N125 Actual Exam Rated A+| 80 Questions with
100% Correct Solutions
What is a screening assessment?
short exam focused on disease detection, no subjective complaints
What is a comprehensive assessment?
An assessment that includes a complete health history and physical assessment; it is
done annually on an outpatient basis, following admission to a hospital or long-term
care facility, or every 8 hours for patients in intensive care.
What data gets collected and documented during a physical?
Subjective Data:
- Past history of skin disease, change in pigmentation, change in mole, excessive dryness
or moisture, pruritus, excessive bruising, rash or lesion, medications, hair loss, change in
nails, environmental or occupational hazards, self-care
Objective Data (inspect and palpate):
- (skin) General pigmentation, temperature, moisture, texture, thickness, edema,
mobility & turgor, vascularity or bruising, lesions.
- (hair) Color, texture, distribution, lesions
- (nails) Shape and contour, consistency, color,
Documenting objective data
obtained during the physical examination (vital signs, physical examination findings, and
laboratory results)
documenting subjective data
,information that comes from opinions, perceptions or experiences (patient's pain level
and their descriptions of symptoms)
documenting clustering data
finding patterns in signs and symptoms to determine, classify, and organize
what is a focused assessment
collect data that concerns mainly one problem or one body system, smaller in scope and
more targeted
What happens as we age with our hair skin and nails
-aging skin loses its elasticity; it folds and sags, parchment thin, lax, dry, and wrinkled
-Decreased response of the sweat glands to thermoregulatory
-number of functioning melanocytes decreases; hair looks gray and feels thin
-Nails grow more slowly
Understand the pathophysiology of diabetes and risk factors
-levels of insulin within the body, and the body's ability to utilize insulin. There is a total
lack of insulin in type 1 diabetes, while in type 2 diabetes, the peripheral tissues resist
the effects of insulin.
-risk factors: overweight, over 45 years old, family history of diabetes, exercise
-Risk for skin lesions in feet or ankles.
-may reduce pain sensation in extremities
-vision loss
Understand the pathophysiology of peripheral vascular disease and risk factors
-slow and progressive circulation disorder caused by narrowing, blockage or spasms in a
blood vessel.
-risk factors: age, heart conditions, obesity
, -Risk for skin lesions in feet or ankles.
-thickening of nails
What a thorough skin assessment can indicate, What can it tell?
-color
-temperature
-moisture
-texture
-thickness
-edema
-turgor
-lesions
pathophysiology of Vasoconstriction and what it indicates
- fear, anger, cold room, and cigarette smoking can cause vasoconstriction giving the
misleading outcome of false pallor (pale skin)
pathophysiology of vasodilation and what it indicates
- a hot room can lead to vasodilation giving the misleading outcome of false erythema
pathophysiology of pooling and what it indicates
-veins don't allow blood to flow back up to your heart, blood collects in lower limbs
dependent position can lead to venous pooling and giving a misleading outcome of
redness, warmth and distended veins.
pathophysiology of decreased arterial perfusion and what it indicates
prolonged elevation leads to decreased arterial perfusion giving a misleading outcome
of pallor, coolness
100% Correct Solutions
What is a screening assessment?
short exam focused on disease detection, no subjective complaints
What is a comprehensive assessment?
An assessment that includes a complete health history and physical assessment; it is
done annually on an outpatient basis, following admission to a hospital or long-term
care facility, or every 8 hours for patients in intensive care.
What data gets collected and documented during a physical?
Subjective Data:
- Past history of skin disease, change in pigmentation, change in mole, excessive dryness
or moisture, pruritus, excessive bruising, rash or lesion, medications, hair loss, change in
nails, environmental or occupational hazards, self-care
Objective Data (inspect and palpate):
- (skin) General pigmentation, temperature, moisture, texture, thickness, edema,
mobility & turgor, vascularity or bruising, lesions.
- (hair) Color, texture, distribution, lesions
- (nails) Shape and contour, consistency, color,
Documenting objective data
obtained during the physical examination (vital signs, physical examination findings, and
laboratory results)
documenting subjective data
,information that comes from opinions, perceptions or experiences (patient's pain level
and their descriptions of symptoms)
documenting clustering data
finding patterns in signs and symptoms to determine, classify, and organize
what is a focused assessment
collect data that concerns mainly one problem or one body system, smaller in scope and
more targeted
What happens as we age with our hair skin and nails
-aging skin loses its elasticity; it folds and sags, parchment thin, lax, dry, and wrinkled
-Decreased response of the sweat glands to thermoregulatory
-number of functioning melanocytes decreases; hair looks gray and feels thin
-Nails grow more slowly
Understand the pathophysiology of diabetes and risk factors
-levels of insulin within the body, and the body's ability to utilize insulin. There is a total
lack of insulin in type 1 diabetes, while in type 2 diabetes, the peripheral tissues resist
the effects of insulin.
-risk factors: overweight, over 45 years old, family history of diabetes, exercise
-Risk for skin lesions in feet or ankles.
-may reduce pain sensation in extremities
-vision loss
Understand the pathophysiology of peripheral vascular disease and risk factors
-slow and progressive circulation disorder caused by narrowing, blockage or spasms in a
blood vessel.
-risk factors: age, heart conditions, obesity
, -Risk for skin lesions in feet or ankles.
-thickening of nails
What a thorough skin assessment can indicate, What can it tell?
-color
-temperature
-moisture
-texture
-thickness
-edema
-turgor
-lesions
pathophysiology of Vasoconstriction and what it indicates
- fear, anger, cold room, and cigarette smoking can cause vasoconstriction giving the
misleading outcome of false pallor (pale skin)
pathophysiology of vasodilation and what it indicates
- a hot room can lead to vasodilation giving the misleading outcome of false erythema
pathophysiology of pooling and what it indicates
-veins don't allow blood to flow back up to your heart, blood collects in lower limbs
dependent position can lead to venous pooling and giving a misleading outcome of
redness, warmth and distended veins.
pathophysiology of decreased arterial perfusion and what it indicates
prolonged elevation leads to decreased arterial perfusion giving a misleading outcome
of pallor, coolness
