Cha-rs 12,13,14,15,16,: Jarvis: Physical
Examination & Health Assessment, 7th
Edition questions and answers
1. 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 non stratified.
d. Replaced every 4 weeks. - correct answer-D
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. - correct answer-D
3. The nurse is examining a patient who tells the nurse, I sure sweat a lot, especially on my
face and feet but it doesnt 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. - correct answer-A
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 newborns skin is more permeable than that of the adult.
d. The amount of vernix caseosa dramatically rises in the newborn. - correct answer-C
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 - correct answer-D
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. - correct answer-D
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. - correct answer-A
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 - correct answer-B
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 - correct answer-D
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. - correct answer-C
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. - correct answer-A
12. The nurse keeps in mind that a thorough skin assessment is extremely important
because the skin holds information about a persons:
, a. Support systems.
b. Circulatory status.
c. Socioeconomic status.
d. Psychological wellness. - correct answer-B
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. - correct answer-C
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 - correct answer-C
15. A patient is especially worried about an area of skin on her feet that has turned white.
The health care provider has told her that her condition is vitiligo. The nurse explains to her
that vitiligo is:
a. Caused by an excess of melanin pigment
b. Caused by an excess of apocrine glands in her feet
c. Caused by the complete absence of melanin pigment
d. Related to impetigo and can be treated with an ointment - correct answer-C
16. A patient tells the nurse that he has noticed that one of his moles has started to burn and
bleed. When assessing his skin, the nurse pays special attention to the danger signs for
pigmented lesions and is concerned with which additional finding?
a. Color variation
b. Border regularity
c. Symmetry of lesions
d. Diameter of less than 6 mm - correct answer-A
17. A patient comes to the clinic and states that he has noticed that his skin is redder than
normal. The nurse understands that this condition is due to hyperemia and knows that it can
be caused by:
a. Decreased amounts of bilirubin in the blood
b. Excess blood in the underlying blood vessels
c. Decreased perfusion to the surrounding tissues
d. Excess blood in the dilated superficial capillaries - correct answer-D
18. During a skin assessment, the nurse notices that a Mexican-American patient has skin
that is yellowish-brown; however, the skin on the hard and soft palate is pink and the patients
scleras are not yellow. From this finding, the nurse could probably rule out:
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