HEALTH ASSESSMENT FINAL
REVIEW TESTBANK QUESTIONS
AND ANSWERS
A physician has diagnosed a patient with purpura. After leaving the room, a nursing student asks the
nurse what the physician saw that led to that diagnosis. The nurse should say, The physician is referring
to the:
a.
Blue dilation of blood vessels in a tstar-shaped tlinear tpattern ton tthe
tlegs.tb.
Fiery tred, tstar-shaped tmarking ton tthe tcheek tthat thas ta tsolid tcircular
tcenter.tc.
Confluent tand textensive tpatch tof tpetechiae tand tecchymoses ton tthe
tfeet.td.
Tiny tareas tof themorrhage tthat tare tless tthan t2 tmm, tround, tdiscrete, tand tdark tred tin tcolor. t-
tCORRECTtANSWER t-ANS: tC
Purpura tis ta tconfluent tand textensive tpatch tof tpetechiae tand tecchymoses tand ta tflat tmacular
themorrhagetobserved tin tgeneralized tdisorders tsuch tas tthrombocytopenia tand tscurvy. tThe tblue
tdilation tof tblood tvessels tin ta tstar-shaped tlinear tpattern ton tthe tlegs tdescribes ta tvenous tlake. tThe
tfiery tred, tstar-shaped tmarking ton tthe tcheek tthat thas ta tsolid tcircular tcenter tdescribes ta tspider tor
tstar tangioma. tThe ttiny tareas tof themorrhage tthat tare tless tthan t2 tmm, tround, tdiscrete, tand tdark
tred tin tcolor tdescribes tpetechiae.
The tnurse teducator tis tpreparing tan teducation tmodule tfor tthe tnursing tstaff ton tthe tepidermal
tlayer toftskin. tWhich tof tthese tstatements twould tbe tincluded tin tthe tmodule? tThe tepidermis tis:
,a.
Highly
tvascular.tb.
Thick tand
ttough.tc.
Thin tand
tnonstratified.td.
Replaced tevery t4 tweeks. t- tCORRECT tANSWER t-ANS: tD
The tepidermis tis tthin tyet ttough, treplaced tevery t4 tweeks, tavascular, tand tstratified tinto tseveral tzones.
The tnurse teducator tis tpreparing tan teducation tmodule tfor tthe tnursing tstaff ton tthe tdermis tlayer
tof tskin.tWhich tof tthese tstatements twould tbe tincluded tin tthe tmodule? tThe tdermis:
a.
Contains tmostly tfat
tcells.tb.
Consists tmostly tof
tkeratin.tc.
Is treplaced tevery t4
tweeks.td.
Contains tsensory treceptors. t- tCORRECT tANSWER t-ANS: tD
The tdermis tconsists tmostly tof tcollagen, thas tresilient telastic ttissue tthat tallows tthe tskin tto
tstretch, tandtcontains tnerves, tsensory treceptors, tblood tvessels, tand tlymphatic tvessels. tIt tis tnot
treplaced tevery t4 tweeks.
,the tnurse tis texamining ta tpatient twho ttells tthe tnurse, tI tsure tsweat ta tlot, tespecially ton tmy tface
tand tfeettbut tit tdoesnt thave tan todor. tThe tnurse tknows tthat tthis tcondition tcould tbe trelated tto:
a.
Eccrine
tglands.tb.
Apocrine
tglands.tc.
Disorder tof tthe tstratum
tcorneum.td.
Disorder tof tthe tstratum tgerminativum. t- tCORRECT tANSWER t-ANS: tA
The teccrine tglands tare tcoiled ttubules tthat tdirectly topen tonto tthe tskin tsurface tand tproduce ta
tdilute tsalinetsolution tcalled tsweat. tApocrine tglands tare tprimarily tlocated tin tthe taxillae, tanogenital
tarea, tnipples, tand tnaval tarea tand tmix twith tbacterial tflora tto tproduce tthe tcharacteristic tmusky
tbody todor. tThe tpatients tstatement tis tnot trelated tto tdisorders tof tthe tstratum tcorneum tor tthe
tstratum tgerminativum.
A tnewborn tinfant tis tin tthe tclinic tfor ta twell-baby tcheckup. tThe tnurse tobserves tthe tinfant tfor tthe
tpossibilitytof tfluid tloss tbecause tof twhich tof tthese tfactors?
a.
Subcutaneous tfat tdeposits tare thigh tin tthe
tnewborn.tb.
