NUR314 - Health Assessment - Exam 3 - Quiz questions || A+
Verified Solutions.
Functions of the skin include:
A. protection, prevention, perception, and production of vitamin D.
B. temperature regulation, communication, and identification.
C. All of the above.
D. None of the above. correct answers C. All of the above.
You are conducting an in-service on aging skin for nurses and students assigned to a medical
floor at the local hospital. Which of the following pieces of information is essential for your in-
service to include?
A. The loss of collagen increases the risk of shearing, tearing injuries.
B. Thinning and flattening of the stratum corneum increases absorption of chemicals.
C. Diminished vascularity and increased vascular fragility lead to senile purpura.
D. All of the above correct answers D. All of the above
Casey Galen, a student nurse, conducts a dermatology in-service for nurses and students assigned
to a medical surgical floor at the local hospital. Ms. Galen stresses the impact of accumulated
risk factors in skin disease and breakdown. Such factors include:
A. loss of protective cushioning of the epidermal and dermal skin layers.
B. decreased vascular fragility.
C. lifetime of environmental trauma.
D. All of the above. correct answers C. lifetime of environmental trauma.
Mrs. Jones is a 65-year-old patient who presents with complaints of skin spots during a
dermatology follow-up. As the health care provider, you note some hyperpigmentation in this
aging adult. On examination, you would expect to see:
A. café au lait spots and hemangioma.
B. keratosis and lentigines.
C. linea nigra and chloasma.
D. None of the above. correct answers B. keratosis and lentigines.
Casey Galen, a student nurse, conducts a dermatology in-service for nurses and students assigned
to a medical surgical floor at the local hospital. Casey covers skin changes indicative of
prolonged sun exposure and shows slides of precancerous lesions. Which of the following is
descriptive of a precancerous keratotic lesion?
A. Raised, thickened areas of pigmentation, which look crusted, scaly, and warty
B. A raised, thickened, crusted area of dark pigmentation that looks "stuck on" and greasy
C. A raised, rough plaque of red-tan pigmentation with a silver-white scale
,D. A raised, thickened, dry area of decreased pigmentation with a tightly packed set of papules
correct answers C. A raised, rough plaque of red-tan pigmentation with a silver-white scale
John, a baby boy, is admitted to the transition nursery for a comprehensive physical,
medications, and a bath prior to being transferred to the postpartum floor. Before you conduct
the physical assessment, you review common skin variations of the newborn. Which of the
following conditions requires further evaluation by the in-house neonatal nurse practitioner?
A. Cutis marmorata, which is a mottling of the trunk and extremities
B. Harlequin pattern, a condition that causes one side of the body to appear deep red and the
other side pale, with a distinct demarcation down the midline
C. A grouping of café au lait spots
D. Erythema toxicum, a condition that causes punctuate macular-papular rash on cheeks, truck,
back, and buttocks correct answers C. A grouping of café au lait spots
Today is your last day of an emergency room (ER) rotation. A mother brings her 3-year-old child
to the ER to be examined after a fall. The child is dressed in clothing that, although clean, is
worn and wrinkled. The child sits quietly without fidgeting, arms in her lap, staring at the floor;
she remains silent when you try to engage her. As her mother explains the circumstances of the
fall and the resulting injuries, you wonder about the possibility of physical abuse. An x-ray is
ordered to rule out fracture of the left arm. Which of the following physical findings might
suggest abuse?
A. An x-ray depicting a simple fracture of the left arm
B. A skinned knee with torn pants midway down same leg
C. Three bite marks on the right upper arm/shoulder area
D. None of the above correct answers C. Three bite marks on the right upper arm/shoulder area
An example of a primary lesion is a(n):
A. erosion.
B. ulcer.
C. urticaria.
D. port-wine stain. correct answers C. urticaria.
Jesse Carter, a student nurse, has been assigned to teach fourth-graders about hygiene. Part of her
lesson will focus on the apocrine glands. Which of the following statements is true?
