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MM - HeadtoToe and Integumentary

Total questions: 53

Worksheet time: 28mins

Name
Class
Date
1.

The very first thing a nurse will assess when doing a head to toe examination is what?

a)

Head

b)

Vital Signs

c)

Skin

d)

General appearance

2.

What could the nurse assess based soley on the way the patients walk into the room?

a)

Gender and age

b)

Signs of illness

c)

Gait and posture

d)

Signs of illness, well nourished

3.

What does AO in AOX4 stand for?

(a)  

4.

What does PERRL stand for?

(a)  

5.

A nurse is inspecting the patient’s ears with an otoscope. Which of the following findings would be considered normal?

a)

A small plastic bead

b)

Brownish black tympanic membrane

c)

Perforation of the tympanic membrane

d)

Small amount of cerumen

6.

A nurse is assessing a patient’s neck with the patient seated. Which of the following is considered an unexpected finding?

a)

Jugular vein distention

b)

Midline Trachea

c)

Lack of bruits in carotid arteries

d)

Thyroid symmetry bilaterally

7.

In which arteries are bruits considered normal?

a)

Carotid arteries

b)

Temporal arteries

c)

Aortic artery

d)

None of the above

8.

What is the purpose of auscultating the abdomen before palpation and percussion?

a)

To get a baseline of bowel sounds

b)

To prevent alteration of bowel sounds

c)

To assess for any masses or lesions

d)

To check for tenderness or pain

9.

Techniques of assessment include interviewing, inspection, palpation, percussion, auscultation, percussion, and olfaction.

a)

true

b)

false

10.

What should be assessed during the inspection of the chest?

a)

Respiratory rate, skin color, abnormal movements

b)

Hygiene, posture, abnormal smell

c)

Heart sounds, lung sounds, chest symmetry

d)

Hair condition, beard abnormalities, skin breakdown

11.

Data such as headache, nasal stuffiness, and sore throat are example of what type of data?

a)

Subjective Data

b)

Objective Data

c)

Secondary Data

d)

Signs

12.

The signs experienced by the patient are a type of what data?

a)

Objective Data

b)

Subjective Data

c)

Secondary Data

d)

Diagnostic Data

13.

Where is the apical impulse located?

a)

In the second left intercostal space at the midclavicular line

b)

In the fifth left intercostal space at the midclavicular line

c)

In the ninth left intercostal space at the midclavicular line

d)

In the third left intercostal space at the midclavicular line

14.

identify the sign given in image

a)

Jugular vein distension

b)

Subclavian vein distension

c)

Carotid artery thrombosis

d)

Pulmonary artery hypertension

15.

Identify the image in which nurse place left hand finger in the ICS and right hand finger taps the left hand finger with movement from the right wrist?

a)

Inspection

b)

Percussion

c)

Palpation

d)

Auscultation

16.

When auscultating over the lung fields the nurse hears a high-pitched, musical sound like a "squeak" on expiration. What is the proper documentation of this sound?

a)

crackles

b)

a squeak

c)

rhonchi

d)

wheezes

17.

What is the functional reflex allowing the eyes to focus on near objects?

a)

Corneal Light Reflex

b)

Near Visual Acuity

c)

Cover Test

d)

Accommodation

18.

What is b?

a)

Right Upper Quadrant

b)

Left Upper Quadrant

c)

Right Lower Quadrant

d)

Left Lower Quadrant

19.
The best indicator of a patient's brain function is:
a)
mental status
b)
papillary response
c)
pulse
d)
respiratory rate and depth
20.

Stepphie's metformin bottle says to take one tablet b.i.d. What does that mean

a)

take one tablet once a day

b)

take one tablet twice a day

c)

take one tablet at bedtime

d)

take one tablet at two meals each day

21.

Activities of Daily Living

(a)  

22.

intra-

a)

within

b)

under

c)

over

23.

trans-

a)

near

b)

across

c)

minor

24.

blast

a)

study of

b)

embryonic cell

c)

causing death

d)

excision

25.

-graph

a)

study of

b)

record

c)

pain

d)

instrument to record

26.

Lab values: pH 7.50, paCO2 32, HCO3 24

a)

compensated respiratory alkalosis

b)

uncompensated respiratory alkalosis

c)

compensated metabolic acidosis

d)

compensated metabolic alkalosis

27.

pH 7.37 PaCO2 65 HCO3 35

a)

Compensated Respiratory Acidosis

b)

Uncompensated Respiratory Acidosis

c)

Compensated Metabolic Acidosis

d)

Compensated Metabolic Acidosis

28.
Skin color is due to a pigment called
a)
Keratin
b)
Melanin
c)
Chromatin
d)
Epithelium
29.
Burns without blisters are most likely what degree of burn?
a)
1st
b)
2nd
c)
3rd
30.

