NUR-341 Practice questions

Your patient tells you that he notices one of his nevi has started to burn and bleed. In your assessment of the skin, you would pay special attention to the danger signs for pigmented lesions and you would expect to find: A. Uniform color B. Border irregularity C. Symmetry of lesions D. Diameter less than 6mm

B. Border irregularity

You are examining an unconscious patient and notice Beau's lines, a transverse groove across all of her nails, about 1 cm from the proximal nail fold. What do you do next? A. Conclude this is a result of a cultural practice B. Conclude this finding is most likely secondary to local trauma C. Look for information regarding pulmonary illness D. Ask about dietary intake

B. Conclude this finding is most likely secondary to local trauma

Mr. Garcia comes to your office for a rash on his chest associated with a burning pain. Even a light touch causes this burning sensation to worsen. On examination, you note a rash with small blisters (vesicles) on a background of reddened skin. The rash overlies an entire rib on his right side. What type of pain is this? A) Idiopathic pain B) Neuropathic pain C) Nociceptive or somatic pain D) Psychogenic pain

B. Neuropathic pain

You are speaking to an 8th grade class about health prevention and are preparing to discuss the ABCDEs of melanoma. Which of the following descriptions correctly defines the ABCDEs? A) A = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6 mm; E = evolution B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E = evolution C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E = evolution D) A = asymmetry; B = regular borders; C = color changes, especially orange; D = diameter >6 mm; E = evolution

B.) A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E = evolution

Which of the following terms is used to describe a flat, non-palpable skin lesion less than 1 cm? A. Macule B. Patch C. Papule D. Bulla

A. Macule

In which section of the complete Health History would you find information related to a client's religious persuasion/spiritual perspective? (Select all that apply) A. The biographical Snapshot B. The past health C. The review of systems D. The functional assessment

A. The biographical snapshot B. The functional assessment

A visiting nurse is making an initial home visit for a patient who has many chronic medical problems. Which type of database is most appropriate to collect at this time? A. A follow-up data base to evaluate changes at appropriate intervals B. An episodic data base because of the continuing, complex medical problems of this patient C. A complete health data base because of the nurses' primary responsibility for monitoring the patient's health D. An emergency data base because of the need to rapidly collect information and make accurate diagnosis

C. A complete health data base because of the nurses' primary responsibility for monitoring the patient's health

When assessing temperature of the skin, which portion of your hand should be used? A. Fingertips B. Palms C. Back of fingers D. Ulnar aspect of the hand

C. Back of fingers

Common or concerning symptoms to inquire about in the General Survey and vital signs include all of the following EXCEPT: A. Weight B. Level of Consciousness (LOC) C. Cough D. Temperature

C. Cough

The nurse is performing a physical assessment on a newly admitted patient. An example of objective information obtained during the physical assessment includes the: A. Patient's reported history of allergies B. Patient's report of use of medications at home C. Complaint of menstrual cramps D. 2x5 cm scar present on the right lower forearm

D. 2x5 cm scar present on the right lower forearm

Which situation is most appropriate for the nurse to perform a focused or problem-centered history? A. A patient's admission to a long-term care facility B. A patient has sudden, severe shortness of breath C. A patient's admission to the hospital for surgery the following day D. A patient in an outpatient clinic has a cold and flu-like symptoms

D. A patient in an outpatient clinic has a cold and flu-like symptoms

What is an important component of a history prior to a skin examination? A. Allergies B. Nutrition C. Hygiene D. All of the above

D. All of the above

You are beginning the examination of a patient. All of the following areas are important to observe as part of the General Survey EXCEPT: A. Level of Consciousness B. Signs of distress C. Dress, grooming, and personal hygiene D. Blood pressure

D. Blood pressure

In the health promotion model, the focus of the health professional includes: A. Changing the patient's perceptions of disease B. Identifying biomedical model interventions C. Identifying negative health acts of the consumer D. Helping the consumer choose a healthier lifestyle

D. Helping the consumer choose a healthier lifestyle

When palpating the skin, which of the following should be noted? A. Ptosis B. Posture C. Torsion D. Turgor

D. Turgor

Which of the following terms is used to describe raised skin lesions less than 1 cm and filled with serous fluid? A. Macules B. Papules C. Patch D. Vesicles

D. Vesicles