eQuizShow

Nursing Quiz Show NR 200

integumentary

Question: The patient with psoriasis is admitted to a medical unit for unrelated reasons. When documenting the type of lesion represented by psoriasis, the nurse should document a:
Answer: Wheal, bulla, pustule, papule

Question: When using the ABCDE criteria for assessment of a mole, the nurse understands that which criteria could indicate a melanoma? (Select all that apply.)
Answer: Notched border, pink color, asymmetry, diameter greater than 6 mm.

Question: A decrease in oxyhemoglobin will result in documentation of what skin color?
Answer:

Question: The nurse is performing a Braden assessment on a 62-year-old retired man. The nurse documents no impairment in sensory perception, skin usually dry, sitting in chair most of the day with ambulation short distances outside the room three times a day, and making frequent changes in position. The nurse would anticipate the patient's Braden score to indicate:
Answer:

Question: The nurse would expect to see __________ ___________in a patient with decreased central oxygenation.
Answer:

eyes

Question: A patient complains of feeling like he is slowly losing his central vision. The nurse knows this symptom could represent:
Answer:

Question: The nurse is using the ophthalmoscope to examine the patient's eyes. The nurse holds the scope:

a) in the left hand for both eyes.
b) in the right hand for the right eye and left hand for the left eye.
c) in the right hand for both eyes.
d) in the left hand for the right eye and in the right hand for the left eye.
Answer:

Question: A nurse is inspecting a client's eyelids and eyelashes. Which of the findings would the nurse document as abnormal?

Answer: a) Raised yellow plaques near inner canthus


b) Upright lower eyelid

c) Drooping of the upper lid


d) White sclera absent above iris

Question: A nurse performs the Snellen test on a client and obtains these results: OD 20/40, OS 20/30. What conclusion can the nurse make in regards to the client's vision based on these results?


Answer: a) Vision is worse in the left eye than the right eye
b) The larger the bottom number, the worse the visual acuity
c) Client is legally blind in the left eye
d) Glasses are needed by the client for near vision

Question: A client has an abnormal consensual pupillary reaction to light. A nurse understands that what reaction occurs in the client's eyes?
Answer: a) Pupils dilate in response to a light shone in the eyes
b) Eyes do not converge to focus on a shining light
c) Nonreaction of the opposite pupil to light
d) Light reflection appears at different spots on both eyes

ears

Question: In a person with expected hearing signs, __________ conduction is more sensitive than __________ conduction.
Answer:

Question: While inspecting the tympanic membrane, the nurse notes a pearly gray and shiny appearance. The nurse would interpret this finding as which of the following?





Answer:
a) Scarring from previous infections
b) Serous otitis media
c) Normal tympanic membrane
d) Acute otitis media


Question: The patient asks the nurse why the nurse put the tuning fork on the bone behind the ear. Which is the best response by the nurse?




Answer: a) “It identifies a problem with the normal pathways for sound to travel to your inner ear.”
b) “It can identify if you have an inner ear problem causing disequilibrium.”
c) “It determines hearing loss caused by degeneration of nerves in your inner ear.”
d) “It can determine if you have a problem with repeated ear infections.”



Question: Which finding should a nurse recognize as a normal when assessing the ears of an elderly client?





Answer:

a) Decrease in cerumen production
b) Increased elasticity of the tympanic membrane
c) High tone frequency loss
d) Bulging tympanic membrane



Question: The nurse notes otitis media with effusion in the left ear of a 3-year-old child. Which assessment data is consistent with otitis media with effusion?
Answer: a) Redness and bulging of the eardrum
b) Clear discharge in the ear canal
c) Bloody discharge in the ear canal
d) Dense white patches on the tympanic membrane

nose, throat, neck

Question: A patient with hypothyroidism is admitted to the medical unit. The nurse would expect to assess which signs/symptoms? Select all that apply.
Answer: a) lethargy
b) weight loss
c) lower systolic blood pressure
d) cool skin

Question: The nurse is performing a physical examination and notes an enlarged left supraclavicular lymph node. The nurse understands that this could be indicative of::
Answer: a) nasopharyngitis
b) tonsillitis
c) metastasis
d) goiter

Question: A client complains of frequent sinus headaches. During transillumination of the frontal sinuses, a red glow is noted. The nurse anticipates which of the following?

Answer:

a) The physician will write a prescription for antibiotics.

b) The drainage will need to be cultured.

c) A repeat procedure will be done in 1 week to compare findings.

d) The headaches are most likely not from a sinus infection.

Question: The nurse would expect to assess which symptom of the temporal pulse in a patient complaining of migraine headaches?
Answer:

Question: When doing an examination of the thyroid gland, the suggested sequence of examination for a posterior approach is:
Answer: Have the patient sip and swallow
Place the fingers of both hands on either side of the thryoid
Flex the neck to the side
Evaluate the margins of the lobes of the thyroid.

pvd

Question: The nurse documents a 2+ radial pulse. What assessment data indicated this result?
Answer: a) diminished pulse.
b) expected pulse.
c) bounding pulse.
d) no pulse.

Question: The nurse assesses edema in a newly admitted patient. Further evaluation is based on the fact that the nurse knows edema is caused by (Select all that apply.)
Answer: a) increased capillary blood pressure.
b) increased capillary membrane permeability.
c) low plasma protein levels.
d) blockage of lymphatic drainage

Question: The nurse documents a 6-mm pitting edema as __________.
Answer:

Question: A patient describes a tight pain in the calf area of his leg. Upon inspection, the nurse notes inflamed, warm, red skin. The suspected diagnosis would be:
Answer: a) compartment syndrome.
b) intermittent claudication.
c) DVT.
d) Raynaud disease.


Question: A patient with intermittent claudication wonders why the nurse wants to know where the patient is experiencing cramping when he walks. What would be the nurse's best answer?


Answer:
a) * “The area of pain tells us what treatment will work best for you.”

b) * “The area of cramping indicates whether you may have numbness and tingling also.”

c) * “The area of pain can help us identify what risk factor is predominant.”

d) * “The area of cramping is close to the area of arterial occlusion.”