NUR 216 Exam 2 Exam Questions and Correct Answers Latest Update 2025-2026
Brown pigmentation indicates - Answers venous insufficiency
Shiny and translucent skin without hair indicates - Answers arterial insufficiency
skin tugor locations - Answers adults-forearm or sternum
infant- abdomen
pallor - Answers -loss of color: best noted in face, conjunctivae, nail beds, palms
-indication of anemia or lack of blood flow
cyanosis - Answers Location- nail beds, sclera, MM
Changes for light skin tones best located in sclera
Changes for dark skin tones best located in hard palate
indication - hypoxia, or imapired venous return
jaundice - Answers Location- sclera, skin, MM
Changes for light skin tones best detected in oral MM
Changes for dark skin tones best detected in hard palate
Indication- liver dysfunction, RBC destruction
erythema - Answers Location- face, skin, trauma or pressure sore areas
Indication- inflammation, localized vasodilation, substance use, sun exposure, rash or elevated body
temperature
Nails expectations - Answers firm bases and nail angles of 160 degrees
symmetrical nail beds with uniform color
CRT less than 3 seconds
clubbing - Answers nails at an angle greater than 160, results from low oxygen saturations related to
heart or lung disease
hair expectations - Answers symmetrical hair distribution
alopecia - Answers results from endocrine disorders or poor nutrition
hirsutism - Answers hair growth on the face shoulders or chest of a female that can results from
endocrine disorders
, edema - Answers The accumulation of fluid in the tissues most often from direct trauma or imparied
venous return
Skin may appear tight and shiny
Assess the swelling for discoloration, location, and tenderness
Measure circumference in the extremities
Evaluate pity by compressing the skin for at least 5 seconds over a bony prominence, the dept reflects
the degree of edema
edema rating - Answers 1+ trace, 2mm, rapid term
2+ mild, 4mm, 10-15 sec return
3+ moderate, 6mm, prolonged return
4+ severe, 8mm, prolonged term
primary lesions arise - Answers from healthy skin tissue
macule - Answers Nonpalpable, skin color change, smaller than 1cm
Freckle, petechiae
papule - Answers Palpable, circumscribed, soiled elevation of the skin
Elevated nevus
nodule - Answers Palpable, circumscribed, deep, dirm 1 to 2 CM
Wart
vesicle - Answers Serous fluid filled smaller than 1 cm
Blister, herpes simplex, varicella
pustule - Answers Pus filled, varies in size
Acne
Brown pigmentation indicates - Answers venous insufficiency
Shiny and translucent skin without hair indicates - Answers arterial insufficiency
skin tugor locations - Answers adults-forearm or sternum
infant- abdomen
pallor - Answers -loss of color: best noted in face, conjunctivae, nail beds, palms
-indication of anemia or lack of blood flow
cyanosis - Answers Location- nail beds, sclera, MM
Changes for light skin tones best located in sclera
Changes for dark skin tones best located in hard palate
indication - hypoxia, or imapired venous return
jaundice - Answers Location- sclera, skin, MM
Changes for light skin tones best detected in oral MM
Changes for dark skin tones best detected in hard palate
Indication- liver dysfunction, RBC destruction
erythema - Answers Location- face, skin, trauma or pressure sore areas
Indication- inflammation, localized vasodilation, substance use, sun exposure, rash or elevated body
temperature
Nails expectations - Answers firm bases and nail angles of 160 degrees
symmetrical nail beds with uniform color
CRT less than 3 seconds
clubbing - Answers nails at an angle greater than 160, results from low oxygen saturations related to
heart or lung disease
hair expectations - Answers symmetrical hair distribution
alopecia - Answers results from endocrine disorders or poor nutrition
hirsutism - Answers hair growth on the face shoulders or chest of a female that can results from
endocrine disorders
, edema - Answers The accumulation of fluid in the tissues most often from direct trauma or imparied
venous return
Skin may appear tight and shiny
Assess the swelling for discoloration, location, and tenderness
Measure circumference in the extremities
Evaluate pity by compressing the skin for at least 5 seconds over a bony prominence, the dept reflects
the degree of edema
edema rating - Answers 1+ trace, 2mm, rapid term
2+ mild, 4mm, 10-15 sec return
3+ moderate, 6mm, prolonged return
4+ severe, 8mm, prolonged term
primary lesions arise - Answers from healthy skin tissue
macule - Answers Nonpalpable, skin color change, smaller than 1cm
Freckle, petechiae
papule - Answers Palpable, circumscribed, soiled elevation of the skin
Elevated nevus
nodule - Answers Palpable, circumscribed, deep, dirm 1 to 2 CM
Wart
vesicle - Answers Serous fluid filled smaller than 1 cm
Blister, herpes simplex, varicella
pustule - Answers Pus filled, varies in size
Acne
