NUR 2102 Exam 2 QUESTIONS WITH COMPLETE
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Terms in this set (105)
A patient asks the nurse if it is b. "The avascular epidermis sheds slowly and is
possible to grow new skin. What is replaced completely every 4 weeks."
the nurse's most appropriate
response? Within this deepest layer of epidermis, active cell
a. "Even if new skin growth is generation takes place. As cells are produced, they
required, the melanocytes do not push up the older cells toward the skin surface. The
regenerate." entire process takes about 30 days. Melanocytes
b. "The avascular epidermis sheds are not involved in regeneration. They secrete
slowly and is replaced completely melanin, which provides pigment for the skin and
every 4 weeks." hair and serves as a shield against ultraviolet
c. "The outer layer of skin remains the radiation. The dead cells are continuously sloughed
same over the lifetime except for off and replaced by new cells moving up from the
repairing injuries." underlying epidermal layers. Within this deepest
d. "Epidermal regeneration is layer of epidermis, active cell generation takes
impossible because it is avascular." place.
,A nurse assessing a patient with liver b. Yellow pigmentation in the sclera
disease expects to find which
manifestation during the Jaundice is manifested by a yellowish color in the
examination? sclera of the eyes and palms of the hands in both
a. Yellowish color in the axilla and light- and dark-skinned patients. Instead of the
groin axilla and groin, assess the sclera of the eyes,
b. Yellow pigmentation in the sclera fingernails, palms of hands, and oral mucosa. Pale
c. Very pale skin on the palms skin may indicate anemia, but not jaundice. Yellow
d. Ashen-gray color in the oral color of the palms indicates jaundice. Ashen-gray
mucous membranes color may be seen in dark-skinned patients who
are cyanotic.
How does the nurse recognize c. Inspect the palms and soles for yellowish-green
jaundice in a dark-skinned patient? color.
a. Inspect the conjunctiva for ashen-
gray color. In dark-skinned patients, jaundice manifests as a
b. Inspect the nail beds for a deeper yellowish-green color that can be seen most
brown or purple skin tone. obviously in the sclera, palms of hands, and soles
c. Inspect the palms and soles for of feet. Ashen-gray color may be seen in dark-
yellowish-green color. skinned patients who are cyanotic. Brown or purple
d. Inspect the oral mucous tone is seen in dark-skinned patients with
membrane for yellow color. erythema. Mucous membranes do not change
color from jaundice.
What signs of cyanosis does a nurse a. Ashen-gray color of the oral mucous membranes
inspect for in a dark-skinned patient?
a. Ashen-gray color of the oral Cyanosis is manifested by ashen-gray color of the
mucous membranes oral mucous membranes and nail beds in a dark-
b. Blue color in the nail beds skinned patient. An ashen-gray color of the nail
c. Ashen-blue color in the palms and beds is expected in a dark-skinned patient, rather
soles than blue. An ashen-gray color of the oral mucous
d. Blue-gray color in the ear lobes membranes and nail beds are expected in a dark-
and lips skinned patient. An ashen-gray color of the oral
mucous membranes and nail beds are expected in
a dark-skinned patient.
,When the patient's chart includes a a. Purplish-red pinpoint lesions
notation that petechiae are present,
what finding does a nurse expect Purplish-red pinpoint lesions describe the
during inspection? appearance of petechiae. Petechiae are pinpoints,
a. Purplish-red pinpoint lesions not as large as a patch. Petechiae are pinpoints, not
b. Deep purplish or red patches of raised as a nodule. Petechiae are pinpoints, not
skin generalized.
c. Small raised fluid-filled pinkish
nodules
d. Generalized reddish discoloration
of an area of skin
When performing a skin assessment d. Return of skin to its original position when
of an adult patient, the nurse expects pinched up slightly
what finding?
a. Reddened area does not blanch Option D is an assessment of skin turgor; skin
when gentle pressure is applied. should return to its original position. Option A is an
b. Indentation of the finger remains indication of a stage I pressure ulcer. Option B is a
in the skin after palpation. description of edema. Option C may be an
c. Flaking or scaling of the skin indication of dry skin, systemic disease, or
d. Return of skin to its original nutritional deficiency.
position when pinched up slightly
A nurse notices a patient's nails are a. Pale conjunctiva
thin and depressed with the edges
turned up. What additional abnormal The abnormal nail finding was koilonychia, which
data should the nurse expect to find occurs in patients with anemia who frequently have
on this patient? pale conjunctiva. Jaundice is due to increased
a. Pale conjunctiva serum bilirubin, indicating liver or gallbladder
b. Jaundice disease, and does not create changes in nail
c. Ecchymosis structure. Ecchymosis occurs after trauma to the
d. Rashes blood vessel resulting in bleeding under the tissue
and does not cause changes in nail structure.
