NUR 168 Test 2 UPDATED ACTUAL Exam
Questions and CORRECT Answers
Prone - CORRECT ANSWER - A patient is at the hospital with a broken hip; to assess this
patient what position should the patient be laying?
lithotomy - CORRECT ANSWER - This position is effective for assessment of female
genitalia and rectum, the patient is in the dorsal recumbent position with buttocks at the end of
the examination table and heels stirrup
Knee-chest - CORRECT ANSWER - What position is this? The patient and her body is at
90 degree angle to the hips, the back is straight and her arms are above the head. It is effective
for assessing the anus and rectum
Dorsal Recumbent - CORRECT ANSWER - This position cannot be used for assessing the
abdomen because it causes abdominal contractions
Weak, dizzy or prone to fall - CORRECT ANSWER - Standing position should not be
used for which patient
Assess posture balance and gait - CORRECT ANSWER - What can be assessed effectively
when a patient is in standing position
Cause: cold environment, cardiac or respiratory disease (decreased oxygen)
Areas: exposed areas particularly the ears, lips, inside of the mouth hands and feet & nail beds -
CORRECT ANSWER - What would be causing a patient to have bluish (cyanosis) skin?
Which body areas would show this abnormality?
Caused by increased bilirubin levels - CORRECT ANSWER - Yellowish (jaundice) skin
, Areas: overall skin areas, mucous membranes & sclera - CORRECT ANSWER - Which
body areas can you assess for jaundice?
Depigmentation (congenital or autoimmune conditions) - CORRECT ANSWER - What
causes virtiligo?
Redness (erythema, flushing) - CORRECT ANSWER - A nurse is assessing a patient who
has been consuming alcohol prior to admission. What is an expected skin color finding while she
is assessing the patient's skin?
Normal Age-Related Variations in Infants/Children - CORRECT ANSWER - 1. Jaundice
& milia (whiteheads) in newborns
2. Fine downy hair (lanugo) for the first 2 weeks of life
3. Smooth, thin skin at birth
4. Pubic hair development at the onset of puberty
Yes (senile keratosis) - CORRECT ANSWER - An old man has raised dark areas in skin,
is this normal?
Normal Age-Related Variations: Older Adults - CORRECT ANSWER - 1. Wrinkles,
dryness, scaling, decreased turgor
2. Raised dark areas (senile keratosis)
3. Flat, brown age spots (senile lentigines)
4. Small, round red spots (cherry angioma)
5. Fine, brittle gray or white hair
6. Hair loss
7. Coarse facial hair in women, decreased body hair in men and women
8. Thick, yellow toenails
1. Increased anteroposterior chest diameter
Questions and CORRECT Answers
Prone - CORRECT ANSWER - A patient is at the hospital with a broken hip; to assess this
patient what position should the patient be laying?
lithotomy - CORRECT ANSWER - This position is effective for assessment of female
genitalia and rectum, the patient is in the dorsal recumbent position with buttocks at the end of
the examination table and heels stirrup
Knee-chest - CORRECT ANSWER - What position is this? The patient and her body is at
90 degree angle to the hips, the back is straight and her arms are above the head. It is effective
for assessing the anus and rectum
Dorsal Recumbent - CORRECT ANSWER - This position cannot be used for assessing the
abdomen because it causes abdominal contractions
Weak, dizzy or prone to fall - CORRECT ANSWER - Standing position should not be
used for which patient
Assess posture balance and gait - CORRECT ANSWER - What can be assessed effectively
when a patient is in standing position
Cause: cold environment, cardiac or respiratory disease (decreased oxygen)
Areas: exposed areas particularly the ears, lips, inside of the mouth hands and feet & nail beds -
CORRECT ANSWER - What would be causing a patient to have bluish (cyanosis) skin?
Which body areas would show this abnormality?
Caused by increased bilirubin levels - CORRECT ANSWER - Yellowish (jaundice) skin
, Areas: overall skin areas, mucous membranes & sclera - CORRECT ANSWER - Which
body areas can you assess for jaundice?
Depigmentation (congenital or autoimmune conditions) - CORRECT ANSWER - What
causes virtiligo?
Redness (erythema, flushing) - CORRECT ANSWER - A nurse is assessing a patient who
has been consuming alcohol prior to admission. What is an expected skin color finding while she
is assessing the patient's skin?
Normal Age-Related Variations in Infants/Children - CORRECT ANSWER - 1. Jaundice
& milia (whiteheads) in newborns
2. Fine downy hair (lanugo) for the first 2 weeks of life
3. Smooth, thin skin at birth
4. Pubic hair development at the onset of puberty
Yes (senile keratosis) - CORRECT ANSWER - An old man has raised dark areas in skin,
is this normal?
Normal Age-Related Variations: Older Adults - CORRECT ANSWER - 1. Wrinkles,
dryness, scaling, decreased turgor
2. Raised dark areas (senile keratosis)
3. Flat, brown age spots (senile lentigines)
4. Small, round red spots (cherry angioma)
5. Fine, brittle gray or white hair
6. Hair loss
7. Coarse facial hair in women, decreased body hair in men and women
8. Thick, yellow toenails
1. Increased anteroposterior chest diameter
