Answer Previous history of
skin disease
Change in pigmentation
Change in mole
Excessive dryness or moisture
Pruritus - Itchings
Excessive bruising
Rash or lesion
Medications
Hair loss
Change in nails
Environmental or occupational hazards
Self-care behaviors
Assymmetry, border irregularity, color variation, diameter,
elevation and enlargement Correct Answer ABCDE
Auscultation Correct Answer Listening to sounds produced
by the body (heart, blood vessels, lungs, abdomen)
Basal Cell Carcinoma Correct Answer Most common form of
skin cancer
Starts as a skin-colored papule with a translucent top.
Most common and least severe type of skin cancer; often
characterized by light or pearly nodules.