According to the guidelines for Standard Precautions, the caregiver’s hands should be washed
D.
Which patient is at the highest risk for developing latex allergy?
B.
Which initial action, in a patient with autonomic dysreflexia, would aid in lowering blood
pressure?
A.
The use of secondary, tangential lighting is most helpful in the detection of
C.
You are caring for a nonambulatory 80-year-old male patient and he tells you, a female nurse,
that he feels like he is having drainage from his rectum. Which initial nursing action is
appropriate?
C.
You are planning to palpate the abdomen of your patient. Which part of the examiner’s hand
is best for palpating vibration?
C.
The dorsal surface of the hand is most often used for the assessment of
D.
Mrs. Berger is a 39-year-old woman who presents with a complaint of epigastric abdominal
pain. You have completed the inspection of the abdomen. What is your next step in the
assessment process?
D.
The degree of percussion tone is determined by the density of the medium through which the
sound waves travel. Which statement is true regarding the relationship between density of the
medium and percussion tone?
D.
Expected normal percussion tones include
C.
During percussion, a dull tone is expected to be heard over
D.
Dull tones are expected over denser areas such as the liver. Healthy lung tissue is resonant.
Emphysemic lungs are hyperresonant. Tympany is heard over most of the abdomen.
When using mediate or indirect percussion, which technique is appropriate?
A.
During percussion, the downward snap of the striking fingers should originate from the
C.
Which technique is commonly used to elicit tenderness arising from the liver, gallbladder, or
kidneys?
B.
During auscultation, you can limit your perceptual field best by
A.
You are auscultating a patient’s chest. The sounds are not clear, and you are having difficulty distinguishing between respirations and heartbeats. Which technique can you use to facilitate
your assessment?
A.
Auscultation should be carried out last, except when examining the
C.
Tympanic thermometers measure body temperature when a probe is placed
C.
A scale used to assess patients’ weight should be calibrated
B.
The height-measuring attachment of the standing platform scale should be pulled up
C.
The infant should be placed in which position to have his or her height or length measured?
A.
You are using an ophthalmoscope to examine a patient’s inner eye. You rotate the lens
selector clockwise and then counterclockwise to compensate for
A.
Rotating the lens selector compensates for myopia (nearsightedness) or hyperopia
(farsightedness) in the examiner and patient.
The pneumatic attachment for the otoscope is used to evaluate
C.
The pneumatic attachment on the otoscope produces a puff of air directed to the tympanic
membrane, resulting in its movement
Mr. Walters, a 32-year-old patient, tells you that his ears are "stopped up." An objective assessment of this complaint is achieved by using the
A.
This patient is describing eustachian tube dysfunction. The tympanometer measures
compliance of the middle ear as air pressures are varied. It is an objective means of assessing
the function of the ossicular chain, eustachian tube, and tympanic membrane
Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure
C.
Normal speech has a range of 300 to 3000 Hz; therefore the 500- to 1000-Hz fork is used
most often because it can estimate hearing loss in the range of normal speech.
To perform a deep tendon reflex measurement, you should
B.
A variant of the percussion hammer is the neurologic hammer, which is equipped with which
of the following?
D.
Transillumination functions on the principle that
A.
Which of the following are the causes of hyperreflexia? (Select all that apply.)
a. Cold stirrups
b. Standard scale
c. Insertion of a speculum
d. Fever
e. Pressure during bimanual examination
a, c, e
The skin repairs surface wounds by
C.
The adipose tissue in the hypodermis serves to
B.
The secretory activity of the sebaceous glands is stimulated by
B.
Mrs. Tuber is a 36-year-old patient who comes into the health center with complaints that her
fingernails are not growing. Which structure is the site of new nail growth?
B.
Mrs. Leonard brings her newborn infant into the pediatrician’s office for a first well-baby
visit. As the healthcare provider, you teach her that newborns are more vulnerable to
hypothermia because of
D.
Mrs. Mulligan brings her 16-year-old son into the office for a sports physical examination. As
the healthcare provider, you explain that normal hormone-related changes of adolescence
include
B.
Expected hair distribution changes in older adults include
B.
Brittle nails are typical findings in
A.
Mrs. Franklin is a 68-year-old patient who presents to the office with a complaint that her nails do not seem to be growing. As the healthcare provider, you explain to her that the nails of older adults grow slowly because of
A.
As part of your health promotion education for a new patient, you explain that the risk factors for skin cancer include
B.
The type and brand of grooming products used are important to the health history of
D.
Mr. Donalds is a 45-year-old roofer. Your inspection to determine color variations of the skin
is best conducted
A.
Tangential lighting is best used for inspecting skin
C.
Unusual white areas on the skin may be caused by
A.
Which cultural group has the lowest incidence of nevi?
B.
You are inspecting the lower extremities of a patient and have noted pale, shiny skin of the
lower extremities. This may reflect
A.
