Académique Documents
Professionnel Documents
Culture Documents
1. A 10 year old who has sustained a head injury is brought to the emergency department by his
mother. A diagnosis of a mild concussion is made. At the time of discharge, nurse Ron should
instruct the mother to:
A. Albumin
B. D5W
C. Lactated Ringer’s solution
D. 0.9% sodium chloride solution with 2 mEq of potassium per 100 ml
11. During the first 48 hours after a severe burn of 40% of the clients body surface, the nurse’s
assessment should include observations for water intoxication. Associated adaptations include:
A. Sooty-colored sputum
B. Frothy pink-tinged sputum
C. Twitching and disorientation
D. Urine output below 30ml per hour
12. After a muscle biopsy, nurse Willy should teach the client to:
A. Angina
B. Chest pain
C. Heart block
D. Tachycardia
17. When administering pancrelipase (Pancreases capsules) to child with cystic fibrosis, nurse
Faith knows they should be given:
A. Meningeal irritation
B. Subdural hemorrhage
C. Medullary compression
D. Cerebral cortex compression
21. After a lateral crushing chest injury, obvious right-sided paradoxic motion of the client’s
chest demonstrates multiple rib fraactures, resulting in a flail chest. The complication the nurse
should carefully observe for would be:
A. Mediastinal shift
B. Tracheal laceration
C. Open pneumothorax
D. Pericardial tamponade
22. When planning care for a client at 30-weeks gestation, admitted to the hospital after vaginal
bleeding secondary to placenta previa, the nurse’s primary objective would be:
A. Suction equipment
B. Humidified oxygen
C. A nonelectric call bell
D. A cold-stream vaporizer
25. Nurse Oliver interviews a young female client with anorexia nervosa to obtain information
for the nursing history. The client’s history is likely to reveal a:
A. A boggy uterus
B. Multiple vaginal clots
C. Hypotension and tachycardia
D. Bleeding from the venipuncture site
32. When a client on labor experiences the urge to push a 9cm dilation, the breathing pattern that
nurse Rhea should instruct the client to use is the:
A. Expulsion pattern
B. Slow paced pattern
C. Shallow chest pattern
D. blowing pattern
33. Nurse Ronald should explain that the most beneficial between-meal snack for a client who is
recovering from the full-thickness burns would be a:
A. flexed extremities
B. Cyanotic lips and face
C. A heart rate of 130 beats per minute
D. A respiratory rate of 40 breath per minute
35. The laboratory calls to state that a client’s lithium level is 1.9 mEq/L after 10 days of lithium
therapy. Nurse Reese should:
A. Notify the physician of the findings because the level is dangerously high
B. Monitor the client closely because the level of lithium in the blood is slightly elevated
C. Continue to administer the medication as ordered because the level is within the therapeutic
range
D. Report the findings to the physician so the dosage can be increased because the level is
below therapeutic range
36. A client has a regular 30-day menstrual cycles. When teaching about the rhythm method,
Which the client and her husband have chosen to use for family planning, nurse Dianne should
emphasize that the client’s most fertile days are:
A. Days 9 to 11
B. Days 12 to 14
C. Days 15 to 17
D. Days 18 to 20
37. Before an amniocentesis, nurse Alexandra should:
A. Hyperactive reflexes
B. An increased pulse rate
C. Nausea, vomiting, and diarrhea
D. Leg weakness with muscle cramps
47. When assessing a newborn suspected of having Down syndrome, nurse Rey would expect to
observe:
A. Ears
B. Eyes
C. Liver
D. Brain
49. A disturbed client is scheduled to begin group therapy. The client refuses to attend. Nurse
Lolit should:
A. Fatigue
B. Alopecia
C. Vomiting
D. Leucopenia
57. Nurse Katrina prepares an older-adult client for sleep, actions are taken to help reduce the
likelihood of a fall during the night. Targeting the most frequent cause of falls, the nurse should:
A. Suspicious feelings
B. Continuous pacing
C. Relationship with the family
D. Concern about working with others
63. When planning care with a client during the postoperative recovery period following an
abdominal hysterectomy and bilateral salpingo-oophorectomy, nurse Frida should include the
explanation that:
A. Surgical menopause will occur
B. Urinary retention is a common problem
C. Weight gain is expected, and dietary plan are needed
D. Depression is normal and should be expected
64. An adolescent client with anorexia nervosa refuses to eat, stating, “I’ll get too fat.” Nurse
Andrea can best respond to this behavior initially by:
A. Not talking about the fact that the client is not eating
B. Stopping all of the client’s priviledges until food is eaten
C. Telling the client that tube feeding will eventually be necessary
D. Pointing out to the client that death can occur with malnutrition.
65. A pain scale is used to assess the degree of pain. The client rates the pain as an 8 on a scale
of 10 before medication and a 7 on a scale of 10 after being medicated. Nurse Glenda determines
that the:
A. Keeping the baby awake for longer periods of time before each feeding
B. Assisting the parents to stimulate their baby through touch, sound, and sight.
C. Encouraging parental contact for at least one 15-minute period every four hours.
D. Touching and talking to the baby at least hourly, beginning within two to four hours after
birth
67. Before formulating a plan of care for a 6 year old boy with attention deficit hyperactivity
disorder (ADHD), nurse Kyla is aware that the initial aim of therapy is to help the client to:
A. Develop language skills
B. Avoid his own regressive behavior
C. Mainstream into a regular class in school
D. Recognize himself as an independent person of worth
68. Nurse Wally knows that the most important aspect of the preoperative care for a child with
Wilms’ tumor would be:
A. It involves providing home care to sick people who are not confined in the hospital
B. Services are provided free of charge to people within the catchment area.
C. The public health nurse functions as part of a team providing a public health nursing
services.
D. Public health nursing focuses on preventive, not curative, services.
74. Which of the following is the mission of the Department of Health?
A. Effectiveness
B. Efficiency
C. Adequacy
D. Appropriateness
76. Lissa is a B.S.N. graduate. She want to become a Public Health Nurse. Where will she apply?
A. Department of Health
B. Provincial Health Office
C. Regional Health Office
D. Rural Health Unit
77. As an epidemiologist, Nurse Celeste is responsible for reporting cases of notifiable diseases.
What law mandates reporting of cases of notifiable diseases?
A. Act 3573
B. R.A. 3753
C. R.A. 1054
D. R.A. 1082
78. Nurse Fay is aware that isolation of a child with measles belongs to what level of prevention?
A. Primary
B. Secondary
C. Intermediate
D. Tertiary
79. Nurse Gina is aware that the following is an advantage of a home visit?
A. Scalar chain
B. Discipline
C. Unity of command
D. Order
86. Nurse Joey discusses the goal of the department. Which of the following statements is a
goal?
A. Smoothing
B. Compromise
C. Avoidance
D. Restriction
89. Nurse Bea plans of assigning competent people to fill the roles designed in the hierarchy.
Which process refers to this?
A. Staffing
B. Scheduling
C. Recruitment
D. Induction
90. Nurse Linda tries to design an organizational structure that allows communication to flow in
all directions and involve workers in decision making. Which form of organizational structure is
this?
A. Centralized
B. Decentralized
C. Matrix
D. Informal
91. When documenting information in a client’s medical record, the nurse should:
A. Hand washing
B. Nasogastric tube irrigation
C. I.V. cannula insertion
D. Colostomy irrigation
94. The nurse is performing wound care using surgical asepsis. Which of the following practices
violates surgical asepsis?
A. Stream seeding
B. Stream clearing
C. Destruction of breeding places
D. Zooprophylaxis
97. In Integrated Management of Childhood Illness, severe conditions generally require urgent
referral to a hospital. Which of the following severe conditions DOES NOT always require
urgent referral to a hospital?
A. Mastoiditis
B. Severe dehydration
C. Severe pneumonia
D. Severe febrile disease
98. A mother brought her daughter, 4 years old, to the RHU because of cough and colds.
Following the IMCI assessment guide, which of the following is a danger sign that indicates the
need for urgent referral to a hospital?
A. Inability to drink
B. High grade fever
C. Signs of severe dehydration
D. Cough for more than 30 days
99. Food fortification is one of the strategies to prevent micronutrient deficiency conditions. R.A.
8976 mandates fortification of certain food items. Which of the following is among these food
items?
A. Sugar
B. Bread
C. Margarine
D. Filled milk
100. The major sign of iron deficiency anemia is pallor. What part is best examined for pallor?
A. Palms
B. Nailbeds
C. Around the lips
D. Lower conjunctival sac
Answers and Rationales
1. C. Check for any change in responsiveness every two hours until the follow-up visit. Signs
of an epidural hematoma in children usually do not appear for 24 hours or more hours; a
follow-up visit usually is arranged for one to two days after the injury.
