NURS 1145 Exam 2 QUESTIONS AND ANSWERS
Layers of skin (3) Correct Answer: Epidermis, Dermis, and Subcutaneous
Age related changes to the skin Correct Answer: Lesions, parchment line, loose and hanging, cool to
touch
Cyanosis (light vs dark skin) Correct Answer: Light=Grayish blue tone
Dark=Ashen gray color
Ecchymosis (light vs. dark skin) Correct Answer: Light=Dark red, purple, yellow, or green color
Dark=Deeper bluish or black tone
Erythema (light vs. dark skin) Correct Answer: Light=Reddish tone
Dark=Deeper brown or purple skin tone
Jaundice (light vs. dark skin) Correct Answer: Light=yellow
Dark=yellow/green seen in the sclera
Pallor (light vs. dark skin) Correct Answer: Light=Pale
Dark=skin appears lighter than normal
Petechiae (light vs. dark skin) Correct Answer: Light=Lesions appear as small reddish purple points
Dark=Difficult to see
Rash (light vs. dark skin) Correct Answer: Light=May be visualized and palpated
Dark=May not be visualized but can be palpated
Scar (light vs. dark skin) Correct Answer: Light=scar line
Dark=Keloid development
What is erthyema? Correct Answer: Redness of the skin, caused by hyperemia of the capillaries in the
lower layers of the skin. It occurs with any skin injury, infection, or inflammation.
ABCDE Correct Answer: Asymmetry, border, color, diameter, elevation. Used to assess moles
Rinne test Correct Answer: Used to compare air conduction to bone conduction or sound using a tuning
fork
Weber test Correct Answer: Used to assess bilateral hearing in both of the ears while a tuning fork is
placed midline on the skull
DTR Triceps Correct Answer: Spinal nerves C6-C8. When struck the triceps should extend
DTR Biceps Correct Answer: Spinal nerves C5 and C6. When struck the biceps should contract or
palpable flexion of the elbow
, DTR Brachioradial Correct Answer: Spinal nerves C5 and C6. When struck there is pronation of the
forearm and flexion of the elbow
DTR Patellar Correct Answer: Spinal nerves L2-L4. When struck the lower leg should extend
DTR Achilles Correct Answer: Spinal nerves S1 and S2. When struck plantar flexion of the foot occurs
CN 1 Correct Answer: Olfactory. Smell reception and interpretation
CN 2 Correct Answer: Optic. Visual acuity and visual fields
CN 3 Correct Answer: Oculomotor. Raise eyelid; most extraocular movements; pupillary constriction;
change lens shape
CN 4 Correct Answer: Trochlear: Downward, inward eye movement
CN 5 Correct Answer: Trigeminal. Jaw opening and clenching, chewing, mastication; sensation to
cornea, iris, lacrimal gland, conjuctiva, eyelids, forehead, nose, nasal and mouth mucosa, teeth, tongue,
ear, and facial skin
CN 6 Correct Answer: Abducens. Lateral eye movement
CN 7 Correct Answer: Facial. Movement of facial expressions, except jaw; close eyelids, labial speech
sounds; taste for ant 2/3 of tongue, sensation to pharynx; secretion of saliva and tears
CN 8 Correct Answer: Acoustic. Hearing and equilibrium
CN 9 Correct Answer: Glossopharyngeal. Voluntary mm for swallowing and phonation; sensation of
nasopharynx; gag reflex; taste on posterior 1/3 of tongue; secretion of salivary glands; carotid reflex
CN 10 Correct Answer: Vagus. Voluntary muscles of phonation and swallowing; sensation behind ear
and part of external ear canal; secretion of digestive enzymes; peristalsis; carotid reflex; involuntary
action of heart, lungs, and digestive tract
CN 11 Correct Answer: Accessory. Turn head, shrug shoulders, some actions of phonation
CN 12 Correct Answer: Hypoglossal. Tongue movement for speech, sound, articulation, and swallowing
Graphesthesia Correct Answer: The ability to recognize handwriting
CVA Correct Answer: Higher risk for older adults, males, African Americans, those who are obese, HBP,
smoke and/or drink, cocaine use, A-fib, DM, artherosclerosis
Phalen's Test Correct Answer: Place the back of hands together facing down for one minute. There
should be no pain, numbness, or tingling. Used to assess for carpal tunnel
Tinnel's test Correct Answer: Used to assess for carpal tunnel by pushing on the ulnar nerve to elicit
