Health Assessment Exam 2- Test Bank Questions
The nurse is examining a patient who tells the nurse, I sure sweat a lot, especially on my
face and feet but it doesnt have an odor. The nurse knows that this condition could be
related to: a. Eccrine glands. b. Apocrine glands. c. Disorder of the stratum corneum. d.
Disorder of the stratum germinativum. - a A newborn infant is in the clinic for a well-baby
checkup. The nurse observes the infant for the possibility of fluid loss because of which of
these factors? a. Subcutaneous fat deposits are high in the newborn. b. Sebaceous glands
are overproductive in the newborn. c. The newborns skin is more permeable than that of
the adult. d. The amount of vernix caseosa dramatically rises in the newborn. - c During an
examination, the nurse finds that a patient has excessive dryness of the skin. The best term
to describe this condition is: a. Xerosis. b. Pruritus. c. Alopecia. d. Seborrhea. - a A patient
comes in for a physical examination and complains of freezing to death while waiting for
her examination. The nurse notes that her skin is pale and cool and attributes this finding
to: a. Venous pooling. b. Peripheral vasodilation. c. Peripheral vasoconstriction. d.
Decreased arterial perfusion. - c A patient comes to the clinic and states that he has
noticed that his skin is redder than normal. The nurse understands that this condition is
due to hyperemia and knows that it can be caused by: a. Decreased amounts of bilirubin in
the blood b. Excess blood in the underlying blood vessels c. Decreased perfusion to the
surrounding tissues d. Excess blood in the dilated superficial capillaries - d A newborn
infant has Down syndrome. During the skin assessment, the nurse notices a transient
mottling in the trunk and extremities in response to the cool temperature in the
examination room. The infants mother also notices the mottling and asks what it is. The
nurse knows that this mottling is called: a. Caf au lait. b. Carotenemia. c. Acrocyanosis. d.
Cutis marmorata. - d A 35-year-old pregnant woman comes to the clinic for a monthly
appointment. During the assessment, the nurse notices that she has a brown patch of
hyperpigmentation on her face. The nurse continues the skin assessment aware that
another finding may be: a. Keratoses. b. Xerosis. c. Chloasma. d. Acrochordons. - c A man
has come in to the clinic for a skin assessment because he is worried he might have skin
cancer. During the skin assessment the nurse notices several areas of pigmentation that
look greasy, dark, and stuck on his skin. Which is the best prediction? a. Senile lentigines,
which do not become cancerous b. Actinic keratoses, which are precursors to basal cell
carcinoma c. Acrochordons, which are precursors to squamous cell carcinoma d.
Seborrheic keratoses, which do not become cancerous - d The nurse just noted from the
medical record that the patient has a lesion that is confluent in nature. On examination,
the nurse expects to find: a. Lesions that run together. b. Annular lesions that have grown
together. c. Lesions arranged in a line along a nerve route. d. Lesions that are grouped or
clustered together. - a A patient has had a terrible itch for several months that he has been
continuously scratching. On examination, the nurse might expect to find: a. A keloid. b. A
, fissure. c. Keratosis. d. Lichenification. - d Lichenification results from prolonged, intense
scratching that eventually thickens the skin and produces tightly packed sets of papules. A
keloid is a hypertrophic scar. A fissure is a linear crack with abrupt edges, which extends
into the dermis; it can be dry or moist. Keratoses are lesions that are raised, thickened
areas of pigmentation that appear crusted, scaly, and warty. 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 star-shaped linear pattern on the legs. b. Fiery
red, star-shaped marking on the cheek that has a solid circular center. c. Confluent and
extensive patch of petechiae and ecchymoses on the feet. d. Tiny areas of hemorrhage that
are less than 2 mm, round, discrete, and dark red in color. - c A 45-year-old farmer comes
in for a skin evaluation and complains of hair loss on his head. His hair seems to be
breaking off in patches, and he notices some scaling on his head. The nurse begins the
examination suspecting: a. Tinea capitis. b. Folliculitis. c. Toxic alopecia. d. Seborrheic
dermatitis. - a A semiconscious woman is brought to the emergency department after she
was found on the floor in her kitchen. Her face, nail beds, lips, and oral mucosa are a bright
cherry-red color. The nurse suspects that this coloring is due to: a. Polycythemia. b.
