GCU NUR 634 Midterm EXAM 2 LATEST
2025/2026 ACTUAL SUMMER-FALL
SEMESTER EXAM GRADED A +
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
Which of the following data should be included under the general statement with the physical
examination findings? (Select All That Apply)
A. Heart sounds
B. Level of distress
C. Height
D. Chief complaint –
Correct Answer :Ans: Level of distress; height.
A+ TEST BANK 1
, GCU NUR 634 Midterm EXAM LATEST
Observe the patient's general state of health, build, and sexual development. Obtain the
patient's height and weight. Note posture, motor activity, and gait; dress, grooming, and
personal hygiene; and any odors of the body or breath. Watch the patient's facial expressions
and note manner, demeanor, affect, and reactions to people and the environment. Listen to the
patient's speech and note the state of awareness or level of consciousness (p. 126).
During an external genitalia examination of a woman, the nurse notices several lesions around
the vulva. The lesions are pink, moist, soft, and pointed papules. The patient states that she is
not aware of any problems in that area. The nurse recognizes that these lesions may be:
a. Syphilitic chancre.
b. Herpes simplex virus type 2 (herpes genitalis).
c. HPV or genital warts.
d. Pediculosis pubis (crab lice). –
Correct Answer :ANS: C
HPV lesions are painless, warty growths that the woman may not notice. Lesions are pink or flesh
colored, soft, pointed, moist, warty papules that
occur in single or multiple cauliflower-like patches around the vulva,
introitus, anus, vagina, or cervix. Herpetic lesions are painful clusters of small, shallow vesicles
with
surrounding erythema. Syphilitic chancres begin as a solitary silvery papule that erodes into a
red, round or
oval superficial ulcer with a yellowish discharge. Pediculosis pubis causes severe perineal itching
and
excoriations and erythematous areas.
A+ TEST BANK 2
, GCU NUR 634 Midterm EXAM LATEST
A patient tells the nurse that he has noticed that one of his moles has started to burn and bleed.
When
assessing his skin, the nurse pays special attention to the danger signs for pigmented lesions and
is concerned
with which additional finding?
a. Color variation
b. Border regularity
c. Symmetry of lesions
d. Diameter of less than 6 mm –
Correct Answer :ANS: A
Abnormal characteristics of pigmented lesions are summarized in the mnemonic ABCD:
asymmetry of
pigmented lesion, border irregularity, color variation, and diameter greater than 6 mm.
A 42-year-old woman complains that she has noticed several small, slightly raised, bright red
dots on her
chest. On examination, the nurse expects that the spots are probably:
a. Anasarca.
b. Scleroderma.
c. Senile angiomas.
d. Latent myeloma. –
Correct Answer :ANS: C
A+ TEST BANK 3
, GCU NUR 634 Midterm EXAM LATEST
Cherry (senile) angiomas are small, smooth, slightly raised bright red dots that commonly appear
on the trunk
of adults over 30 years old.
A patient is especially worried about an area of skin on her feet that has turned white. The
health care
provider has told her that her condition is vitiligo. The nurse explains to her that vitiligo is:
a. Caused by an excess of melanin pigment
b. Caused by an excess of apocrine glands in her feet
c. Caused by the complete absence of melanin pigment
d. Related to impetigo and can be treated with an ointment –
Correct Answer :ANS: C
Vitiligo is the complete absence of melanin pigment in patchy areas of white or light skin on the
face, neck, hands, feet, body folds, and around
orifices otherwise, the depigmented skin is normal.
A 65-year-old man with emphysema and bronchitis has come to the clinic for a follow-up
appointment. On
assessment, the nurse might expect to see which finding?
a. Anasarca
b. Scleroderma
c. Pedal erythema
d. Clubbing of the nails –
Correct Answer :ANS: D
A+ TEST BANK 4