A. The apocrine glands, a type of sweat gland, are mainly located in the axillae, anogenital area,
nipples, and navel.
B. These glands produce a thick, milky secretion and open into the hair follicles.
C. The apocrine glands become active during puberty and decrease functioning in aging adults.
D. All of the above. correct answers D. All of the above.
Mr. Cook is a 53-year-old patient who comes to the clinic for routine follow-up for his chronic
obstructive pulmonary disease (COPD). Which of the following is indicative of COPD?
,A. Acrocyanosis
B. Circumoral cyanosis
C. Pitting of nails
D. Clubbing of nails correct answers D. Clubbing of nails
You are preparing the equipment that will be used to examine patients in the dermatology clinic.
The equipment needed to assess the skin, its appendages and, if necessary, lesions include:
A. strong direct lighting (artificial light preferred), ruler, pen light, goniometer, gloves, filtered
ultraviolet light, glass slide, and KOH.
B. strong direct lighting (natural daylight preferred), ruler, pen light, monometer, gloves, filtered
ultraviolet light, glass slide, and KOH.
C. strong direct lighting (artificial light preferred), ruler, pen light, microscope, gloves, filtered
ultraviolet light, glass slide, and KOH.
D. strong direct lighting (natural daylight preferred), ruler, pen light, magnifier, gloves, filtered
ultraviolet light, glass slide, and KOH. correct answers D. strong direct lighting (natural daylight
preferred), ruler, pen light, magnifier, gloves, filtered ultraviolet light, glass slide, and KOH.
Essential components of a patient history for dermatology disorders include:
A. a previous history of skin disorders plus symptom analysis (or HPI) of current problems and
allergies.
B. self-care behaviors, occupation, and hobbies.
C. prescribed medications, over-the-counter medications, herbs, and substance use.
D. All of the above. correct answers D. All of the above.
Mrs. Davids is a 55-year-old patient who presents with complaints of spots in her nails. As the
health care provider, you know that the components of a nail examination include:
A. contour, consistency, and color.
B. shape, surface, and circulation.
C. clubbing, pitting, and grooving.
D. texture, toughness, and translucency. correct answers A. contour, consistency, and color.
Mr. Holmes is a 54-year-old patient who comes to the clinic for an initial dermatology
assessment. On examination, you note a suppurative, inflammatory skin lesion due to an infected
hair follicle. Which of the following terms best describes this lesion?
A. Furuncle
B. Pustule
C. Fissure
D. Acne correct answers A. Furuncle
The term used to describe the shape of a lesion as being circular is:
, A. scaphoid.
B. annular.
C. confluent.
D. zosteriform. correct answers B. annular.
The sloughing of necrotic inflammatory tissue that causes a deep depression in the skin that
extends into the dermis is called:
A. gangrene.
B. dermanecrosis.
C. ulceration.
D. maceration. correct answers C. ulceration.
Mrs. Wilder, a 42-year-old patient, presents to the dermatology clinic with a confluent and
extensive patch of petechiae and ecchymoses; flat macular hemorrhage is called a:
A. purpura.
B. hemangioma.
C. hematoma.
D. telengiectasia. correct answers A. purpura.
Mr. Verdana is a 41-year-old gentleman who presents with a complaint of skin problems. On
examination you note single-chambered, superficial lesions containing free fluid > 1 cm in
diameter, which are called:
A. furuncles.
B. vesicles.
C. wheals.
D. bullae. correct answers D. bullae.
Which of the following terms describes "compact, desiccated flakes of skin from shedding of
dead skin cells"?
A. Crust
B. Scale
C. Dandruff
D. Plaque correct answers B. Scale
Elevated skin lesions that are greater than 1 cm in diameter are called:
A. bullae.
B. papules.
C. nodules.
D. furuncles. correct answers C. nodules.
A scooped-out, shallow depression in the skin is called a/an:
Verified Solutions.
