Week 5 Health Assessment Week 5
Quiz and Answers.
The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and dry.
This finding would be related to which factor in the older adult? - Answer An increased loss
of elastin and a decrease in subcutaneous fat
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? - Answer Color variation
A black patient is in the intensive care unit because of impending shock after an accident. The
nurse expects to find what characteristics in this patient's skin? - Answer Ashen, gray, or dull
The nurse has discovered decreased skin turgor in a patient and knows that this finding is
expected in which condition? - Answer Severe dehydration
A mother brings her 2-month-old daughter in for an examination and says, "My daughter rolled
over against the wall, and now I have noticed that she has this spot that is soft on the top of her
head. Is something terribly wrong?" The nurse's best response would be: - Answer "That
'soft spot' is normal, and actually allows for growth of the brain during the first year of your
baby's life."
During a skin assessment, the nurse notices that a Mexican-American patient has skin that is
yellowish-brown; however, the skin on the hard and soft palate is pink and the patient's scleras
are not yellow. From this finding, the nurse could probably rule out: - Answer Jaundice
A patient is unable to differentiate between sharp and dull stimulation to both sides of her face.
The nurse suspects: - Answer Damage to the trigeminal nerve.
The nurse has just completed a lymph node assessment on a 60-year-old healthy female
patient. The nurse knows that most lymph nodes in healthy adults are normally: - Answer
Nonpalpable
A patient says that she has recently noticed a lump in the front of her neck below her "Adam's
apple" that seems to be getting bigger. During the assessment, the finding that leads the nurse
to suspect that this may not be a cancerous thyroid nodule is that the lump (nodule): - Answer
Is mobile and not hard
A patient, an 85-year-old woman, is complaining about the fact that the bones in her face have
become more noticeable. What explanation should the nurse give her? - Answer More
Quiz and Answers.
The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and dry.
This finding would be related to which factor in the older adult? - Answer An increased loss
of elastin and a decrease in subcutaneous fat
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? - Answer Color variation
A black patient is in the intensive care unit because of impending shock after an accident. The
nurse expects to find what characteristics in this patient's skin? - Answer Ashen, gray, or dull
The nurse has discovered decreased skin turgor in a patient and knows that this finding is
expected in which condition? - Answer Severe dehydration
A mother brings her 2-month-old daughter in for an examination and says, "My daughter rolled
over against the wall, and now I have noticed that she has this spot that is soft on the top of her
head. Is something terribly wrong?" The nurse's best response would be: - Answer "That
'soft spot' is normal, and actually allows for growth of the brain during the first year of your
baby's life."
During a skin assessment, the nurse notices that a Mexican-American patient has skin that is
yellowish-brown; however, the skin on the hard and soft palate is pink and the patient's scleras
are not yellow. From this finding, the nurse could probably rule out: - Answer Jaundice
A patient is unable to differentiate between sharp and dull stimulation to both sides of her face.
The nurse suspects: - Answer Damage to the trigeminal nerve.
The nurse has just completed a lymph node assessment on a 60-year-old healthy female
patient. The nurse knows that most lymph nodes in healthy adults are normally: - Answer
Nonpalpable
A patient says that she has recently noticed a lump in the front of her neck below her "Adam's
apple" that seems to be getting bigger. During the assessment, the finding that leads the nurse
to suspect that this may not be a cancerous thyroid nodule is that the lump (nodule): - Answer
Is mobile and not hard
A patient, an 85-year-old woman, is complaining about the fact that the bones in her face have
become more noticeable. What explanation should the nurse give her? - Answer More
