NR 329 COMPREHENSIVE EXAM UPDATED QUESTIONS
AND SOLUTIONS RATED A+
✔✔Auscultatory Gap - ✔✔a brief period when Korotkoff sounds disappear during
auscultation of blood pressure; common with hypertension
✔✔orthostatic hypotension - ✔✔Decrease in blood pressure related to positional or
postural changes from lying to sitting or standing positions
decrease in systolic by 20 or diastolic by 10
✔✔oxygenation - ✔✔Normal: 90-100%
Hypoxemia: < 90%
Capnography: monitors partial pressure of CO2 (End-Tidal CO2)
✔✔Pain - ✔✔Subjective
Number Scale, FACES, Behavioral Pain Scale
✔✔Pain Effects - ✔✔Increased BP, pulse, respiration
Diaphoresis (Sweating)
Nausea
Dilated Pupils
Verbal Responses
✔✔Integumentary Diagnostic - ✔✔Skin Biopsy (look at skin under a microscope)
✔✔Integumentary Health History - ✔✔ROS
Medical and Family History
Psychosocial History
Skin Care
Safe Practices
✔✔Integumentary Pigmentation/Color - ✔✔Pallor - pale/white
Jaundice - Yellowish (excess bilirubin)
Cyanosis - Blueish
Erythema - Redness
✔✔Lesion and Rashes History - ✔✔Have you noticed and new moles/lesions?
Have you noticed changes to the lesions?
complete a symptom analysis
✔✔Change in Mole - ✔✔Any change in a mole: color, size, shape, sudden appearance
of tenderness, bleeding, itching?
Any "sores" that do not heal?
, ✔✔Hair and Nails - ✔✔Nutrition, Stress, Systemic Disease, Vitamin Deficiency,
Infection, Nail Biting of Picking, Nail care
✔✔Skin Assesment - ✔✔inspection and Palpation
Color, Temp., Moisture. Texture, Edema, Mobility & Turgor, Vascularity or Bruising,
Lesion
✔✔Lesion Assessment - ✔✔color, elevation, pattern or shape, size, location and
distribution, any exudate
✔✔Primary Lesion - ✔✔lesions arising from previously normal skin
✔✔macule - ✔✔flat, colored spot on the skin, less then 1cm (freckle)
✔✔Patch - ✔✔a flat, discolored area on the skin larger than 1 cm
✔✔papule - ✔✔small (less then 1 cm), solid, raised lesion on surface of the skin
wart, elevated nevus
✔✔Plaque - ✔✔solid, raised lesion on surface of the skin (larger then 1 cm)
✔✔Wheals - ✔✔Superficial, raised, transient and erythematous (Allergic reaction)
✔✔Urticaria (hives) - ✔✔wheals coalesce (start touching each other) to form extensive
reaction, intensely pruritic
✔✔Bulla - ✔✔a large blister that is usually more than 1 cm in diameter
✔✔vesicle - ✔✔blister, less then 1 cm
✔✔Secondary lesion - ✔✔skin lesion that evolves from a primary lesion or that is
caused by external forces, such as infection, scratching, trauma, or the healing process
✔✔Crust and Scale - ✔✔debris on skin surfaces
✔✔Keloid - ✔✔hypertrophic scar, elevated beyond site of original injury
✔✔Excoriation - ✔✔Skin sore or abrasion produced by scratching or scraping
✔✔Fissure - ✔✔Narrow, slitlike opening
✔✔Erosion skin - ✔✔Scooped out but shallow depression. Superficial; epidermis lost;
moist but no bleeding
AND SOLUTIONS RATED A+
✔✔Auscultatory Gap - ✔✔a brief period when Korotkoff sounds disappear during
auscultation of blood pressure; common with hypertension
✔✔orthostatic hypotension - ✔✔Decrease in blood pressure related to positional or
postural changes from lying to sitting or standing positions
decrease in systolic by 20 or diastolic by 10
✔✔oxygenation - ✔✔Normal: 90-100%
Hypoxemia: < 90%
Capnography: monitors partial pressure of CO2 (End-Tidal CO2)
✔✔Pain - ✔✔Subjective
Number Scale, FACES, Behavioral Pain Scale
✔✔Pain Effects - ✔✔Increased BP, pulse, respiration
Diaphoresis (Sweating)
Nausea
Dilated Pupils
Verbal Responses
✔✔Integumentary Diagnostic - ✔✔Skin Biopsy (look at skin under a microscope)
✔✔Integumentary Health History - ✔✔ROS
Medical and Family History
Psychosocial History
Skin Care
Safe Practices
✔✔Integumentary Pigmentation/Color - ✔✔Pallor - pale/white
Jaundice - Yellowish (excess bilirubin)
Cyanosis - Blueish
Erythema - Redness
✔✔Lesion and Rashes History - ✔✔Have you noticed and new moles/lesions?
Have you noticed changes to the lesions?
complete a symptom analysis
✔✔Change in Mole - ✔✔Any change in a mole: color, size, shape, sudden appearance
of tenderness, bleeding, itching?
Any "sores" that do not heal?
, ✔✔Hair and Nails - ✔✔Nutrition, Stress, Systemic Disease, Vitamin Deficiency,
Infection, Nail Biting of Picking, Nail care
✔✔Skin Assesment - ✔✔inspection and Palpation
Color, Temp., Moisture. Texture, Edema, Mobility & Turgor, Vascularity or Bruising,
Lesion
✔✔Lesion Assessment - ✔✔color, elevation, pattern or shape, size, location and
distribution, any exudate
✔✔Primary Lesion - ✔✔lesions arising from previously normal skin
✔✔macule - ✔✔flat, colored spot on the skin, less then 1cm (freckle)
✔✔Patch - ✔✔a flat, discolored area on the skin larger than 1 cm
✔✔papule - ✔✔small (less then 1 cm), solid, raised lesion on surface of the skin
wart, elevated nevus
✔✔Plaque - ✔✔solid, raised lesion on surface of the skin (larger then 1 cm)
✔✔Wheals - ✔✔Superficial, raised, transient and erythematous (Allergic reaction)
✔✔Urticaria (hives) - ✔✔wheals coalesce (start touching each other) to form extensive
reaction, intensely pruritic
✔✔Bulla - ✔✔a large blister that is usually more than 1 cm in diameter
✔✔vesicle - ✔✔blister, less then 1 cm
✔✔Secondary lesion - ✔✔skin lesion that evolves from a primary lesion or that is
caused by external forces, such as infection, scratching, trauma, or the healing process
✔✔Crust and Scale - ✔✔debris on skin surfaces
✔✔Keloid - ✔✔hypertrophic scar, elevated beyond site of original injury
✔✔Excoriation - ✔✔Skin sore or abrasion produced by scratching or scraping
✔✔Fissure - ✔✔Narrow, slitlike opening
✔✔Erosion skin - ✔✔Scooped out but shallow depression. Superficial; epidermis lost;
moist but no bleeding