A 29-year-old white woman appears jaundiced. Liver disease as a cause has been excluded.
What history questions should the nurse ask?
A.
Mrs. Bower is a 39-year-old patient who has come to the office for a routine physical examination. As a healthcare provider, you know that the skin temperature is best assessed with the
C.
You are examining a pregnant patient and have noted a vascular lesion. When you blanch over
the vascular lesion, the site blanches and refills evenly from the center outward. The nurse documents this lesion as a
B.
Small, minute bruises are called
D.
A flat, nonpalpable lesion is described as a macule if the diameter is
B.
Mrs. Britton is a 34-year-old patient who presents to the office with complaints of skin rashes.
You have noted a 4.3-cm, rough, elevated area of psoriasis. This is an example of a
B.
Skin turgor checks are performed to determine the
C.
You have just completed a skin assessment on Mr. Baker. During your assessment, you have
transilluminated a skin lesion. During the physical examination, you know that skin lesions are transilluminated to distinguish
C.
Fluorescing lesions are best distinguished using a(n)
A.
Fluorescing lesions (e.g., some tinea lesions) show a characteristic yellow-green color under a
Wood’s lamp.
Women with terminal hair growth in a male distribution pattern should receive further
evaluation for a(n)
C.
Hirsutism in women (growth of terminal hair in a male distribution) can be a clinical sign of
an endocrine disorder. Hair loss can be associated with poor circulation, inflammation, or
nutritional deficits.
Which nail change found on examination would be most alarming?
B.
Dark bands in a dark-skinned person are normal; yellow in the toe of an older adult can
represent a nail disease or a chronic respiratory condition; and pits are related to psoriasis. A
single dark band in a white adult indicates a more serious condition—melanoma.
Transient mottling of the patient’s skin in a cool room is a common finding in
C.
Cutis marmorata, a mottled appearance, is part of the newborn’s response to changes in
temperature.
A single transverse line seen in the palm of a small child may imply
B.
The simian line, a single transverse crease, is seen on the palm of children with Down
syndrome.
Cafe au lait patches are numbered with each assessment of infants and young children because
A.
A Dennie-Morgan fold is probably caused by
D.
Persons with chronic atopic or allergic conditions tend to rub the eyes sufficiently to cause an
extra crease or pleat of skin below the eye, called the Dennie-Morgan fold
Linea nigra is commonly found on the abdomens of
D.
Cherry angiomas are a common finding in
B.
Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced
practitioner who can distinguish
C.
Actinic keratoses have malignant potential, and seborrheic keratoses do not
Age spots are also called
D.
The most common inflammatory skin condition is
D.
Which is a noncandidal fungal infection?
B.
Tinea corporis is the only listed fungal infection (noncandidal); the others are not fungal in
origin.
The characteristic that best differentiates psoriasis from other skin abnormalities is the
D.
Painful vesicles are associated with
D.
A 17-year-old student complains of a ―rash for 3 days.‖ You note pale, erythematous oval
plaques over the trunk. They have fine scales and are arranged in a fernlike pattern, with
parallel alignment. What is the nurse’s next action?
B.
The described rash is the typical presentation of pityriasis rosea.
Which of the following is an ABCDE characteristic of malignant melanoma?
A.
ABCDE melanoma mnemonic includes asymmetry, borders that are irregular, color that is not
the same all over, diameter larger than 6 mm and growing, and evolution.
The most common cutaneous neoplasm is
D.
Soft, painless, bluish papules in persons who are HIV-positive are most likely
D.
A 5-year-old child presents with discrete vesicles on an erythematous base that began near her
scalp and are spreading to the trunk. The child has a low-grade fever and feels tired. What is
the nurse’s next action?
D.
The description of this child’s complaint is a varicella rash, not physical abuse or rubeola.
During history taking, a mother states that her son awoke in the middle of the night complaining of intense itching to his legs. Today, your inspection reveals a honey-colored exudate from the vesicular rash on his legs. Which condition is consistent with these findings?
A.
You are conducting a preschool examination on a 5-year-old child. Which injury would most likely raise your suspicion that the child is being abused?
A.
Assessment of poor hygiene, healed fractures with deformity, or unexplained trauma in older adults indicates
B.
The nurse assesses the nail base angle using the Schamroth technique. Which nail bed shape
indicates a normal expected examination finding?
C.
Which identify the signs and symptoms of basal cell cancer? (Select all that apply.)
a. Itching
b. Reddish patch
c. Starts from a nevi
d. Various clinical forms—cystic, nodular, pigmented
e. Macule type
ANS: A, B, D
Common signs and symptoms of basal cell carcinoma include a, pink, red, tan, white, black,
or brown shiny nodule, in a variety of clinical forms, which may be crusted and itching.
Author
BodeS
ID
364512
Card Set
week 3 & 4
Description
Chapter 3: Examination Techniques and Equipment
Chapter 9: Skin, Hair, and Nails