Carbon monoxide poisoning. c. Carotenemia. d. Uremia. - b A patient has been admitted to
a hospital after the staff in the nursing home noticed a pressure ulcer in his sacral area.
The nurse examines the pressure ulcer and determines that it is a stage II ulcer. Which of
these findings are characteristic of a stage II pressure ulcer? Select all that apply. a. Intact
skin appears red but is not broken. b. Partial thickness skin erosion is observed with a loss
of epidermis or dermis. c. Ulcer extends into the subcutaneous tissue. d. Localized
redness in light skin will blanch with fingertip pressure. e. Open blister areas have a red-
pink wound bed. f. Patches of eschar cover parts of the wound. - b, e Which statement
about the apices of the lungs is true? The apices of the lungs: a. Are at the level of the
second rib anteriorly. b. Extend 3 to 4 cm above the inner third of the clavicles. c. Are
located at the sixth rib anteriorly and the eighth rib laterally. d. Rest on the diaphragm at
the fifth intercostal space in the midclavicular line (MCL). - b When auscultating the lungs
of an adult patient, the nurse notes that low-pitched, soft breath sounds are heard over the
posterior lower lobes, with inspiration being longer than expiration. The nurse interprets
that these sounds are: a. Normally auscultated over the trachea. b. Bronchial breath
sounds and normal in that location. c. Vesicular breath sounds and normal in that
location. d. Bronchovesicular breath sounds and normal in that location - c When
inspecting the anterior chest of an adult, the nurse should include which assessment? a.
Diaphragmatic excursion b. Symmetric chest expansion c. Presence of breath sounds d.
Shape and configuration of the chest wall - d During auscultation of the lungs of an adult
patient, the nurse notices the presence of bronchophony. The nurse should assess for
The nurse is examining a patient who tells the nurse, I sure sweat a lot, especially on my
face and feet but it doesnt have an odor. The nurse knows that this condition could be
related to: a. Eccrine glands. b. Apocrine glands. c. Disorder of the stratum corneum. d.
Disorder of the stratum germinativum. - a A newborn infant is in the clinic for a well-baby
checkup. The nurse observes the infant for the possibility of fluid loss because of which of
these factors? a. Subcutaneous fat deposits are high in the newborn. b. Sebaceous glands
are overproductive in the newborn. c. The newborns skin is more permeable than that of
the adult. d. The amount of vernix caseosa dramatically rises in the newborn. - c During an
examination, the nurse finds that a patient has excessive dryness of the skin. The best term
to describe this condition is: a. Xerosis. b. Pruritus. c. Alopecia. d. Seborrhea. - a A patient
comes in for a physical examination and complains of freezing to death while waiting for
her examination. The nurse notes that her skin is pale and cool and attributes this finding
to: a. Venous pooling. b. Peripheral vasodilation. c. Peripheral vasoconstriction. d.
Decreased arterial perfusion. - c A patient comes to the clinic and states that he has
noticed that his skin is redder than normal. The nurse understands that this condition is
due to hyperemia and knows that it can be caused by: a. Decreased amounts of bilirubin in
the blood b. Excess blood in the underlying blood vessels c. Decreased perfusion to the
surrounding tissues d. Excess blood in the dilated superficial capillaries - d A newborn
infant has Down syndrome. During the skin assessment, the nurse notices a transient
mottling in the trunk and extremities in response to the cool temperature in the
examination room. The infants mother also notices the mottling and asks what it is. The
nurse knows that this mottling is called: a. Caf au lait. b. Carotenemia. c. Acrocyanosis. d.
