NUR 3029 Exam #1 (Includes PowerPoints: - Interview -
Evidence-Based Assessment - Physical Assessment &
Clinical Setting - Mental Status Assessment - Vital Signs -
Assessment of Pain - Skin - Eyes – Ears) Questions With
Complete Solutions
Physical Assessment of Skin
1. Inspect/Palpate skin
2. Note lesions
3. Inspect/Palpate hair & nails
Color Changes
1. Pallor (white)
2. Erythema (red)
3. Cyanosis (blue)
4. Jaundice (yellow)
Edema
1+ --> mild pitting
2+ --> moderate pitting
3+ --> deep pitting
4+ --> very deep pitting
If Lesions are Present Note ...
Color, elevation, pattern/shape, size, location
Macule (Skin)
Flat spot on skin (freckle/mole) <1cm
,Patch (Skin)
Loss of skin color in patches (Ventiligio) >1cm
Papule (Skin)
Solid/elevated bump on skin (1 cm)
Nodule (Skin)
Solid bump on skin (2 cm)
Wheal (Skin)
Small/round swollen area due to allergic reaction
Vesicle (Skin)
Blister ( < or = 1 cm)
Bulla (Skin)
Large blister (chicken pox) > 1 cm
Pustule (Skin)
Elevation of skin containing pus
Cyst (Skin)
Sac containing fluid
Crust (Skin)
Serum/Blood/Pus dried to skin surface
Scale (Skin)
Outer layer of skin peels (Psoriasis)
Fissure (Skin)
, Opening/Split in skin causing bleeding
Erosion (Skin)
Breakdown of outer layers of skin caused by cut/scrape
Ulcer (Skin)
Open round sore on skin
Excoriation (Skin)
Self-Afflicted abrasions (constantly itching oneself)
Scar (Skin)
Mark on skin after wound is healed
Keloid (Skin)
Overgrowth of scar tissue
Lichenification (Skin)
Thickened/leathery skin due to constant itching
Configurations of Lesions
- Annular (circular)
- Confluent (run together)
- Discrete (distinct by self)
- Grouped (clusters)
- Gyrate (twisted, coiled)
- Target (iris of eye)
- Linear (line)
- Polycyclic (grows together)
- Zosteriform (liner along nerve) --> herpes/shingles
Evidence-Based Assessment - Physical Assessment &
Clinical Setting - Mental Status Assessment - Vital Signs -
Assessment of Pain - Skin - Eyes – Ears) Questions With
Complete Solutions
Physical Assessment of Skin
1. Inspect/Palpate skin
2. Note lesions
3. Inspect/Palpate hair & nails
Color Changes
1. Pallor (white)
2. Erythema (red)
3. Cyanosis (blue)
4. Jaundice (yellow)
Edema
1+ --> mild pitting
2+ --> moderate pitting
3+ --> deep pitting
4+ --> very deep pitting
If Lesions are Present Note ...
Color, elevation, pattern/shape, size, location
Macule (Skin)
Flat spot on skin (freckle/mole) <1cm
,Patch (Skin)
Loss of skin color in patches (Ventiligio) >1cm
Papule (Skin)
Solid/elevated bump on skin (1 cm)
Nodule (Skin)
Solid bump on skin (2 cm)
Wheal (Skin)
Small/round swollen area due to allergic reaction
Vesicle (Skin)
Blister ( < or = 1 cm)
Bulla (Skin)
Large blister (chicken pox) > 1 cm
Pustule (Skin)
Elevation of skin containing pus
Cyst (Skin)
Sac containing fluid
Crust (Skin)
Serum/Blood/Pus dried to skin surface
Scale (Skin)
Outer layer of skin peels (Psoriasis)
Fissure (Skin)
, Opening/Split in skin causing bleeding
Erosion (Skin)
Breakdown of outer layers of skin caused by cut/scrape
Ulcer (Skin)
Open round sore on skin
Excoriation (Skin)
Self-Afflicted abrasions (constantly itching oneself)
Scar (Skin)
Mark on skin after wound is healed
Keloid (Skin)
Overgrowth of scar tissue
Lichenification (Skin)
Thickened/leathery skin due to constant itching
Configurations of Lesions
- Annular (circular)
- Confluent (run together)
- Discrete (distinct by self)
- Grouped (clusters)
- Gyrate (twisted, coiled)
- Target (iris of eye)
- Linear (line)
- Polycyclic (grows together)
- Zosteriform (liner along nerve) --> herpes/shingles