Functions of the skin include:
A. protection, prevention, perception, and production of vitamin D.
B. temperature regulation, communication, and identification.
C. All of the above.
D. None of the above. correct answers C. All of the above.
You are conducting an in-service on aging skin for nurses and students assigned to a medical
floor at the local hospital. Which of the following pieces of information is essential for your in-
service to include?
A. The loss of collagen increases the risk of shearing, tearing injuries.
B. Thinning and flattening of the stratum corneum increases absorption of chemicals.
C. Diminished vascularity and increased vascular fragility lead to senile purpura.
D. All of the above correct answers D. All of the above
Casey Galen, a student nurse, conducts a dermatology in-service for nurses and students assigned
to a medical surgical floor at the local hospital. Ms. Galen stresses the impact of accumulated
risk factors in skin disease and breakdown. Such factors include:
A. loss of protective cushioning of the epidermal and dermal skin layers.
B. decreased vascular fragility.
C. lifetime of environmental trauma.
D. All of the above. correct answers C. lifetime of environmental trauma.
Mrs. Jones is a 65-year-old patient who presents with complaints of skin spots during a
dermatology follow-up. As the health care provider, you note some hyperpigmentation in this
aging adult. On examination, you would expect to see:
A. café au lait spots and hemangioma.
B. keratosis and lentigines.
C. linea nigra and chloasma.
D. None of the above. correct answers B. keratosis and lentigines.
Casey Galen, a student nurse, conducts a dermatology in-service for nurses and students assigned
to a medical surgical floor at the local hospital. Casey covers skin changes indicative of
prolonged sun exposure and shows slides of precancerous lesions. Which of the following is
descriptive of a precancerous keratotic lesion?
A. Raised, thickened areas of pigmentation, which look crusted, scaly, and warty
B. A raised, thickened, crusted area of dark pigmentation that looks "stuck on" and greasy
C. A raised, rough plaque of red-tan pigmentation with a silver-white scale
,D. A raised, thickened, dry area of decreased pigmentation with a tightly packed set of papules
correct answers C. A raised, rough plaque of red-tan pigmentation with a silver-white scale
John, a baby boy, is admitted to the transition nursery for a comprehensive physical,
medications, and a bath prior to being transferred to the postpartum floor. Before you conduct
the physical assessment, you review common skin variations of the newborn. Which of the
following conditions requires further evaluation by the in-house neonatal nurse practitioner?
A. Cutis marmorata, which is a mottling of the trunk and extremities
B. Harlequin pattern, a condition that causes one side of the body to appear deep red and the
other side pale, with a distinct demarcation down the midline
C. A grouping of café au lait spots
D. Erythema toxicum, a condition that causes punctuate macular-papular rash on cheeks, truck,
back, and buttocks correct answers C. A grouping of café au lait spots
Today is your last day of an emergency room (ER) rotation. A mother brings her 3-year-old child
to the ER to be examined after a fall. The child is dressed in clothing that, although clean, is
worn and wrinkled. The child sits quietly without fidgeting, arms in her lap, staring at the floor;
she remains silent when you try to engage her. As her mother explains the circumstances of the
fall and the resulting injuries, you wonder about the possibility of physical abuse. An x-ray is
ordered to rule out fracture of the left arm. Which of the following physical findings might
suggest abuse?
A. An x-ray depicting a simple fracture of the left arm
B. A skinned knee with torn pants midway down same leg
C. Three bite marks on the right upper arm/shoulder area
D. None of the above correct answers C. Three bite marks on the right upper arm/shoulder area
An example of a primary lesion is a(n):
A. erosion.
B. ulcer.
C. urticaria.
D. port-wine stain. correct answers C. urticaria.
Jesse Carter, a student nurse, has been assigned to teach fourth-graders about hygiene. Part of her
lesson will focus on the apocrine glands. Which of the following statements is true?
