Test Bank for Burns and Grove’s the Practice of
Nursing Research 8th, 9th Edition
While assessing a client, a nurse detects a bluish tinge to the clients palms, soles, and mucous
membranes.
Which action should the nurse take next?
a. Ask the client about current medications he or she is taking.
b. Use pulse oximetry to assess the clients oxygen saturation.
c. Auscultate the clients lung fields for adventitious sounds.
d. Palpate the clients bilateral radial and pedal pulses. - ANSWER:B
A nurse assesses a client who is admitted with inflamed soft-tissue folds around the nail plates. Which
question should the nurse ask to elicit useful information about the possible condition?
a. What do you do for a living?
b. Are your nails professionally manicured?
c. Do you have diabetes mellitus?
d. Have you had a recent fungal infection? - ANSWER:A
A nurse assesses a client who has multiple areas of ecchymosis on both arms. Which question should the
nurse ask first?
a. Are you using lotion on your skin?
b. Do you have a family history of this?
,c. Do your arms itch?
d. What medications are you taking? - ANSWER:D
After teaching a client who expressed concern about a rash located beneath her breast, a nurse assesses
the
clients understanding. Which statement indicates the client has a good understanding of this condition?
a. This rash is probably due to fluid overload.
b. I need to wash this daily with antibacterial soap.
c. I can use powder to keep this area dry.
d. I will schedule a mammogram as soon as I can. - ANSWER:C
A nurse assesses a client who has two skin lesions on his chest. Each lesion is the size of a nickel, flat,
and
darker in color than the clients skin. How should the nurse document these lesions?
a. Two 2-cm hyperpigmented patches
b. Two 1-inch erythematous plaques
c. Two 2-mm pigmented papules
d. Two 1-inch moles - ANSWER:A
While assessing a clients lower extremities, a nurse notices that one leg is pale and cooler to the touch.
Which assessment should the nurse perform next?
a. Ask about a family history of skin disorders.
b. Palpate the clients pedal pulses bilaterally.
c. Check for the presence of Homans sign.
d. Assess the clients skin for adequate skin turgor. - ANSWER:B
, A nurse cares for an older adult client who has a chronic skin disorder. The client states, I have not been
to
church in several weeks because of the discoloration of my skin. How should the nurse respond?
a. I will consult the chaplain to provide you with spiritual support.
b. You do not need to go to church; God is everywhere.
c. Tell me more about your concerns related to your skin.
d. Religious people are nonjudgmental and will accept you. - ANSWER:C
A nurse assesses a client who has open lesions. Which action should the nurse take first?
a. Put on gloves.
b. Ask the client about his or her occupation.
c. Assess the clients pain.
d. Obtain vital signs. - ANSWER:A
A nurse assesses a client who has a chronic skin disorder. Which finding indicates the client is effectively
coping with the disorder?
a. Clean hair and nails
b. Poor eye contact
c. Disheveled appearance
d. Drapes a scarf over the face - ANSWER:A
A nurse assesses a client and identifies that the client has pallor conjunctivae. Which focused
assessment
should the nurse complete next?
a. Partial thromboplastin time
b. Hemoglobin and hematocrit
Nursing Research 8th, 9th Edition
While assessing a client, a nurse detects a bluish tinge to the clients palms, soles, and mucous
membranes.
Which action should the nurse take next?
a. Ask the client about current medications he or she is taking.
b. Use pulse oximetry to assess the clients oxygen saturation.
c. Auscultate the clients lung fields for adventitious sounds.
d. Palpate the clients bilateral radial and pedal pulses. - ANSWER:B
A nurse assesses a client who is admitted with inflamed soft-tissue folds around the nail plates. Which
question should the nurse ask to elicit useful information about the possible condition?
a. What do you do for a living?
b. Are your nails professionally manicured?
c. Do you have diabetes mellitus?
d. Have you had a recent fungal infection? - ANSWER:A
A nurse assesses a client who has multiple areas of ecchymosis on both arms. Which question should the
nurse ask first?
a. Are you using lotion on your skin?
b. Do you have a family history of this?
,c. Do your arms itch?
d. What medications are you taking? - ANSWER:D
After teaching a client who expressed concern about a rash located beneath her breast, a nurse assesses
the
clients understanding. Which statement indicates the client has a good understanding of this condition?
a. This rash is probably due to fluid overload.
b. I need to wash this daily with antibacterial soap.
c. I can use powder to keep this area dry.
d. I will schedule a mammogram as soon as I can. - ANSWER:C
A nurse assesses a client who has two skin lesions on his chest. Each lesion is the size of a nickel, flat,
and
darker in color than the clients skin. How should the nurse document these lesions?
a. Two 2-cm hyperpigmented patches
b. Two 1-inch erythematous plaques
c. Two 2-mm pigmented papules
d. Two 1-inch moles - ANSWER:A
While assessing a clients lower extremities, a nurse notices that one leg is pale and cooler to the touch.
Which assessment should the nurse perform next?
a. Ask about a family history of skin disorders.
b. Palpate the clients pedal pulses bilaterally.
c. Check for the presence of Homans sign.
d. Assess the clients skin for adequate skin turgor. - ANSWER:B
, A nurse cares for an older adult client who has a chronic skin disorder. The client states, I have not been
to
church in several weeks because of the discoloration of my skin. How should the nurse respond?
a. I will consult the chaplain to provide you with spiritual support.
b. You do not need to go to church; God is everywhere.
c. Tell me more about your concerns related to your skin.
d. Religious people are nonjudgmental and will accept you. - ANSWER:C
A nurse assesses a client who has open lesions. Which action should the nurse take first?
a. Put on gloves.
b. Ask the client about his or her occupation.
c. Assess the clients pain.
d. Obtain vital signs. - ANSWER:A
A nurse assesses a client who has a chronic skin disorder. Which finding indicates the client is effectively
coping with the disorder?
a. Clean hair and nails
b. Poor eye contact
c. Disheveled appearance
d. Drapes a scarf over the face - ANSWER:A
A nurse assesses a client and identifies that the client has pallor conjunctivae. Which focused
assessment
should the nurse complete next?
a. Partial thromboplastin time
b. Hemoglobin and hematocrit
