NSG 3160 CORE MAIN QUESTIONS AND ANSWERS
SET A+
✔✔T/F Nociceptive pain can eventually become neuropathic pain - ✔✔True
✔✔Conductive hearing loss - ✔✔due to some sort of blockage (cerumen, etc.)
✔✔Sensory hearing loss - ✔✔Due to nerve damage to CN8 (guns, loud noises), this is
a neuropathic loss
✔✔A deviated septum may be common but is never __________________ - ✔✔A
deviated septum may be common but is never NORMAL
✔✔Normal color of the mouth - ✔✔Pink
✔✔Normal color of nose - ✔✔Red
✔✔When to suspect infection on tonsils - ✔✔White patches/blanket, pain, redness
✔✔In the mouth, aging adults have a decrease in _________ ______________ - ✔✔In
the mouth, aging adults have a decrease in SALIVARY SECRETION
✔✔Why is it important that older adults experience decreased salivary production? -
✔✔Impacts their ability to taste, swallow, messes with their thirst mechanism (if they
say they're thirsty, they're likely already pretty dehydrated)
✔✔Tonsil grade 0 - ✔✔Not visible, surgically removed
✔✔Tonsil grade 1+ - ✔✔Small tonsil
✔✔Tonsil grade 2+ - ✔✔Normal, halfway
,✔✔Tonsil grade 3+ - ✔✔Enlarged, touching uvula
✔✔Tonsil grade 4+ - ✔✔Enlarged, touching each other, definitely a problem, can impact
airway, often removed
✔✔Which is considered abnormal?
- Asymmetrical breasts
- Dimpling in breasts
- Deep palpation of axillary lymph nodes
- Supernumerary nipple - ✔✔Dimpling in breasts (could be indicative of cancer)
✔✔Kiesselbach's plexus - ✔✔most common site of nosebleeds
✔✔Checking the maxillary sinus - ✔✔Push up on cheeks
✔✔Checking the frontal sinuses - ✔✔Push up on brow
✔✔Saliva - ✔✔Clear fluid that moistens and lubricates the food bolus, starts digestion,
cleans and protects mucosa
✔✔Normal color of gums - ✔✔pale pink
✔✔What population might normally have bluish lips and dark line on gingival margin? -
✔✔African American
✔✔What is significant about a receding gum line in young adults? - ✔✔Incorrect
brushing motion (side to side instead of circular) or brushing too hard
✔✔What is significant about a receding gum line in older adults? - ✔✔This is a normal
finding in older adults
✔✔Eliciting the gag reflex tests which cranial nerves? - ✔✔9 & 10 (glossopharyngeal
and vagus)
✔✔Halitosis - ✔✔Bad breath
✔✔Skin - ✔✔largest organ in the body
✔✔Surface area of skin - ✔✔20 square feet
✔✔Which is more alive, epidermis or dermis? - ✔✔Dermis
✔✔Keratin - ✔✔Tough fibrous protein that provides strength and waterproofing
, ✔✔Melanin - ✔✔Responsible for skin color, variations
✔✔How often is skin replaced? - ✔✔Every 4 weeks
✔✔Eccrine glands - ✔✔Produce sweat, open directly onto skin surface
✔✔Apocrine glands - ✔✔Produces sweat, open into hair follicle, in armpits, pubic area,
scalp
✔✔Sebaceous glands - ✔✔Produce lipid oil
✔✔Which population has 20x higher risk of skin cancer - ✔✔Caucasians
✔✔Black/African American patients have higher risk of - ✔✔Keloids, pigmentary
disorders, pseudofoliculitis, melasma (pregnancy mask)
✔✔Pallor in light skin - ✔✔Pale
✔✔Pallor in dark skin - ✔✔Ashen gray
✔✔Cyanosis in light skin - ✔✔Dusky blue
✔✔Cyanosis in dark skin - ✔✔Dark and dull
✔✔Erythema in light skin - ✔✔Redness, bright pink
✔✔Erythema in dark skin - ✔✔Purplish tinge, may not see, palpate skin for warmth
✔✔Venous stasis in light skin - ✔✔Dusky rubor
✔✔Venous stasis in dark skin - ✔✔Easily masked, hard to see
✔✔Jaundice in light skin - ✔✔Yellow in sclera
✔✔Jaundice in dark skin - ✔✔Yellow in hard and soft palate
✔✔Petechiae - ✔✔1-3 mm, round
✔✔Purpura - ✔✔> 3mm, round
✔✔ABCDE skin assessment - ✔✔A - asymmetry
B - border
SET A+
✔✔T/F Nociceptive pain can eventually become neuropathic pain - ✔✔True
✔✔Conductive hearing loss - ✔✔due to some sort of blockage (cerumen, etc.)
