N2030 Health Assessment Exam 1 Questions With Complete
Solutions
A supraclavicular lymph node that is firm and fixed is most
suspicious for:
A) Localized skin infection
B) Dental abscess
C) Metastatic cancer (e.g., from the lungs or GI tract)
D) Allergic reaction Correct Answers C) Metastatic cancer
(e.g., from the lungs or GI tract)
Acromegaly Correct Answers enlargement of face R/T
pituitary gland producing too much GH
Age related changes to skin in adolescence Correct Answers
enlargement of apocrine glands, increased sebum production,
coarse terminal hair in axillae and pubic areas
Age related changes to skin in the elderly Correct Answers
sebaceous and sweat gland activity decreases where skin
becomes drier; thinning of epidermis; decreasing elasticity and
collagen loss in the dermis; subcutaneous tissues decrease;
graying hair (decrease in number of functioning melanocytes)
Allergies Correct Answers Having a hypersensitivity to a
substance that does not normally cause a reaction; includes
medications, environmental irritants, food, and latex
Assessing for anemia Correct Answers note koilonychia--
central depression of the nail with lateral elevation of nail plate
,Assessing for aortic aneurysm Correct Answers -tracheal tug
(Cardarelli's sign, Oliver's sign), auscultate for bruits
Assessing for clubbing Correct Answers angle of nail increases
toward or exceeds 180 degrees; Schamroth technique
Assessing for dehydration Correct Answers skin should move
easily when pinched, returning to place immediately when
release (skin turgor); can pinch abdomen
Assessing for edema Correct Answers press on skin and note
any pitting
Assessing for hypoxia Correct Answers may be indicated by a
bluish discoloration of the skin
Assessing temperature Correct Answers use dorsal surface of
hands or fingers; looking for bilateral symmetry
Assessing temporal arteries Correct Answers -located between
top of ear and eye
-inspect for redness, bounding, and elevation
-palpate for tenderness, hardness, or thickening
-may feel faint
-auscultate for bruits
Assessing thyroid Correct Answers -inspect str/tang
-look for enlargement or nodules
-have pt tilt head slightly upward and palpate isthmus band,
place fingers on lateral aspects- push on one side, palpate
opposite in a circular motion
, Assessment of CNV trigeminal nerve Correct Answers place
fingers anterior to tragus; have pt open and close jaw; move jaw
in and out; clench jaw
Assessment of CNVII facial nerve Correct Answers have pt
raise eyebrows, close eyes, smile, kissing face
Assisted auscultation uses what? Correct Answers stethoscope
At-risk spiritual health Correct Answers pt may experience "a
disruption in the values/beliefs that provide... strength, hope, and
meaning"
Bell's palsy Correct Answers temporary asymmetry and
weakness in facial muscles; check CNVII
Biblical foundations reviewed in spiritual assessment
presentation and how they relate to spiritual care Correct
Answers Hebrews 10:22-25--> encourage/stand alongside of
each other
2 Cor. 1:3-7--> comfort others
Bulla Correct Answers vesicle greater than 1 cm in diameter
Burns Correct Answers tissue injuries caused by heat,
chemicals, electricity, radiation, or sunlight
CAGE Correct Answers substance use screening tool that
identifies potential alcohol abuse
Solutions
A supraclavicular lymph node that is firm and fixed is most
suspicious for:
A) Localized skin infection
B) Dental abscess
C) Metastatic cancer (e.g., from the lungs or GI tract)
D) Allergic reaction Correct Answers C) Metastatic cancer
(e.g., from the lungs or GI tract)
Acromegaly Correct Answers enlargement of face R/T
pituitary gland producing too much GH
Age related changes to skin in adolescence Correct Answers
enlargement of apocrine glands, increased sebum production,
coarse terminal hair in axillae and pubic areas
Age related changes to skin in the elderly Correct Answers
sebaceous and sweat gland activity decreases where skin
becomes drier; thinning of epidermis; decreasing elasticity and
collagen loss in the dermis; subcutaneous tissues decrease;
graying hair (decrease in number of functioning melanocytes)
Allergies Correct Answers Having a hypersensitivity to a
substance that does not normally cause a reaction; includes
medications, environmental irritants, food, and latex
Assessing for anemia Correct Answers note koilonychia--
central depression of the nail with lateral elevation of nail plate
,Assessing for aortic aneurysm Correct Answers -tracheal tug
(Cardarelli's sign, Oliver's sign), auscultate for bruits
Assessing for clubbing Correct Answers angle of nail increases
toward or exceeds 180 degrees; Schamroth technique
Assessing for dehydration Correct Answers skin should move
easily when pinched, returning to place immediately when
release (skin turgor); can pinch abdomen
Assessing for edema Correct Answers press on skin and note
any pitting
Assessing for hypoxia Correct Answers may be indicated by a
bluish discoloration of the skin
Assessing temperature Correct Answers use dorsal surface of
hands or fingers; looking for bilateral symmetry
Assessing temporal arteries Correct Answers -located between
top of ear and eye
-inspect for redness, bounding, and elevation
-palpate for tenderness, hardness, or thickening
-may feel faint
-auscultate for bruits
Assessing thyroid Correct Answers -inspect str/tang
-look for enlargement or nodules
-have pt tilt head slightly upward and palpate isthmus band,
place fingers on lateral aspects- push on one side, palpate
opposite in a circular motion
, Assessment of CNV trigeminal nerve Correct Answers place
fingers anterior to tragus; have pt open and close jaw; move jaw
in and out; clench jaw
Assessment of CNVII facial nerve Correct Answers have pt
raise eyebrows, close eyes, smile, kissing face
Assisted auscultation uses what? Correct Answers stethoscope
At-risk spiritual health Correct Answers pt may experience "a
disruption in the values/beliefs that provide... strength, hope, and
meaning"
Bell's palsy Correct Answers temporary asymmetry and
weakness in facial muscles; check CNVII
Biblical foundations reviewed in spiritual assessment
presentation and how they relate to spiritual care Correct
Answers Hebrews 10:22-25--> encourage/stand alongside of
each other
2 Cor. 1:3-7--> comfort others
Bulla Correct Answers vesicle greater than 1 cm in diameter
Burns Correct Answers tissue injuries caused by heat,
chemicals, electricity, radiation, or sunlight
CAGE Correct Answers substance use screening tool that
identifies potential alcohol abuse
