Jarvis Ch 28 The complete health
assessment – Adult Questions & Answers
A macule is solely a lesion with color change, flat and circumscribed, less than 1 cm. Macules
are also known as freckles (see Chapter 13).
During an examination, the nurse notices that a patients legs turn white when they are raised
above the patients head. The nurse should suspect:
a. Lymphedema.
b. Raynaud disease.
c. Chronic arterial insufficiency.
d. Chronic venous insufficiency. Correct Ans-c. Chronic arterial insufficiency.
Elevational pallor (striking) indicates arterial insufficiency (see Chapter 21).
The nurse documents that a patient has coarse, thickened skin and brown discoloration over the
lower legs. Pulses are present. This finding is probably the result of:
a. Lymphedema.
b. Raynaud disease.
c. Chronic arterial insufficiency.
d. Chronic venous insufficiency. Correct Ans-d. Chronic venous insufficiency.
,Chronic venous insufficiency would exhibit firm brawny edema, coarse thickened skin, normal
pulses, and brown discoloration (see Chapter 21).
The nurse notices that a patient has ulcerations on the tips of the toes and on the lateral aspect
of the ankles. This finding indicates:
a. Lymphedema.
b. Raynaud disease.
c. Arterial insufficiency.
d. Venous insufficiency. Correct Ans-c. Arterial insufficiency.
Ulcerations on the tips of the toes and lateral aspect of the ankles are indicative of arterial
insufficiency (see Chapter 21).
The nurse has just recorded a positive iliopsoas test on a patient who has abdominal pain. This
test is used to confirm a(n):
a. Inflamed liver.
b. Perforated spleen.
c. Perforated appendix.
d. Enlarged gallbladder Correct Ans-c. Perforated appendix.
, An inflamed or perforated appendix irritates the iliopsoas muscle, producing pain in the RLQ.
The nurse will measure a patients near vision with which tool?
a. Snellen eye chart with letters
b. Snellen E chart
c. Jaeger card
d. Ophthalmoscope Correct Ans-c. Jaeger card
The Jaeger card is used to measure near vision (see Chapter 15).
If the nurse records the results to the Hirschberg test, the nurse has:
a. Tested the patellar reflex.
b. Assessed for appendicitis.
c. Tested the corneal light reflex.
d. Assessed for thrombophlebitis. Correct Ans-c. Tested the corneal light reflex.
The Hirschberg test assesses the corneal light reflex (see Chapter 15).
During the examination of a patients mouth, the nurse observes a nodular bony ridge down the
middle of the hard palate. The nurse would chart this finding as:
assessment – Adult Questions & Answers
A macule is solely a lesion with color change, flat and circumscribed, less than 1 cm. Macules
are also known as freckles (see Chapter 13).
During an examination, the nurse notices that a patients legs turn white when they are raised
above the patients head. The nurse should suspect:
a. Lymphedema.
b. Raynaud disease.
c. Chronic arterial insufficiency.
d. Chronic venous insufficiency. Correct Ans-c. Chronic arterial insufficiency.
Elevational pallor (striking) indicates arterial insufficiency (see Chapter 21).
The nurse documents that a patient has coarse, thickened skin and brown discoloration over the
lower legs. Pulses are present. This finding is probably the result of:
a. Lymphedema.
b. Raynaud disease.
c. Chronic arterial insufficiency.
d. Chronic venous insufficiency. Correct Ans-d. Chronic venous insufficiency.
,Chronic venous insufficiency would exhibit firm brawny edema, coarse thickened skin, normal
pulses, and brown discoloration (see Chapter 21).
The nurse notices that a patient has ulcerations on the tips of the toes and on the lateral aspect
of the ankles. This finding indicates:
a. Lymphedema.
b. Raynaud disease.
c. Arterial insufficiency.
d. Venous insufficiency. Correct Ans-c. Arterial insufficiency.
Ulcerations on the tips of the toes and lateral aspect of the ankles are indicative of arterial
insufficiency (see Chapter 21).
The nurse has just recorded a positive iliopsoas test on a patient who has abdominal pain. This
test is used to confirm a(n):
a. Inflamed liver.
b. Perforated spleen.
c. Perforated appendix.
d. Enlarged gallbladder Correct Ans-c. Perforated appendix.
, An inflamed or perforated appendix irritates the iliopsoas muscle, producing pain in the RLQ.
The nurse will measure a patients near vision with which tool?
a. Snellen eye chart with letters
b. Snellen E chart
c. Jaeger card
d. Ophthalmoscope Correct Ans-c. Jaeger card
The Jaeger card is used to measure near vision (see Chapter 15).
If the nurse records the results to the Hirschberg test, the nurse has:
a. Tested the patellar reflex.
b. Assessed for appendicitis.
c. Tested the corneal light reflex.
d. Assessed for thrombophlebitis. Correct Ans-c. Tested the corneal light reflex.
The Hirschberg test assesses the corneal light reflex (see Chapter 15).
During the examination of a patients mouth, the nurse observes a nodular bony ridge down the
middle of the hard palate. The nurse would chart this finding as:
