NUR 265 FINAL EXAM 2026 QUIZZES AND ANSWERS

subjective data Things a person tells you about that you cannot observe through your senses; symptoms objective data information that is seen, heard, felt, or smelled by an observer; signs Primary data source patient Secondary Data Sources family members, health records, significant others General Survey physical appearance, body structure, mobility, behavior Complete database full physical exam Focused database focuses on 1 or 2 systems Follow-up database follow-up after implementation inspection use of sight to gather data used throughout PE tools used to enhance inspection (penlight) palpation start light to deep palpate tender areas last dorsum for temp palms for pulsations tips of fingers for texture, moisture, mass, edema percussion tapping on a surface to determine the difference in the density of the underlying structure (flatness, dullness, resonance, hyperresonance, tympany) Auscultation Diaphragm- BP, lungs, BS, heart Bell- vascular sounds, murmur Auscultation gender role a set of expected behaviors for males or for females gender in psychology, the biologically and socially influenced characteristics by which people define male and female gender identity one's sense of being male or female pressure injuries injuries or wounds that result from skin deterioration and shearing Stage 1 Pressure Injury non-blanchable erythema of intact skin Stage 2 Pressure Injury partial-thickness skin loss with exposed dermis Stage 3 Pressure Injury full-thickness skin loss; not involving underlying fascia Stage 4 Pressure Injury full-thickness skin and tissue loss Unstageable Pressure Injury obscured full-thickness skin and tissue loss Deep Tissue Pressure Injury persistent non-blanchable deep red, maroon, or purple discoloration prevention of pressure injuries -good nursing care: -assessment of skin/pressure points (done on daily basis) -assist bedfast patient's pressure point every 2 hours -multiple risk factor for skin break down (check every 2-3 hours) ABCDE asymmetry, border, color, diameter, evolution primary lesions lesions arising from previously normal skin secondary lesions lesions that result in changes in primary lesions skin assessment: color - general pigmentation, freckles, moles, birthmarks - widespread color change such as pallor, erythema, cyanosis, or jaundice annular, discrete