Quiz 3

Question 1

Skin turgor is an assessment of:

a. Pain
b. Strength
c. Hydration
d. Sensory function

Answer 1

c. hydration

Question 2

A newborn assessment reveals soft, downy hair over the shoulders, back and along the sides of the face.  The nurse documents:
Select one:
a. Hirsuitism
b. Werewolf syndrome (hypertrichosis)
c. Lenugo 
d. Alopecia

Answer 2

c. lenugo

Question 3

An examination reveals 2+ pitting edema on the client’s bilateral lower extremities. Which would be the most correct interpretation and response to this assessment?

a. Normal finding for an older adult; continue to follow
b. Abnormal finding; document and perform a focused assessment
c. Normal finding; no need for follow-up
d. Abnormal finding in children; schedule a follow-up visit

Answer 3

b. Abnormal finding; document and perform a focused assessment

Question 4

What physical assessment techniques does the nurse use to assess the integumentary system?

a. Olfaction, palpation, inspection
b. Auscultation, inspection, olfaction
c. Inspection, palpation, percussion
d. Palpation, inspection, auscultation

Answer 4

a. Olfaction, palpation, inspection

Question 5

Eccrine glands are:

a. Sweat glands responsible for body odor
b. Oil secreting glands found at the base of the hair
c. Sweat glands responsible for regulation of body heat
d. Oil secreting glands most often opening into a hair follicle

Answer 5

c. Sweat glands responsible for regulation of body heat

Question 6

Progressiong from the outside to the inside layers, which best describes the structures of the skin?

a. Subcutaneous fatty tissue, epidermis, dermis
b. Epidermis, dermis, subcutaneous fatty tissue
c. Subcutaneous fatty tissue, dermis, epidermis
d. Dermis, subcutaneous fatty tissue, epidermis

Answer 6

b. Epidermis, dermis, subcutaneous fatty tissue

Question 7

Signs which alert the nurse that a lesion may be cancerous include:

a. Red, raised and tender
b. Small, smooth and round
c. Irregular border and color and change in size
d. Large, raised and dark brown

Answer 7

c. Irregular border and color and change in size

Question 8

Cyanosis is an indication of:

a. Poor hygiene
b. Kidney failure
c. Liver disease
d. Decreased tissue perfusion

Answer 8

d. Decreased tissue perfusion

Question 9

Which assessment finding is most consistent with clubbing of the terminal digits?

a. Splintering or Beau’s lines
b. Angle of the nail base < 160 degrees
c. Spooning of the nails
d. Angle of the nail base > 160 degrees

Answer 9

d. angle of the nail base > 160 degrees

Question 10

Xeroderma is defined as:

a. Dry, brittle hair
b. Absence of skin
c. Loss of hair
d. Dry skin

Answer 10

d. dry skin

Question 11

A patient experiencing necrotizing ulceritis would experience lesions that were \_\_\_\_\_\_\_\_in color.
Select one:
a. Blue
b. Black
c. Red 
d. Yellow

Answer 11

b. black

Question 12

The order is for Univasc 22.5mg once per day. The tablets come in 7.5 mg strength. How many tablets are you going to give?

Answer 12

3

Question 13

The patient is to take 2.5mg Ativan prior to a procedure. The tables are available in 0.5mg strength. How many tablets are you going to give?

Answer 13

5