NU650 Final Test UPDATED ACTUAL
Questions and CORRECT Answers
Listening for S3 or mitral stenosis - CORRECT ANSWER - Ask pt to roll partly onto the
left side
Listen at the apex
Listening for murmur of aortic regurgitation - CORRECT ANSWER - Pt should sit, lean
forward, and exhale as you listen
Sensitivity - CORRECT ANSWER - Probability that a person with disease has positive
test
Specificity - CORRECT ANSWER - Probability that non-diseased person has negative
test
lethargic patients - CORRECT ANSWER - are drowsy but open their eyes and look at
you, respond to questions, and then fall asleep
obtunded patients - CORRECT ANSWER - open their eyes and look at you, but respond
slowly and are somewhat confused
Rapid changes in weight, over a few days, suggests... - CORRECT ANSWER - changes in
body fluid not tissue
Blood pressure cuff size - CORRECT ANSWER - Width of inflatable bladder should be
about 40% of upper arm circumference
Length of inflatable bladder should be about 80% of upper arm circumference (almost long
enough to encircle entire arm)
Standard cuff is 12x23 cm, arm circumferences up to 28 cm
,Oral temperature - CORRECT ANSWER - generally lower than core body temp & rectal
temp
Nociceptive (somatic) pain - CORRECT ANSWER - related to tissue damage
Central sensitization pain - CORRECT ANSWER - Alteration of the CNS processing of
sensation amplifying signals
EX: Fibromyalgia
Idiopathic pain - CORRECT ANSWER - Chronic pain without identifiable physical or
psychological cause
A lesion over ____ is abnormal - CORRECT ANSWER - 1 cm
Round or annular skin lesion - CORRECT ANSWER - Round, may have an active border
around it
Umbilicated lesions - CORRECT ANSWER - -central indentation
-usually viral
Confluent skin lesion - CORRECT ANSWER - lesions that run together
Discrete skin lesions - CORRECT ANSWER - individual lesions separate
zostiform lesion - CORRECT ANSWER - Usually follows dermatome
Desquamation - CORRECT ANSWER - Shedding of epithelial elements; chiefly of the
skin in scales or sheets
,Keratotic change - CORRECT ANSWER - hypertrophic stratum corneum
thick appearing skin
Telangiectasias - CORRECT ANSWER - Distended or dilated surface blood vessels
Blanch completely
Mongolian spots - CORRECT ANSWER - Blue-ish black macules appearing over the
buttocks and/or thighs of darker skinned neonates
Harlequin color change - CORRECT ANSWER - Occurs when the baby is in a side-lying
position. The lower half of the body turns red and the upper half blanches with a distinct
demarcation line down the midline.
Erythema toxicum - CORRECT ANSWER - pink rash that appears suddenly anywhere on
the body of a term newborn during the first 3 weeks.
Cutis marmorata - CORRECT ANSWER - skin has a pinkish blue mottled or marbled
appearance when subjected to cold temperatures
Milia - CORRECT ANSWER - small raised white spots on nose, chin, and forehead
Malaria rubra - CORRECT ANSWER - Reddish tinge to face
Usually due to heat
hemangioma - CORRECT ANSWER - skin lesion due to benign proliferation of blood
vessels in the dermis
Wood's light lamp - CORRECT ANSWER - long wave ultraviolet light that is used to
diagnose lesions suspected to be fungal in origin
Obtain a skin scraping and use potassium hydroxide mixed with the skin scraping
, Put that under the microscope
Macule - CORRECT ANSWER - flat, colored spot on the skin
<1 cm
Papule - CORRECT ANSWER - small, solid skin elevation
not fluid filled
<1 cm
Patch - CORRECT ANSWER - a flat, discolored area on the skin
>1cm
Plaque - CORRECT ANSWER - Raised skin lesion
>1cm
Not fluid filled
Nodule - CORRECT ANSWER - solid, round or oval elevated lesion 1 cm or more in
diameter
Tumor - CORRECT ANSWER - Large nodule greater than a few centimeters
Can be firm or can be soft, but it's deeper into the dermis
Wheal - CORRECT ANSWER - raised red skin lesion due to interstitial fluid
mosquito bite
Cyst - CORRECT ANSWER - elevated, encapsulated fluid filled cavity in the dermis or
subcutaneous tissue
Questions and CORRECT Answers
Listening for S3 or mitral stenosis - CORRECT ANSWER - Ask pt to roll partly onto the
left side
Listen at the apex
Listening for murmur of aortic regurgitation - CORRECT ANSWER - Pt should sit, lean
forward, and exhale as you listen
Sensitivity - CORRECT ANSWER - Probability that a person with disease has positive
test
Specificity - CORRECT ANSWER - Probability that non-diseased person has negative
test
lethargic patients - CORRECT ANSWER - are drowsy but open their eyes and look at
you, respond to questions, and then fall asleep
obtunded patients - CORRECT ANSWER - open their eyes and look at you, but respond
slowly and are somewhat confused
Rapid changes in weight, over a few days, suggests... - CORRECT ANSWER - changes in
body fluid not tissue
Blood pressure cuff size - CORRECT ANSWER - Width of inflatable bladder should be
about 40% of upper arm circumference
Length of inflatable bladder should be about 80% of upper arm circumference (almost long
enough to encircle entire arm)
Standard cuff is 12x23 cm, arm circumferences up to 28 cm
,Oral temperature - CORRECT ANSWER - generally lower than core body temp & rectal
temp
Nociceptive (somatic) pain - CORRECT ANSWER - related to tissue damage
Central sensitization pain - CORRECT ANSWER - Alteration of the CNS processing of
sensation amplifying signals
EX: Fibromyalgia
Idiopathic pain - CORRECT ANSWER - Chronic pain without identifiable physical or
psychological cause
A lesion over ____ is abnormal - CORRECT ANSWER - 1 cm
Round or annular skin lesion - CORRECT ANSWER - Round, may have an active border
around it
Umbilicated lesions - CORRECT ANSWER - -central indentation
-usually viral
Confluent skin lesion - CORRECT ANSWER - lesions that run together
Discrete skin lesions - CORRECT ANSWER - individual lesions separate
zostiform lesion - CORRECT ANSWER - Usually follows dermatome
Desquamation - CORRECT ANSWER - Shedding of epithelial elements; chiefly of the
skin in scales or sheets
,Keratotic change - CORRECT ANSWER - hypertrophic stratum corneum
thick appearing skin
Telangiectasias - CORRECT ANSWER - Distended or dilated surface blood vessels
Blanch completely
Mongolian spots - CORRECT ANSWER - Blue-ish black macules appearing over the
buttocks and/or thighs of darker skinned neonates
Harlequin color change - CORRECT ANSWER - Occurs when the baby is in a side-lying
position. The lower half of the body turns red and the upper half blanches with a distinct
demarcation line down the midline.
Erythema toxicum - CORRECT ANSWER - pink rash that appears suddenly anywhere on
the body of a term newborn during the first 3 weeks.
Cutis marmorata - CORRECT ANSWER - skin has a pinkish blue mottled or marbled
appearance when subjected to cold temperatures
Milia - CORRECT ANSWER - small raised white spots on nose, chin, and forehead
Malaria rubra - CORRECT ANSWER - Reddish tinge to face
Usually due to heat
hemangioma - CORRECT ANSWER - skin lesion due to benign proliferation of blood
vessels in the dermis
Wood's light lamp - CORRECT ANSWER - long wave ultraviolet light that is used to
diagnose lesions suspected to be fungal in origin
Obtain a skin scraping and use potassium hydroxide mixed with the skin scraping
, Put that under the microscope
Macule - CORRECT ANSWER - flat, colored spot on the skin
<1 cm
Papule - CORRECT ANSWER - small, solid skin elevation
not fluid filled
<1 cm
Patch - CORRECT ANSWER - a flat, discolored area on the skin
>1cm
Plaque - CORRECT ANSWER - Raised skin lesion
>1cm
Not fluid filled
Nodule - CORRECT ANSWER - solid, round or oval elevated lesion 1 cm or more in
diameter
Tumor - CORRECT ANSWER - Large nodule greater than a few centimeters
Can be firm or can be soft, but it's deeper into the dermis
Wheal - CORRECT ANSWER - raised red skin lesion due to interstitial fluid
mosquito bite
Cyst - CORRECT ANSWER - elevated, encapsulated fluid filled cavity in the dermis or
subcutaneous tissue
