MCCN SDAP X - Foundations Exam 3
Correctly answered already passed
cyst - correct answer ✔✔Encapsulated fluid-filled cavity in dermis or subcutaneous layer,
tensely elevating skin
ulcer - correct answer ✔✔Deep depression extending into dermis, irregular shape
wheal - correct answer ✔✔Superficial, raised, transient, and erythematous. Irregular due to
edema
keloid - correct answer ✔✔A hypertrophic scar
macule - correct answer ✔✔Flat circumscribed color change less than 1 cm
fissure - correct answer ✔✔Linear crack with abrupt edges that extends into dermis
excoriation - correct answer ✔✔Self inflicted abrasion that is superficial and sometimes crusted
papule - correct answer ✔✔Elevated, circumscribed, palpable superficial thickening in the
epidermis. Less than 1 cm.
nodule - correct answer ✔✔Solid, elevated, hard or soft, larger than 1 cm. Extends deep into
the dermis
,functional ability - correct answer ✔✔ability to perform activities necessary to live in modern
society
functional assessment - correct answer ✔✔assesses functional ability
functional assessment includes - correct answer ✔✔ADLs, Instrumental ADLs, physical
performance
instrumental ADLs - correct answer ✔✔related to independent living, i.e. balancing a
checkbook, grocery shopping, preparing a meal
older adults and cognition, emotion, and socialization considerations - correct answer
✔✔mental status exam
depression occurs often associated with functional impairment
assess social domain factors
older adults and the maintenance of independence - correct answer ✔✔health promotional
activities:
- age-appropriate exercise
health maintenance:
- regular PCP visits
- screenings for chronic illnesses
- management of chronic illnesses
#1 way to ensure patients safety during assessment - correct answer ✔✔wash hands
, assessment techniques - correct answer ✔✔inspection, palpation, percussion, auscultation
- use of senses, objective
inspection - correct answer ✔✔generally first, starts as soon as you walk in, both sides, examine
what aspect of fingers do you use for palpation? - correct answer ✔✔flats of fingers
palpation - correct answer ✔✔always follows inspection, slow, systematic (light to deep), back
of hands for temperature
crepetus - correct answer ✔✔air built up in subcutaneous tissue; feels like a "rice crispy"
what are you assessing with percussion? - correct answer ✔✔density of underlying structures;
detecting abnormal masses, presence of fluid, and other obstructions
fluid = sounds more dense/flat/less resonating
on what part of the body do you use auscultation first? - correct answer ✔✔abdomen
three sounds nurses assess - correct answer ✔✔heart sounds, blood vessels, lung sounds
what does the bell of the stethoscope do? - correct answer ✔✔soft, low-pitched sounds like a
heart murmur
what does the diaphragm of the stethoscope do? - correct answer ✔✔high-pitched sounds
Correctly answered already passed
cyst - correct answer ✔✔Encapsulated fluid-filled cavity in dermis or subcutaneous layer,
tensely elevating skin
ulcer - correct answer ✔✔Deep depression extending into dermis, irregular shape
wheal - correct answer ✔✔Superficial, raised, transient, and erythematous. Irregular due to
edema
keloid - correct answer ✔✔A hypertrophic scar
macule - correct answer ✔✔Flat circumscribed color change less than 1 cm
fissure - correct answer ✔✔Linear crack with abrupt edges that extends into dermis
excoriation - correct answer ✔✔Self inflicted abrasion that is superficial and sometimes crusted
papule - correct answer ✔✔Elevated, circumscribed, palpable superficial thickening in the
epidermis. Less than 1 cm.
nodule - correct answer ✔✔Solid, elevated, hard or soft, larger than 1 cm. Extends deep into
the dermis
,functional ability - correct answer ✔✔ability to perform activities necessary to live in modern
society
functional assessment - correct answer ✔✔assesses functional ability
functional assessment includes - correct answer ✔✔ADLs, Instrumental ADLs, physical
performance
instrumental ADLs - correct answer ✔✔related to independent living, i.e. balancing a
checkbook, grocery shopping, preparing a meal
older adults and cognition, emotion, and socialization considerations - correct answer
✔✔mental status exam
depression occurs often associated with functional impairment
assess social domain factors
older adults and the maintenance of independence - correct answer ✔✔health promotional
activities:
- age-appropriate exercise
health maintenance:
- regular PCP visits
- screenings for chronic illnesses
- management of chronic illnesses
#1 way to ensure patients safety during assessment - correct answer ✔✔wash hands
, assessment techniques - correct answer ✔✔inspection, palpation, percussion, auscultation
- use of senses, objective
inspection - correct answer ✔✔generally first, starts as soon as you walk in, both sides, examine
what aspect of fingers do you use for palpation? - correct answer ✔✔flats of fingers
palpation - correct answer ✔✔always follows inspection, slow, systematic (light to deep), back
of hands for temperature
crepetus - correct answer ✔✔air built up in subcutaneous tissue; feels like a "rice crispy"
what are you assessing with percussion? - correct answer ✔✔density of underlying structures;
detecting abnormal masses, presence of fluid, and other obstructions
fluid = sounds more dense/flat/less resonating
on what part of the body do you use auscultation first? - correct answer ✔✔abdomen
three sounds nurses assess - correct answer ✔✔heart sounds, blood vessels, lung sounds
what does the bell of the stethoscope do? - correct answer ✔✔soft, low-pitched sounds like a
heart murmur
what does the diaphragm of the stethoscope do? - correct answer ✔✔high-pitched sounds