Sebaceous tglands tare toverproductive tin tthe
tnewborn.tc.
, The tnewborns tskin tis tmore tpermeable tthan tthat tof tthe
tadult.td.
The tamount tof tvernix tcaseosa tdramatically trises tin tthe tnewborn. t- tCORRECT tANSWER t-ANS: tC
The tnewborns tskin tis tthin, tsmooth, tand telastic tand tis trelatively tmore tpermeable tthan tthat tof
tthe tadult; tconsequently, tthe tinfant tis tat tgreater trisk tfor tfluid tloss. tThe tsubcutaneous tlayer tin
tthe tinfant tis tinefficient, tnot tthick, tand tthe tsebaceous tglands tare tpresent tbut tdecrease tin tsize
tand tproduction. tVernixtcaseosa tis tnot tproduced tafter tbirth.
The tnurse tis tbathing tan t80-year-old tman tand tnotices tthat this tskin tis twrinkled, tthin, tlax, tand
tdry. tThistfinding twould tbe trelated tto twhich tfactor tin tthe tolder tadult?
a.
Increased tvascularity tof tthe
tskintb.
Increased tnumbers tof tsweat tand tsebaceous
tglandstc.
An tincrease tin telastin tand ta tdecrease tin
tsubcutaneous tfattd.
An tincreased tloss tof telastin tand ta tdecrease tin tsubcutaneous tfat t- tCORRECT tANSWER t-ANS: tD
An taccumulation tof tfactors tplace tthe taging tperson tat trisk tfor tskin tdisease tand tbreakdown: tthe
tthinning tof tthe tskin, ta tdecrease tin tvascularity tand tnutrients, tthe tloss tof tprotective tcushioning tof
tthe tsubcutaneoustlayer, ta tlifetime tof tenvironmental ttrauma tto tskin, tthe tsocial tchanges tof taging, ta
tincreasingly tsedentary tlifestyle, tand tthe tchance tof timmobility.
During tthe taging tprocess, tthe thair tcan tlook tgray tor twhite tand tbegin tto tfeel tthin tand tfine.
tThe tnursetknows tthat tthis toccurs tbecause tof ta tdecrease tin tthe tnumber tof tfunctioning:
REVIEW TESTBANK QUESTIONS
AND ANSWERS
A physician has diagnosed a patient with purpura. After leaving the room, a nursing student asks the
nurse what the physician saw that led to that diagnosis. The nurse should say, The physician is referring
to the:
a.
Blue dilation of blood vessels in a tstar-shaped tlinear tpattern ton tthe
tlegs.tb.
Fiery tred, tstar-shaped tmarking ton tthe tcheek tthat thas ta tsolid tcircular
tcenter.tc.
Confluent tand textensive tpatch tof tpetechiae tand tecchymoses ton tthe
tfeet.td.
Tiny tareas tof themorrhage tthat tare tless tthan t2 tmm, tround, tdiscrete, tand tdark tred tin tcolor. t-
tCORRECTtANSWER t-ANS: tC
Purpura tis ta tconfluent tand textensive tpatch tof tpetechiae tand tecchymoses tand ta tflat tmacular
themorrhagetobserved tin tgeneralized tdisorders tsuch tas tthrombocytopenia tand tscurvy. tThe tblue
tdilation tof tblood tvessels tin ta tstar-shaped tlinear tpattern ton tthe tlegs tdescribes ta tvenous tlake. tThe
tfiery tred, tstar-shaped tmarking ton tthe tcheek tthat thas ta tsolid tcircular tcenter tdescribes ta tspider tor
tstar tangioma. tThe ttiny tareas tof themorrhage tthat tare tless tthan t2 tmm, tround, tdiscrete, tand tdark
tred tin tcolor tdescribes tpetechiae.
The tnurse teducator tis tpreparing tan teducation tmodule tfor tthe tnursing tstaff ton tthe tepidermal
tlayer toftskin. tWhich tof tthese tstatements twould tbe tincluded tin tthe tmodule? tThe tepidermis tis:
,a.
Highly
tvascular.tb.
Thick tand
ttough.tc.
Thin tand
tnonstratified.td.
Replaced tevery t4 tweeks. t- tCORRECT tANSWER t-ANS: tD
The tepidermis tis tthin tyet ttough, treplaced tevery t4 tweeks, tavascular, tand tstratified tinto tseveral tzones.
