NUR 203 FINAL EXAM | QUESTIONS AND
VERIFIED ANSWERS | LATEST UPDATE
What 3 parts make up the systematic method of collecting data: - CORRECT
ANSWER - 1. Determine the client's current health status
2. Predict health risks
3. Identify health promotion
What is subjective data?
What is objective data? - CORRECT ANSWER - Subjective: symptoms that
the patient or family tells you.
Objective: signs that the nurse observe, information that has been gathered from
the physical exam
What are the phases of interviewing: - CORRECT ANSWER - Pre-interview:
background data
Introduction: small talk, confidential unless harmful
Working phase: obtain information
Termination: summarize important points and discuss a plan
What are the component of the interview: - CORRECT ANSWER -
Environment
Interviewer
Client
Communication
What three things make up the integumentary system? - CORRECT ANSWER
- Hair
,Skin (16% of body weight/largest organ of the body)
Nails
What are normal integumentary changes with age (changes that we should not
look further into) - CORRECT ANSWER - - Skin thinning
- Skin elasticity decreases
- Sebum production decreases
- Perspiration decreases
- Decreases melanin production
- Increase sensitivity to sunlight
- Nail growth slows
What are common skin findings with elderly clients: - CORRECT ANSWER -
Solar lentigines = liver spots (flat)
Skin tags
Seborrheic keratosis (raised)
What are common findings of a patient that has been abused: - CORRECT
ANSWER - Ecchymosis = bruise
Hematoma = bruise with a bump
Bites
Burns
Wounds/ulcers
Poor care/hygiene
What are general color changes?
,What are local color changes? - CORRECT ANSWER - General color change:
pallor (pale), erythema (redness), cyanosis (blueish), jaundice (yellow, suggests
liver failure)
Local color change: freckles, nevi (moles), Mongolian spots (mostly found on
the buttocks
How do we palpate the skin when assessing temperature? - CORRECT
ANSWER - We use the dorsal part of the hand
What is an abnormal finding for skin turgor, and where do we assess skin
turgor? - CORRECT ANSWER - We assess skin turgor on the abdomen of
patients (especially elderly, you should not be assessing skin turgor on their
hands)
An ABNORMAL finding: takes over 30 seconds for skin to flatten. This may
suggest dehydration.
How do we grade pitting edema? - CORRECT ANSWER - 1+ 2+ 3+ 4+
2mm,4mm,6mm,8mm
What is a macule? - CORRECT ANSWER - Flat
< 1 cm
What is a patch? - CORRECT ANSWER - Flat
> 1 cm
What is a papule? - CORRECT ANSWER - Raised
< 1 cm
, What is a plaque? - CORRECT ANSWER - Raised
> 1 cm
What is a vesicle? - CORRECT ANSWER - Fluid filled
< 1 cm
Blister
What is a bulla? - CORRECT ANSWER - Fluid filled
> 1 cm
What is a pustule? - CORRECT ANSWER - Fluid filled, filled with puss,
infection
What is a cyst? - CORRECT ANSWER - Fluid filled (below the skin)
What are the different lesion configurations? - CORRECT ANSWER -
Annular: round
Linear: straight
Discrete: separate
Confluent: lesions rush together
What are the different vascular lesions? - CORRECT ANSWER - Cherry
angioma = dot
Spider angioma = dot with legs coming out
What are the purpuric lesions? (2) - CORRECT ANSWER - Petechiae: small
purple spot
Purpura: rash of purple spots
VERIFIED ANSWERS | LATEST UPDATE
What 3 parts make up the systematic method of collecting data: - CORRECT
ANSWER - 1. Determine the client's current health status
2. Predict health risks
3. Identify health promotion
What is subjective data?
What is objective data? - CORRECT ANSWER - Subjective: symptoms that
the patient or family tells you.
Objective: signs that the nurse observe, information that has been gathered from
the physical exam
What are the phases of interviewing: - CORRECT ANSWER - Pre-interview:
background data
Introduction: small talk, confidential unless harmful
Working phase: obtain information
Termination: summarize important points and discuss a plan
What are the component of the interview: - CORRECT ANSWER -
Environment
Interviewer
Client
Communication
What three things make up the integumentary system? - CORRECT ANSWER
- Hair
,Skin (16% of body weight/largest organ of the body)
Nails
What are normal integumentary changes with age (changes that we should not
look further into) - CORRECT ANSWER - - Skin thinning
- Skin elasticity decreases
- Sebum production decreases
- Perspiration decreases
- Decreases melanin production
- Increase sensitivity to sunlight
- Nail growth slows
What are common skin findings with elderly clients: - CORRECT ANSWER -
Solar lentigines = liver spots (flat)
Skin tags
Seborrheic keratosis (raised)
What are common findings of a patient that has been abused: - CORRECT
ANSWER - Ecchymosis = bruise
Hematoma = bruise with a bump
Bites
Burns
Wounds/ulcers
Poor care/hygiene
What are general color changes?
,What are local color changes? - CORRECT ANSWER - General color change:
pallor (pale), erythema (redness), cyanosis (blueish), jaundice (yellow, suggests
liver failure)
Local color change: freckles, nevi (moles), Mongolian spots (mostly found on
the buttocks
How do we palpate the skin when assessing temperature? - CORRECT
ANSWER - We use the dorsal part of the hand
What is an abnormal finding for skin turgor, and where do we assess skin
turgor? - CORRECT ANSWER - We assess skin turgor on the abdomen of
patients (especially elderly, you should not be assessing skin turgor on their
hands)
An ABNORMAL finding: takes over 30 seconds for skin to flatten. This may
suggest dehydration.
How do we grade pitting edema? - CORRECT ANSWER - 1+ 2+ 3+ 4+
2mm,4mm,6mm,8mm
What is a macule? - CORRECT ANSWER - Flat
< 1 cm
What is a patch? - CORRECT ANSWER - Flat
> 1 cm
What is a papule? - CORRECT ANSWER - Raised
< 1 cm
, What is a plaque? - CORRECT ANSWER - Raised
> 1 cm
What is a vesicle? - CORRECT ANSWER - Fluid filled
< 1 cm
Blister
What is a bulla? - CORRECT ANSWER - Fluid filled
> 1 cm
What is a pustule? - CORRECT ANSWER - Fluid filled, filled with puss,
infection
What is a cyst? - CORRECT ANSWER - Fluid filled (below the skin)
What are the different lesion configurations? - CORRECT ANSWER -
Annular: round
Linear: straight
Discrete: separate
Confluent: lesions rush together
What are the different vascular lesions? - CORRECT ANSWER - Cherry
angioma = dot
Spider angioma = dot with legs coming out
What are the purpuric lesions? (2) - CORRECT ANSWER - Petechiae: small
purple spot
Purpura: rash of purple spots
