NSE 103 WEEK 3 EXAM QUESTIONS
WITH CORRECT DETAILED ANSWERS
who is the FLACC pain tool used for? - Answer-young nonverbal children
what does FLACC pain tool stand for? - Answer-face
legs
activity
cry
consolability
what is the BPS used for? - Answer-pain scale used for critically ill clients on
mechanical ventilation
what does BPS stand for? - Answer-behavioural pain scale
who is the CPOT used for? - Answer-assesses pain in ventilation & non-ventilated
patients
what does CPOT stand for? - Answer-critical care pain observation tool
what are the four components of CPOT? - Answer-facial expression
body movement
muscle tension
compliance with ventilator / vocalization
what are 7 the clinical manifestations of integumentary issues? - Answer-
pattern/distribution
morphology
location
texture
symmetry
colour
sensation
, what is pruritis? - Answer-itching; sometimes associated with a rash
what is urticaria? - Answer-hives
what are nevis? - Answer-moles
what is linea nigra? - Answer-single dark vertical line on the abdomen
what are ulcers? - Answer-open sores on the skin
what nail changes are important to note? - Answer-colour
texture
shape
lifting of the nail
what is oncholysis? - Answer-separation of the nail from the nail bed
what is alopecia? - Answer-hair loss
what is xerosis? - Answer-dry skin
what is seborrhea? - Answer-severe oiliness of the skin
what is mottled skin? why is it important to note? - Answer-marbled skin due to being
cold or capillary obstruction
can suggest reduced blood flow
what is pallor? - Answer-paleness
darker skin tones with pallor may present as - Answer-ashen (grey)
brown skin tones with pallor may present as - Answer-yellowish
how do you check for pallor? - Answer-look at nail beds, conjunctiva
what is erythema? - Answer-redness of the skin
what are the variations of erythema? (skin tones) - Answer-darker skin - reddish/purple
lighter skin - dark pink to red
what is cyanosis? - Answer-a bluish discoloration of the skin resulting from poor
circulation or inadequate oxygenation of the blood
WITH CORRECT DETAILED ANSWERS
who is the FLACC pain tool used for? - Answer-young nonverbal children
what does FLACC pain tool stand for? - Answer-face
legs
activity
cry
consolability
what is the BPS used for? - Answer-pain scale used for critically ill clients on
mechanical ventilation
what does BPS stand for? - Answer-behavioural pain scale
who is the CPOT used for? - Answer-assesses pain in ventilation & non-ventilated
patients
what does CPOT stand for? - Answer-critical care pain observation tool
what are the four components of CPOT? - Answer-facial expression
body movement
muscle tension
compliance with ventilator / vocalization
what are 7 the clinical manifestations of integumentary issues? - Answer-
pattern/distribution
morphology
location
texture
symmetry
colour
sensation
, what is pruritis? - Answer-itching; sometimes associated with a rash
what is urticaria? - Answer-hives
what are nevis? - Answer-moles
what is linea nigra? - Answer-single dark vertical line on the abdomen
what are ulcers? - Answer-open sores on the skin
what nail changes are important to note? - Answer-colour
texture
shape
lifting of the nail
what is oncholysis? - Answer-separation of the nail from the nail bed
what is alopecia? - Answer-hair loss
what is xerosis? - Answer-dry skin
what is seborrhea? - Answer-severe oiliness of the skin
what is mottled skin? why is it important to note? - Answer-marbled skin due to being
cold or capillary obstruction
can suggest reduced blood flow
what is pallor? - Answer-paleness
darker skin tones with pallor may present as - Answer-ashen (grey)
brown skin tones with pallor may present as - Answer-yellowish
how do you check for pallor? - Answer-look at nail beds, conjunctiva
what is erythema? - Answer-redness of the skin
what are the variations of erythema? (skin tones) - Answer-darker skin - reddish/purple
lighter skin - dark pink to red
what is cyanosis? - Answer-a bluish discoloration of the skin resulting from poor
circulation or inadequate oxygenation of the blood