pain, numbness, or tingling
Layers of skin (3) Correct Answer: Epidermis, Dermis, and Subcutaneous
Age related changes to the skin Correct Answer: Lesions, parchment line, loose and hanging, cool to
touch
Cyanosis (light vs dark skin) Correct Answer: Light=Grayish blue tone
Dark=Ashen gray color
Ecchymosis (light vs. dark skin) Correct Answer: Light=Dark red, purple, yellow, or green color
Dark=Deeper bluish or black tone
Erythema (light vs. dark skin) Correct Answer: Light=Reddish tone
Dark=Deeper brown or purple skin tone
Jaundice (light vs. dark skin) Correct Answer: Light=yellow
Dark=yellow/green seen in the sclera
Pallor (light vs. dark skin) Correct Answer: Light=Pale
Dark=skin appears lighter than normal
Petechiae (light vs. dark skin) Correct Answer: Light=Lesions appear as small reddish purple points
Dark=Difficult to see
Rash (light vs. dark skin) Correct Answer: Light=May be visualized and palpated
Dark=May not be visualized but can be palpated
Scar (light vs. dark skin) Correct Answer: Light=scar line
Dark=Keloid development
What is erthyema? Correct Answer: Redness of the skin, caused by hyperemia of the capillaries in the
lower layers of the skin. It occurs with any skin injury, infection, or inflammation.
ABCDE Correct Answer: Asymmetry, border, color, diameter, elevation. Used to assess moles
Rinne test Correct Answer: Used to compare air conduction to bone conduction or sound using a tuning
fork
Weber test Correct Answer: Used to assess bilateral hearing in both of the ears while a tuning fork is
placed midline on the skull
DTR Triceps Correct Answer: Spinal nerves C6-C8. When struck the triceps should extend
DTR Biceps Correct Answer: Spinal nerves C5 and C6. When struck the biceps should contract or
palpable flexion of the elbow
, DTR Brachioradial Correct Answer: Spinal nerves C5 and C6. When struck there is pronation of the
forearm and flexion of the elbow
DTR Patellar Correct Answer: Spinal nerves L2-L4. When struck the lower leg should extend
DTR Achilles Correct Answer: Spinal nerves S1 and S2. When struck plantar flexion of the foot occurs
CN 1 Correct Answer: Olfactory. Smell reception and interpretation
CN 2 Correct Answer: Optic. Visual acuity and visual fields
CN 3 Correct Answer: Oculomotor. Raise eyelid; most extraocular movements; pupillary constriction;
change lens shape
CN 4 Correct Answer: Trochlear: Downward, inward eye movement
CN 5 Correct Answer: Trigeminal. Jaw opening and clenching, chewing, mastication; sensation to
cornea, iris, lacrimal gland, conjuctiva, eyelids, forehead, nose, nasal and mouth mucosa, teeth, tongue,
ear, and facial skin
CN 6 Correct Answer: Abducens. Lateral eye movement
CN 7 Correct Answer: Facial. Movement of facial expressions, except jaw; close eyelids, labial speech
sounds; taste for ant 2/3 of tongue, sensation to pharynx; secretion of saliva and tears
CN 8 Correct Answer: Acoustic. Hearing and equilibrium
CN 9 Correct Answer: Glossopharyngeal. Voluntary mm for swallowing and phonation; sensation of
nasopharynx; gag reflex; taste on posterior 1/3 of tongue; secretion of salivary glands; carotid reflex
CN 10 Correct Answer: Vagus. Voluntary muscles of phonation and swallowing; sensation behind ear
and part of external ear canal; secretion of digestive enzymes; peristalsis; carotid reflex; involuntary
action of heart, lungs, and digestive tract
CN 11 Correct Answer: Accessory. Turn head, shrug shoulders, some actions of phonation
CN 12 Correct Answer: Hypoglossal. Tongue movement for speech, sound, articulation, and swallowing
Graphesthesia Correct Answer: The ability to recognize handwriting
CVA Correct Answer: Higher risk for older adults, males, African Americans, those who are obese, HBP,
smoke and/or drink, cocaine use, A-fib, DM, artherosclerosis
Phalen's Test Correct Answer: Place the back of hands together facing down for one minute. There
should be no pain, numbness, or tingling. Used to assess for carpal tunnel
Tinnel's test Correct Answer: Used to assess for carpal tunnel by pushing on the ulnar nerve to elicit
pain, numbness, or tingling
