NURS 662 EXAM 1 EXAM SCRIPT 2026
COMPLETE QUESTIONS AND CORRECT
ANSWERS
◉ What are the components of a health history? Be able to give an
example of each element.
Answer: Biographic data: name, gender, address, birth date, etc.
Reason for seeking care: chief complaint/presenting problem
History of present illness: using symptom analysis (OLDCARTS)
Present health status : patient's condition (acute or chronic), meds
currently taking, allergies
Past heath history: childhood illnesses, surgeries, hospitalization,
accidents or injuries, immunizations, last exam,
Family history: identify illness of genetics
Personal and psychological history: if illness affects or reflections
patients physical and mental health such as personal status, diet,
mental health, drug use, environment etc.
Review of systems: General, integumentary, head and neck,
respiratory, cardiovascular etc. (symptom analysis when patients
acknowledge the presence of symptoms)
◉ What is symptom analysis (OLDCARTS) and how is it performed?
Answer: Onset: when it start happening
,Location:localized/systemic, internal or external?
Duration
Characteristics: how it looks? feels?
Aggravating Factors: limits on any ADLs
Response: any other symptoms?
Timing: action take to treat pain
S: Severity factors: how is the pain? (1-10 scale)
◉ Describe the seven major assessments to be completed of the
integumentary system.
Answer: 1)Rash
2)Pain
3)Pruritus: itching
4)Lesion or changes in mole
5) change in skin color
6) Skin texture
7) wounds
◉ Know the difference between a macule, papule, vesicle and
pustule.
Answer: Macule: flat ,circumscribe area that is change in color of
skin;less than 1cm diameter ex. freckles, moles
, Papule: elevated, firm, circumscribe area less than 1cm diameter ex.
wart
vesicle: elevated, circumscribed, superficial, not into dermis, filled
with serous fluid;less than 1 cm
ex. varicella, impetigo
Pustule: elevated, superficial lesion, filled with purulent fluid, ex.
acne, herpes simplex
◉ Discuss how skin color may affect assessment and how findings
may differ based on skin color. For example, how does a bruise
appear differently in light skinned and dark skinned individuals?
Answer: A problem of the skin may be overlooked if not thoroughly
assessing patient. Necessary to evenly inspect the skin, palpate for
warmness and texture
◉ Describe how to palpate the skin for moisture, temperature,
texture, turgor, and mobility, including what part of the hand is used
for palpation.
Answer: temperature: back of the hand (dorsal)
mobility and turgor: slightly pinch
moisture: touching
◉ Discuss at least one health promotion or health protection
strategy for the integument.
COMPLETE QUESTIONS AND CORRECT
ANSWERS
◉ What are the components of a health history? Be able to give an
example of each element.
Answer: Biographic data: name, gender, address, birth date, etc.
Reason for seeking care: chief complaint/presenting problem
History of present illness: using symptom analysis (OLDCARTS)
Present health status : patient's condition (acute or chronic), meds
currently taking, allergies
Past heath history: childhood illnesses, surgeries, hospitalization,
accidents or injuries, immunizations, last exam,
Family history: identify illness of genetics
Personal and psychological history: if illness affects or reflections
patients physical and mental health such as personal status, diet,
mental health, drug use, environment etc.
Review of systems: General, integumentary, head and neck,
respiratory, cardiovascular etc. (symptom analysis when patients
acknowledge the presence of symptoms)
◉ What is symptom analysis (OLDCARTS) and how is it performed?
Answer: Onset: when it start happening
,Location:localized/systemic, internal or external?
Duration
Characteristics: how it looks? feels?
Aggravating Factors: limits on any ADLs
Response: any other symptoms?
Timing: action take to treat pain
S: Severity factors: how is the pain? (1-10 scale)
◉ Describe the seven major assessments to be completed of the
integumentary system.
Answer: 1)Rash
2)Pain
3)Pruritus: itching
4)Lesion or changes in mole
5) change in skin color
6) Skin texture
7) wounds
◉ Know the difference between a macule, papule, vesicle and
pustule.
Answer: Macule: flat ,circumscribe area that is change in color of
skin;less than 1cm diameter ex. freckles, moles
, Papule: elevated, firm, circumscribe area less than 1cm diameter ex.
wart
vesicle: elevated, circumscribed, superficial, not into dermis, filled
with serous fluid;less than 1 cm
ex. varicella, impetigo
Pustule: elevated, superficial lesion, filled with purulent fluid, ex.
acne, herpes simplex
◉ Discuss how skin color may affect assessment and how findings
may differ based on skin color. For example, how does a bruise
appear differently in light skinned and dark skinned individuals?
Answer: A problem of the skin may be overlooked if not thoroughly
assessing patient. Necessary to evenly inspect the skin, palpate for
warmness and texture
◉ Describe how to palpate the skin for moisture, temperature,
texture, turgor, and mobility, including what part of the hand is used
for palpation.
Answer: temperature: back of the hand (dorsal)
mobility and turgor: slightly pinch
moisture: touching
◉ Discuss at least one health promotion or health protection
strategy for the integument.
