NU 650 Final Test Questions and Answers Already Passed
Listening for S3 or mitral stenosis - Answers Ask pt to roll partly onto the left side
Listen at the apex
Listening for murmur of aortic regurgitation - Answers Pt should sit, lean forward, and exhale as
you listen
Sensitivity - Answers Probability that a person with disease has positive test
Specificity - Answers Probability that non-diseased person has negative test
lethargic patients - Answers are drowsy but open their eyes and look at you, respond to
questions, and then fall asleep
obtunded patients - Answers open their eyes and look at you, but respond slowly and are
somewhat confused
Rapid changes in weight, over a few days, suggests... - Answers changes in body fluid not tissue
Blood pressure cuff size - Answers 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 - Answers generally lower than core body temp & rectal temp
Nociceptive (somatic) pain - Answers related to tissue damage
Central sensitization pain - Answers Alteration of the CNS processing of sensation amplifying
signals
EX: Fibromyalgia
Idiopathic pain - Answers Chronic pain without identifiable physical or psychological cause
A lesion over ____ is abnormal - Answers 1 cm
Round or annular skin lesion - Answers Round, may have an active border around it
Umbilicated lesions - Answers -central indentation
-usually viral
Confluent skin lesion - Answers lesions that run together
,Discrete skin lesions - Answers individual lesions separate
zostiform lesion - Answers Usually follows dermatome
Desquamation - Answers Shedding of epithelial elements; chiefly of the skin in scales or sheets
Keratotic change - Answers hypertrophic stratum corneum
thick appearing skin
Telangiectasias - Answers Distended or dilated surface blood vessels
Blanch completely
Mongolian spots - Answers Blue-ish black macules appearing over the buttocks and/or thighs of
darker skinned neonates
Harlequin color change - Answers 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 - Answers pink rash that appears suddenly anywhere on the body of a term
newborn during the first 3 weeks.
Cutis marmorata - Answers skin has a pinkish blue mottled or marbled appearance when
subjected to cold temperatures
Milia - Answers small raised white spots on nose, chin, and forehead
Malaria rubra - Answers Reddish tinge to face
Usually due to heat
hemangioma - Answers skin lesion due to benign proliferation of blood vessels in the dermis
Wood's light lamp - Answers 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 - Answers flat, colored spot on the skin
<1 cm
Papule - Answers small, solid skin elevation
not fluid filled
, <1 cm
Patch - Answers a flat, discolored area on the skin
>1cm
Plaque - Answers Raised skin lesion
>1cm
Not fluid filled
Nodule - Answers solid, round or oval elevated lesion 1 cm or more in diameter
Tumor - Answers Large nodule greater than a few centimeters
Can be firm or can be soft, but it's deeper into the dermis
Wheal - Answers raised red skin lesion due to interstitial fluid
mosquito bite
Cyst - Answers elevated, encapsulated fluid filled cavity in the dermis or subcutaneous tissue
Vesicle - Answers Raised lesion
>1cm
Fluid filled
Bulla (blister) - Answers Raised lesion
>1 cm
Fluid filled
Pustule - Answers raised spot on the skin containing pus
Primary vs secondary skin lesions - Answers Primary skin lesions- Arise from the epidermis
Secondary skin lesions- Secondary effects of the primary skin lesion
Fissure - Answers Linear crack with abrupt edges
Erosion - Answers scooped out shallow depression of superficial epidermis
Ulcer - Answers deep depression extending into the dermis
It's more indurated
Listening for S3 or mitral stenosis - Answers Ask pt to roll partly onto the left side
Listen at the apex
Listening for murmur of aortic regurgitation - Answers Pt should sit, lean forward, and exhale as
you listen
Sensitivity - Answers Probability that a person with disease has positive test
Specificity - Answers Probability that non-diseased person has negative test
lethargic patients - Answers are drowsy but open their eyes and look at you, respond to
questions, and then fall asleep
obtunded patients - Answers open their eyes and look at you, but respond slowly and are
somewhat confused
Rapid changes in weight, over a few days, suggests... - Answers changes in body fluid not tissue
Blood pressure cuff size - Answers 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 - Answers generally lower than core body temp & rectal temp
Nociceptive (somatic) pain - Answers related to tissue damage
Central sensitization pain - Answers Alteration of the CNS processing of sensation amplifying
signals
EX: Fibromyalgia
Idiopathic pain - Answers Chronic pain without identifiable physical or psychological cause
A lesion over ____ is abnormal - Answers 1 cm
Round or annular skin lesion - Answers Round, may have an active border around it
Umbilicated lesions - Answers -central indentation
-usually viral
Confluent skin lesion - Answers lesions that run together
,Discrete skin lesions - Answers individual lesions separate
zostiform lesion - Answers Usually follows dermatome
Desquamation - Answers Shedding of epithelial elements; chiefly of the skin in scales or sheets
Keratotic change - Answers hypertrophic stratum corneum
thick appearing skin
Telangiectasias - Answers Distended or dilated surface blood vessels
Blanch completely
Mongolian spots - Answers Blue-ish black macules appearing over the buttocks and/or thighs of
darker skinned neonates
Harlequin color change - Answers 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 - Answers pink rash that appears suddenly anywhere on the body of a term
newborn during the first 3 weeks.
Cutis marmorata - Answers skin has a pinkish blue mottled or marbled appearance when
subjected to cold temperatures
Milia - Answers small raised white spots on nose, chin, and forehead
Malaria rubra - Answers Reddish tinge to face
Usually due to heat
hemangioma - Answers skin lesion due to benign proliferation of blood vessels in the dermis
Wood's light lamp - Answers 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 - Answers flat, colored spot on the skin
<1 cm
Papule - Answers small, solid skin elevation
not fluid filled
, <1 cm
Patch - Answers a flat, discolored area on the skin
>1cm
Plaque - Answers Raised skin lesion
>1cm
Not fluid filled
Nodule - Answers solid, round or oval elevated lesion 1 cm or more in diameter
Tumor - Answers Large nodule greater than a few centimeters
Can be firm or can be soft, but it's deeper into the dermis
Wheal - Answers raised red skin lesion due to interstitial fluid
mosquito bite
Cyst - Answers elevated, encapsulated fluid filled cavity in the dermis or subcutaneous tissue
Vesicle - Answers Raised lesion
>1cm
Fluid filled
Bulla (blister) - Answers Raised lesion
>1 cm
Fluid filled
Pustule - Answers raised spot on the skin containing pus
Primary vs secondary skin lesions - Answers Primary skin lesions- Arise from the epidermis
Secondary skin lesions- Secondary effects of the primary skin lesion
Fissure - Answers Linear crack with abrupt edges
Erosion - Answers scooped out shallow depression of superficial epidermis
Ulcer - Answers deep depression extending into the dermis
It's more indurated
