NURS 5020 Exam 1 – Brooks Questions With Complete
Solutions
What is important when auscultating?
to have purpose, think anatomically and pathologically, listen in
QUIET environment, place directly on skin, use bell/diaphragm
accordingly
When should you use the bell or diaphragm of the stethoscope?
The bell is for low-frequency sounds such as heart murmurs.
The diaphragm, larger and flat, is for high-frequency sounds
(breath, bowel, and normal heart sounds)
What are the functions of skin?
protection, perception, temperature regulation, communication
What is the fine downy hair seen in newborns?
lanugo
What is the thick cheesy substance seen in newborns?
vernix caseosa
What are characteristics seen in adolescents when it comes to
skin/hair?
,subcutaneous fat deposits increase, secondary sex
characteristics, Apocrine glands become active, sebum increases
What are expected characteristics of pregnant women?
increase secretion of sweat and sebum, skin color changes bc of
increased hormone levels, higher vasodilation, fat deposits are
laid for maternal reserves/nursing
What are expected characteristics of older adults?
lose elasticity, decrease sebum = dry skin, senile purpura
(discoloration due to capillary fragility), skin breakdown, less
melanocytes = gray hair
Who has increased risk for melanoma?
white people, and people that have many sunburns throughout
life
When assessing the skin we look for..?
hygiene, color, thickness, symmetry, lesions, edema (swelling),
smell
What are possible smells from the skin?
clostridium - gas gangrene (rotten apples), pseudomonas
(grapelike), intestinal obstruction (feculent)
When we palpate the skin what are we looking for?
moisture, temperature, texture, turgor, and mobility
Someone that is diaphoretic is _______
sweating
, What are the functions of hair?
insulation, protection, perceive movement/touch, texture, scalp
(mobile or not), infestations
When inspecting the hair we will look at ____
color, length, distribution, quantity
What are the types of hair?
lanugo (newborns), vellus (short fine), terminal (thicker and
pigmented)
What are the functions of nails?
protection, aid in picking up objects, grasping, scratching
When inspecting the nails we look for ___
nails present (#), color, length, configuration (shape), symmetry,
cleanliness, ridging, texture, firmness, uniformity, adherence
What is the Schamroth technique?
Checks nails for normal diamond shape
Put same nail on both hands together to compare
When clubbing is present the nail base has an angle ____
greater than 160
What are annular or circular lesions?
begins in center and spreads to periphery
Solutions
What is important when auscultating?
to have purpose, think anatomically and pathologically, listen in
QUIET environment, place directly on skin, use bell/diaphragm
accordingly
When should you use the bell or diaphragm of the stethoscope?
The bell is for low-frequency sounds such as heart murmurs.
The diaphragm, larger and flat, is for high-frequency sounds
(breath, bowel, and normal heart sounds)
What are the functions of skin?
protection, perception, temperature regulation, communication
What is the fine downy hair seen in newborns?
lanugo
What is the thick cheesy substance seen in newborns?
vernix caseosa
What are characteristics seen in adolescents when it comes to
skin/hair?
,subcutaneous fat deposits increase, secondary sex
characteristics, Apocrine glands become active, sebum increases
What are expected characteristics of pregnant women?
increase secretion of sweat and sebum, skin color changes bc of
increased hormone levels, higher vasodilation, fat deposits are
laid for maternal reserves/nursing
What are expected characteristics of older adults?
lose elasticity, decrease sebum = dry skin, senile purpura
(discoloration due to capillary fragility), skin breakdown, less
melanocytes = gray hair
Who has increased risk for melanoma?
white people, and people that have many sunburns throughout
life
When assessing the skin we look for..?
hygiene, color, thickness, symmetry, lesions, edema (swelling),
smell
What are possible smells from the skin?
clostridium - gas gangrene (rotten apples), pseudomonas
(grapelike), intestinal obstruction (feculent)
When we palpate the skin what are we looking for?
moisture, temperature, texture, turgor, and mobility
Someone that is diaphoretic is _______
sweating
, What are the functions of hair?
insulation, protection, perceive movement/touch, texture, scalp
(mobile or not), infestations
When inspecting the hair we will look at ____
color, length, distribution, quantity
What are the types of hair?
lanugo (newborns), vellus (short fine), terminal (thicker and
pigmented)
What are the functions of nails?
protection, aid in picking up objects, grasping, scratching
When inspecting the nails we look for ___
nails present (#), color, length, configuration (shape), symmetry,
cleanliness, ridging, texture, firmness, uniformity, adherence
What is the Schamroth technique?
Checks nails for normal diamond shape
Put same nail on both hands together to compare
When clubbing is present the nail base has an angle ____
greater than 160
What are annular or circular lesions?
begins in center and spreads to periphery