2. A. Arteriolar constriction occurs.The early compensation of shock is cardiovascular and is
seen in changes in pulse, BP, and pulse pressure; blood is shunted to vital centers,
particularly heart and brain.
3. A. Allow the client to open canned or pre-packaged food. The client’s comfort, safety, and
nutritional status are the priorities; the client may feel comfortable to eat if the food has been
sealed before reaching the mental health facility.
4. D. “Joining a support group of parents who are coping with this problem can be quite
helpful. Taking with others in similar circumstances provides support and allows for sharing
of experiences.
5. B. Observe the dressing at the back of the neck for the presence of blood. Drainage flows by
gravity.
6. C. Prepare her for a pelvic examination. Pelvic examination would reveal dilation and
effacement
7. D. On the right side of the heart. Pulmonic stenosis increases resistance to blood flow,
causing right ventricular hyperthropy; with right ventricular failure there is an increase in
pressure on the right side of the heart.
8. A. Eating patterns are altered. A new dietary regimen, with a balance of foods from the food
pyramid, must be established and continued for weight reduction to occur and be
maintained.
9. B. “It is Ok to cry; I’ll just stay with you for now”. This portrays a nonjudgmental attitude
that recognizes the client’s needs.
10. C. Lactated Ringer’s solution. Lactated Ringer’s solution replaces lost sodium and corrects
metabolic acidosis, both of which commonly occur following a burn. Albumin is used as
adjunct therapy, not primary fluid replacement. Dextrose isn’t given to burn patients during
the first 24 hours because it can cause pseudodiabetes. The patient is hyperkalemic from the
potassium shift from the intracellular space to the plasma, so potassium would be
detrimental.
11. C. Twitching and disorientation. Excess extracellular fluid moves into cells (water
intoxication); intracellular fluid excess in sensitive brain cells causes altered mental status;
other signs include anorexia nervosa, nausea, vomiting, twitching, sleepiness, and
convulsions.
12. B. Resume the usual diet as soon as desired. As long as the client has no nausea or vomiting,
there are no dietary restriction.
13. B. Shrinkage of the residual limb must be completed. Shrinkage of the residual limb,
resulting from reduction of subcutaneous fat and interstitial fluid, must occur for an
adequate fit between the limb and the prosthesis.
14. A. Change the maternal position. Stimulation of the sympathetic nervous system is an initial
response to mild hypoxia that accompanies partial cord compression (umbilical vein) during
contractions; changing the maternal position can alleviate the compression.
15. A. Perform a finger stick to test the client’s blood glucose level. The client has signs of
diabetes, which may result from steroid therapy, testing the blood glucose level is a method
of screening for diabetes, thus gathering more data.
16. C. Heart block. This is the primary indication for a pacemaker because there is an interfere
with the electrical conduction system of the heart.
17. A. With meals and snacks. Pancreases capsules must be taken with food and snacks because
it acts on the nutrients and readies them for absorption.
18. B. Put a hat on the infant’s head. Oxygen has cooling effect, and the baby should be kept
warm so that metabolic activity and oxygen demands are not increased.
19. C. Wear an Ultra-Filter mask when they are in the client’s room. Tubercle bacilli are
transmitted through air currents; therefore personal protective equipment such as an Ultra-
Filter mask is necessary.
20. D. Cerebral cortex compression. Cerebral compression affects pyramidal tracts, resulting in
decorticate rigidity and cranial nerve injury, which cause pupil dilation.
21. A.Mediastinal shift. Mediastinal structures move toward the uninjured lung, reducing
oxygenation and venous return.
22. C. Prevent situations that may stimulate the cervix or uterus. Stimulation of the cervix or
uterus may cause bleeding or hemorrhage and should be avoided.
23. C. Severe shortness of breath. This could indicate a recurrence of the pneumothorax as one
side of the lung is inadequate to meet the oxygen demands of the body.
24. A. Suction equipment. Respiratory complications can occur because of edema of the glottis
or injury to the recurrent laryngeal nerve.
25. A. Strong desire to improve her body image. Clients with anorexia nervosa have a disturbed
self image and always see themselves as fat and needing further reducing.
