N258 (SDSU) Final Exam Questions With Complete
Solutions
ABDOMEN ASSESSMENT
Abnormal Fece colors
Red
Black
Green
Clay Correct Answer Blood
Upper GI bleeding
Infection
Liver problems
ABDOMEN ASSESSMENT
Diagnostic Tests?
HAT
Hemoccult
Endoscopy (higher vs lower) Correct Answer 1 inch stool
(use tongue depressor)
Card and stool (turns blue if blood) PREVIOUS EXAM
Lower - colonoscopy
Higher - EGD
(tests for diverticulitis, cancer, and polyps)
ABDOMEN ASSESSMENT
Fecal Impaction:
Diarrhea:
Fecal Incontinence: Correct Answer Accumulation of hard
stool in the rectum (neuro or SC)
Water stool - from infection or virus
Involuntary need to defecate
,ABDOMEN ASSESSMENT
Flatulence:
Distention:
Hemorrhoids: Correct Answer Gas in GI tract (high fiber or
more veggies)
Fullness that settles in abdomen (gas, liquid, stool)
Varicose veins of the rectum
ABDOMEN ASSESSMENT
Infant considerations
What is umbilical hernia?
What is Diastasis Recti?
What is a meconium stool? Correct Answer Common with
cry in <1 year (monitor for <1 in)
Separation of rectus muscle (do PT)
1st stool in 24-48 hours (black, tarry, sticky)
ABDOMEN ASSESSMENT
Light vs deep palpation? Correct Answer 1-2 cm
5-8 cm
ABDOMEN ASSESSMENT
Order of assessment for abdomen? Correct Answer Inspect,
Auscultate Percussion, Palpation
ABDOMEN ASSESSMENT
What do narcotics and iron do?
What do antibiotics cause? Correct Answer Constipation (iron
causes dark stools)
Loose stools
,ABDOMEN ASSESSMENT
What do you drink before a diagnostic exam? Correct Answer
Barium
ASSESSMENT OF SKIN, HAIR, and NAILS
Acute vs chronic wound? Correct Answer <12 weeks for
acute
>12 weeks for chronic
ASSESSMENT OF SKIN, HAIR, and NAILS
How to measure a wound? Correct Answer Length (12:00-
6:00) Width (9:00-3:00) Depth (Q Tip)
ASSESSMENT OF SKIN, HAIR, and NAILS
Mongolian Spots vs, Bruises? Correct Answer Mongolian
Spots: one bruise on butt
Bruise: Different healing stages
ASSESSMENT OF SKIN, HAIR, and NAILS
Pressure Ulcers?
Stage 1
Stage 2
Stage 3
Stage 4
No Stageable Correct Answer At risk (redness) (not open)
(non-blanchable)
Epidermis and part of dermis is damaged or lost (pink or red
wound bed)
Deeper wound and exposes adipose or fat tissue and the wound
has a yellow color and dead tissue
, Exposes muscle, bone, or tendon (yellow, dark base) (crusty)
No wound bed
ASSESSMENT OF SKIN, HAIR, and NAILS
Skin color types?
Pale:
Cyanotic:
Erythema:
Jaundice:
Mottling: Correct Answer Lips, mucous membranes, inner
eyelids
Purple, blue hue, ashen (lips and nailbeds)
Warm redness due to infection
Yellowing (sclera: yellow to iris) (Hard palate)
Blotchy/marbling of skin (yellow/purple) (death)
ASSESSMENT OF SKIN, HAIR, and NAILS
Skin lesions?
Pustule:
Crust:
Scaling:
Keloid:
Excoriation:
Actinic Keratosis:
Seborrheic Keratosis: Correct Answer Filled with pus (acne or
MRSA)
Dried drainage (scab or psoriasis)
Flakes of skin (psoriasis)
Hypertrophic scar
Redness, abrasions, scabs (due to itching) (excessive)
Yellow, benign
Solutions
ABDOMEN ASSESSMENT
Abnormal Fece colors
Red
Black
Green
Clay Correct Answer Blood
Upper GI bleeding
Infection
Liver problems
ABDOMEN ASSESSMENT
Diagnostic Tests?
HAT
Hemoccult
Endoscopy (higher vs lower) Correct Answer 1 inch stool
(use tongue depressor)
Card and stool (turns blue if blood) PREVIOUS EXAM
Lower - colonoscopy
Higher - EGD
(tests for diverticulitis, cancer, and polyps)
ABDOMEN ASSESSMENT
Fecal Impaction:
Diarrhea:
Fecal Incontinence: Correct Answer Accumulation of hard
stool in the rectum (neuro or SC)
Water stool - from infection or virus
Involuntary need to defecate
,ABDOMEN ASSESSMENT
Flatulence:
Distention:
Hemorrhoids: Correct Answer Gas in GI tract (high fiber or
more veggies)
Fullness that settles in abdomen (gas, liquid, stool)
Varicose veins of the rectum
ABDOMEN ASSESSMENT
Infant considerations
What is umbilical hernia?
What is Diastasis Recti?
What is a meconium stool? Correct Answer Common with
cry in <1 year (monitor for <1 in)
Separation of rectus muscle (do PT)
1st stool in 24-48 hours (black, tarry, sticky)
ABDOMEN ASSESSMENT
Light vs deep palpation? Correct Answer 1-2 cm
5-8 cm
ABDOMEN ASSESSMENT
Order of assessment for abdomen? Correct Answer Inspect,
Auscultate Percussion, Palpation
ABDOMEN ASSESSMENT
What do narcotics and iron do?
What do antibiotics cause? Correct Answer Constipation (iron
causes dark stools)
Loose stools
,ABDOMEN ASSESSMENT
What do you drink before a diagnostic exam? Correct Answer
Barium
ASSESSMENT OF SKIN, HAIR, and NAILS
Acute vs chronic wound? Correct Answer <12 weeks for
acute
>12 weeks for chronic
ASSESSMENT OF SKIN, HAIR, and NAILS
How to measure a wound? Correct Answer Length (12:00-
6:00) Width (9:00-3:00) Depth (Q Tip)
ASSESSMENT OF SKIN, HAIR, and NAILS
Mongolian Spots vs, Bruises? Correct Answer Mongolian
Spots: one bruise on butt
Bruise: Different healing stages
ASSESSMENT OF SKIN, HAIR, and NAILS
Pressure Ulcers?
Stage 1
Stage 2
Stage 3
Stage 4
No Stageable Correct Answer At risk (redness) (not open)
(non-blanchable)
Epidermis and part of dermis is damaged or lost (pink or red
wound bed)
Deeper wound and exposes adipose or fat tissue and the wound
has a yellow color and dead tissue
, Exposes muscle, bone, or tendon (yellow, dark base) (crusty)
No wound bed
ASSESSMENT OF SKIN, HAIR, and NAILS
Skin color types?
Pale:
Cyanotic:
Erythema:
Jaundice:
Mottling: Correct Answer Lips, mucous membranes, inner
eyelids
Purple, blue hue, ashen (lips and nailbeds)
Warm redness due to infection
Yellowing (sclera: yellow to iris) (Hard palate)
Blotchy/marbling of skin (yellow/purple) (death)
ASSESSMENT OF SKIN, HAIR, and NAILS
Skin lesions?
Pustule:
Crust:
Scaling:
Keloid:
Excoriation:
Actinic Keratosis:
Seborrheic Keratosis: Correct Answer Filled with pus (acne or
MRSA)
Dried drainage (scab or psoriasis)
Flakes of skin (psoriasis)
Hypertrophic scar
Redness, abrasions, scabs (due to itching) (excessive)
Yellow, benign
