NURS 247 Exam 2 Questions Solved Correctly Latest 2025 (Graded A+)
What are the functions of the skin? - Answers Protection
Prevents penetration
Perception
Temperature regulation
Identification
Communication
Wound repair
Absorption and excretion
Production of vitamin D
Subjective data to gather for derm assessment - Answers Past and family history of skin issues
Birthmarks or tattoos
Changes in pigmentation or mole
Excessive dryness/moisture/brusing
Pruritus
Rash/lesions
Medications
Hair loss/growth
Changes in nails
Environmental/occupational hazards
Care of own skin
When do you inspect the hair, skin, and nails? - Answers During a head to toe assessment or something
out of the ordinary
ABCDE to evaluate pigmented skin lesions - Answers A- asymmetry
B- boarder irregularity
C- color variation
, D- diameter greater than 6mm
E-elevation or evolution
Risk factors for skin breakdown in hospitalized patient (Braden Scale) - Answers Sensory perception
Moisture
Activity
Mobility
Nutrition
Friction and shear
Describe Stage 1 pressure ulcer - Answers -intact skin
-non-blanchable redness of localized area, usually over bony prominence
-darkly pigmented skin may not have visible blanching, it's color may differ from surrounding area
Describe stage 2 pressure ulcer - Answers -partial thickness loss of dermis
-presents as shallow open ulcer
-red-pink wound bed w/out slough
-may also present as an intact or ruptured serum-filled blister
describe stage 3 pressure ulcer - Answers -full thickness tissue loss
-subcutaneous fat may be visible
-bone, tendon, muscle not exposed
-slough may be present, but does not obscure the depth of tissue loss
-may include undermining and tunneling
describe stage 4 pressure ulcer - Answers -full thickness tissue loss
-bone, tendon, muscle are visible
-slough or eschar may be present on some parts of wound bed
-often include undermining and tunneling
what to palpate during derm assessment - Answers Temp
What are the functions of the skin? - Answers Protection
Prevents penetration
Perception
Temperature regulation
Identification
Communication
Wound repair
Absorption and excretion
Production of vitamin D
Subjective data to gather for derm assessment - Answers Past and family history of skin issues
Birthmarks or tattoos
Changes in pigmentation or mole
Excessive dryness/moisture/brusing
Pruritus
Rash/lesions
Medications
Hair loss/growth
Changes in nails
Environmental/occupational hazards
Care of own skin
When do you inspect the hair, skin, and nails? - Answers During a head to toe assessment or something
out of the ordinary
ABCDE to evaluate pigmented skin lesions - Answers A- asymmetry
B- boarder irregularity
C- color variation
, D- diameter greater than 6mm
E-elevation or evolution
Risk factors for skin breakdown in hospitalized patient (Braden Scale) - Answers Sensory perception
Moisture
Activity
Mobility
Nutrition
Friction and shear
Describe Stage 1 pressure ulcer - Answers -intact skin
-non-blanchable redness of localized area, usually over bony prominence
-darkly pigmented skin may not have visible blanching, it's color may differ from surrounding area
Describe stage 2 pressure ulcer - Answers -partial thickness loss of dermis
-presents as shallow open ulcer
-red-pink wound bed w/out slough
-may also present as an intact or ruptured serum-filled blister
describe stage 3 pressure ulcer - Answers -full thickness tissue loss
-subcutaneous fat may be visible
-bone, tendon, muscle not exposed
-slough may be present, but does not obscure the depth of tissue loss
-may include undermining and tunneling
describe stage 4 pressure ulcer - Answers -full thickness tissue loss
-bone, tendon, muscle are visible
-slough or eschar may be present on some parts of wound bed
-often include undermining and tunneling
what to palpate during derm assessment - Answers Temp
