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NSG 316 Exam 1 Questions and Answers 2025/2026 A+ Graded 100% Verified

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NSG 316 Exam 1 Questions and Answers 2025/2026 A+ Graded 100% Verified

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NSG 316 Exam 1 Questions and
Answers 2025/2026 A+ Graded 100%
Verified
What is skin turgor? - ANS-ability of skin to return to place promptly when released

how and why do we test for skin turgor? - ANS-grasp the skin under or above collarbone with
two fingers. hold for a few seconds and release

measures elasticity. can indicate dehydration or extreme weight loss (extra skin)

normal and abnormal skin turgor - ANS-snaps back rapidly

takes time to return to normal position. called tenting

abnormal nail findings - ANS-- brittle/splitting
- linear pigmentation or striata
- <160 degrees or it is 180 degrees (clubbing or spooning)

normal/expected nail findings - ANS-- angle of 160 degrees or less
- clean (suggests adequate self-care)
- smooth surface
- transluscent/pink nail bed

ABCDE - ANS-often used for skin cancer assessment
- asymmetry, border, color, diameter, elevation

procedure for assessing skin lesions - ANS-- palpation
- adequate lighting
- woodlight/magnifying
- measure length, width, depth

how and why we test for capillary refill - ANS-measure by pressing down on nail bed for a
couple seconds

checks for peripheral circulation or oxygen saturation levels (respiratory)

, normal and abnormal capillary refill findings - ANS-- color returns within 1-2 seconds
- takes longer than 1-2 seconds

2+ edema - ANS-moderate pitting
indentation subsides rapidly

1+ edema - ANS-mild pitting
slight indentation
no perceptible swelling of the leg

3+ edema - ANS-deep pitting
looks swollen
indentation remains for short time

4+ edema - ANS-very deep pitting
leg is very swollen
indentation lasts long time (can be indefinite)

ecchymosis (bruise) - ANS-- any type of injury that causes blood vessels to burst open
- leaking blood under the skin

purpura - ANS-- dark, red discolored areas due to decreased vascularity of the skin but
increased vascular fragility

petechiae - ANS-round spots that appear on skin as a result of bleeding
red, brown, or purple

secondary lesions - ANS-resulting from a change in primary lesion from passage of time
(evolutionary)

primary lesions - ANS-develop on previously unaltered skin
- macules, papules, nodule, tumor, cyst, papule, vesicle, etc.

stage I pressure ulcer - ANS-intact skin (red but unbroken)
skin does not blanch

brown-tan - ANS-- can be normal for different ethnicities
- due to Addisons disease (dec cortisol) stimulates increased melanin production
- bronzed appearance
- most apparent in perineum/pressure points

jaundice - ANS-yellowish skin color indicating increased amounts of bilirubin in blood

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