Exam 2: NR302/ NR 302| 2023/ 2024 Update Health Assessment I Exam| Graded A Questions and Verified Answers -Chamberlain
QUESTION
The nurse is
... [Show More] assessing the skin of a patient who has acquired immunodeficiency syndrome (AIDS) and notices multiple patchlike lesions on the temple and beard area that are faint pink in color. The nurse recognizes these lesions as:
Answer:
Kaposi's sarcoma.
QUESTION
A 45-year-old farmer comes in for a skin evaluation and complains of hair loss on his head. His hair seems to be breaking off in patches, and he notices some scaling on his head. The nurse begins the examination suspecting:
Answer:
Tinea capitis.
QUESTION
Sign and Symthoms of Heart Failure
Answer:
dyspnea, orthopnea, paroxysmal nocturnal dyspnea, decreased blood pressure, dependent and pitting edema; anxiety; confusion; jugular vein distention; and fatigue
QUESTION
The nurse is assessing for inflammation in a dark-skinned person. Which technique is the best?
Answer:
Assessing the oral mucosa for generalized erythema
QUESTION
The nurse is preparing for a certification course in skin care and needs to be familiar with the various lesions that may be identified on assessment of the skin. Which of the following definitions are correct? Select all that apply.
Answer:
Petechiae: Tiny punctate hemorrhages, 1 to 3 mm, round and discrete, dark red, purple, or brown in color.
Vesicle: Known as a friction blister
Nodule: Solid, elevated, and hard or soft growth that is larger than 1 cm
QUESTION
A physician tells the nurse that a patient's vertebra prominens is tender and asks the nurse to reevaluate the area in 1 hour. The area of the body the nurse will assess is:
Answer:
At the level of the C7 vertebra.
QUESTION
When examining the face of a patient, the nurse is aware that the two pairs of salivary glands that are accessible to examination are the ___________ and ___________ glands.
Answer:
Parotid; submandibular
QUESTION
During a cardiac assessment the nurse finds the following: jugular vein pulsations 4 cm above the sternal angle when the patient is elevated at 45 degrees, blood pressure 98/60 mm Hg, heart rate 130 beats per minute, ankle edema, difficulty breathing when supine, and an S3 on auscultation. Which of these conditions best explains the cause of these findings?
Answer:
Heart failure
QUESTION
During an assessment, the nurse notes that the patient's apical impulse is laterally displaced and is palpable over a wide area. This finding indicates:
Answer:
Volume overload, as in heart failure.
QUESTION
The nurse is aware that the four areas in the body where lymph nodes are accessible are the:
Answer:
Head and neck, arms, inguinal area, and axillae.
QUESTION
When the nurse is auscultating the carotid artery for bruits, which of these statements reflects the correct technique?
Answer:
While lightly applying the bell of the stethoscope over the carotid artery and listening, the patient is asked to take a breath, exhale, and briefly hold it.
QUESTION
A patient reports excruciating headache pain on one side of his head, especially around his eye, forehead, and cheek that has lasted approximately to 2 hours, occurring once or twice each day. The nurse should suspect:
Answer: [Show Less]