Examl 2:l NSG121/l NSGl 121l (NEWl 2025/l
2026l Update)l Healthl Assessmentl Guide|l
Questionsl &l Answers|l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Herzing
QUESTION
Olderl Adultsl -l COMMONl SKINl ASSESSMENTl FINDINGS
Answer:
▪Decreasedl elasticity,l thinness,l excessivel dryness,l andl lesionsl associatedl withl aging
▪Seborrheicl dermatosesl -l normal/harmless
lesionsl withl variablel color
texturel thatl isl velvetyl tol verrucousl (wart-like)
waxyl "stuck-on"l characteristic
▪Ecchymoses/purpural -l flat,l purplel lesions
couldl indicatel seriousl illness,l suchl asl cancer,l orl trauma
froml fallsl orl abuse
QUESTION
Inflammatoryl phasel -l Woundl Healing
Answer:
Inflammatoryl phase:l Beginsl withinl 30l minutesl ofl injury;l lastsl 2-3l days
QUESTION
Woundl Healingl -l Proliferativel phase:
Answer:
Beginsl atl endl ofl inflammatoryl phase;l mayl lastl upl tol 4l weeks
,QUESTION
Woundl Healingl -l Remodelingl phase
Answer:
Beginsl atl endl ofl proliferativel phase;l mayl lastl asl longl asl 2l years
QUESTION
Woundl Classificationl -l Clean-contaminated
Answer:
Madel underl sterilel conditionsl butl involvingl thel respiratory,l gastrointestinal,l genital,l orl
urinaryl tractsl withoutl unusuall contamination.l Includesl appendectomies,l hysterectomies,l
cholecystectomies,l andl oropharyngeall surgeries
QUESTION
Woundl Classificationl -l Contaminated
Answer:
Exposedl tol contentsl ofl thel gastrointestinall tractl orl infectedl fluidsl froml thel genitourinaryl
systems.l Alsol includesl open,l traumaticl woundsl suchl asl lacerations,l puncturel wounds,l
andl openl fractures
QUESTION
Woundl Classificationl -l Infected
Answer:
Exposedl tol contaminantsl orl exhibitingl evidencel ofl infectionl priorl tol surgery.l Includesl
anyl traumaticl woundl becausel ofl thel highl riskl forl foreignl body,l bacteria,l andl chemicall
orl otherl organicl contaminant
,QUESTION
Burnsl -l Superficiall dermal
Answer:
Brisk-Bleeding,l Involvesl thel epidermisl andl partl ofl thel dermis.l Appearance(SLOWl
capillaryl refill)l Blanching(dry,l palel pink),l Pain
QUESTION
Burnsl -l Superficial
Answer:
Pain,l Appearance(Rapidl capillaryl refill),l Blanching(Moist,l Red)l Pain
QUESTION
Burnsl -l Fulll thickness
Answer:
Blanching(Dry,l leathery,l orl waxyl hardl woundl surface),l Nol Pain,l Nol Bleeding,l
Appearance(Nol blanching)
QUESTION
Bradenl Scalel -l 6l Scales
Answer:
Scoresl patientsl froml 1l tol 4l inl eachl ofl sixl subscales:l sensory,l perception,l moisture,l
activity,l mobility,l nutrition,l andl friction.l 14-18:l highl riskl ofl pressurel ulcerl development
Veryl Highl Risk:l Totall Scorel 9l orl less.
Highl Risk:l Totall Scorel 10-12.
Moderatel Risk:l Totall Scorel 13-14.
, Mildl Risk:l Totall Scorel 15-18.
Nol Risk:l Totall Scorel 19-23.
