Skin

Question 1

Sounds (tone) elicited thru percussion and best heard in normal lungs is called?

Answer 1

Resonance

Question 2

While examining a client, the nurse plans to palpate the temperature of the skin by using the

Answer 2

Dorsal surface of the hand

Question 3

It requires to touch the patient with different parts of your hands, using varying degrees of pressure

Answer 3

Palpation

Question 4

During palpation of client’s organs, the nurse palpitates the spleen by applying pressure between 2.5cm and 5 cm. The nurse is performing?

Answer 4

Deep palpation

Question 5

The most commonly used method of percussion

Answer 5

Indirect Percussion

Question 6

During a comprehensive assessment of the lungs of an adult client with a diagnosis of emphysema, the nurse anticipates that during percussion the client will exhibit

Answer 6

Hyperresonance

Question 7

While percussing an adult client during a physical examination, the nurse can expect to hear flatness over the client’s

Answer 7

Lungs

Question 8

During a comprehensive assessment of an adult client, the nurse can best hear high pitched sounds by using a stethoscope with a?

Answer 8

1 ½ inch diaphragm

Question 9

When the nurse places one hand flat on the body surface and uses the fist of the other hand to strike the back of the hand flat on the body surface, the nurse is using.

Answer 9

Blunt percussion

Question 10

Part of the hand that are sensitive to vibrations, fremitus and thrills.

Answer 10

Ulnar/Palmar Surface

Question 11

Connecting the skin to underlying tissue is/are the?

Answer 11

-Suboutaneous tissue

Question 12

The only layer of the skin that undergoes cell division.

Answer 12

Innermost layer of the epidermis

Question 13

A client’s skin color depends on melanin and carotene contained in the skin and the

Answer 13

Volume of blood circulating in the dermis

Question 14

A nurse is assessing for the capillary refill time (CRT) of the patient. Three to four seconds after reiessing pressure, the nail returned to its original tone. This result would suggest:

Answer 14

Renal disease

Question 15

Sweat glands that are concentrated in the axillae, perineum, and areolae of the breast and are usually open through a hair follicle:

Answer 15

Apocrine

Question 16

Assessing for skin turgor means assessing for the skins’:

Answer 16

Mobility and Elasticity

Question 17

One abnormality a nurse might encounter in assessment of the nails is clubbing of the nails. Clubbing of the nails is due to:

Answer 17

Chronic hypoxia

Question 18

Which among these statements regarding lesions is true

Answer 18

Some Secondary lesions are initially from Primary lesions

Question 19

All except one of these following findings could be assessed via observation:

Answer 19

Moist skin

Question 20

Jeremy, a first-year nursing student is doing an assessment of the skin.
He was able to note some pigmentation in his client’s skin. He remembered their discussion regarding signs to consider malignant pigmentation. Which among these statements is true regarding signs of malignancy in pigmentation?

Answer 20

The pigment is asymmetrical, border is irregular and there is noted enlargement of the pigment

Question 21

An adult male client visits the outpatient center and tells the nurse that he has been experiencing patchy hair loss. The nurse should assess the client for:

Answer 21

Symptoms of stress

Question 22

An adult white client visits the clinic for the first time. During assessment of the client’s skin, the nurse should assess for central cyanosis by.

Answer 22

Oral muçosa

Question 23

The nurse assesses an older adult bedric den client in her home. While assessing the client’s buttocks, the nurse observes that a small area of the skin is broken and resembles an erosior. The nurse should document the client’s pressure ulcer as?

Answer 23

stage II

Question 24

To assess an adult clie’s skin turgor, the nurse should?

Answer 24

d. use two fingers to pinch the skin under the clavicle

Question 25

While assessing an adult client, the nurse observes freckles on the client’s face. The nurse should document the presence of

Answer 25

Macules

Question 26

An adult male client visits the clinic and tells the nurse that he believes he has athlete’s foot. The nurse observes that the client has linear cracks in the skin on both feet. The nurse should document the presence of?

Answer 26

Fissures

Question 27

An African-American female client visits the clinic. She tells the nurse that she had her ears pierced several weeks ago, and an elevated, irregular, reddened mass has now developed at the earlobe. The nurse should document a?

Answer 27

d. Keloid

Question 28

A dark-skinned client visits the clinic because he hasn’t been feeling well.
To assess the client’s skin for jaundice, the nurse should inspect the clients:

Answer 28

d. Sclera

Question 29

Connecting the skin to underlying structures is the?

Answer 29

Subcutaneous tissue

Question 30

A client’s skin color depends on melanin and carotene contained in the skin, and the:

Answer 30

volume of blood circulating in the dermis

Question 31

Hair follicles, sebaceous glands, and sweat glands originate from the:

Answer 31

Dermis

Question 32

The apocrine glands are dormant until puberty and are concentrated in the axillae, the perineum, and the:

Answer 32

areola of the breast

Question 33

Short, pale, and fine hair that is present over much of the body is termed:

Answer 33

Vellus

Question 34

The nails, located on the distal phalanges of the fingers and toes, are composed of

Answer 34

keratinized epidermal cells