Which letter refers to the dermis?

a)

A

b)

B

c)

C

d)

D

e)

E

31.
The waterproofing protein that fills the cells in the upper layers of the epidermis.
a)
Keratin
b)
Melatonin
c)
Melanin
d)
Actin
32.

What is #9 pointing to?

a)

sebaceous gland

b)

sudoriferous gland

c)

messiner's corpuscle

d)

pacinian corpuscle

33.

Which of the following is a warning sign of melanoma in a mole?

a)

symmetrical shape

b)

smooth border

c)

small diameter

d)

different colors

34.

Why can you often not feel third-degree burns?

a)

Because they damage the nerve ending in your skin

b)

Because they aren't very damaging

c)

Because they cause scabs to form

d)

Because they only affect the inner part of your skin

35.

Match the following

a)

1st degree burn

1.

superficial; involves the epidermis

b)

2nd-degree burn

2.

partial thickness; involves the epidermis and dermis

c)

3rd degree burn

3.

full-thickness; involves the epidermis, dermis, and subcutaneous

36.

A student reaches into a container of corrosive chemicals without gloves and burns the anterior and posterior of their left arm. What % of their body is burned?

a)

4.5%

b)

9%

c)

18%

d)

36%

37.
Noncontagious skin disease, may be hereditary, thick red area covered with white or silver scales
a)
Eczema
b)
Impetigo
c)
Dermatitis
d)
Psoriasis
38.

Which of the following terms is a minor wound resulting from rubbing or friction to the epidermal layer of the skin?

a)

Laceration

b)

Abrasion

c)

Thermal burn

d)

Sunburn

39.

Which of the following is the treatment of choice for reducing further trauma for a burn-induced skin injury?

a)

Saline Wound Wash

b)

Liquid Adhesive Bandages

c)

Chilled Refrigerated Water

d)

Tap Water

e)

Hydrogen Peroxide

40.

These medications reduce friction and rubbing irritation to the wounded area and promote moist healing:

a)

Systemic Analgesics

b)

Local Anesthetics

c)

First Aid Antiseptics

d)

Skin Protectants

41.

Which pressure ulcer stage includes exposure of bone, muscle or tendons?

a)

Stage I

b)

Stage II

c)

Stage III

d)

Stage IV

e)

Stage IV

42.

Stage I pressure ulcer includes which of the following?

a)

full thickness tissue loss

b)

exposed bone, tendon and/or muscle

c)

non-blanchable erythema of intact skin

d)

unstageable

43.

When slough and/or eschar is present, the wound is identified as unstageable when____?

a)

the base of the wound cannot be determined

b)

the periwound is blanch able

c)

you can see tendon, bone and/or muscle

44.

To prevent bed sores, ___________

a)

Don't move the patient at all

b)

Actively move and turn the patient

c)

Place the patient sitting upright in a chair

45.

Which Condition is not a risk factor for developing pressure damage

a)

Diabetes

b)

Stroke

c)

Peripheral Arterial Disease

d)

Allergic Rhinitis

46.

What stage pressure ulcer is this?

a)

Unstageable

b)

Stage I

c)

Stage II

d)

Deep tissue injury (DTI)

47.

Acne and folliculitis are filled with pus and are examples of .....

a)

Papule

b)

Pustule

c)

Black Head

d)

Wheal

48.

select the high risk score for skin assessment scale

a)

12

b)

15-16

c)

13-14

d)

12 OR LESS

49.

If there is a mole that has grown and changed over time and the mole is reddish, brown with blue specks, indentations on the edge and 10 mm. Should the person be concerned?

a)

No, this is a basal cell carcinoma most likely with a high successful cure rate.

b)

Yes, this is most likely a squamous cell carcinoma, which needs to be removed and treated.

c)

No, this is merely a irregular mole, but nothing unusual.

d)

Yes, this is most likely a melanoma, which needs to be removed and treated.

50.

A postoperative patient arrives at an ambulatory care center and states, "I am not feeling well." upon assessment, the nurse notes an elevated temperature. An indication that the wound is infected would be.

a)

There is no odor

b)

The wound is approximated

c)

The wound is draining purulent exudate

d)

The are two stitches missing

51.

How many guests attended the first Thanksgiving?

a)

200

b)

1500

c)

150

d)

20

52.

Which President made Thanksgiving a national holiday?

a)

Washington

b)

Truman

c)

Lincoln

d)

Franklin

53.

What pie is the most popular on Thanksgiving?

a)

Apple Pie

b)

Pecan Pie

c)

Chocolate Pie

d)

Pumpkin Pie