A. The apocrine glands, a type of sweat gland, are mainly located in the axillae, anogenital area,
nipples, and navel.
B. These glands produce a thick, milky secretion and open into the hair follicles.
C. The apocrine glands become active during puberty and decrease functioning in aging adults.
D. All of the above. correct answers D. All of the above.
Mr. Cook is a 53-year-old patient who comes to the clinic for routine follow-up for his chronic
obstructive pulmonary disease (COPD). Which of the following is indicative of COPD?
,A. Acrocyanosis
B. Circumoral cyanosis
C. Pitting of nails
D. Clubbing of nails correct answers D. Clubbing of nails
You are preparing the equipment that will be used to examine patients in the dermatology clinic.
The equipment needed to assess the skin, its appendages and, if necessary, lesions include:
A. strong direct lighting (artificial light preferred), ruler, pen light, goniometer, gloves, filtered
ultraviolet light, glass slide, and KOH.
B. strong direct lighting (natural daylight preferred), ruler, pen light, monometer, gloves, filtered
ultraviolet light, glass slide, and KOH.
C. strong direct lighting (artificial light preferred), ruler, pen light, microscope, gloves, filtered
ultraviolet light, glass slide, and KOH.
D. strong direct lighting (natural daylight preferred), ruler, pen light, magnifier, gloves, filtered
ultraviolet light, glass slide, and KOH. correct answers D. strong direct lighting (natural daylight
preferred), ruler, pen light, magnifier, gloves, filtered ultraviolet light, glass slide, and KOH.
Essential components of a patient history for dermatology disorders include:
A. a previous history of skin disorders plus symptom analysis (or HPI) of current problems and
allergies.
B. self-care behaviors, occupation, and hobbies.
C. prescribed medications, over-the-counter medications, herbs, and substance use.
D. All of the above. correct answers D. All of the above.
Mrs. Davids is a 55-year-old patient who presents with complaints of spots in her nails. As the
health care provider, you know that the components of a nail examination include:
A. contour, consistency, and color.
B. shape, surface, and circulation.
C. clubbing, pitting, and grooving.
D. texture, toughness, and translucency. correct answers A. contour, consistency, and color.
Mr. Holmes is a 54-year-old patient who comes to the clinic for an initial dermatology
assessment. On examination, you note a suppurative, inflammatory skin lesion due to an infected
hair follicle. Which of the following terms best describes this lesion?
A. Furuncle
B. Pustule
C. Fissure
D. Acne correct answers A. Furuncle
The term used to describe the shape of a lesion as being circular is:
, A. scaphoid.
B. annular.
C. confluent.
D. zosteriform. correct answers B. annular.
The sloughing of necrotic inflammatory tissue that causes a deep depression in the skin that
extends into the dermis is called:
A. gangrene.
B. dermanecrosis.
C. ulceration.
D. maceration. correct answers C. ulceration.
Mrs. Wilder, a 42-year-old patient, presents to the dermatology clinic with a confluent and
extensive patch of petechiae and ecchymoses; flat macular hemorrhage is called a:
A. purpura.
B. hemangioma.
C. hematoma.
D. telengiectasia. correct answers A. purpura.
Mr. Verdana is a 41-year-old gentleman who presents with a complaint of skin problems. On
examination you note single-chambered, superficial lesions containing free fluid > 1 cm in
diameter, which are called:
A. furuncles.
B. vesicles.
C. wheals.
D. bullae. correct answers D. bullae.
Which of the following terms describes "compact, desiccated flakes of skin from shedding of
dead skin cells"?
A. Crust
B. Scale
C. Dandruff
D. Plaque correct answers B. Scale
Elevated skin lesions that are greater than 1 cm in diameter are called:
A. bullae.
B. papules.
C. nodules.
D. furuncles. correct answers C. nodules.
A scooped-out, shallow depression in the skin is called a/an:
