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A single transverse line seen in the palm of a small child may imply:


A) Down syndrome.
B) Turner syndrome.
C) systemic sclerosis.
D) profound dehydration.

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Assessment of poor hygiene, healed fractures with deformity, or unexplained trauma in older adults indicates:


A) sexual abuse.
B) physical neglect.
C) psychological abuse.
D) violated rights.

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Unusual white areas on the skin may be caused by:


A) adrenal disease.
B) polycythemia.
C) vitiligo.
D) Down syndrome.

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A 29-year-old white woman appears jaundiced. Liver disease as a cause has been excluded. What history questions should the nurse ask?


A) Whether she had unprotected sex
B) Whether she has a history of diabetes mellitus
C) Whether she had unusual bleeding problems
D) Whether she eats a lot of yellow and orange vegetables

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Linea nigra is commonly found on the abdomens of:


A) infants and children.
B) adolescents.
C) pregnant patients.
D) older adults.

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The adipose tissue in the hypodermis serves to:


A) provide sensory input.
B) generate heat and insulate.
C) create tensile strength.
D) secrete collagen.

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Mrs. Franklin is a 68-year-old patient who presents to the office with a complaint that her nails do not seem to be growing. As the healthcare provider, you explain to her that the nails of older adults grow slowly because of:


A) decreased circulation.
B) dietary deficiencies.
C) fungal infections.
D) low hormone levels.

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A

The type and brand of grooming products used are important to the health history of:


A) adolescents.
B) everyone.
C) older adults.
D) persons with rashes.

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Expected hair distribution changes in older adults include:


A) increased terminal hair follicles on the scalp.
B) more prominent axillary and pubic hair production.
C) increased terminal hair follicles to the tragus of men's ears.
D) more prominent peripheral extremity hair production.

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C

During history taking, a mother states that her son awoke in the middle of the night complaining of intense itching to his legs. Today, your inspection reveals a honey-colored exudate from the vesicular rash on his legs. Which condition is consistent with these findings?


A) Exanthem
B) Impetigo
C) Solar keratoses
D) Trichotillomania

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Which of the following is an ABCDE characteristic of malignant melanoma?


A) Asymmetric borders
B) Borders well demarcated
C) Color of lesion is uniform
D) Diameter less than 6 mm

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Mrs. Bower is a 39-year-old patient who has come to the office for a routine physical examination. As a healthcare provider, you know that the skin temperature is best assessed with the:


A) dorsal surface of the examiner's hand.
B) palmar surface of the examiner's hand.
C) ulnar surface of the examiner's hand.
D) pads of the examiner's fingers.

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Women with terminal hair growth in a male distribution pattern should receive further evaluation for a(n) :


A) circulation condition.
B) endocrine disorder.
C) inflammatory state.
D) nutritional deficit.

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Skin turgor checks are performed to determine the:


A) temperature of the skin.
B) hydration status.
C) actual age.
D) extent of an ecchymosis.

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Painful vesicles are associated with:


A) psoriasis.
B) pityriasis rosea.
C) paronychia.
D) herpes zoster.

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You are examining a pregnant patient and have noted a vascular lesion. When you blanch over the vascular lesion, the site blanches and refills evenly from the center outward. The nurse documents this lesion as a:


A) telangiectasia.
B) spider angioma.
C) petechiae.
D) purpura.

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A 5-year-old child presents with discrete vesicles on an erythematous base that began near her scalp and are spreading to the trunk. The child has a low-grade fever and feels tired. What is the nurse's next action?


A) Teach infectious control measures.
B) Inquire about other patterns of physical abuse.
C) Inspect the buccal mucosa for Koplik spots.
D) Inform the parent that this will resolve within a couple of days.

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You have just completed a skin assessment on Mr. Baker. During your assessment, you have transilluminated a skin lesion. During the physical examination, you know that skin lesions are transilluminated to distinguish:


A) vascular from nonvascular lesions.
B) furuncles from folliculitis lesions.
C) fluid-filled lesions from solid cysts or masses.
D) herpes zoster from varicella.

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Which identify the signs and symptoms of basal cell cancer? (Select all that apply.)


A) Itching
B) Reddish patch
C) Starts from a nevi
D) Various clinical forms-cystic, nodular, pigmented
E) Macule type

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A, B, D

A 17-year-old student complains of a "rash for 3 days." You note pale, erythematous oval plaques over the trunk. They have fine scales and are arranged in a fernlike pattern, with parallel alignment. What is the nurse's next action?


A) Teach infectious control measures.
B) Inquire about another recent skin lesion.
C) Inspect the palms and the soles.
D) Inform the patient that this will resolve within a week.

Correct Answer

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