NUR 216 Exam 2 Questions with 100%
Correct Answers
Brown pigmentation indicates Correct Answer: venous insufficiency
Shiny and translucent skin without hair indicates Correct Answer: arterial
insufficiency
skin tugor locations Correct Answer: adults-forearm or sternum
infant- abdomen
pallor Correct Answer: -loss of color: best noted in face, conjunctivae, nail beds,
palms
-indication of anemia or lack of blood flow
cyanosis Correct Answer: Location- nail beds, sclera, MM
Changes for light skin tones best located in sclera
Changes for dark skin tones best located in hard palate
indication - hypoxia, or imapired venous return
jaundice Correct Answer: Location- sclera, skin, MM
Changes for light skin tones best detected in oral MM
Changes for dark skin tones best detected in hard palate
Indication- liver dysfunction, RBC destruction
, erythema Correct Answer: Location- face, skin, trauma or pressure sore areas
Indication- inflammation, localized vasodilation, substance use, sun exposure,
rash or elevated body temperature
Nails expectations Correct Answer: firm bases and nail angles of 160 degrees
symmetrical nail beds with uniform color
CRT less than 3 seconds
clubbing Correct Answer: nails at an angle greater than 160, results from low
oxygen saturations related to heart or lung disease
hair expectations Correct Answer: symmetrical hair distribution
alopecia Correct Answer: results from endocrine disorders or poor nutrition
hirsutism Correct Answer: hair growth on the face shoulders or chest of a female
that can results from endocrine disorders
edema Correct Answer: The accumulation of fluid in the tissues most often from
direct trauma or imparied venous return
Skin may appear tight and shiny
Assess the swelling for discoloration, location, and tenderness
Correct Answers
Brown pigmentation indicates Correct Answer: venous insufficiency
Shiny and translucent skin without hair indicates Correct Answer: arterial
insufficiency
skin tugor locations Correct Answer: adults-forearm or sternum
infant- abdomen
pallor Correct Answer: -loss of color: best noted in face, conjunctivae, nail beds,
palms
-indication of anemia or lack of blood flow
cyanosis Correct Answer: Location- nail beds, sclera, MM
Changes for light skin tones best located in sclera
Changes for dark skin tones best located in hard palate
indication - hypoxia, or imapired venous return
jaundice Correct Answer: Location- sclera, skin, MM
Changes for light skin tones best detected in oral MM
Changes for dark skin tones best detected in hard palate
Indication- liver dysfunction, RBC destruction
, erythema Correct Answer: Location- face, skin, trauma or pressure sore areas
Indication- inflammation, localized vasodilation, substance use, sun exposure,
rash or elevated body temperature
Nails expectations Correct Answer: firm bases and nail angles of 160 degrees
symmetrical nail beds with uniform color
CRT less than 3 seconds
clubbing Correct Answer: nails at an angle greater than 160, results from low
oxygen saturations related to heart or lung disease
hair expectations Correct Answer: symmetrical hair distribution
alopecia Correct Answer: results from endocrine disorders or poor nutrition
hirsutism Correct Answer: hair growth on the face shoulders or chest of a female
that can results from endocrine disorders
edema Correct Answer: The accumulation of fluid in the tissues most often from
direct trauma or imparied venous return
Skin may appear tight and shiny
Assess the swelling for discoloration, location, and tenderness