Rashes indicate an inflammation or allergic reaction
that does cause changes in the nails.
, A 45-year-old woman tells the nurse d. "Coarse dark hair could result from hormonal
she is distressed by the presence of changes such as from menopause."
dark, coarse hair on her face that has
recently developed. What is the Coarse, dark hair on the face describes hirsutism,
nurse's most appropriate response to an increase in the growth of facial, body, or pubic
this patient? hair in women that can be associated with
a. "This is simple vellus hair and it will menopause or an endocrine disorder. Option A is
decrease in amount over time." not true. This example describes hirsutism, a
b. "Some women in your cultural condition associated with an increase in the growth
group normally have dark hair on of facial, body, or pubic hair in women. It does not
their faces." decrease over time and the hair is not vellus.
c. "This is unusual; female hair Although it is true that women of some cultural
distribution should be limited to groups normally have dark hair on the face, women
arms, legs, and pubis." in these cultural groups have darker facial hair most
d. "Coarse dark hair could result from of their adult lives; the patient in this item has a new
hormonal changes such as from onset of hirsutism. It is not true that female hair
menopause." distribution should normally be limited to arms,
legs, and pubis. Women do have hair on their faces
and other areas.
What findings does a nurse expect c. Nail surface is smooth and rounded.
when inspecting and palpating a
patient's nails? Nail surface that is smooth and rounded is an
a. A nail base angle of not more than expected finding. The expected angle of the nail
90 degrees. base is 160 degrees. Patients with darker-
b. Whitish to clear nails in darker- pigmented skin typically have nails that are yellow
skinned patients. or brown, and vertical banded lines may appear.
c. Nail surface is smooth and Option D is a description of Beau lines.
rounded.
d. Transverse depression running
across the nails.
SOLUTION GUIDE (A+ GRADED 100% VERIFIED)
LATEST VERSION 2026!!
Save
Terms in this set (105)
A patient asks the nurse if it is b. "The avascular epidermis sheds slowly and is
possible to grow new skin. What is replaced completely every 4 weeks."
the nurse's most appropriate
response? Within this deepest layer of epidermis, active cell
a. "Even if new skin growth is generation takes place. As cells are produced, they
required, the melanocytes do not push up the older cells toward the skin surface. The
regenerate." entire process takes about 30 days. Melanocytes
b. "The avascular epidermis sheds are not involved in regeneration. They secrete
slowly and is replaced completely melanin, which provides pigment for the skin and
every 4 weeks." hair and serves as a shield against ultraviolet
c. "The outer layer of skin remains the radiation. The dead cells are continuously sloughed
same over the lifetime except for off and replaced by new cells moving up from the
repairing injuries." underlying epidermal layers. Within this deepest
d. "Epidermal regeneration is layer of epidermis, active cell generation takes
impossible because it is avascular." place.
,A nurse assessing a patient with liver b. Yellow pigmentation in the sclera
disease expects to find which
manifestation during the Jaundice is manifested by a yellowish color in the
examination? sclera of the eyes and palms of the hands in both
a. Yellowish color in the axilla and light- and dark-skinned patients. Instead of the
groin axilla and groin, assess the sclera of the eyes,
b. Yellow pigmentation in the sclera fingernails, palms of hands, and oral mucosa. Pale
c. Very pale skin on the palms skin may indicate anemia, but not jaundice. Yellow
d. Ashen-gray color in the oral color of the palms indicates jaundice. Ashen-gray
mucous membranes color may be seen in dark-skinned patients who
are cyanotic.
How does the nurse recognize c. Inspect the palms and soles for yellowish-green
jaundice in a dark-skinned patient? color.
a. Inspect the conjunctiva for ashen-
gray color. In dark-skinned patients, jaundice manifests as a
b. Inspect the nail beds for a deeper yellowish-green color that can be seen most
brown or purple skin tone. obviously in the sclera, palms of hands, and soles
c. Inspect the palms and soles for of feet. Ashen-gray color may be seen in dark-
yellowish-green color. skinned patients who are cyanotic. Brown or purple
d. Inspect the oral mucous tone is seen in dark-skinned patients with
membrane for yellow color. erythema. Mucous membranes do not change
color from jaundice.