✔✔Sensory hearing loss - ✔✔Due to nerve damage to CN8 (guns, loud noises), this is
a neuropathic loss
✔✔A deviated septum may be common but is never __________________ - ✔✔A
deviated septum may be common but is never NORMAL
✔✔Normal color of the mouth - ✔✔Pink
✔✔Normal color of nose - ✔✔Red
✔✔When to suspect infection on tonsils - ✔✔White patches/blanket, pain, redness
✔✔In the mouth, aging adults have a decrease in _________ ______________ - ✔✔In
the mouth, aging adults have a decrease in SALIVARY SECRETION
✔✔Why is it important that older adults experience decreased salivary production? -
✔✔Impacts their ability to taste, swallow, messes with their thirst mechanism (if they
say they're thirsty, they're likely already pretty dehydrated)
✔✔Tonsil grade 0 - ✔✔Not visible, surgically removed
✔✔Tonsil grade 1+ - ✔✔Small tonsil
✔✔Tonsil grade 2+ - ✔✔Normal, halfway
,✔✔Tonsil grade 3+ - ✔✔Enlarged, touching uvula
✔✔Tonsil grade 4+ - ✔✔Enlarged, touching each other, definitely a problem, can impact
airway, often removed
✔✔Which is considered abnormal?
- Asymmetrical breasts
- Dimpling in breasts
- Deep palpation of axillary lymph nodes
- Supernumerary nipple - ✔✔Dimpling in breasts (could be indicative of cancer)
✔✔Kiesselbach's plexus - ✔✔most common site of nosebleeds
✔✔Checking the maxillary sinus - ✔✔Push up on cheeks
✔✔Checking the frontal sinuses - ✔✔Push up on brow
✔✔Saliva - ✔✔Clear fluid that moistens and lubricates the food bolus, starts digestion,
cleans and protects mucosa
✔✔Normal color of gums - ✔✔pale pink
✔✔What population might normally have bluish lips and dark line on gingival margin? -
✔✔African American
✔✔What is significant about a receding gum line in young adults? - ✔✔Incorrect
brushing motion (side to side instead of circular) or brushing too hard
✔✔What is significant about a receding gum line in older adults? - ✔✔This is a normal
finding in older adults
✔✔Eliciting the gag reflex tests which cranial nerves? - ✔✔9 & 10 (glossopharyngeal
and vagus)
✔✔Halitosis - ✔✔Bad breath
✔✔Skin - ✔✔largest organ in the body
✔✔Surface area of skin - ✔✔20 square feet
✔✔Which is more alive, epidermis or dermis? - ✔✔Dermis
✔✔Keratin - ✔✔Tough fibrous protein that provides strength and waterproofing
, ✔✔Melanin - ✔✔Responsible for skin color, variations
✔✔How often is skin replaced? - ✔✔Every 4 weeks
✔✔Eccrine glands - ✔✔Produce sweat, open directly onto skin surface
✔✔Apocrine glands - ✔✔Produces sweat, open into hair follicle, in armpits, pubic area,
scalp
✔✔Sebaceous glands - ✔✔Produce lipid oil
✔✔Which population has 20x higher risk of skin cancer - ✔✔Caucasians
✔✔Black/African American patients have higher risk of - ✔✔Keloids, pigmentary
disorders, pseudofoliculitis, melasma (pregnancy mask)
✔✔Pallor in light skin - ✔✔Pale
✔✔Pallor in dark skin - ✔✔Ashen gray
✔✔Cyanosis in light skin - ✔✔Dusky blue
✔✔Cyanosis in dark skin - ✔✔Dark and dull
✔✔Erythema in light skin - ✔✔Redness, bright pink
✔✔Erythema in dark skin - ✔✔Purplish tinge, may not see, palpate skin for warmth
✔✔Venous stasis in light skin - ✔✔Dusky rubor
✔✔Venous stasis in dark skin - ✔✔Easily masked, hard to see
✔✔Jaundice in light skin - ✔✔Yellow in sclera
✔✔Jaundice in dark skin - ✔✔Yellow in hard and soft palate
✔✔Petechiae - ✔✔1-3 mm, round
✔✔Purpura - ✔✔> 3mm, round
✔✔ABCDE skin assessment - ✔✔A - asymmetry
B - border
