ST. PAUL UNIVERSITY QUEZON CITY Formal Assessment 3, Summer 2013 NCM02 Health Assessment (Mr.

. Jeffrey Layosa, RN, MSN )

Name________________________________________Date___________Score _________________

I. Concept recall. Choose the best answer among the choices. Write your answer before the number using capital letters. Strictly no erasures or alterations of answer.

1. Mang Kanor, went to the clinic and seek help due to his complaint of severe stomach ache. As a competent nurse you know that the appropriate position in conducting abdominal assessment is; a. Trendelenburgs position c. Dorsal recumbent b. Lithotomy position d. Sims position 2. To know the problem of Mang Kanor, you will use which of appropriate sequence of technique in conducting abdominal assessment is; a. Inspection, palpation, percussion, auscultation b. Inspection, auscultataion, percussion, palpation c. Auscultation, percussion, palpation, inspection d. Inspection, auscultation, palpation, percussion 3. An African American client is admitted with acute leukemia. The nurse is assessing for signs and symptoms of bleeding. Where is the best site for examining for the presence of petechiae? a. The abdomen b. The thorax c. The earlobes d. The soles of the feet 4. The nurse is assessing a client hospitalized with duodenal ulcer. Which finding should be reported to the doctor immediately? a.BP 82/60, pulse 120 b.Pulse 68, respirations 24 c.BP 110/88, pulse 56 d.Pulse 82, respirations 16 5. A nurse performs an admission assessment on a female client with a diagnosis of tuberculosis. The nurse reviews the result of which diagnosis test that will confirm this diagnosis? a. Bronchoscopy b. Sputum culture c. Chest x-ray d. Tuberculin skin test 6. During the initial interview, the client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that the most likely source of the lesion is: a. Syphilis b. Herpes c. Gonorrhea d. Candida 7. A client visiting a family planning clinic is suspected of having an STI. The best diagnostic test for treponema pallidum is: a. Venereal Disease Research Lab (VDRL) b. Rapid plasma reagin (RPR) c. Florescent treponemal antibody (FTA) d. Thayer-Martin culture (TMC)

8. Mary Jane McCormick, age 40, has discovered a lump in her right breast. As you obtain her health history, you identify risk factors for breast cancer. Which factor increases the risk for breast cancer? a. History of cancer in the family b. Multiparity c. Breast fed her children d. Her age 9. Donna Penner, age 56, is postmenopausal. You are reviewing BSE with her. At what time of the month should she perform BSE? a. First of every month b. Middle of the month c. after menstruation period d. Same time every month 10. Johnny Fellin, age 9, is brought to the emergency room by his parents with the chief complaint of right lower quadrant pain. Which physical assessment test should be done to check if Mr. Fellin has appendicitis? a. Iliopsoas test b. Shifting dullness c. Kehrs sign d. Murphys sign 11. Carmina was diagnosed of Liver Cirrhosis, hyperpigmentation of bilirubin causes the generalized yellow color on her skin and even in sclera. This condition is called? a. erythema c. jaundice b. vesicle d. Pustule 12. Nurse kris observe white patches on his client skin. She knows that this absence of melanin pigment on that white patches is called; a. vitiligo c. erythema b. hemorrhage d. hyperpigmentation Test II. Match the following skin disorder under Column A on which corresponding skin lesion it will classify under Column B. Write your answer before the number. Column A _____1. Freckles _____ 2. Birth Mark _____ 3. Boils _____ 4. Tumor _____ 5. Acne _____ 6. Blister _____ 7. Warts _____ 8. Lipomas _____ 9. Cysts _____ 10.Impetigo _____ 11. Acne _____ 12. Mongolian Spots _____ 13. Psoriasis Column B a. Macule b. Pustule c. Nodules d. Vesicle e. Papule

Test III. Essay: 1. Discuss the difference between a malignant and benign tumor. (5 points)

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