FINAL EXAM: NU650 Advanced Health
Assessment/Nursing FINAL EXAM FALL SPRING
SEMESTER 2024 GRADED A+ WITH
ANSWERS(RECOMMENDED)
Listening for S3 or mitral stenosis - ANSWER: Ask pt to roll partly onto the left side
Listen at the apex
Listening for murmur of aortic regurgitation - ANSWER: Pt should sit, lean forward,
and exhale as you listen
Sensitivity - ANSWER: Probability that a person with disease has positive test
Specificity - ANSWER: Probability that non-diseased person has negative test
lethargic patients - ANSWER: are drowsy but open their eyes and look at you,
respond to questions, and then fall asleep
obtunded patients - ANSWER: open their eyes and look at you, but respond slowly
and are somewhat confused
Rapid changes in weight, over a few days, suggests... - ANSWER: changes in body
fluid not tissue
Blood pressure cuff size - ANSWER: Width of inflatable bladder should be about 40%
of upper arm circumference
Length of inflatable bladder should be about 80% of upper arm circumference
(almost long enough to encircle entire arm)
Standard cuff is 12x23 cm, arm circumferences up to 28 cm
Oral temperature - ANSWER: generally lower than core body temp & rectal temp
Nociceptive (somatic) pain - ANSWER: related to tissue damage
Central sensitization pain - ANSWER: Alteration of the CNS processing of sensation
amplifying signals
EX: Fibromyalgia
Idiopathic pain - ANSWER: Chronic pain without identifiable physical or psychological
cause
A lesion over ____ is abnormal - ANSWER: 1 cm
Round or annular skin lesion - ANSWER: Round, may have an active border around it
,Umbilicated lesions - ANSWER: -central indentation
-usually viral
Confluent skin lesion - ANSWER: lesions that run together
Discrete skin lesions - ANSWER: individual lesions separate
zostiform lesion - ANSWER: Usually follows dermatome
Desquamation - ANSWER: Shedding of epithelial elements; chiefly of the skin in
scales or sheets
Keratotic change - ANSWER: hypertrophic stratum corneum
thick appearing skin
Telangiectasias - ANSWER: Distended or dilated surface blood vessels
Blanch completely
Mongolian spots - ANSWER: Blue-ish black macules appearing over the buttocks
and/or thighs of darker skinned neonates
Harlequin color change - ANSWER: Occurs when the baby is in a side-lying position.
The lower half of the body turns red and the upper half blanches with a distinct
demarcation line down the midline.
Erythema toxicum - ANSWER: pink rash that appears suddenly anywhere on the
body of a term newborn during the first 3 weeks.
Cutis marmorata - ANSWER: skin has a pinkish blue mottled or marbled appearance
when subjected to cold temperatures
Milia - ANSWER: small raised white spots on nose, chin, and forehead
Malaria rubra - ANSWER: Reddish tinge to face
Usually due to heat
hemangioma - ANSWER: skin lesion due to benign proliferation of blood vessels in
the dermis
Wood's light lamp - ANSWER: long wave ultraviolet light that is used to diagnose
lesions suspected to be fungal in origin
Obtain a skin scraping and use potassium hydroxide mixed with the skin scraping
Put that under the microscope
Macule - ANSWER: flat, colored spot on the skin
<1 cm
, Papule - ANSWER: small, solid skin elevation
not fluid filled
<1 cm
Patch - ANSWER: a flat, discolored area on the skin
>1cm
Plaque - ANSWER: Raised skin lesion
>1cm
Not fluid filled
Nodule - ANSWER: solid, round or oval elevated lesion 1 cm or more in diameter
Tumor - ANSWER: Large nodule greater than a few centimeters
Can be firm or can be soft, but it's deeper into the dermis
Wheal - ANSWER: raised red skin lesion due to interstitial fluid
mosquito bite
Cyst - ANSWER: elevated, encapsulated fluid filled cavity in the dermis or
subcutaneous tissue
Vesicle - ANSWER: Raised lesion
>1cm
Fluid filled
Bulla (blister) - ANSWER: Raised lesion
