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NUR 242 MED-SURG
EXAM1||COMPLETE TEST
QUESTIONS AND VERIFIED ANSWERS
2026
Subcutaneous tissue - correct-answer -- mechanical shock absorber
-energy reserve
- insulation
Skin assessment - lesions - correct-answer -Primary lesions - direct result of a
disease process
Secondary lesions - evolve from primary or develop as a consequence of a
patient's activity
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Skin assessment - Color - correct-answer -- is affected by blood flow, gas
exchange, body temperature, and pigmentation. describe by their appearance.
Are changes general or confined to one body region
Skin assessment - ABCDE - correct-answer -A - Asymmetry
B- border irregularity
C- color variation within one lesion
D- Diameter greater than 6 mm
E - Evolving or changing in any feature (shape, size, color, elevation, itching,
bleeding, or crusting)
Changes in Dark skin - cyanosis - correct-answer -- examine lips and tongue for
gray color
- examine nail beds, palms, and soles for blue tinge
- Examine conjunctiva for pallor
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Changes in Dark skin - Inflammation - correct-answer -- Compare effective area
with non affected area for increased warmth
-examine skin of affected area to determine whether it is shiny or taut or pits with
pressure
- Compare the skin color of affected area with the same area on the opposite side
of the body
- palpate the affected area and compare it with unaffected area to determine
whether texture is different (affected area may feel hard or "woody"
Changes in Dark skin - Jaundice - correct-answer -- Check for yellow tinge to oral
mucous membranes, especially the hard palate
- examine the sclera nearest to the iris rather than the corners of the eye
Changes in Dark skin - Bleeding - correct-answer -- Compare the affected area
with the same area on the unaffected body side for swelling or skin darkening
- if the patient has thrombocytopenia, petechiae may be present on the oral
mucosa or conjunctiva
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Nail assessment - nail color - correct-answer -White - chronic liver disease or
kidney disease - shock - anemia - early arteriosclerotic changes (toenails) -
myocardial infarction
Yellow - brown - Jaundice - peripheral lymphedema - bacterial or fungal infections
of the nail - psoriasis - diabetes - cardiac failure - staining from tobacco, nail
polish, or dyes - long term tetracycline therapy - normal aging (yellow - gray color)
Red - normal finding in dark skinned patients - nevus or melanoma of nail matrix
in light skinned patients
Thin red vertical lines - bacterial endocarditis - trichinosis - trauma to nail bed -
normal finding in some patients
Blue - Cardiac insufficiency - polycythemia vera - respiratory failure -
methemoglobinuria - venous stasis disease (toenails)
Deep Tissue Injury (DTI) - correct-answer --The intact skin appears purple or
maroon
- Blood - filled blisters may be present
NUR 242 MED-SURG
EXAM1||COMPLETE TEST
QUESTIONS AND VERIFIED ANSWERS
2026
Subcutaneous tissue - correct-answer -- mechanical shock absorber
-energy reserve
- insulation
Skin assessment - lesions - correct-answer -Primary lesions - direct result of a
disease process
Secondary lesions - evolve from primary or develop as a consequence of a
patient's activity
,2|Page
Skin assessment - Color - correct-answer -- is affected by blood flow, gas
exchange, body temperature, and pigmentation. describe by their appearance.
Are changes general or confined to one body region
Skin assessment - ABCDE - correct-answer -A - Asymmetry
B- border irregularity
C- color variation within one lesion
D- Diameter greater than 6 mm
E - Evolving or changing in any feature (shape, size, color, elevation, itching,
bleeding, or crusting)
Changes in Dark skin - cyanosis - correct-answer -- examine lips and tongue for
gray color
- examine nail beds, palms, and soles for blue tinge
- Examine conjunctiva for pallor
,3|Page
Changes in Dark skin - Inflammation - correct-answer -- Compare effective area
with non affected area for increased warmth
-examine skin of affected area to determine whether it is shiny or taut or pits with
pressure
- Compare the skin color of affected area with the same area on the opposite side
of the body
- palpate the affected area and compare it with unaffected area to determine
whether texture is different (affected area may feel hard or "woody"
Changes in Dark skin - Jaundice - correct-answer -- Check for yellow tinge to oral
mucous membranes, especially the hard palate
- examine the sclera nearest to the iris rather than the corners of the eye
Changes in Dark skin - Bleeding - correct-answer -- Compare the affected area
with the same area on the unaffected body side for swelling or skin darkening
- if the patient has thrombocytopenia, petechiae may be present on the oral
mucosa or conjunctiva
, 4|Page
Nail assessment - nail color - correct-answer -White - chronic liver disease or
kidney disease - shock - anemia - early arteriosclerotic changes (toenails) -
myocardial infarction
Yellow - brown - Jaundice - peripheral lymphedema - bacterial or fungal infections
of the nail - psoriasis - diabetes - cardiac failure - staining from tobacco, nail
polish, or dyes - long term tetracycline therapy - normal aging (yellow - gray color)
Red - normal finding in dark skinned patients - nevus or melanoma of nail matrix
in light skinned patients
Thin red vertical lines - bacterial endocarditis - trichinosis - trauma to nail bed -
normal finding in some patients
Blue - Cardiac insufficiency - polycythemia vera - respiratory failure -
methemoglobinuria - venous stasis disease (toenails)
Deep Tissue Injury (DTI) - correct-answer --The intact skin appears purple or
maroon
- Blood - filled blisters may be present