26. B. Attempting to reduce or limit situations that increase anxiety. Persons with high anxiety
levels develop various behaviors to relieve their anxiety; by reducing anxiety, the need for
these obsessive-compulsive action is reduced.
27. C. Becomes fussy when frustrated and displays a shortened attention span. Shortened
attention span and fussy behavior may indicate a change in intracranial pressure and/or
shunt malfunction.
28. B. Maintaining the ordered hydration. Promoting hydration maintains urine production at a
higher rate, which flushes the bladder and prevents urinary stasis and possible infection.
29. C. Taking the client’s pedal pulse in the affected limb. Monitoring a pedal pulse will assess
circulation to the foot.
30. A. “Where are you?”. “Where are you?” is the best question to elicit information about the
client’s orientation to place because it encourages a response that can be assessed.
31. D. Bleeding from the venipuncture site. This indicates a fibrinogenemia; massive clotting in
the area of the separation has resulted in a lowered circulating fibrinogen.
32. D. blowing pattern. Clients should use a blowing pattern to overcome the premature urge to
push.
33. A. Cheeseburger and a malted. Of the selections offered, this is the highest in calories and
protein, which are needed for increased basal metabolic rate and for tissue repair.
34. B. Cyanotic lips and face. Central cyanosis (blue lips and face) indicates lowered
oxygenation of the blood, caused by either decreased lung expansion or right to left shunting
of blood.
35. A. Notify the physician of the findings because the level is dangerously high. Levels close
to 2 mEq/L are dangerously close to the toxic level; immediate action must be taken.
36. C. Days 15 to 17. Ovulation occurs approximately 14 days before the next menses, about
the 16th day in 30 day cycle; the 15th to 17th days would be the best time to avoid sexual
intercourse.
37. C. Assure that informed consent has been obtained from the client. An invasive procedure
such as amniocentesis requires informed consent.
38. D. Prevent development of respiratory distress. Respiratory distress or arrest may occur
when the serum level of magnesium sulfate reaches 12 to 15 mg/dl; deep tendon reflexes
disappear when the serum level is 10 to 12 mg/dl; the drug is withheld in the absence of
deep tendon reflexes; the therapeutic serum level is 5 to 8 mg/dl.
39. A. Obtaining the child’s daily weight. Weight monitoring is the most useful means of
assessing fluid balance and changes in the edematous state; 1 liter of fluid weighs about 2.2
pounds.
40. C. Reduces the inflammatory response of tissues. Corticosteroids act to decrease
inflammation which decreases edema.
41. D. An audible click on hip manipulation. With specific manipulation, an audible click may
be heard of felt as he femoral head slips into the acetabulum.
42. B. Allow the denial but be available to discuss death. This does not remove client’s only
way of coping, and it permits future movement through the grieving process when the client
is ready.
43. B. Divide food into four to six meals a day. The volume of food in the stomach should be
kept small to limit pressure on the cardiac sphincter.
44. B. “I feel washed out; there isn’t much left”. The client’s statement infers an emptiness with
an associated loss.
45. A. Vitamin K is not absorbed. Vitamin K, a fat soluble vitamin, is not absorbed from the GI
tract in the absence of bile; bile enters the duodenum via the common bile duct.
46. D. Leg weakness with muscle cramps. Impulse conduction of skeletal muscle is impaired
with decreased potassium levels, muscular weakness and cramps may occur with
hypokalemia.
47. D. Simian lines on the hands. This is characteristic finding in newborns with Down
syndrome.
48. B. Eyes. Rheumatoid arthritis can cause inflammation of the iris and ciliary body of the eyes
which may lead to blindness.
49. A. Accept the client’s decision without discussion. This is all the nurse can do until trust is
established; facing the client to attend will disrupt the group.
50. D. Provide a simple explanation of the procedure and continue to reassure the client. The
nurse should offer support and use clear, simple terms to allay client’s anxiety.
51. D. If I have difficulty in inserting the irrigating tube into the stoma”. This occurs with
stenosis of the stoma; forcing insertion of the tube could cause injury.
52. C. Blood loss of 850 ml after a vaginal birth. Excessive blood loss predisposes the client to
an increased risk of infection because of decreased maternal resistance; they expected blood
loss is 350 to 500 ml.
