NGR 6002 MIDTERM | 176 QUESTIONS |
WITH ACTUAL SOLUTIONS.
1 of 175
Term
When you attempt to move a 10-month-old child from his
mother's lap to the examination table, he screams loudly.
Your best action is to:
Give this one a try later!
During the interviewing process, it is important to maintain eye contact
with the client and to spend as little time as possible looking at the
notes, so brief written notes are more practical. Later the APN can go
back and formulate a well-versed history by linking all the pieces
together.
, conduct the physical examination on the child while the parent is
holding the child
For children, the examination sequence depends on their
cooperation for as long as possible. To promote this, examine the
child while the parent is holding the child, which maximizes inspection
and opportunities for physical examination.
tinea capitis
The black dot sign is indicative of tinea capitis. The black dots occur
in the areas of fungal infection due to the hair breaking off. It is not a
sign of melanoma nor male pattern baldness. Alopecia aerata results
in round patches of hair loss, but not with black dots.
perform the examination while the child is in the mother's lap
The parent's lap is a great examination table because it helps
the child feel more at ease and is also a good way to observe
the nature of the parent- child relationship. All the other actions
would not comfort the patient or make the situation better.
Don't know?
2 of 175
Definition
measures that prevent the onset of illness or injury before
the disease process begins
ex. immunizations, regular exercise
Give this one a try later!
, tertiary prevention quaternary prevention
primary prevention secondary prevention
Don't know?
3 of 175
Term
Which population are cherry angiomas are a common
finding in?
Give this one a try later!
tender
Tenderness is almost always indicative of inflammation. Shotty nodes
(feel like the tip of an eraser) that are fixed are of greater concern.
Shotty, movable, or fixed nodes are not usually associated with
inflammation.
asymmetric borders
ABCDE melanoma mnemonic includes asymmetry, borders that are
irregular, color that is not the same all over, diameter larger than 6
mm, and evolving (rapidly changing or growing).
adults older than 30 years
Cherry angiomas occur in almost everyone older than 30 years
and increase numerically with age.
, 26
The classifications for BMI
are:
<18.5 Underweight
18.5-24.9 Normal
25.0-29.9 Overweight
30.0-34.9 Obesity
Class I 35.0-39.9
Obesity Class II Don't know?
≥40 Extreme obesity
4 of 175
Term
The advanced practice nurse (APN) notes a 1.5-cm circular
region of necrotic tissue that is deeper than the epidermis
on a client's sacrum. How should the APN document this
lesion?
Give this one a try later!
ulcer
An ulcer is skin loss extending past the epidermis with the
involvement of necrotic tissue. Keloids lack necrosis and consist
of scar tissue. A fissure is linear and erosions do not extend to
the dermis.
plaque
A plaque, by definition, is an elevated, firm, rough lesion with a flat top
surface larger than 1 cm in diameter, as seen in someone with, for
example, psoriasis.
WITH ACTUAL SOLUTIONS.
1 of 175
Term
When you attempt to move a 10-month-old child from his
mother's lap to the examination table, he screams loudly.
Your best action is to:
Give this one a try later!
During the interviewing process, it is important to maintain eye contact
with the client and to spend as little time as possible looking at the
notes, so brief written notes are more practical. Later the APN can go
back and formulate a well-versed history by linking all the pieces
together.
, conduct the physical examination on the child while the parent is
holding the child
For children, the examination sequence depends on their
cooperation for as long as possible. To promote this, examine the
child while the parent is holding the child, which maximizes inspection
and opportunities for physical examination.
tinea capitis
The black dot sign is indicative of tinea capitis. The black dots occur
in the areas of fungal infection due to the hair breaking off. It is not a
sign of melanoma nor male pattern baldness. Alopecia aerata results
in round patches of hair loss, but not with black dots.
perform the examination while the child is in the mother's lap
The parent's lap is a great examination table because it helps
the child feel more at ease and is also a good way to observe
the nature of the parent- child relationship. All the other actions
would not comfort the patient or make the situation better.
Don't know?
2 of 175
Definition
measures that prevent the onset of illness or injury before
the disease process begins
ex. immunizations, regular exercise
Give this one a try later!
, tertiary prevention quaternary prevention
primary prevention secondary prevention
Don't know?
3 of 175
Term
Which population are cherry angiomas are a common
finding in?
Give this one a try later!
tender
Tenderness is almost always indicative of inflammation. Shotty nodes
(feel like the tip of an eraser) that are fixed are of greater concern.
Shotty, movable, or fixed nodes are not usually associated with
inflammation.
asymmetric borders
ABCDE melanoma mnemonic includes asymmetry, borders that are
irregular, color that is not the same all over, diameter larger than 6
mm, and evolving (rapidly changing or growing).
adults older than 30 years
Cherry angiomas occur in almost everyone older than 30 years
and increase numerically with age.
, 26
The classifications for BMI
are:
<18.5 Underweight
18.5-24.9 Normal
25.0-29.9 Overweight
30.0-34.9 Obesity
Class I 35.0-39.9
Obesity Class II Don't know?
≥40 Extreme obesity
4 of 175
Term
The advanced practice nurse (APN) notes a 1.5-cm circular
region of necrotic tissue that is deeper than the epidermis
on a client's sacrum. How should the APN document this
lesion?
Give this one a try later!
ulcer
An ulcer is skin loss extending past the epidermis with the
involvement of necrotic tissue. Keloids lack necrosis and consist
of scar tissue. A fissure is linear and erosions do not extend to
the dermis.
plaque
A plaque, by definition, is an elevated, firm, rough lesion with a flat top
surface larger than 1 cm in diameter, as seen in someone with, for
example, psoriasis.
