Nursing Review Practice Exam
Questions With Complete Solutions.
What is Edema? - CORRECT ANSWER Swelling
Where do you pinch to assess turgor? - CORRECT ANSWER Back of forearm or sternum
How do you check for vascularity? - CORRECT ANSWER Push into skin and see if it blanches
Temperature is best assessed using the _________ portion of the hand - CORRECT ANSWER Dorsal
Where to look for pallor? - CORRECT ANSWER Nails, nail beds, and lips
Best place to check for cyanosis? - CORRECT ANSWER Lips
What is erythema? - CORRECT ANSWER Redness of the skin
Types of Edema: - CORRECT ANSWER -dependent
-pitting
-due to inflammation/injury
-obstruction
Used to predict patients at risk for skin breakdown - CORRECT ANSWER Braden Scale
Braden Scale score range - CORRECT ANSWER 6-23
Lower the score, greater risk
,Largest organ in the body - CORRECT ANSWER Skin
Lesions are measure in - CORRECT ANSWER centimeters
Define macule - CORRECT ANSWER Flat, non-palpable, change in skin color, smaller than 1cm
Example of a macule - CORRECT ANSWER freckle, petechiae
Define nodule - CORRECT ANSWER Elevated solid mass, deeper and firmer than papule 1-2 cm
Example of a nodule - CORRECT ANSWER wart
Define tumor - CORRECT ANSWER solid mass that extends deep through subcutaneous tissue, larder
than 1-2cm
Example of tumor - CORRECT ANSWER Epithelioma
Define wheal - CORRECT ANSWER irregularly shaped, elevated area or superficial localized edema, varies
in size
Example of wheal - CORRECT ANSWER Hive, mosquito bite
Define vesicles - CORRECT ANSWER circumscribed elevation of skin filled with serous fluid, smaller than
1cm
Example of vesicle - CORRECT ANSWER herpes simplex, chickenpox
Most common skin abnormality - CORRECT ANSWER Basal cell carcinoma
What does the A stand for in the skin ABCD assessment - CORRECT ANSWER Asymmetry
, What does the B stand for in the skin ABCD assessment - CORRECT ANSWER Border
What does the C stand for in the skin ABCD assessment - CORRECT ANSWER Color
What does the D stand for in the skin ABCD assessment - CORRECT ANSWER Diameter
Define pustule - CORRECT ANSWER Circumscribed elevation of skin similar to vesicle but filled with pus,
varies in size
Example of pustule - CORRECT ANSWER Acne, staphylococcal infection
Define ulcer - CORRECT ANSWER Deep loss of skin surface that extends to dermis and frequently bleeds
and scars, varies in size
Example of ulcer - CORRECT ANSWER venous stasis ulcer
Define atrophy - CORRECT ANSWER Thinning of skin with loss of normal skin furrow, with skin appearing
shiny and translucent; varies in size
Example of atrophy - CORRECT ANSWER Arterial insufficiency
Define ecchymosis - CORRECT ANSWER a discoloration of the skin resulting from bleeding underneath,
typically causes bruising
Define hematoma - CORRECT ANSWER a solid swelling of clotted blood within the tissues; goose egg,
blood underneath
Normal nailed degree - CORRECT ANSWER 160 degrees
Questions With Complete Solutions.
What is Edema? - CORRECT ANSWER Swelling
Where do you pinch to assess turgor? - CORRECT ANSWER Back of forearm or sternum
How do you check for vascularity? - CORRECT ANSWER Push into skin and see if it blanches
Temperature is best assessed using the _________ portion of the hand - CORRECT ANSWER Dorsal
Where to look for pallor? - CORRECT ANSWER Nails, nail beds, and lips
Best place to check for cyanosis? - CORRECT ANSWER Lips
What is erythema? - CORRECT ANSWER Redness of the skin
Types of Edema: - CORRECT ANSWER -dependent
-pitting
-due to inflammation/injury
-obstruction
Used to predict patients at risk for skin breakdown - CORRECT ANSWER Braden Scale
Braden Scale score range - CORRECT ANSWER 6-23
Lower the score, greater risk
,Largest organ in the body - CORRECT ANSWER Skin
Lesions are measure in - CORRECT ANSWER centimeters
Define macule - CORRECT ANSWER Flat, non-palpable, change in skin color, smaller than 1cm
Example of a macule - CORRECT ANSWER freckle, petechiae
Define nodule - CORRECT ANSWER Elevated solid mass, deeper and firmer than papule 1-2 cm
Example of a nodule - CORRECT ANSWER wart
Define tumor - CORRECT ANSWER solid mass that extends deep through subcutaneous tissue, larder
than 1-2cm
Example of tumor - CORRECT ANSWER Epithelioma
Define wheal - CORRECT ANSWER irregularly shaped, elevated area or superficial localized edema, varies
in size
Example of wheal - CORRECT ANSWER Hive, mosquito bite
Define vesicles - CORRECT ANSWER circumscribed elevation of skin filled with serous fluid, smaller than
1cm
Example of vesicle - CORRECT ANSWER herpes simplex, chickenpox
Most common skin abnormality - CORRECT ANSWER Basal cell carcinoma
What does the A stand for in the skin ABCD assessment - CORRECT ANSWER Asymmetry
, What does the B stand for in the skin ABCD assessment - CORRECT ANSWER Border
What does the C stand for in the skin ABCD assessment - CORRECT ANSWER Color
What does the D stand for in the skin ABCD assessment - CORRECT ANSWER Diameter
Define pustule - CORRECT ANSWER Circumscribed elevation of skin similar to vesicle but filled with pus,
varies in size
Example of pustule - CORRECT ANSWER Acne, staphylococcal infection
Define ulcer - CORRECT ANSWER Deep loss of skin surface that extends to dermis and frequently bleeds
and scars, varies in size
Example of ulcer - CORRECT ANSWER venous stasis ulcer
Define atrophy - CORRECT ANSWER Thinning of skin with loss of normal skin furrow, with skin appearing
shiny and translucent; varies in size
Example of atrophy - CORRECT ANSWER Arterial insufficiency
Define ecchymosis - CORRECT ANSWER a discoloration of the skin resulting from bleeding underneath,
typically causes bruising
Define hematoma - CORRECT ANSWER a solid swelling of clotted blood within the tissues; goose egg,
blood underneath
Normal nailed degree - CORRECT ANSWER 160 degrees
