NURS 330 - Exam 3 UPDATED ACTUAL Questions and
CORRECT Answers
Skin Turgor Measure of hydration, which tests how quickly the skin returns to its normal
position after being pinched
, Skin & Nail Function - Protect the inner body parts & organs
- Body temperature regulation (shivering/sweating)
- Sensory perception
- Excrete waste & toxic substance
- Produce vitamin D
Pruritis Itching
Often caused by dry skin, aging, drug reaction, allergy, uremia, or lice
Can cause excoriation (chronic skin-picking)
4 Stages of Hematoma (Bruising) Stage 1 - Reddish
Stage 2 - Purple
Stage 3 - Bluish
Stage 4 - Yellowish
Expected Skin Color Assessment - Even and consistent with genetic background
- Vitiligo
- Freckles
- Birthmarks
- Old Scars
Unexpected Skin Color Assessment - Pallor
- Erythema (red)
- Cyanosis
- Jaundice
- Ecchymosis (bruising)
Blanchable Erythema Visible skin redness that becomes white when pressure is applied and reddens
when pressure is relieved
Non-Blanchable Erythema Redness that does not go away when pressure is applied and is a sign that
structural damage has occurred to the skin
Unexpected Skin Texture/Moisture Findings - Velvety skin
- Roughness, dryness, flakiness
- Diaphoresis
Velvety Skin Dark, thickened skin with a velvety texture that typically appears in body folds and
creases.
Indicates Diabetes and thyroid disease
Expected Skin Texture/Moisture Findings - Differing amount of oil on skin (xerosis or seborrhea)
- Acne
- Wrinkles
- Scars, stretch marks, keloids
Keloids Raised scars that form at a wound site and grow beyond the normal boundaries of
the wound
CORRECT Answers
Skin Turgor Measure of hydration, which tests how quickly the skin returns to its normal
position after being pinched
, Skin & Nail Function - Protect the inner body parts & organs
- Body temperature regulation (shivering/sweating)
- Sensory perception
- Excrete waste & toxic substance
- Produce vitamin D
Pruritis Itching
Often caused by dry skin, aging, drug reaction, allergy, uremia, or lice
Can cause excoriation (chronic skin-picking)
4 Stages of Hematoma (Bruising) Stage 1 - Reddish
Stage 2 - Purple
Stage 3 - Bluish
Stage 4 - Yellowish
Expected Skin Color Assessment - Even and consistent with genetic background
- Vitiligo
- Freckles
- Birthmarks
- Old Scars
Unexpected Skin Color Assessment - Pallor
- Erythema (red)
- Cyanosis
- Jaundice
- Ecchymosis (bruising)
Blanchable Erythema Visible skin redness that becomes white when pressure is applied and reddens
when pressure is relieved
Non-Blanchable Erythema Redness that does not go away when pressure is applied and is a sign that
structural damage has occurred to the skin
Unexpected Skin Texture/Moisture Findings - Velvety skin
- Roughness, dryness, flakiness
- Diaphoresis
Velvety Skin Dark, thickened skin with a velvety texture that typically appears in body folds and
creases.
Indicates Diabetes and thyroid disease
Expected Skin Texture/Moisture Findings - Differing amount of oil on skin (xerosis or seborrhea)
- Acne
- Wrinkles
- Scars, stretch marks, keloids
Keloids Raised scars that form at a wound site and grow beyond the normal boundaries of
the wound