QUESTION
THEl HEAD
Answer:
▪Includesl craniuml andl faciall skeleton
▪Craniall bonesl -l frontal,l parietal,l occipital,l andl temporal
▪Suturesl joinl craniall bonesl together
▪Majorl suturesl -l Coronall -l crossesl thel topl ofl thel scalpl froml earl tol ear
Sagittall -l crossesl thel craniuml froml anteriorl tol posterior
Lambdoidall -l separatesl thel parietall andl occipitall bones
▪Thel suturesl remainl somewhatl soft/loosel duringl infancyl tol facilitatel growthl ofl thel headl
andl brain;l theyl knitl togetherl byl approximatelyl 12l tol 18l months
▪Largestl faciall bonesl -l maxilla,l mandible,l nasal,l lacrimal,l andl vomer
QUESTION
NECK
Answer:
▪Supportedl byl thel cervicall vertebrae,l C1-7
▪C7l protrudesl thel farthest
QUESTION
Twol Majorl Neckl Musclesl -l Accessoryl musclesl ofl respiration
Answer:
Sternocleidomastoidl musclel -l arisesl froml thel sternuml andl mediall claviclel andl extendsl
tol behindl thel ear
Trapeziusl musclel -l arisesl froml thel occipitall bonel andl vertebral andl fansl outl tol thel
claviclel andl scapula
2026l Update)l Healthl Assessmentl Guide|l
Questionsl &l Answers|l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Herzing
QUESTION
Olderl Adultsl -l COMMONl SKINl ASSESSMENTl FINDINGS
Answer:
▪Decreasedl elasticity,l thinness,l excessivel dryness,l andl lesionsl associatedl withl aging
▪Seborrheicl dermatosesl -l normal/harmless
lesionsl withl variablel color
texturel thatl isl velvetyl tol verrucousl (wart-like)
waxyl "stuck-on"l characteristic
▪Ecchymoses/purpural -l flat,l purplel lesions
couldl indicatel seriousl illness,l suchl asl cancer,l orl trauma
froml fallsl orl abuse
QUESTION
Inflammatoryl phasel -l Woundl Healing
Answer:
Inflammatoryl phase:l Beginsl withinl 30l minutesl ofl injury;l lastsl 2-3l days
QUESTION
Woundl Healingl -l Proliferativel phase:
Answer:
Beginsl atl endl ofl inflammatoryl phase;l mayl lastl upl tol 4l weeks
,QUESTION
Woundl Healingl -l Remodelingl phase
Answer:
Beginsl atl endl ofl proliferativel phase;l mayl lastl asl longl asl 2l years
QUESTION
Woundl Classificationl -l Clean-contaminated
Answer:
Madel underl sterilel conditionsl butl involvingl thel respiratory,l gastrointestinal,l genital,l orl
urinaryl tractsl withoutl unusuall contamination.l Includesl appendectomies,l hysterectomies,l
cholecystectomies,l andl oropharyngeall surgeries
QUESTION
Woundl Classificationl -l Contaminated
Answer:
Exposedl tol contentsl ofl thel gastrointestinall tractl orl infectedl fluidsl froml thel genitourinaryl
systems.l Alsol includesl open,l traumaticl woundsl suchl asl lacerations,l puncturel wounds,l
andl openl fractures
QUESTION
Woundl Classificationl -l Infected
Answer:
Exposedl tol contaminantsl orl exhibitingl evidencel ofl infectionl priorl tol surgery.l Includesl
anyl traumaticl woundl becausel ofl thel highl riskl forl foreignl body,l bacteria,l andl chemicall
orl otherl organicl contaminant
,QUESTION
Burnsl -l Superficiall dermal
Answer:
Brisk-Bleeding,l Involvesl thel epidermisl andl partl ofl thel dermis.l Appearance(SLOWl
capillaryl refill)l Blanching(dry,l palel pink),l Pain
QUESTION
Burnsl -l Superficial
Answer:
Pain,l Appearance(Rapidl capillaryl refill),l Blanching(Moist,l Red)l Pain
QUESTION
Burnsl -l Fulll thickness
Answer:
Blanching(Dry,l leathery,l orl waxyl hardl woundl surface),l Nol Pain,l Nol Bleeding,l
Appearance(Nol blanching)
QUESTION
Bradenl Scalel -l 6l Scales
Answer:
Scoresl patientsl froml 1l tol 4l inl eachl ofl sixl subscales:l sensory,l perception,l moisture,l
activity,l mobility,l nutrition,l andl friction.l 14-18:l highl riskl ofl pressurel ulcerl development
Veryl Highl Risk:l Totall Scorel 9l orl less.
Highl Risk:l Totall Scorel 10-12.
Moderatel Risk:l Totall Scorel 13-14.
, Mildl Risk:l Totall Scorel 15-18.
Nol Risk:l Totall Scorel 19-23.
QUESTION
THEl HEAD
Answer:
▪Includesl craniuml andl faciall skeleton
▪Craniall bonesl -l frontal,l parietal,l occipital,l andl temporal
▪Suturesl joinl craniall bonesl together
▪Majorl suturesl -l Coronall -l crossesl thel topl ofl thel scalpl froml earl tol ear
Sagittall -l crossesl thel craniuml froml anteriorl tol posterior
Lambdoidall -l separatesl thel parietall andl occipitall bones
▪Thel suturesl remainl somewhatl soft/loosel duringl infancyl tol facilitatel growthl ofl thel headl
andl brain;l theyl knitl togetherl byl approximatelyl 12l tol 18l months
▪Largestl faciall bonesl -l maxilla,l mandible,l nasal,l lacrimal,l andl vomer
QUESTION
NECK
Answer:
▪Supportedl byl thel cervicall vertebrae,l C1-7
▪C7l protrudesl thel farthest
QUESTION
Twol Majorl Neckl Musclesl -l Accessoryl musclesl ofl respiration
Answer:
Sternocleidomastoidl musclel -l arisesl froml thel sternuml andl mediall claviclel andl extendsl
tol behindl thel ear
Trapeziusl musclel -l arisesl froml thel occipitall bonel andl vertebral andl fansl outl tol thel
claviclel andl scapula