Cutis marmorata. - d A 35-year-old pregnant woman comes to the clinic for a monthly
appointment. During the assessment, the nurse notices that she has a brown patch of
hyperpigmentation on her face. The nurse continues the skin assessment aware that
another finding may be: a. Keratoses. b. Xerosis. c. Chloasma. d. Acrochordons. - c A man
has come in to the clinic for a skin assessment because he is worried he might have skin
cancer. During the skin assessment the nurse notices several areas of pigmentation that
look greasy, dark, and stuck on his skin. Which is the best prediction? a. Senile lentigines,
which do not become cancerous b. Actinic keratoses, which are precursors to basal cell
carcinoma c. Acrochordons, which are precursors to squamous cell carcinoma d.
Seborrheic keratoses, which do not become cancerous - d The nurse just noted from the
medical record that the patient has a lesion that is confluent in nature. On examination,
the nurse expects to find: a. Lesions that run together. b. Annular lesions that have grown
together. c. Lesions arranged in a line along a nerve route. d. Lesions that are grouped or
clustered together. - a A patient has had a terrible itch for several months that he has been
continuously scratching. On examination, the nurse might expect to find: a. A keloid. b. A
, fissure. c. Keratosis. d. Lichenification. - d Lichenification results from prolonged, intense
scratching that eventually thickens the skin and produces tightly packed sets of papules. A
keloid is a hypertrophic scar. A fissure is a linear crack with abrupt edges, which extends
into the dermis; it can be dry or moist. Keratoses are lesions that are raised, thickened
areas of pigmentation that appear crusted, scaly, and warty. 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 star-shaped linear pattern on the legs. b. Fiery
red, star-shaped marking on the cheek that has a solid circular center. c. Confluent and
extensive patch of petechiae and ecchymoses on the feet. d. Tiny areas of hemorrhage that
are less than 2 mm, round, discrete, and dark red in color. - c A 45-year-old farmer comes
in for a skin evaluation and complains of hair loss on his head. His hair seems to be
breaking off in patches, and he notices some scaling on his head. The nurse begins the
examination suspecting: a. Tinea capitis. b. Folliculitis. c. Toxic alopecia. d. Seborrheic
dermatitis. - a A semiconscious woman is brought to the emergency department after she
was found on the floor in her kitchen. Her face, nail beds, lips, and oral mucosa are a bright
cherry-red color. The nurse suspects that this coloring is due to: a. Polycythemia. b.
Carbon monoxide poisoning. c. Carotenemia. d. Uremia. - b A patient has been admitted to
a hospital after the staff in the nursing home noticed a pressure ulcer in his sacral area.
The nurse examines the pressure ulcer and determines that it is a stage II ulcer. Which of
these findings are characteristic of a stage II pressure ulcer? Select all that apply. a. Intact
skin appears red but is not broken. b. Partial thickness skin erosion is observed with a loss
of epidermis or dermis. c. Ulcer extends into the subcutaneous tissue. d. Localized
redness in light skin will blanch with fingertip pressure. e. Open blister areas have a red-
pink wound bed. f. Patches of eschar cover parts of the wound. - b, e Which statement
about the apices of the lungs is true? The apices of the lungs: a. Are at the level of the
second rib anteriorly. b. Extend 3 to 4 cm above the inner third of the clavicles. c. Are
located at the sixth rib anteriorly and the eighth rib laterally. d. Rest on the diaphragm at
the fifth intercostal space in the midclavicular line (MCL). - b When auscultating the lungs
of an adult patient, the nurse notes that low-pitched, soft breath sounds are heard over the
posterior lower lobes, with inspiration being longer than expiration. The nurse interprets
that these sounds are: a. Normally auscultated over the trachea. b. Bronchial breath
sounds and normal in that location. c. Vesicular breath sounds and normal in that
location. d. Bronchovesicular breath sounds and normal in that location - c When
inspecting the anterior chest of an adult, the nurse should include which assessment? a.
Diaphragmatic excursion b. Symmetric chest expansion c. Presence of breath sounds d.
Shape and configuration of the chest wall - d During auscultation of the lungs of an adult
patient, the nurse notices the presence of bronchophony. The nurse should assess for
