The document contains 30 multiple choice questions about various topics related to a comprehensive nursing health assessment. The questions cover topics like the purpose of a nursing assessment, who collects subjective data, the importance of reviewing medical records before an assessment, the order of steps in the nursing process during an assessment, identifying various skin conditions and lesions, assessing nails, hair, skin texture and temperature, edema grading, and more. The questions are designed to test a student's knowledge on performing and documenting a full nursing health assessment.

1. Health Assessment B
Exam 2

2. 1. An instructor is describing a comprehensive nursing health
assessment to a group of students. The instructor determines that
the teaching
was successful when the students identify which of the following as
the overall purpose?
A. Collect accurate data
B. Assist the physician
C. Validate previous data
D. Make a clinical judgment

3. 2. Which individual typically would be responsible for
collecting the subjective data on a client during the
initial comprehensive assessment?
A. Physician
B. Nurse
C. Secretary
D. Technician

4. 3. Before meeting the client and performing a
comprehensive health assessment, which of the following
would be most important for the
nurse to do?
A. Review the client's medical record.
B. Obtain basic biographic data.
C. Consult essential resources.
D. Validate information with the client.

5. 4. When performing the steps of the assessment
phase of the nursing process, which of the
following would the nurse do first?
A. Collect objective data
B. Validate the data
C. Collect subjective data
D. Document the data

6. 5. Most aggressive and life threatening characterized by change in
size, shape and shape.
A. Malignant Melanoma
B. Cavernous Hemangioma (Mature)
C. Telangegiectases
D. Impetigo

7. 6.Skin infection where sores burst and develop
honey colored crust?
A. Port-Wine Stain
B. Petechiae
C. Venous Lake
D. Impetigo

8. 7. A 54 year old male alcoholic, shows up at the
doctors complaining of a redness and itchy skin lesions
that tends to flare up periodically in the lower
extremities. The nurse finds these descriptions to be
consistent with which of the following?
A. Spider or Star Angioma
B. Venous Lake
C. Purpura
D. Atopic Dermatitis (Eczema)

9. 8. Which of the following describes a raised scar that
grow larger than the original injury.
A. Venous Lake
B. Strawberry Mark (Immature Hemangioma)
C. Keloid
D. Psoriasis
.

10. 9. Red skin, itchy rash caused by direct contact with a
substance or an allergic reaction to it.
A. Telangiectases
B. Strawberry Mark (Immature Hemangioma)
C. Port-Wine Stain (Nevus Flammeus)
D. Contact Dermatitis

11. 10. When assessing a fair skinned patient with jaundice,
possible areas with yellow color include the following except
A. Palms of hands
B. Sclera
C. Skin
D. Mucous membranes

12. 11. Which of the following conditions cause the appearance of
a ruddy blue color in face, oral mucosa, conjunctivae,
hands/feet?
A. Carbon Monoxide Poisoning
B. Cyanosis
C. Polycythemia
D.Uremia

13. 12. Upon assessment of a male client, the nurse
observes that his skin is dark/dull, and conjuctivae,
nail bed and oral, mucosa are slightly blue in color.
Her observations lead her to believe that the patient
may be suffering from which of the following?
A. Hemangiomas
B. Cyanosis
C. Carbon Monoxide Poisoning
D. Venous Stasis

14. 13. Redness or firemark in the skin caused by vascular anomaly
A. Infantile Hemangiomas
B. Strawberry Mark
C. Candidas
D. Port-Wine Stain (Nevus Flammeus)

15. 14. Which of the following purpuric lesions, is a tiny punctuate
hemorrhage, that is typically 1 to 3 mm, round/discreet, and
caused by bleeding from superficial arteries?
A. Petechiae
B. Impetigo
C. Purpura
D. Pustule

16. 15. A teen ager came for consultation for the red,
inflamed acne blemish filled with pus in his face
A. Polycythemia
B. Venous Stasis
C. Carbon monoxide poisoning
D. Pustules

17. 16. Anemia in light skinned people may be detected in
color as which of the following?
A. Cyanosis
B. Pallor
C.Jaundice
D. Carotenemia

18. 17. Which of the following is patchy depigmentation from
destruction of melanocytes that can be describes as patchy milky
white spots, often symmetrically bilateral.
A. Jaundice
B. Albinism
C. Vitiligo
D.Venous Stasis

19. 18. Which of the following are skin lesions painless, purplish
spots in the face associated with AIDS?
A. Psoriasis
B. Malignant melanoma
C.Kaposi's sarcoma
D. Tinea Capitis

20. 19. Which of the following describes lesions that run
together (e.g., urticaria)
A. Discrete
B. Grouped
C. Confluent
D. Annular

21. 20. While inspecting nails, the nurse observes them as thin, and
depressed with the lateral edges tilting up. Which of the following terms
best describes this "spooned" appearance?
A. Paranychia
B. Beau's line
C. Pitting
D. Koilonychia

22. 21. Hair assessment of a 45 yr old female undergoing
chemotherapy treatment shows patchy asymmetric
balding. The term describing this sort of hair loss, is
which of the following....
A.Traction alopecia
B. Pediculosis Capitis
C. Alopecia Areata
D.Toxic Alopecia

23. 22. Which of the following may be described as--small
grouped vesicles that emerge along route of cutaneous
sensory nerve?
A. Labial Herpes Simplex
B. Erythema Migrans of Lyme disease
C. Psoriasis
D. Herpes Zoster (shingles)

24. 23. Patch in the skin that is elevated, discolored,
changes in shaped and often itches
A. Papule
B. Nodule
C. Wheal
D. Pustule

25. 24. While inspecting a lesion with a Wood's light, lesions
with blue-green fluorescence indicate which of the
following?
A. Leukonychia striata
B. Gram - bacterial infections
C. Fungal infections
D. Common irritation

26. 25. An assessment of skin texture that is noted as dry,
itchy, and dull looking. This may be associated with
which of the following?
A. Dehydration
B. Hyperthyroidism
C. Hypothyroidism
D. Regular use of moisturizers

27. 26. Person's with hyperthyroidism have an increased metabolic
rate causing warm, moist skin.
A. True
B. False

28. 27. Yellow color on the bottom of the feet are usually an
observation made that is linked with jaundice.
A.
True
B.
False

29. 28. The best area to test for turgor in the elderly is the
abdomen.
Discuss
A. True- often in the elderly, the clavicular area does not
have much subcuataneous tissue; therefore, the abdomen is
a better site to assess.
B. False--The clavicular area is the best site to assess turgor.

30. 29. Onycholysis is the painless detachment of the nail
from the nail bed.
A. True
B False

31. 30. Pitting Edema that is grade 3 describes which of the
following?
A. Very deep pitting; indentation lasts a long time
B. Moderate pitting; indentation subsides rapidly
C. Mild-pitting, slight indentation
D. Deep pitting; indentation remains for a short time