Nursing 251 Exam #2 Questions With Complete Solutions
Define Hyperplasia. Correct Answer Enlarged reddened gums
covering part of the tooth
Define Lead Poisoning. Correct Answer Bluish-gray line
along gum line
Define the 4 stages of pressure ulcer development. Correct
Answer Stage 1: intact skin with nonblanchable redness of a
localized area usually over a bony prominence
Stage 2: Partial thickness loss of dermis presenting as a shallow
open ulcer with a red-pink wound bed (bruising = deep tissue
injury)
Stage 3: Full thickness tissue loss with subcutaneous fat
showing that may include undermining or tunneling
Stage 4: Full thickness tissue loss with subcutaneous fat
showing as well as bone, tendon or muscle. (undermining or
tunneling) Slough and eschar (black stuff) may be present
Unstageable: true depth can't be known unless slough or eschar
are removed
Define the 4 types of drainage as seen from wounds. (SSSP)
Correct Answer 1. Serous: Clear
2.Sanguineous: Bloody
3.Serosanguineous: Thin, bloody
4. Purulent: Pus (Sign of infection)
, Describe an assessment of the head (6: QDTCDL). Correct
Answer 1. Quantity of hair
2. Distribution
3.Texture
4. Color
5. Dryness
6. Lesions/parasites
Describe the assessment for face, nose, sinuses, soft/hard palate,
tongue, lips, teeth, buccal mucosa, Wharton's duct, Stenson's
Duct, and uvula. Correct Answer Facial: Observe symmetry,
movements (CN 7), facial expression, edema, sensitivity, and
motor strength
Jaw: assess Temporomandibular Joint (TMJ)
Nose:
▸External Inspection (Palpation): Note symmetry, deviation,
tenderness
▸Internal Inspection: mucosa (color), septum (position)
note polyps or ulcers, and turbinates (inferior, middle, superior)
Sinuses: Palpation (normal = tender)
▸Frontal: above eyebrows
▸Maxillary: top of cheeks/underneath eyes
Sinuses: Translumination (normal = red glow)
▸Frontal: Place light source close to nose and note red glow to
forehead
Define Hyperplasia. Correct Answer Enlarged reddened gums
covering part of the tooth
Define Lead Poisoning. Correct Answer Bluish-gray line
along gum line
Define the 4 stages of pressure ulcer development. Correct
Answer Stage 1: intact skin with nonblanchable redness of a
localized area usually over a bony prominence
Stage 2: Partial thickness loss of dermis presenting as a shallow
open ulcer with a red-pink wound bed (bruising = deep tissue
injury)
Stage 3: Full thickness tissue loss with subcutaneous fat
showing that may include undermining or tunneling
Stage 4: Full thickness tissue loss with subcutaneous fat
showing as well as bone, tendon or muscle. (undermining or
tunneling) Slough and eschar (black stuff) may be present
Unstageable: true depth can't be known unless slough or eschar
are removed
Define the 4 types of drainage as seen from wounds. (SSSP)
Correct Answer 1. Serous: Clear
2.Sanguineous: Bloody
3.Serosanguineous: Thin, bloody
4. Purulent: Pus (Sign of infection)
, Describe an assessment of the head (6: QDTCDL). Correct
Answer 1. Quantity of hair
2. Distribution
3.Texture
4. Color
5. Dryness
6. Lesions/parasites
Describe the assessment for face, nose, sinuses, soft/hard palate,
tongue, lips, teeth, buccal mucosa, Wharton's duct, Stenson's
Duct, and uvula. Correct Answer Facial: Observe symmetry,
movements (CN 7), facial expression, edema, sensitivity, and
motor strength
Jaw: assess Temporomandibular Joint (TMJ)
Nose:
▸External Inspection (Palpation): Note symmetry, deviation,
tenderness
▸Internal Inspection: mucosa (color), septum (position)
note polyps or ulcers, and turbinates (inferior, middle, superior)
Sinuses: Palpation (normal = tender)
▸Frontal: above eyebrows
▸Maxillary: top of cheeks/underneath eyes
Sinuses: Translumination (normal = red glow)
▸Frontal: Place light source close to nose and note red glow to
forehead
