Examen
Exam (elaborations) NR 509 Advanced Physical Assessment (NR509)
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- Chamberlain College Of Nursing
Exam (elaborations) NR 509 Advanced Physical Assessment (NR509)
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NR509 Week 5 quiz1. The nurse educator is preparing an education module for the nursing staff
on the epidermal layer of skin. Which of these statements would be included
in the module? The epidermis is: a. Highly vascular.
b. Thick and tough.
c... Thin and nonstratified.
d. Replaced every 4 weeks.: d. Replaced every 4 weeks.
2. The nurse educator is preparing an education module for the nursing staff
on the dermis layer of skin. Which of these statements would be included in
the module? The dermis:
a. Contains mostly fat cells.
b. Consists mostly of keratin.
c. Is replaced every 4 weeks.
d. Contains sensory receptors.: d. Contains sensory receptors.
3. The nurse is examining a patient who tells the nurse, "I sure sweat a lot,
especially on my face and feet but it doesn't have an odor." The nurse
knows that this condition could be related to: a. Eccrine glands.
b.. Apocrine glands.
c. Disorder of the stratum corneum.
d. Disorder of the stratum germinativum.: a. Eccrine glands.
4. A newborn infant is in the clinic for a well-baby checkup. The nurse
observes the infant for the possibility of fluid loss because of which of these
factors? a. Subcutaneous fat deposits are high in the newborn.
b. Sebaceous glands are overproductive in the newborn.
c. The newborn's skin is more permeable than that of the adult.
d. The amount of vernix caseosa dramatically rises in the newborn.: c. The
newborn's skin is more permeable than that of the adult.
5. The nurse is bathing an 80-year-old man and notices that his skin is
wrinkled, thin, lax, and dry. This finding would be related to which factor in
the older adult?
a. Increased vascularity of the skin
b. Increased numbers of sweat and sebaceous glands
c. An increase in elastin and a decrease in subcutaneous fat
d. An increased loss of elastin and a decrease in subcutaneous fat: d. An
increased loss of elastin and a decrease in subcutaneous fat
, NR509 Week 5 quiz
6. During the aging process, the hair can look gray or white and begin to feel
thin and fine. The nurse knows that this occurs because of a decrease in the
number of functioning:
a. Metrocytes.
b. Fungacytes.
c... Phagocytes.
d. Melanocytes.: d. Melanocytes.
7. During an examination, the nurse finds that a patient has excessive dryness
of the skin. The best term to describe this condition is: a. Xerosis.
b. Pruritus.
c. Alopecia.
d. Seborrhea.: a. Xerosis.
8. A 22-year-old woman comes to the clinic because of severe sunburn and
states, "I was out in the sun for just a couple of minutes." The nurse begins
a medication review with her, paying special attention to which medication
class?
a. Nonsteroidal antiinflammatory drugs for pain
b. Tetracyclines for acne
c. Proton pump inhibitors for heartburn
d. Thyroid replacement hormone for hypothyroidism: b. Tetracyclines for acne
9. A woman is leaving on a trip to Hawaii and has come in for a checkup.
During the examination the nurse learns that she has diabetes and takes
oral hypoglycemic agents. The patient needs to be concerned about which
possible effect of her medications? a. Increased possibility of bruising
b. Skin sensitivity as a result of exposure to salt water
c. Lack of availability of glucose-monitoring supplies
d. Importance of sunscreen and avoiding direct sunlight: d. Importance of
sunscreen and avoiding direct sunlight
10. A 13-year-old girl is interested in obtaining information about the cause of
her acne. The nurse should share with her that acne: a. Is contagious.
b. Has no known cause.
c. Is caused by increased sebum production.
d. Has been found to be related to poor hygiene.: c. Is caused by increased
sebum production.
, NR509 Week 5 quiz
11. A 75-year-old woman who has a history of diabetes and peripheral
vascular disease has been trying to remove a corn on the bottom of her foot
with a pair of scissors. The nurse will encourage her to stop trying to remove
the corn with scissors because:
a. The woman could be at increased risk for infection and lesions because
of her chronic disease.
b. With her diabetes, she has increased circulation to her foot, and it could
cause severe bleeding.
c. She is 75 years old and is unable to see; consequently, she places
herself at greater risk for self-injury with the scissors.
d. With her peripheral vascular disease, her range of motion is limited and
she may not be able to reach the corn safely.: a. The woman could be at
increased risk for infection and lesions because of her chronic disease.
12. The nurse keeps in mind that a thorough skin assessment is
extremely important because the skin holds information about a person's:
a. Support systems.
b. Circulatory status.
c. Socioeconomic status.
d. Psychological wellness.: b. Circulatory status.
13. A patient comes in for a physical examination and complains of "freezing
to death" while waiting for her examination. The nurse notes that her skin is
pale and cool and attributes this finding to: a. Venous pooling.
b. Peripheral vasodilation.
c. Peripheral vasoconstriction.
d. Decreased arterial perfusion.: c. Peripheral vasoconstriction.
14. A patient comes to the clinic and tells the nurse that he has been confined
to his recliner chair for approximately 3 days with his feet down and he asks
the nurse to evaluate his feet. During the assessment, the nurse might expect
to find:
a. Pallor
b. Coolness
c. Distended veins
d. Prolonged capillary filling time: c. Distended veins
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