HEALTH ASSESSMENT
FINAL
REVIEW EXAM
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1
,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. -
CORRECT ANSWER -ANS: C
Purpura is a confluent and extensive patch of petechiae and ecchymoses and a flat macular
hemorrhage observed in generalized disorders such as thrombocytopenia and scurvy. The blue
dilation of blood vessels in a star-shaped linear pattern on the legs describes a venous lake. The
fiery red, star-shaped marking on the cheek that has a solid circular center describes a spider or
star angioma. The tiny areas of hemorrhage that are less than 2 mm, round, discrete, and dark
red in color describes petechiae.
The nurse educator is preparing an education module for the nursing staff on the epidermal
layer of skin. Which of these statements would be included in the module? The epidermis is:
a.
Highly vascular.
b.
Thick and tough.
c.
2
,Thin and nonstratified.
d.
Replaced every 4 weeks. - CORRECT ANSWER -ANS: D
The epidermis is thin yet tough, replaced every 4 weeks, avascular, and stratified into several
zones.
The nurse educator is preparing an education module for the nursing staff on the dermis layer of
skin. Which of these statements would be included in the module? The dermis:
a.
Contains mostly fat cells.
b.
Consists mostly of keratin.
c.
Is replaced every 4 weeks.
d.
Contains sensory receptors. - CORRECT ANSWER -ANS: D
The dermis consists mostly of collagen, has resilient elastic tissue that allows the skin to stretch,
and contains nerves, sensory receptors, blood vessels, and lymphatic vessels. It is not replaced
every 4 weeks.
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.
3
, c.
Disorder of the stratum corneum.
d.
Disorder of the stratum germinativum. - CORRECT ANSWER -ANS: A
The eccrine glands are coiled tubules that directly open onto the skin surface and produce a
dilute saline solution called sweat. Apocrine glands are primarily located in the axillae,
anogenital area, nipples, and naval area and mix with bacterial flora to produce the
characteristic musky body odor. The patients statement is not related to disorders of the
stratum corneum or the stratum germinativum.
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. - CORRECT ANSWER -ANS: C
The newborns skin is thin, smooth, and elastic and is relatively more permeable than that of the
adult; consequently, the infant is at greater risk for fluid loss. The subcutaneous layer in the
infant is inefficient, not thick, and the sebaceous glands are present but decrease in size and
production. Vernix caseosa is not produced after birth.
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?
4
FINAL
REVIEW EXAM
High-Yield Qs & Answers with Feedback
This Exam Description:
High-Yield Qs
Answers with Feedback
Multiple Choices
100% Guaranteed Pass
1
,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. -
CORRECT ANSWER -ANS: C
Purpura is a confluent and extensive patch of petechiae and ecchymoses and a flat macular
hemorrhage observed in generalized disorders such as thrombocytopenia and scurvy. The blue
dilation of blood vessels in a star-shaped linear pattern on the legs describes a venous lake. The
fiery red, star-shaped marking on the cheek that has a solid circular center describes a spider or
star angioma. The tiny areas of hemorrhage that are less than 2 mm, round, discrete, and dark
red in color describes petechiae.
The nurse educator is preparing an education module for the nursing staff on the epidermal
layer of skin. Which of these statements would be included in the module? The epidermis is:
a.
Highly vascular.
b.
Thick and tough.
c.
2
,Thin and nonstratified.
d.
Replaced every 4 weeks. - CORRECT ANSWER -ANS: D
The epidermis is thin yet tough, replaced every 4 weeks, avascular, and stratified into several
zones.
The nurse educator is preparing an education module for the nursing staff on the dermis layer of
skin. Which of these statements would be included in the module? The dermis:
a.
Contains mostly fat cells.
b.
Consists mostly of keratin.
c.
Is replaced every 4 weeks.
d.
Contains sensory receptors. - CORRECT ANSWER -ANS: D
The dermis consists mostly of collagen, has resilient elastic tissue that allows the skin to stretch,
and contains nerves, sensory receptors, blood vessels, and lymphatic vessels. It is not replaced
every 4 weeks.
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.
3
, c.
Disorder of the stratum corneum.
d.
Disorder of the stratum germinativum. - CORRECT ANSWER -ANS: A
The eccrine glands are coiled tubules that directly open onto the skin surface and produce a
dilute saline solution called sweat. Apocrine glands are primarily located in the axillae,
anogenital area, nipples, and naval area and mix with bacterial flora to produce the
characteristic musky body odor. The patients statement is not related to disorders of the
stratum corneum or the stratum germinativum.
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. - CORRECT ANSWER -ANS: C
The newborns skin is thin, smooth, and elastic and is relatively more permeable than that of the
adult; consequently, the infant is at greater risk for fluid loss. The subcutaneous layer in the
infant is inefficient, not thick, and the sebaceous glands are present but decrease in size and
production. Vernix caseosa is not produced after birth.
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?
4