What signs of cyanosis does a nurse a. Ashen-gray color of the oral mucous membranes
inspect for in a dark-skinned patient?
a. Ashen-gray color of the oral Cyanosis is manifested by ashen-gray color of the
mucous membranes oral mucous membranes and nail beds in a dark-
b. Blue color in the nail beds skinned patient. An ashen-gray color of the nail
c. Ashen-blue color in the palms and beds is expected in a dark-skinned patient, rather
soles than blue. An ashen-gray color of the oral mucous
d. Blue-gray color in the ear lobes membranes and nail beds are expected in a dark-
and lips skinned patient. An ashen-gray color of the oral
mucous membranes and nail beds are expected in
a dark-skinned patient.
,When the patient's chart includes a a. Purplish-red pinpoint lesions
notation that petechiae are present,
what finding does a nurse expect Purplish-red pinpoint lesions describe the
during inspection? appearance of petechiae. Petechiae are pinpoints,
a. Purplish-red pinpoint lesions not as large as a patch. Petechiae are pinpoints, not
b. Deep purplish or red patches of raised as a nodule. Petechiae are pinpoints, not
skin generalized.
c. Small raised fluid-filled pinkish
nodules
d. Generalized reddish discoloration
of an area of skin
When performing a skin assessment d. Return of skin to its original position when
of an adult patient, the nurse expects pinched up slightly
what finding?
a. Reddened area does not blanch Option D is an assessment of skin turgor; skin
when gentle pressure is applied. should return to its original position. Option A is an
b. Indentation of the finger remains indication of a stage I pressure ulcer. Option B is a
in the skin after palpation. description of edema. Option C may be an
c. Flaking or scaling of the skin indication of dry skin, systemic disease, or
d. Return of skin to its original nutritional deficiency.
position when pinched up slightly
A nurse notices a patient's nails are a. Pale conjunctiva
thin and depressed with the edges
turned up. What additional abnormal The abnormal nail finding was koilonychia, which
data should the nurse expect to find occurs in patients with anemia who frequently have
on this patient? pale conjunctiva. Jaundice is due to increased
a. Pale conjunctiva serum bilirubin, indicating liver or gallbladder
b. Jaundice disease, and does not create changes in nail
c. Ecchymosis structure. Ecchymosis occurs after trauma to the
d. Rashes blood vessel resulting in bleeding under the tissue
and does not cause changes in nail structure.
Rashes indicate an inflammation or allergic reaction
that does cause changes in the nails.
, A 45-year-old woman tells the nurse d. "Coarse dark hair could result from hormonal
she is distressed by the presence of changes such as from menopause."
dark, coarse hair on her face that has
recently developed. What is the Coarse, dark hair on the face describes hirsutism,
nurse's most appropriate response to an increase in the growth of facial, body, or pubic
this patient? hair in women that can be associated with
a. "This is simple vellus hair and it will menopause or an endocrine disorder. Option A is
decrease in amount over time." not true. This example describes hirsutism, a
b. "Some women in your cultural condition associated with an increase in the growth
group normally have dark hair on of facial, body, or pubic hair in women. It does not
their faces." decrease over time and the hair is not vellus.
c. "This is unusual; female hair Although it is true that women of some cultural
distribution should be limited to groups normally have dark hair on the face, women
arms, legs, and pubis." in these cultural groups have darker facial hair most
d. "Coarse dark hair could result from of their adult lives; the patient in this item has a new
hormonal changes such as from onset of hirsutism. It is not true that female hair
menopause." distribution should normally be limited to arms,
legs, and pubis. Women do have hair on their faces
and other areas.
What findings does a nurse expect c. Nail surface is smooth and rounded.
when inspecting and palpating a
patient's nails? Nail surface that is smooth and rounded is an
a. A nail base angle of not more than expected finding. The expected angle of the nail
90 degrees. base is 160 degrees. Patients with darker-
b. Whitish to clear nails in darker- pigmented skin typically have nails that are yellow
skinned patients. or brown, and vertical banded lines may appear.
c. Nail surface is smooth and Option D is a description of Beau lines.
rounded.
d. Transverse depression running
across the nails.
