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ADVANCED HEALTH ASSESSMENT FINAL EXAM NEWEST UPDATED QUESTIONS WITH CORRECT ANSWERS
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ADVANCED HEALTH ASSESSMENT FINAL EXAM NEWEST UPDATED QUESTIONS WITH CORRECT ANSWERS
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ASCORERS STUVIAADVANCED HEALTH ASSESSMENT FINAL EXAM
NEWEST UPDATED QUESTIONS WITH CORRECT
ANSWERS
A 28-year-old patient comes to the office for evaluation of a rash. At first
there was only one large patch, but then more lesions erupted suddenly on the back and torso; the lesions itch. On physical examination, you note that the pattern of eruption is like a Christmas tree and that there are a variety of erythematous papules and macules on the cleavage lines of the back. Based on this description, what is the most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema ...ANS: A) Pityriasis rosea
A 68-year-old retired farmer comes to your office for evaluation of a skin lesion. On the right temporal area of the forehead, you see a flattened papule the same color as his skin, covered by a dry scale that is
round and feels hard. He has several more of these scattered on the forehead, arms, and legs. Based on this description, what is your most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma ...ANS: A) Actinic keratosis
A client asks a nurse to look at a raised lesion on the skin that has been present for about 5 years. Which is an " ABCD" characteristic of malignant melanoma? ASCORERS STUVIA
a) Asymmetrical shape
b) Borders well demarcated
c) Color is uniform
d) Diameter less than 6mm ...ANS: Asymmetrical shape
Explanation:Malignant melanomas are evaluated according to the mnemonic ABCDE: A for asymmetrical, B for irregular borders, C for color variations, D for diameter exceeding 1/8 to1/4 inch (3-4mm), and E for elevated.
A high-pitched crowing sound from the upper airway results from tracheal or laryngeal spasm and is called what? ...ANS: Stridor
A nurse inspects a client's skin and notices several flat, brown color change areas on the forearms. What is the proper term for documentation of this finding by the nurse? ...ANS: Macule
Explanation:A macule is a flat, non-palpable skin color change that may manifest as brown, white, tan, red, or purple. Freckles and port wine birthmarks are examples of a macule
A nurse is instructing a client on how to assess himself for herpes simplex lesions by their configuration. Which configuration should the nurse tell the client to look for? ...ANS: Clustered
Explanation:In a clustered configuration, lesions are grouped together; an example is herpes simplex.
A patient presents with ear pain. She is an avid swimmer. The history includes pain and drainage from the left ear. On examination, she has pain when the ear is manipulated, including manipulation of the tragus. The canal is narrowed and erythematous, with some white debris in the ASCORERS STUVIA
canal. The rest of the examination is normal. What diagnosis would you assign this patient? ...ANS: Otitis Externa
A young man comes to you with an extremely pruritic rash over his knees and elbows which has come and gone for several years. It seems to be worse in the winter and improves with some sun exposure. On examination, you notice scabbing and crusting with some silvery scale, and you are observant enough to notice small "pits" in his nails. What would account for these findings?
A) Eczema
B) Pityriasis rosea
C) Psoriasis
D) Tinea infection ...ANS: C) Psoriasis
An adult client is having his skin assessed. The client tells the nurse he has been a heavy smoker for the last 40 years. The client has clubbing of the fingernails. What does this finding tell the nurse? ...ANS: The client has chronic hypoxia
Explanation:Clubbing of the nails indicates chronic hypoxia. Clubbing is identified when the angle of the nail to the finger is more than 160 degrees.
B (Assessing Lesions) ...ANS: Border irregularity--Notching, scalloping, ragged edges, poorly defined margins
C (Assessing Lesions) ...ANS: Color variation--Areas of brown, tan, black, blue, red, white, or combination
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