NUR 216 exam 2 Questions with 100%
Correct Answers
Epidermis Correct Answer: outer highly differential layer
basal cell layer forms new skin cells
outer cell layer of dead keratinized cells
Dermis Correct Answer: inner supportive layer
connective tissue or collagen
elastic tissue
Subcutaneous layer of adipose tissue Correct Answer: under the epidermis and
dermis
Expected findings: Skin Color Correct Answer: pigmentation even and consistent
appropriate for ethnicity
skin exposure to then sun have increased pigmentation
Hyperpigmentation Correct Answer: birthmarks
sun damage
freckles
tan lines
hypopigmentation Correct Answer: scars
,stretch marks
vitiligo
Unexpected Findings: Skin Color Correct Answer: pallor - anemia shock, lack of
blood flow
erythema - inflammation, vasodilation, sun exposure, rash
cyanosis - hypoxia, impaired venous return
jaundice - liver dysfunction, RBC destruction, yellow vegetables
vascular lesions
skin cancer lesions
Expected Findings: Skin Temperature Correct Answer: use dorsal part of hand
skin should be warm, equal bilaterally
hands and feet may be slightly cooler in a cold environment
Unexpected Findings: Skin Temperature Correct Answer: hyperthermia and
hypothermia
Expected Findings: Skin Moisture Correct Answer: Dry, moist
Unexpected Findings: Skin Moisture Correct Answer: Diaphoretic
Expected Findings: Skin Texture Correct Answer: Smooth, no abnormal lesion
Unexpected Findings: Skin Texture Correct Answer: velvety skin - thyroid disease
, roughness and dryness - xerosis
flakiness - dehydration
Expected Finding: Skin Turgor Correct Answer: under 3 sec
Unexpected Finding: Skin Turgor Correct Answer: Tenting - Dehydration
Edema
Edema Correct Answer: skin appears shiny and taut
Legs, arms, abdomen
Edema score Correct Answer: +1 - 2mm rapid return
+2 - 4mm 10-15 sec return
+3 - 6 mm prolonged return
+4 - 8 mm prolonged return
vascular lesions result from Correct Answer: blood leaking from blood vessels into
the dermis
vascular lesions Correct Answer: petechiae, ecchymosis, purpura
petechiae Correct Answer: infection or trauma
tiny pinpoint hemorrhages
ecchymosis Correct Answer: bruise caused by bleeding under the skin or
mucous membranes
Correct Answers
Epidermis Correct Answer: outer highly differential layer
basal cell layer forms new skin cells
outer cell layer of dead keratinized cells
Dermis Correct Answer: inner supportive layer
connective tissue or collagen
elastic tissue
Subcutaneous layer of adipose tissue Correct Answer: under the epidermis and
dermis
Expected findings: Skin Color Correct Answer: pigmentation even and consistent
appropriate for ethnicity
skin exposure to then sun have increased pigmentation
Hyperpigmentation Correct Answer: birthmarks
sun damage
freckles
tan lines
hypopigmentation Correct Answer: scars
,stretch marks
vitiligo
Unexpected Findings: Skin Color Correct Answer: pallor - anemia shock, lack of
blood flow
erythema - inflammation, vasodilation, sun exposure, rash
cyanosis - hypoxia, impaired venous return
jaundice - liver dysfunction, RBC destruction, yellow vegetables
vascular lesions
skin cancer lesions
Expected Findings: Skin Temperature Correct Answer: use dorsal part of hand
skin should be warm, equal bilaterally
hands and feet may be slightly cooler in a cold environment
Unexpected Findings: Skin Temperature Correct Answer: hyperthermia and
hypothermia
Expected Findings: Skin Moisture Correct Answer: Dry, moist
Unexpected Findings: Skin Moisture Correct Answer: Diaphoretic
Expected Findings: Skin Texture Correct Answer: Smooth, no abnormal lesion
Unexpected Findings: Skin Texture Correct Answer: velvety skin - thyroid disease
, roughness and dryness - xerosis
flakiness - dehydration
Expected Finding: Skin Turgor Correct Answer: under 3 sec
Unexpected Finding: Skin Turgor Correct Answer: Tenting - Dehydration
Edema
Edema Correct Answer: skin appears shiny and taut
Legs, arms, abdomen
Edema score Correct Answer: +1 - 2mm rapid return
+2 - 4mm 10-15 sec return
+3 - 6 mm prolonged return
+4 - 8 mm prolonged return
vascular lesions result from Correct Answer: blood leaking from blood vessels into
the dermis
vascular lesions Correct Answer: petechiae, ecchymosis, purpura
petechiae Correct Answer: infection or trauma
tiny pinpoint hemorrhages
ecchymosis Correct Answer: bruise caused by bleeding under the skin or
mucous membranes
