NUR 216 – HEALTH ASSESSMENT EXAM 2 WITH CORRECTLY ANSWERED
QUESTIONS GRADED A+ 2026
Brown pigmentation indicates - venous insufficiency
Shiny and translucent skin without hair indicates - arterial insufficiency
skin tugor locations - adults-forearm or sternum
infant- abdomen
pallor - -loss of color: best noted in face, conjunctivae, nail beds, palms
-indication of anemia or lack of blood flow
cyanosis - 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 - 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 - Location- face, skin, trauma or pressure sore areas
Indication- inflammation, localized vasodilation, substance use, sun exposure, rash or elevated
body temperature
, Nails expectations - firm bases and nail angles of 160 degrees
symmetrical nail beds with uniform color
CRT less than 3 seconds
clubbing - nails at an angle greater than 160, results from low oxygen saturations related to
heart or lung disease
hair expectations - symmetrical hair distribution
alopecia - results from endocrine disorders or poor nutrition
hirsutism - hair growth on the face shoulders or chest of a female that can results from
endocrine disorders
edema - 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 - 1+ trace, 2mm, rapid term
QUESTIONS GRADED A+ 2026
Brown pigmentation indicates - venous insufficiency
Shiny and translucent skin without hair indicates - arterial insufficiency
skin tugor locations - adults-forearm or sternum
infant- abdomen
pallor - -loss of color: best noted in face, conjunctivae, nail beds, palms
-indication of anemia or lack of blood flow
cyanosis - 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 - 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 - Location- face, skin, trauma or pressure sore areas
Indication- inflammation, localized vasodilation, substance use, sun exposure, rash or elevated
body temperature
, Nails expectations - firm bases and nail angles of 160 degrees
symmetrical nail beds with uniform color
CRT less than 3 seconds
clubbing - nails at an angle greater than 160, results from low oxygen saturations related to
heart or lung disease
hair expectations - symmetrical hair distribution
alopecia - results from endocrine disorders or poor nutrition
hirsutism - hair growth on the face shoulders or chest of a female that can results from
endocrine disorders
edema - 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 - 1+ trace, 2mm, rapid term