53. A. Provide frequent saline mouthwashes. This is soothing to the oral mucosa and helps
prevent infection.
54. B. “Society makes people react in old ways”. The client is incapable of accepting
responsibility for self-created problems and blames society for the behavior.
55. A. Taste and smell. Swelling can obstruct nasal breathing, interfering with the senses of
taste and smell.
56. A. Fatigue. Fatigue is a major problem caused by an increase in waste products because of
catabolic processes.
57. A. Offer the client assistance to the bathroom. Statistics indicate that the most frequent
cause of falls by hospitalized clients is getting up or attempting to get up to the bathroom
unassisted.
58. D. Turn completely over, sit momentarily without support, reach to be picked up. These
abilities are age-appropriate for the 6 month old child.
59. D. Feed the baby on the unaffected breast first until the affected breast heals. The most
vigorous sucking will occur during the first few minutes of breastfeeding when the infant
would be on the unaffected breast; later suckling is less traumatic.
60. D. Place sterile cotton loosely in the external ear of the client. This would absorb the
drainage without causing further trauma.
61. D. Airing their feelings regarding the transmission of the disease to the child. Discussion
with parents who have children with similar problems helps to reduce some of their
discomfort and guilt.
62. A. Suspicious feelings. The nurse must deal with these feelings and establish basic trust to
promote a therapeutic milieu.
63. A. Surgical menopause will occur. When a bilateral oophorectomy is performed, both
ovaries are excised, eliminating ovarian hormones and initiating response.
64. D. Pointing out to the client that death can occur with malnutrition. The client expects the
nurse to focus on eating, but the emphasis should be placed on feelings rather than actions.
65. B. Medication is not adequately effective. The expected effect should be more than a one
point decrease in the pain level.
66. B. Assisting the parents to stimulate their baby through touch, sound, and sight. Stimuli are
provided via all the senses; since the infant’s behavioral development is enhanced through
parent-infant interactions, these interactions should be encouraged.
67. D. Recognize himself as an independent person of worth. Academic deficits, an inability to
function within constraints required of certain settings, and negative peer attitudes often lead
to low self-esteem.
68. B. Monitoring the child’s blood pressure. Because the tumor is of renal origin, the rennin
angiotensin mechanism can be involved, and blood pressure monitoring is important.
69. A. Nursing unit manager. Controlled substance issues for a particular nursing unit are the
responsibility of that unit’s nurse manager.
70. D. Encourage coughing, deep breathing, and range of motion to the arm on the affected
side. All these interventions promote aeration of the re-expanding lung and maintenance of
function in the arm and shoulder on the affected side.
71. A. For people to attain their birthrights of health and longevity. According to Winslow, all
public health efforts are for people to realize their birthrights of health and longevity.
72. C. Swaroop’s index. Swaroop’s index is the percentage of the deaths aged 50 years or older.
Its inverse represents the percentage of untimely deaths (those who died younger than 50
years).
73. D. Public health nursing focuses on preventive, not curative, services.. The catchment area
in PHN consists of a residential community, many of whom are well individuals who have
greater need for preventive rather than curative services.
74. B. Ensure the accessibility and quality of health care. Ensuring the accessibility and quality
of health care is the primary mission of DOH.
75. B. Efficiency. Efficiency is determining whether the goals were attained at the least possible
cost.
76. D. Rural Health Unit. R.A. 7160 devolved basic health services to local government units
(LGU’s ). The public health nurse is an employee of the LGU.
77. A. Act 3573. Act 3573, the Law on Reporting of Communicable Diseases, enacted in 1929,
mandated the reporting of diseases listed in the law to the nearest health station.
78. A. Primary. The purpose of isolating a client with a communicable disease is to protect
those who are not sick (specific disease prevention).
79. B. It provides an opportunity to do first hand appraisal of the home situation. Choice A is
not correct since a home visit requires that the nurse spend so much time with the family.
Choice C is an advantage of a group conference, while choice D is true of a clinic
consultation.
80. B. Should minimize if not totally prevent the spread of infection. Bag technique is
performed before and after handling a client in the home to prevent transmission of infection
to and from the client.
81. A. Recognizes staff for going beyond expectations by giving them citations. Path Goal
theory according to House and associates rewards good performance so that others would do
the same.
82. D. Inspires others with vision. Inspires others with a vision is characteristic of a
transformational leader. He is focused more on the day-to-day operations of the
department/unit.
