Questions 2025 PROCTORED EXAM ACTUAL
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.1. The nurse keeps in mind that a thorough skin assessment is very important
because the skin holds information about a person's:
A) Support systems.
B) Circulatory status.
C) Socioeconomic status.
D) Psychological wellness.
B) Circulatory status.
Page: 211. The skin holds information about the body's circulation, nutritional status,
and signs of systemic diseases as well as topical data on the integument itself.
.2. A patient tells the nurse that he has noticed that one of his moles has started to
burn and bleed. When assessing his skin, the nurse would pay special attention to the
danger signs for pigmented lesions and would be concerned with which additional
finding?
A) Color variation
B) Border regularity
C) Symmetry of lesions
D) Diameter less than . mm
A) Color variation
,Pages: 2.-213. Abnormal characteristics of pigmented lesions are summarized in the
mnemonic ABCD: asymmetry of pigmented lesion, border irregularity, color variation,
and diameter greater than . mm.
.3. An elderly woman is brought to the emergency department after being found lying
on the kitchen floor 2 days, and she is extremely dehydrated. What would the nurse
expect to see upon examination?
A) Smooth mucous membranes and lips
B) Dry mucous membranes and cracked lips
C) Pale mucous membranes
D) White patches on the mucous membranes
B) Dry mucous membranes and cracked lips
Page: 21.. With dehydration, mucous membranes look dry and lips look parched and
cracked. The other responses are not found in dehydration.
.4. A ..-year-old man with emphysema and bronchitis has come to the clinic for a
follow-up appointment. On assessment, the nurse might expect to see which
assessment finding?
A) Anasarca
B) Scleroderma
C) Pedal erythema
D) Clubbing of the nails
D) Clubbing of the nails
Pages: 21.-218. Clubbing of the nails occurs with congenital cyanotic heart disease,
neoplastic, and pulmonary diseases. The other responses are assessment findings not
associated with pulmonary diseases.
,.
... The nurse has discovered decreased skin turgor in a patient and knows that this is
an expected finding in which of these conditions?
A) Severe obesity
B) Childhood growth spurts
C) Severe dehydration
D) Connective tissue disorders such as scleroderma
C) Severe dehydration
Page: 21.. Decreased skin turgor is associated with severe dehydration or extreme
weight loss.
.
... A 40-year-old woman reports a change in mole size, accompanied by color changes,
itching, burning, and bleeding over the past month. She has a dark complexion and
has no family history of skin cancer, but she has had many blistering sunburns in the
past. The nurse would:
A) tell the patient to watch the lesion and report back in 2 months.
B) refer the patient because of the suspicion of melanoma on the basis of her
symptoms.
C) ask additional questions regarding environmental irritants that may have caused
this condition.
D) suspect that this is a compound nevus, which is very common in young to middle-
aged adults.
B) refer the patient because of the suspicion of melanoma on the basis of her
symptoms.
The ABCD danger signs of melanoma are asymmetry, border irregularity, color
variation, and diameter. In addition, individuals may report a change in size,
, development of itching, burning, bleeding, or a new-pigmented lesion. Any of these
signs raise suspicion of malignant melanoma and warrant immediate referral.
.
... The nurse is assessing for clubbing of the fingernails and would expect to find:
A) a nail base that is firm and slightly tender.
B) curved nails with a convex profile and ridges across the nail.
C) a nail base that feels spongy with an angle of the nail base of 1.0 degrees.
D) an angle of the nail base of 180 degrees or greater with a nail base that feels
spongy.
D) an angle of the nail base of 180 degrees or greater with a nail base that feels
spongy.
Pages: 21.-218. The normal nail is firm at its base and has an angle of 1.0 degrees. In
clubbing, the angle straightens to 180 degrees or greater and the nail base feels
spongy.
.8. A patient has been admitted for severe psoriasis. The nurse can expect to see what
finding in the patient's fingernails?
A) Splinter hemorrhages
B) Paronychia
C) Pitting
D) Beau lines
C) Pitting
Pages: 248-2.0. Pitting nails are characterized by sharply defined pitting and
crumbling of the nails with distal detachment, and they are associated with psoriasis.
See Table .-13 for descriptions of the other terms.