NURS 5220: Exam #1 Module 2: Ch 9, 10, 1
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1, 12, 14, 15, 16 2024 Exam Questions And
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Correct Answers ls
Inlswhichlsagelsgrouplsarelsmilialsanlsexpectedlsfinding?
A.lsNewbornsls
B.lsYounglschildren
C.lsAdolescents
D.lsOlderlsadultsls-lscorrectlsanswers-
A:lsCorrectMilialsarelssmall,lswhitish,lsdiscretelspapuleslsonlsthelsface;lstheylsarelscommonlylsfoundlsduringlsthelsfi
rstls2lstols3lsmonthslsoflslife.lsThelssebaceouslsglandslsfunctionlsinlsanlsimmaturelsfashionlsatlsthislsagelsandlsarelseas
ilylspluggedlsbylssebum.lsAnswerslsb,lsc,lsandlsdlsarelsincorrect.
Mr.lsBabsonlsislsals74-year-
oldlsmanlswholspresentslstolsyourlsofficelswithlsalscomplaintlsoflsals"spot"lsonlshislschinlsandlswantslstolsknowlswhet
herlsitlsislscancerous.lsWhichlsoflsthelsfollowinglssignslsorlssymptomslsindicateslsalsneedlsforlsfurtherlsmedicallsinve
stigation?
A.lsThels"spot"lsislsalsreddishlsbrownlscolor.
B.lsThels"spot"lshaslsbeenlsonlshislschinlsforls20lsyears.
C.lsThels"spot"lsbleedslseasilylswhenlsitlsislstouched.
D.lsThels"spot"lsislsslightlylsraisedlsandlscircumscribed.ls-lscorrectlsanswers-
C:lsCorrectAls"spot"lsthatlsbleedslseasilylswhenlsitlsislstouchedlsmaylsbelsindicativelsoflsalsmorelsseriouslsconditionlsl
ikelsbasallscelllscarcinoma,lsthelsmostlscommonlsformlsoflsskinlscancer.
Als6-year-
oldlsgirllshaslsfreckleslsoverlsherlsnoselsandlscheeks.lsThelsexaminerlswilllsrecalllsthatlsfreckleslsarelsalstypelsof:
A.lsmacule.ls
B.lspapule.
C.lsnodule.
,D.lspatch.ls-lscorrectlsanswers-
A:correctAlsmaculelsislsalsflat,lscircumscribedlsarealsthatlsislsalschangelsinlsthelscolorlsoflsthelsskinlsusuallylslesslstha
nls1lscmlsinlsdiameter.lsFreckles,lsflatlsmoles,lspetechiae,lsandlsmeasleslsarelsexampleslsoflsmacules.
Mrs.lsTomberglsbringslsherls4-day-
oldlsinfantlstolsyourlsofficelswithlsalsconcernlsoflsalsyellowishlsskinlstone.lsWhichlsoflsthelsfollowinglsstatementslsbes
tlsdescribeslsthelsrationalelsforlsthelsskinlstone?
A.lsIncreasedlsformationlsoflssubcutaneouslstissuelscauseslsalsyellowlshue.
B.lsCapillarieslsbrokenlsduringlsthelsbirthlsprocesslsturnlsthelsskinlsslightlylsyellowlsaslsbruiseslsheal.
C.lsThelsyellowishlscolorlsresultslsfromlsincreasedlsfatlsmetabolismlsandlsheatlsproduction.
D.lsThelsinfantlshaslshyperbilirubinemia.ls-lscorrectlsanswers-
D:CorrectHyperbilirubinemia,lsorlsphysiologiclsjaundice,lsislspresentlstolsalsmildlsdegreelsinlsmanylsnewbornlsinfa
nts.lsItlsusuallylsstartslsafterlsthelsfirstlsdaylsoflslifelsandlsdisappearslsbylsthelseighthlstolstenthlsdaylsbutlsmaylspersistl
sforlsaslslonglsasls3lstols4lsweeks.lsIntenselsandlspersistentlsjaundicelssuggestslsliverlsdisease,lsalshemolyticlsprocess
,lsorlssevere,lsoverwhelminglsinfection.
Mr.lsRussellsislsals17-year-
oldlsadolescentlspatientlswholspresentslswithlsalscomplaintlsoflsacne.lsHelsaskslsthelsexaminerlswhylsteenslshavels
morelsproblemslswithlsacnelsthanlschildren.lsWhichlsoflsthelsfollowinglswouldlsbelsanlsappropriatelsresponse?
A.ls"Childrenlshavelsbetterlshygienelshabitslsthanlsadolescentslsbecauselsoflsparentallsguidance."
B.ls"Adolescentslshavelsreducedlsbloodlsflowlstolsthelsepidermallslayerlsoflsthelsskin,lsmakinglsthemlsmorelspronels
tolsinfections."
C.ls"Atlspuberty,lsadolescentslsbeginlstolssecretelsmorelsoillsfromlssebaceouslsglands."ls
D.ls"Childrenlshavelsverylslittlelsskinlsmass,lswhichlspreventslsdevelopmentlsoflsacne."ls-lscorrectlsanswers-
C:lsCorrectDuringlsadolescence,lsthelsapocrinelsglandslsenlargelsandlsbecomelsactive,lscausinglsincreasedlsaxillar
ylssweatinglsandlssometimeslsbodylsodor.lsSebaceouslsglandslsincreaselssebumlsproductionlsinlsresponselstolsincr
easedlshormonelslevels,lsprimarilylsandrogen,lsgivinglsthelsskinlsanlsoilylsappearancelsandlspredisposinglsthelsindi
viduallstolsacne.
Whilelsexamininglsthelsskinlsoflsanls87-year-
oldlswoman,lsthelsnurselsobserveslssignificantlstenting.lsWhichlsoflsthelsfollowinglsbestlsexplainslsthatlsfinding?
,A.lsSmalllstagslsoflsskinlsformlsonlsthelsneck.
B.lsThelsskinlsbecomeslsthinlsandlstakeslsonlsalsparchment-likelsappearance.
C.lsThelsskinlsbecomeslsdrylswithlssignificantlsflaking.
D.lsTherelsislsalslosslsoflsadiposelstissuelsandlselasticity.ls-lscorrectlsanswers-
D:CorrectTentinglsoccurslsinlsthelsolderlsadultlsaslsalsresultlsoflslosslsoflsadiposelstissuelsandlselasticity.lsThelsskinlsof
tenlsappearslstolshanglslooselylsonlsthelsbonylsframelsaslsalsresultlsoflsalsgenerallslosslsoflselasticity,lslosslsoflsunderly
inglsadiposelstissue,lsandlsyearslsoflsgravitationallspull.
Mr.lsAllenlsislsals66-year-oldlsmanlswholspresentslstolsyourlscliniclsforlsfollow-
uplsforlshislschroniclsobstructivelspulmonarylsdiseasels(COPD).lsWhenlsassessinglsforlsthelspresencelsoflsclubbing,l
sthelsexaminerlsspecificallylsexamines:
A.lsthelswidthlsoflsthelsnaillsbase.
B.lsthelsanglelsoflsthelsnaillsbase.ls
C.lsthelsthicknesslsoflsthelsnail.
D.lsthelscolorlsoflsthelsnail.ls-lscorrectlsanswers-
B:CorrectThelsaveragelsnaillsbaselsanglelsshouldlsmeasurels160lsdegrees.lsInlsclubbing,lsthelsnaillsbaselsislsboggyls
andlsthelsanglelsincreaseslsandlsapproacheslsorlsexceedsls180lsdegrees.lsAnotherlsmethodlsoflsassessmentlsislsthe
lsSchamrothlstechnique.lsClubbinglsislsassociatedlswithlsalsvarietylsoflsrespiratorylsandlscardiovascularlsdiseases,ls
cirrhosis,lscolitis,lsandlsthyroidlsdisease.
Mrs.lsJoneslspresentslswithlsalscomplaintlsoflsalsspotlsonlsherlsskin.lsWhichlstypelsoflslesionlscanlsdeveloplsinlsanlsalre
adylspresentlsnevi?
