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NURS 5220 Exam 1 Module 2,Ch 9, 10, 11, 12, 14, 15, Exam Questions And Correct Answers
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NURS 5220 Exam 1 Module 2,Ch 9, 10, 11, 12, 14, 15, Exam Questions And Correct Answers
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NURS 5220 Exam 1 Module 2,Ch 9, 10,11, 12, 14, 15, 16 2024-2025 Exam
Questions And Correct Answers
In which age group are milia an expected finding?
A. Newborns
B. Young children
C. Adolescents
D. Older adults - CORRECT ANSWER-A: CorrectMilia are small, whitish, discrete papules on the face; they
are commonly found during the first 2 to 3 months of life. The sebaceous glands function in an immature
fashion at this age and are easily plugged by sebum. Answers b, c, and d are incorrect.
Mr. Babson is a 74-year-old man who presents to your office with a complaint of a "spot" on his chin and
wants to know whether it is cancerous. Which of the following signs or symptoms indicates a need for
further medical investigation?
A. The "spot" is a reddish brown color.
B. The "spot" has been on his chin for 20 years.
C. The "spot" bleeds easily when it is touched.
D. The "spot" is slightly raised and circumscribed. - CORRECT ANSWER-C: CorrectA "spot" that bleeds
easily when it is touched may be indicative of a more serious condition like basal cell carcinoma, the
most common form of skin cancer.
A 6-year-old girl has freckles over her nose and cheeks. The examiner will recall that freckles are a type
of:
A. macule.
B. papule.
C. nodule.
NURS 5220: Exam 1 Module 2- Ch 9, 10, 11, 12, 14, 15, 16 2024-2025 Exam Questions And Correct Answers
,D. patch. - CORRECT ANSWER-A:correctA macule is a flat, circumscribed area that is a change in the
color of the skin usually less than 1 cm in diameter. Freckles, flat moles, petechiae, and measles are
examples of macules.
Mrs. Tomberg brings her 4-day-old infant to your office with a concern of a yellowish skin tone. Which of
the following statements best describes the rationale for the skin tone?
A. Increased formation of subcutaneous tissue causes a yellow hue.
B. Capillaries broken during the birth process turn the skin slightly yellow as bruises heal.
C. The yellowish color results from increased fat metabolism and heat production.
D. The infant has hyperbilirubinemia. - CORRECT ANSWER-D:CorrectHyperbilirubinemia, or physiologic
jaundice, is present to a mild degree in many newborn infants. It usually starts after the first day of life
and disappears by the eighth to tenth day but may persist for as long as 3 to 4 weeks. Intense and
persistent jaundice suggests liver disease, a hemolytic process, or severe, overwhelming infection.
Mr. Russel is a 17-year-old adolescent patient who presents with a complaint of acne. He asks the
examiner why teens have more problems with acne than children. Which of the following would be an
appropriate response?
A. "Children have better hygiene habits than adolescents because of parental guidance."
B. "Adolescents have reduced blood flow to the epidermal layer of the skin, making them more prone to
infections."
C. "At puberty, adolescents begin to secrete more oil from sebaceous glands."
D. "Children have very little skin mass, which prevents development of acne." - CORRECT ANSWER-C:
CorrectDuring adolescence, the apocrine glands enlarge and become active, causing increased axillary
sweating and sometimes body odor. Sebaceous glands increase sebum production in response to
increased hormone levels, primarily androgen, giving the skin an oily appearance and predisposing the
individual to acne.
While examining the skin of an 87-year-old woman, the nurse observes significant tenting. Which of the
following best explains that finding?
NURS 5220: Exam 1 Module 2- Ch 9, 10, 11, 12, 14, 15, 16 2024-2025 Exam Questions And Correct Answers
,A. Small tags of skin form on the neck.
B. The skin becomes thin and takes on a parchment-like appearance.
C. The skin becomes dry with significant flaking.
D. There is a loss of adipose tissue and elasticity. - CORRECT ANSWER-D:CorrectTenting occurs in the
older adult as a result of loss of adipose tissue and elasticity. The skin often appears to hang loosely on
the bony frame as a result of a general loss of elasticity, loss of underlying adipose tissue, and years of
gravitational pull.
Mr. Allen is a 66-year-old man who presents to your clinic for follow-up for his chronic obstructive
pulmonary disease (COPD). When assessing for the presence of clubbing, the examiner specifically
examines:
A. the width of the nail base.
B. the angle of the nail base.
C. the thickness of the nail.
D. the color of the nail. - CORRECT ANSWER-B:CorrectThe average nail base angle should measure 160
degrees. In clubbing, the nail base is boggy and the angle increases and approaches or exceeds 180
degrees. Another method of assessment is the Schamroth technique. Clubbing is associated with a
variety of respiratory and cardiovascular diseases, cirrhosis, colitis, and thyroid disease.
Mrs. Jones presents with a complaint of a spot on her skin. Which type of lesion can develop in an
already present nevi?
A. Malignant melanoma
B. Squamous cell carcinoma
C. Basal cell carcinoma
D. Kaposi sarcoma - CORRECT ANSWER-A: CorrectMalignant melonoma is the most lethal form of skin
cancer that develops from melanocytes. Squamous cell carcinoma, basal cell carcinoma, and Kaposi
sarcoma rarely develop in an already existing nevi.
NURS 5220: Exam 1 Module 2- Ch 9, 10, 11, 12, 14, 15, 16 2024-2025 Exam Questions And Correct Answers
, Mrs. Xavier is a 45-year-old patient who presents to your office with a complaint of a rash. On
examination, you find a herald patch (round plaque with fine superficial scaling). Which of the following
conditions identifies this finding?
A. Pityriasis rosea
B. Dermatophytosis
C. Rosacea
D. Herpes zoster - CORRECT ANSWER-A:CorrectPityriasis rosea is a self-limiting inflammation of
unknown cause. The herald lesion is commonly missed, although the most common sign of this
condition.
The examiner notes a large blue-black spot on the buttock of a 4-week-old black neonate. The mother
states that the infant was born with it. The examiner should recognize that this:
A. is an expected finding.
B. may indicate child abuse.
C. is related to birth trauma.
D. suggests a congenital defect. - CORRECT ANSWER-A:CorrectThis finding is indicative of Mongolian
spots. Mongolian spots are irregular areas of deep blue pigmentation, usually in the sacral and gluteal
regions, and are seen predominantly in newborns of African, Native American/American Indian, Asian,
or Latin descent. They commonly appear on the back, buttocks, shoulders, and legs of well babies and
usually disappear in the preschool years.
A skin lesion that may be associated with neurofibromatosis or pulmonary stenosis is:
A. café au lait spots.
B. nevus vasculosus.
C. port wine limb stain.
D. spider angioma. - CORRECT ANSWER-A:CorrectCafé au lait spots are flat, evenly pigmented spots
varying in color from light brown to dark brown or black on dark skin, are larger than 5 mm in diameter,
and are present at birth or shortly thereafter. They may be associated with neurofibromatosis or
miscellaneous other conditions, including pulmonary stenosis, temporal lobe dysrhythmia, and tuberous
sclerosis.
NURS 5220: Exam 1 Module 2- Ch 9, 10, 11, 12, 14, 15, 16 2024-2025 Exam Questions And Correct Answers
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