NR 509 Advanced Health Assessment Final Exam Q&A with Complete Solution (Latest 2021/2022)100% Verified

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NR 509 Advanced Health Assessment Final Exam Q&A with Complete Solution (Latest 2021/2022)100% Verified A circumscribed, elevated lesion, >1 cm I diameter and containing clear serous fluid is best de... scribed as Correct Answer- Bulla The history and physical of a client indicates paste occurrences of lichenification. The NP identifies this as: Correct Answer- Rough, thickened epidermis, accentuated skin markings On examination of a client's skin, the nurse practitioner finds a lesion that is about 0.75 cm in diameter, brown, and circumscribed. Correct term for this lesion is: Correct Answer- Macule In performing a skin assessment, the NP understands that the following characteristic of a mole would need intervention: Correct Answer- A new 2mm mole that is brown with a red, irregular border, and occasionally pruritic The NP describes an annular skin lesion as usually arranged in Correct Answer- A circle or ring shape An NP educating patients realizes that risk factors for skin cancer include all except: Correct Answer- Dark eyes Which of the following in a client's history would place the patient most at risk for melanoma? Correct Answer- Intense, intermittent sun exposure An elderly retired farmer presents with a rolled border, pearly, firm nodule with telangiectasia on his nose. This is: Correct Answer- Basal cell carcinoma An adult female presents with an irregular, variegated nevus on her left lower back that has doubled in size the past ?. The NP should: Correct Answer- Refer immediately to a dermatologist The ABCDs of melanoma identification include all of the following EXCEPT: Correct Answer- B (bridging): connection across sides Your patient is 2 weeks old. During your assessment, you note that she has pinhead sized, smooth, white, raised areas. You document this as: Correct Answer- Milia Which skin lesions are directly related to chronic sun exposure and photo damage? Correct Answer- Actinic keratosis In your assessment you note Ms. Angel has white nail syndrome, you order: Correct Answer- BUN & Creatinine Mary D. an 84 y.o F has multiple solar lentils <1 cm. These are not uncommon for her age. You would describe these as: Correct Answer- Macules Lou, a 50 yo homeless man is diagnosed with tinea capitis. You realize this is cause by a(n): Correct Answer- Dermatophyte Ron R presents with dependent edema. You assess he has a >1 inch indentation up to mid-tibia bilaterally. You document this as: Correct Answer- +4 edema The most common type of melanoma is the: Correct Answer- Superficial You are assessing Arlene C's skin complaint. You get a +Auspitz sign. This aides you in the diagnosis of: Correct Answer- Psoriasis As you gather you history from a patient with atopic dermatitis what other items in the personal or family history would you expect with this patient? Correct Answer- Asthma Which of the following statements best describes squamous cell carcinoma? Correct Answer- Often has a keratinous horn You are assessing a newborn and note the baby is jaundiced. He is 3 days old. You realize that for this to be a normal finding it must be gone within: Correct Answer- 1 week What are the major components to be documented for a skin lesion? Correct Answer- -Distribution -Configuration -Palpable features -Pattern -All of the above Which of the following presentations suggests a diagnosis of a malignant melanoma? Correct Answer- Lesion with border irregularity All of the following statements concerning basal cell carcinoma are true EXCEPT? Correct Answer- It is most often found on abdomen or trunk The NP denotes a bruit above and to the left of the umbilicus. This finding is consistent with: Correct Answer- History of HTN As you palpate the abdomen, + rebound tenderness at McBurney's point would alert you to: Correct Answer- Appendicitis Which of the following is true regarding colorectal cancer? Correct Answer- Later disease presentation often includes iron deficiency anemia You assess for Cullen sign in Dan, age 62, after surgery. Cullen sign may indicate: Correct Answer- Intra-abdominal bleeding When percussing the abdomen, you document hyper-resonance. This most likely represents: Correct Answer- Gaseous distention A positive fluid wave test may occur with all of the following conditions EXCEPT Correct Answer- Inflammation of the spleen Harold Williams abdominal exam includes a liver span of 3.0 MCL. Your assessment reveals: Correct Answer- Liver atrophy To test for a positive obturator sign in a client with abdominal pain, the NP: Correct Answer- Passively rotates the right hip from the 90 degree hip/knee flexion position A middle-aged woman who is overweight had RUQ pain that radiates to her R subscapular area. If there is a positive ______, the patient has _____ Correct Answer- Murphy's sign, cholecystitis A clients complains of extreme pain in his abdomen and points to the RLQ. In examining the acute abdomen, the NP would: Correct Answer- Palpate the left side of the abdomen, then the right side, noting guarding and tenderness The most important goal of assessing a client with abdominal pain is Correct Answer- Rule out emergent conditions While examining the abdomen of a post-op patient, you note that the bowel sounds are noted within 20 seconds. You. document that this is: Correct Answer- a normal fi [Show More]

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