The tnurse teducator tis tpreparing tan teducation tmodule tfor tthe tnursing tstaff ton tthe tdermis tlayer
tof tskin.tWhich tof tthese tstatements twould tbe tincluded tin tthe tmodule? tThe tdermis:
a.
Contains tmostly tfat
tcells.tb.
Consists tmostly tof
tkeratin.tc.
Is treplaced tevery t4
tweeks.td.
Contains tsensory treceptors. t- tCORRECT tANSWER t-ANS: tD
The tdermis tconsists tmostly tof tcollagen, thas tresilient telastic ttissue tthat tallows tthe tskin tto
tstretch, tandtcontains tnerves, tsensory treceptors, tblood tvessels, tand tlymphatic tvessels. tIt tis tnot
treplaced tevery t4 tweeks.
,the tnurse tis texamining ta tpatient twho ttells tthe tnurse, tI tsure tsweat ta tlot, tespecially ton tmy tface
tand tfeettbut tit tdoesnt thave tan todor. tThe tnurse tknows tthat tthis tcondition tcould tbe trelated tto:
a.
Eccrine
tglands.tb.
Apocrine
tglands.tc.
Disorder tof tthe tstratum
tcorneum.td.
Disorder tof tthe tstratum tgerminativum. t- tCORRECT tANSWER t-ANS: tA
The teccrine tglands tare tcoiled ttubules tthat tdirectly topen tonto tthe tskin tsurface tand tproduce ta
tdilute tsalinetsolution tcalled tsweat. tApocrine tglands tare tprimarily tlocated tin tthe taxillae, tanogenital
tarea, tnipples, tand tnaval tarea tand tmix twith tbacterial tflora tto tproduce tthe tcharacteristic tmusky
tbody todor. tThe tpatients tstatement tis tnot trelated tto tdisorders tof tthe tstratum tcorneum tor tthe
tstratum tgerminativum.
A tnewborn tinfant tis tin tthe tclinic tfor ta twell-baby tcheckup. tThe tnurse tobserves tthe tinfant tfor tthe
tpossibilitytof tfluid tloss tbecause tof twhich tof tthese tfactors?
a.
Subcutaneous tfat tdeposits tare thigh tin tthe
tnewborn.tb.
Sebaceous tglands tare toverproductive tin tthe
tnewborn.tc.
, The tnewborns tskin tis tmore tpermeable tthan tthat tof tthe
tadult.td.
The tamount tof tvernix tcaseosa tdramatically trises tin tthe tnewborn. t- tCORRECT tANSWER t-ANS: tC
The tnewborns tskin tis tthin, tsmooth, tand telastic tand tis trelatively tmore tpermeable tthan tthat tof
tthe tadult; tconsequently, tthe tinfant tis tat tgreater trisk tfor tfluid tloss. tThe tsubcutaneous tlayer tin
tthe tinfant tis tinefficient, tnot tthick, tand tthe tsebaceous tglands tare tpresent tbut tdecrease tin tsize
tand tproduction. tVernixtcaseosa tis tnot tproduced tafter tbirth.
The tnurse tis tbathing tan t80-year-old tman tand tnotices tthat this tskin tis twrinkled, tthin, tlax, tand
tdry. tThistfinding twould tbe trelated tto twhich tfactor tin tthe tolder tadult?
a.
Increased tvascularity tof tthe
tskintb.
Increased tnumbers tof tsweat tand tsebaceous
tglandstc.
An tincrease tin telastin tand ta tdecrease tin
tsubcutaneous tfattd.
An tincreased tloss tof telastin tand ta tdecrease tin tsubcutaneous tfat t- tCORRECT tANSWER t-ANS: tD
An taccumulation tof tfactors tplace tthe taging tperson tat trisk tfor tskin tdisease tand tbreakdown: tthe
tthinning tof tthe tskin, ta tdecrease tin tvascularity tand tnutrients, tthe tloss tof tprotective tcushioning tof
tthe tsubcutaneoustlayer, ta tlifetime tof tenvironmental ttrauma tto tskin, tthe tsocial tchanges tof taging, ta
tincreasingly tsedentary tlifestyle, tand tthe tchance tof timmobility.
During tthe taging tprocess, tthe thair tcan tlook tgray tor twhite tand tbegin tto tfeel tthin tand tfine.
tThe tnursetknows tthat tthis toccurs tbecause tof ta tdecrease tin tthe tnumber tof tfunctioning:
