NURS 550 EXAM 2 FINAL PAPER 2026
COMPLETE QUESTIONS WITH SOLUTIONS
GUARANTEED TO PASS
◉ History Taking-Skin. Answer: Symptom Analysis including
onset, progression, trigger, aggravating or alleviating factors;
How has it changed since first appearance; and all associated
symptoms-itching, malaise, and so on.
Ask about dryness, pruritis, sores, rashes, lumps, unusual odor or
perspiration, changes in moles or warts, lesions that do not heal, or
areas of chronic irritation.
Any changes in skin coloration or texture
◉ Subjective Assessment Answer: • Inquire about any common or
concerning symptoms: • Any noted changes in your skin, hair or
nails? • Any rashes, sores, lumps, or itching? • Any growths that you
are concerned about? Any new growths or moles? Do you have any
moles that have changed in size, shape, or color?
◉ Personal and Social History Answer: Skin care habits • Cleansing
routine, soaps, oils, lotions • Cosmetics, home remedies, sun screens
• Recent changes in skin care habits • Exposure to sunlight or
tanning beds • Skin self-examination • Nail care habits • Exposure to
,environmental or occupational hazards • Recent psychological or
physical stress • Use of alcohol, tobacco, or recreational drugs
Previous history of skin diseases or problems
Allergies to food, plants, animals, drugs
Familial predisposition Allergies, hay fever, psoriasis, eczema, acne
Rash or lesions OTC, anxiety, self-esteem, sexually transmitted,
tickborne
Change in color Warning signs -ABCDE, itching, burning, bleeding
Excessive bruising, Falls, medication, abuse
◉ Objective Assessment Answer: • Equipment Needed: • Gloves •
Good lighting • Ruler
• Inspect and Palpate the skin • Note the color of the skin
throughout the examination • Palpate for temperature, moisture,
texture, edema, and turgor • Closely inspect any lesions
◉ Skin Assessment Objective Data Answer: • Color & pigmentation
• Normal: pink or appropriate for race & even pigmentation
• Change in pigmentation • Vitiligo
,• Widespread skin color changes • Pallor • Cyanosis • Erythema •
Jaundice
◉ Skin Assessment Answer: • Temperature - use back of hands to
assess • Moisture • Turgor • Lesions • describe
Example: Color : cyanosis = decreased oxygenation
Jaundice of eye sclera and skin = Liver disease
◉ Assessing Skin Lesions Answer: • Location and Distribution •
Type of Skin Lesion • Color • Patterns and shapes
Characteristics • Exudates • Color • Odor • Amount • Consistency
• Configuration (arrangement) • Annular (rings) • Grouped/Clustere
d • Linear • Arciform (bowshaped) • Dermatomal
◉ Primary Skin Lesions Answer: Flat Non -palpable
+Macule - small spot
+Patch - larger than macule
Elevated Solid Palpable
Papule -up to 0.5 cm Plaque -larger than 0.5 cm, usually coalescence
of papules
, Nodule - larger than 0.5 cm, deeper and firmer than papule
Tumor - a large nodule
Wheal - irregular, localized skin edema
Elevated fluid filled
Vesicle - up to 0.5 cm filled with serous fluid
Bulla - > than 0.5 cm, filed with serous fluid
Pustule -filled with pus
◉ Signs to alert you for Malignant Melanoma !!! Answer: ABCDE
DANGER SIGNS: ABCDE
• Asymmetry
• Border irregularity
• Color variation
• Diameter
• Elevation and Enlargement
◉ Skin Cancer Answer: Change in mole or lesion -Warning signs
• New pigmentations • Pain • Itching • Tenderness • Change in size
or bleeding of a mole
COMPLETE QUESTIONS WITH SOLUTIONS
GUARANTEED TO PASS
◉ History Taking-Skin. Answer: Symptom Analysis including
onset, progression, trigger, aggravating or alleviating factors;
How has it changed since first appearance; and all associated
symptoms-itching, malaise, and so on.
Ask about dryness, pruritis, sores, rashes, lumps, unusual odor or
perspiration, changes in moles or warts, lesions that do not heal, or
areas of chronic irritation.
Any changes in skin coloration or texture
◉ Subjective Assessment Answer: • Inquire about any common or
concerning symptoms: • Any noted changes in your skin, hair or
nails? • Any rashes, sores, lumps, or itching? • Any growths that you
are concerned about? Any new growths or moles? Do you have any
moles that have changed in size, shape, or color?
◉ Personal and Social History Answer: Skin care habits • Cleansing
routine, soaps, oils, lotions • Cosmetics, home remedies, sun screens
• Recent changes in skin care habits • Exposure to sunlight or
tanning beds • Skin self-examination • Nail care habits • Exposure to
,environmental or occupational hazards • Recent psychological or
physical stress • Use of alcohol, tobacco, or recreational drugs
Previous history of skin diseases or problems
Allergies to food, plants, animals, drugs
Familial predisposition Allergies, hay fever, psoriasis, eczema, acne
Rash or lesions OTC, anxiety, self-esteem, sexually transmitted,
tickborne
Change in color Warning signs -ABCDE, itching, burning, bleeding
Excessive bruising, Falls, medication, abuse
◉ Objective Assessment Answer: • Equipment Needed: • Gloves •
Good lighting • Ruler
• Inspect and Palpate the skin • Note the color of the skin
throughout the examination • Palpate for temperature, moisture,
texture, edema, and turgor • Closely inspect any lesions
◉ Skin Assessment Objective Data Answer: • Color & pigmentation
• Normal: pink or appropriate for race & even pigmentation
• Change in pigmentation • Vitiligo
,• Widespread skin color changes • Pallor • Cyanosis • Erythema •
Jaundice
◉ Skin Assessment Answer: • Temperature - use back of hands to
assess • Moisture • Turgor • Lesions • describe
Example: Color : cyanosis = decreased oxygenation
Jaundice of eye sclera and skin = Liver disease
◉ Assessing Skin Lesions Answer: • Location and Distribution •
Type of Skin Lesion • Color • Patterns and shapes
Characteristics • Exudates • Color • Odor • Amount • Consistency
• Configuration (arrangement) • Annular (rings) • Grouped/Clustere
d • Linear • Arciform (bowshaped) • Dermatomal
◉ Primary Skin Lesions Answer: Flat Non -palpable
+Macule - small spot
+Patch - larger than macule
Elevated Solid Palpable
Papule -up to 0.5 cm Plaque -larger than 0.5 cm, usually coalescence
of papules
, Nodule - larger than 0.5 cm, deeper and firmer than papule
Tumor - a large nodule
Wheal - irregular, localized skin edema
Elevated fluid filled
Vesicle - up to 0.5 cm filled with serous fluid
Bulla - > than 0.5 cm, filed with serous fluid
Pustule -filled with pus
◉ Signs to alert you for Malignant Melanoma !!! Answer: ABCDE
DANGER SIGNS: ABCDE
• Asymmetry
• Border irregularity
• Color variation
• Diameter
• Elevation and Enlargement
◉ Skin Cancer Answer: Change in mole or lesion -Warning signs
• New pigmentations • Pain • Itching • Tenderness • Change in size
or bleeding of a mole