83. A. Psychological and sociological needs are emphasized. When the functional method is
used, the psychological and sociological needs of the patients are neglected; the patients are
regarded as ‘tasks to be done”
84. B. Preparing a nursing care plan in collaboration with the patient. The best source of
information about the priority needs of the patient is the patient himself. Hence using a
nursing care plan based on his expressed priority needs would ensure meeting his needs
effectively.
85. C. Unity of command. The principle of unity of command means that employees should
receive orders coming from only one manager and not from two managers. This averts the
possibility of sowing confusion among the members of the organization.
86. A. Increase the patient satisfaction rate. Goal is a desired result towards which efforts are
directed. Options AB, C and D are all objectives which are aimed at specific end.
87. A. Uses visioning as the essence of leadership. Transformational leadership relies heavily
on visioning as the core of leadership.
88. C. Avoidance. This strategy shuns discussing the issue head-on and prefers to postpone it to
a later time. In effect the problem remains unsolved and both parties are in a lose-lose
situation.
89. A. Staffing. Staffing is a management function involving putting the best people to
accomplish tasks and activities to attain the goals of the organization.
90. B. Decentralized. Decentralized structures allow the staff to make decisions on matters
pertaining to their practice and communicate in downward, upward, lateral and diagonal
flow.
91. D. end each entry with the nurse’s signature and title. The end of each entry should include
the nurse’s signature and title; the signature holds the nurse accountable for the recorded
information. Erasing errors in documentation on a legal document such as a client’s chart
isn’t permitted by law. Because a client’s medical record is considered a legal document, the
nurse should make all entries in ink. The nurse is accountable for the information recorded
and therefore shouldn’t leave any blank lines in which another health care worker could
make additions.
92. A. Allergies and socioeconomic status. General background data consist of such
components as allergies, medical history, habits, socioeconomic status, lifestyle, beliefs, and
sensory deficits. Urine output, gastric reflex, and bowel habits are significant only if a
disease affecting these functions is present.
93. C. I.V. cannula insertion. Caregivers must use surgical asepsis when performing wound care
or any procedure in which a sterile body cavity is entered or skin integrity is broken. To
achieve surgical asepsis, objects must be rendered or kept free of all pathogens. Inserting an
I.V. cannula requires surgical asepsis because it disrupts skin integrity and involves entry
into a sterile cavity (a vein). The other options are used to ensure medical asepsis or clean
technique to prevent the spread of infection. The GI tract isn’t sterile; therefore, irrigating a
nasogastric tube or a colostomy requires only clean technique.
94. B. Pouring solution onto a sterile field cloth. Pouring solution onto a sterile field cloth
violates surgical asepsis because moisture penetrating the cloth can carry microorganisms to
the sterile field via capillary action. The other options are practices that help ensure surgical
asepsis.
95. C. Impaired gas exchange. The client has a below-normal value for the partial pressure of
arterial oxygen (PaO2) and an above-normal value for the partial pressure of arterial carbon
dioxide (PaCO2), supporting the nursing diagnosis of Impaired gas exchange. ABG values
can’t indicate a diagnosis of Fluid volume deficit (or excess) or Risk for deficient fluid
volume. Metabolic acidosis is a medical, not nursing, diagnosis; in any event, these ABG
values indicate respiratory, not metabolic, acidosis.
96. A. Stream seeding. Stream seeding is done by putting tilapia fry in streams or other bodies
of water identified as breeding places of the Anopheles mosquito.
97. B. Severe dehydration. The order of priority in the management of severe dehydration is as
follows: intravenous fluid therapy, referral to a facility where IV fluids can be initiated
within 30 minutes, Oresol/nasogastric tube, Oresol/orem. When the foregoing measures are
not possible or effective, tehn urgent referral to the hospital is done.
98. A. Inability to drink. A sick child aged 2 months to 5 years must be referred urgently to a
hospital if he/she has one or more of the following signs: not able to feed or drink, vomits
everything, convulsions, abnormally sleepy or difficult to awaken.
99. A. Sugar. R.A. 8976 mandates fortification of rice, wheat flour, sugar and cooking oil with
Vitamin A, iron and/or iodine.
100. A. Palms. The anatomic characteristics of the palms allow a reliable and convenient basis
for examination for pallor.