A.lsMalignantlsmelanomals
B.lsSquamouslscelllscarcinoma
C.lsBasallscelllscarcinoma
D.lsKaposilssarcomals-lscorrectlsanswers-
A:lsCorrectMalignantlsmelonomalsislsthelsmostlslethallsformlsoflsskinlscancerlsthatlsdevelopslsfromlsmelanocytes.l
sSquamouslscelllscarcinoma,lsbasallscelllscarcinoma,lsandlsKaposilssarcomalsrarelylsdeveloplsinlsanlsalreadylsexisti
nglsnevi.
Mrs.lsXavierlsislsals45-year-
oldlspatientlswholspresentslstolsyourlsofficelswithlsalscomplaintlsoflsalsrash.lsOnlsexamination,lsyoulsfindlsalsheraldlsp
atchls(roundlsplaquelswithlsfinelssuperficiallsscaling).lsWhichlsoflsthelsfollowinglsconditionslsidentifieslsthislsfindin
g?
, A.lsPityriasislsroseals
B.lsDermatophytosis
C.lsRosacea
D.lsHerpeslszosterls-lscorrectlsanswers-A:CorrectPityriasislsrosealsislsalsself-
limitinglsinflammationlsoflsunknownlscause.lsThelsheraldlslesionlsislscommonlylsmissed,lsalthoughlsthelsmostlsco
mmonlssignlsoflsthislscondition.
Thelsexaminerlsnoteslsalslargelsblue-blacklsspotlsonlsthelsbuttocklsoflsals4-week-
oldlsblacklsneonate.lsThelsmotherlsstateslsthatlsthelsinfantlswaslsbornlswithlsit.lsThelsexaminerlsshouldlsrecognizelst
hatlsthis:
A.lsislsanlsexpectedlsfinding.ls
B.lsmaylsindicatelschildlsabuse.
C.lsislsrelatedlstolsbirthlstrauma.
D.lssuggestslsalscongenitallsdefect.ls-lscorrectlsanswers-
A:CorrectThislsfindinglsislsindicativelsoflsMongolianlsspots.lsMongolianlsspotslsarelsirregularlsareaslsoflsdeeplsblue
lspigmentation,lsusuallylsinlsthelssacrallsandlsgluteallsregions,lsandlsarelsseenlspredominantlylsinlsnewbornslsoflsAf
rican,lsNativelsAmerican/AmericanlsIndian,lsAsian,lsorlsLatinlsdescent.lsTheylscommonlylsappearlsonlsthelsback,ls
buttocks,lsshoulders,lsandlslegslsoflswelllsbabieslsandlsusuallylsdisappearlsinlsthelspreschoollsyears.
Alsskinlslesionlsthatlsmaylsbelsassociatedlswithlsneurofibromatosislsorlspulmonarylsstenosislsis:
A.lscafélsaulslaitlsspots.ls
B.lsnevuslsvasculosus.
C.lsportlswinelslimblsstain.
D.lsspiderlsangioma.ls-lscorrectlsanswers-
A:CorrectCafélsaulslaitlsspotslsarelsflat,lsevenlylspigmentedlsspotslsvaryinglsinlscolorlsfromlslightlsbrownlstolsdarklsb
rownlsorlsblacklsonlsdarklsskin,lsarelslargerlsthanls5lsmmlsinlsdiameter,lsandlsarelspresentlsatlsbirthlsorlsshortlylsthere
after.lsTheylsmaylsbelsassociatedlswithlsneurofibromatosislsorlsmiscellaneouslsotherlsconditions,lsincludinglspul
monarylsstenosis,lstemporallslobelsdysrhythmia,lsandlstuberouslssclerosis.
Mr.lsTuckerlsislsals68-year-
oldlsmanlswholscomeslstolsyourlsofficelscomplaininglsoflsspotslsonlshislsskin.lsOnlsexamination,lswhichlslesionlsislsanl
sexpectedlsfindinglsonlsthelsskinlsoflshealthylsolderlsadults?
A.lsAcnelsvulgaris
B.lsCherrylsangioma
