NURS 631 (Advanced Health Assessment)
MULTIPLE CHOICE QUIZBANK CORRECTLY
ANSWERED AND FREQUENTLY TESTED.
A new mother is concerned that her child occasionally "turns blue." On
further questioning, she mentions that this is at her hands and feet. She
does not remember the child's lips turning blue. She is otherwise eating and
growing well. What would you do now?
A) Reassure her that this is normal
B) Obtain an echocardiogram to check for structural heart disease and
consult cardiology
C) Admit the child to the hospital for further observation
D) Question the validity of her story
Verified Answer -A) reassure her that this is normal
peripheral cyanosis when cold
Dakota is a 14-year-old boy who just noticed a rash at his ankles. There is no
history of exposure to ill people or other agents in the environment. He has a
slight fever in the office. The rash consists of small, bright red marks. When
they are pressed, the red color remains. What should you do?
A) Prescribe a steroid cream to decrease inflammation.
B) Consider admitting the patient to the hospital.
C) Reassure the parents and the patient that this should resolve within a
week.
,D) Tell him not to scratch them, and follow up in 3 days.
Verified Answer -B) consider admitting patient to hospital
non-blanchable means there is pinpoint bleeding under the skin
Jacob, a 33-year-old construction worker, complains of a "lump on his back"
over his scapula. It has been there for about a year and is getting larger. He
says his wife has been able to squeeze out a cheesy-textured substance on
occasion. He worries this may be cancer. When gently pinched from the
side, a prominent dimple forms in the middle of the mass. What is most
likely?
A) An enlarged lymph node
B) A sebaceous cyst
C) An actinic keratosis
D) A malignant lesion
Verified Answer -B) a sebaceous cyst
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
Verified Answer -C) psoriasis
Mrs. Anderson presents with an itchy rash which is raised and appears and
disappears in various locations. Each lesion lasts for many minutes. What
most likely accounts for this rash?
A) Insect bites
B) Urticaria, or hives
C) Psoriasis
D) Purpura
Verified Answer -B) urticaria/hives
"comes and goes"
A middle-aged man comes in because he has noticed multiple small, blood-
red, raised lesions over his anterior chest and abdomen for the past several
months. They are not painful and he has not noted any bleeding or bruising.
He is concerned this may be consistent with a dangerous condition. What
should you do?
A) Reassure him that there is nothing to worry about.
B) Do laboratory work to check for platelet problems.
C) Obtain an extensive history regarding blood problems and bleeding
disorders.
D) Do a skin biopsy in the office.
Verified Answer -A) reassure him there is nothing to worry about - this is a
cherry angioma and it's benign
, Ms. Whiting is a 68 year old who comes in for her usual follow-up visit. You
notice a few flat red and purple lesions, about 6 centimeters in diameter, on
the ulnar aspect of her forearms but nowhere else. She doesn't mention
them. They are tender when you examine them. What should you do?
A) Conclude that these are lesions she has had for a long time.
B) Wait for her to mention them before asking further questions.
C) Ask how she acquired them.
D) Conduct the visit as usual for the patient.
Verified Answer -C) ask how she acquired them
abuse??
match the following descriptions to the correct lesion or distribution name:
1. multiple lesions blending together
2. flat discoloration less than 1 cm
3. circumscribed area of skin edema
4. narrow linear crack into epidermis, exposing dermis
5. vesicle like lesion with purulent content
6. flat discoloration greater than 1 cm
7. raised lesion, larger than 1 cm, may be same or different color from the
surrounding skin
8. net-like cluster
9. loss of epidermis and dermis
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