Holistic Health Assessment Practice Questions: Exam 2, Fall 2017, Exams of Nursing

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Exam 2, Fall 2017

PRACTICE QUESTIONS

HOLISTIC HEALTH ASSESSMENT

D’Ann Shidler, RN, MSN, CNE

Testing Tips



Focus on the question



Find key words

 Think what the question is asking 

Focus on the answer choice

 Eliminate similar answers  Eliminate answers you KNOW are wrong!! 

Be sure your choice answers the

question

 Read question and answer together

During assessment of a client with a diagnosis of chronic obstructive pulmonary disease ( COPD ), the nurse finds the client’s nail angle has straightened out to 180 degrees , and has a spongy quality at the nail base. How would the nurse document this finding?

1. Clubbing
2. Onycholysis
3. Paronychia
4. Spoon nails (Hogan & Ricci, 2011, p.

During assessment of a client with a diagnosis

of chronic obstructive pulmonary disease

(COPD), the nurse finds the client’s nail

angle has straightened out to 180 degrees,

and has a spongy quality at the nail base.

How would the nurse document this finding?

1. Clubbing

2. Onycholysis
3. Paronychia
4. Spoon nails (Hogan & Ricci, 2011, p.

What would be the most appropriate

question for the nurse to ask a female

client who is seeking treatment for a skin

rash on her hands that developed

recently after starting a new job?

(Hogan & Ricci, 2011, p.

What would be the most appropriate question for the nurse to ask a female client who is seeking treatment for a skin rash on her hands that developed recently after starting a new job?

1. “Do you wear gloves at work?”
2. “How would you describe your level of stress?”
3. “Have you recently been exposed to extremes in temperature?”
4. “Do your hands usually perspire?” (Hogan & Ricci, 2011, p.

Rationale:

It is important for the nurse to explore

the possibility of an allergic reaction or

sensitivity to wearing gloves (option 1).

Certain types of gloves, especially latex,

can cause mild to severe allergic skin

reactions. Stress levels, exposures to

extreme temperatures, or excessive

perspiration would not cause this type of

skin reaction (options 2, 3, and 4)

(Hogan & Ricci, 2011, p. 261)

When assessing a pediatric client’s skin

rash, the nurse notes that the rash

consists of small, red, fluid-filled vesicles

that began on the trunk and progressed to

the face, arms, and legs. The nurse

concludes that the client most likely has

which condition?

(Hogan & Ricci, 2011, p. 259)

When assessing a pediatric client’s skin rash,

the nurse notes that the rash consists of

small, red, fluid-filled vesicles that began on

the trunk and progressed to the face, arms,

and legs. The nurse concludes that the

client most likely has which condition?

1. Chicken pox

2. German measles (Rubella)
3. Measles (Rubeola)
4. Tinea capitis (Hogan & Ricci, 2011, p. 263)

Rationale: Chicken pox or varicella begin as groups of small, red, fluid-filled vesicles usually on the trunk and progress to the face, arms and legs (option 1). German measles or rubella is a pale pink papular rash that begins on the face and spreads over the body, and may produce swollen glands (option 2). Measles or rubeola causes a red to purple rash composed over the neck, trunk, arms, and legs (option 3). Tinea capitis (option 4) is a fungal infection of the skin on the head. (Hogan & Ricci, 2011, p. 263)

In monitoring a client’s recent development of a skin lesion , which findings should alert the nurse to refer the client for further evaluation? Select all that apply.

1. Irregular borders
2. Yellow-white, greasy scales of the scalp
3. Change in pigmentation from brown to black
4. Diameter greater than 6mm
5. Color of skin around the lesion is client’s typical skin tone (Hogan & Ricci, 2011, p. 260)

In monitoring a client’s recent development of a skin lesion, which findings should alert the nurse to refer the client for further evaluation? Select all that apply.

1. Irregular borders

2. Yellow-white, greasy scales of the scalp 3. Change in pigmentation from brown to **black
3. Diameter greater than 6mm**
4. Color of skin around the lesion is client’s typical skin tone (Hogan & Ricci, 2011, p. 264)

Head & Neck

Among the following findings in

evaluation of a lymph node,

which is the most ominous (gives

cause for greatest concern)?

(Corbin, D’Amico, & Barbarito, 2007, p. 71)

Head & Neck

Among the following findings in

evaluation of a lymph node , which

is the most ominous (gives cause

for greatest concern)?

1. Enlargement

2. Firmness

3. Fixation to underlying tissue

4. Warmth

(Corbin, et al., 2007, p.