>1 cm
Fluid filled
Pustule - ANSWER: raised spot on the skin containing pus
Primary vs secondary skin lesions - ANSWER: Primary skin lesions- Arise from the
epidermis
Secondary skin lesions- Secondary effects of the primary skin lesion
Fissure - ANSWER: Linear crack with abrupt edges
Erosion - ANSWER: scooped out shallow depression of superficial epidermis
Ulcer - ANSWER: deep depression extending into the dermis
It's more indurated
Deeper past the epidermis into the dermis area and causes extreme pain
Excoriation - ANSWER: Skin sore or abrasion produced by scratching or scraping
Keloid - ANSWER: overgrowth of scar tissue
Assessment/Nursing FINAL EXAM FALL SPRING
SEMESTER 2024 GRADED A+ WITH
ANSWERS(RECOMMENDED)
Listening for S3 or mitral stenosis - ANSWER: Ask pt to roll partly onto the left side
Listen at the apex
Listening for murmur of aortic regurgitation - ANSWER: Pt should sit, lean forward,
and exhale as you listen
Sensitivity - ANSWER: Probability that a person with disease has positive test
Specificity - ANSWER: Probability that non-diseased person has negative test
lethargic patients - ANSWER: are drowsy but open their eyes and look at you,
respond to questions, and then fall asleep
obtunded patients - ANSWER: open their eyes and look at you, but respond slowly
and are somewhat confused
Rapid changes in weight, over a few days, suggests... - ANSWER: changes in body
fluid not tissue
Blood pressure cuff size - ANSWER: Width of inflatable bladder should be about 40%
of upper arm circumference
Length of inflatable bladder should be about 80% of upper arm circumference
(almost long enough to encircle entire arm)
Standard cuff is 12x23 cm, arm circumferences up to 28 cm
Oral temperature - ANSWER: generally lower than core body temp & rectal temp
Nociceptive (somatic) pain - ANSWER: related to tissue damage
Central sensitization pain - ANSWER: Alteration of the CNS processing of sensation
amplifying signals
EX: Fibromyalgia
Idiopathic pain - ANSWER: Chronic pain without identifiable physical or psychological
cause
A lesion over ____ is abnormal - ANSWER: 1 cm
Round or annular skin lesion - ANSWER: Round, may have an active border around it
,Umbilicated lesions - ANSWER: -central indentation
-usually viral
Confluent skin lesion - ANSWER: lesions that run together
Discrete skin lesions - ANSWER: individual lesions separate
zostiform lesion - ANSWER: Usually follows dermatome
Desquamation - ANSWER: Shedding of epithelial elements; chiefly of the skin in
scales or sheets
Keratotic change - ANSWER: hypertrophic stratum corneum
thick appearing skin
Telangiectasias - ANSWER: Distended or dilated surface blood vessels
Blanch completely
Mongolian spots - ANSWER: Blue-ish black macules appearing over the buttocks
and/or thighs of darker skinned neonates
Harlequin color change - ANSWER: Occurs when the baby is in a side-lying position.
The lower half of the body turns red and the upper half blanches with a distinct
demarcation line down the midline.
Erythema toxicum - ANSWER: pink rash that appears suddenly anywhere on the
body of a term newborn during the first 3 weeks.
Cutis marmorata - ANSWER: skin has a pinkish blue mottled or marbled appearance
when subjected to cold temperatures
Milia - ANSWER: small raised white spots on nose, chin, and forehead
Malaria rubra - ANSWER: Reddish tinge to face
Usually due to heat
hemangioma - ANSWER: skin lesion due to benign proliferation of blood vessels in
the dermis
Wood's light lamp - ANSWER: long wave ultraviolet light that is used to diagnose
lesions suspected to be fungal in origin
Obtain a skin scraping and use potassium hydroxide mixed with the skin scraping
Put that under the microscope
Macule - ANSWER: flat, colored spot on the skin
<1 cm
, Papule - ANSWER: small, solid skin elevation
not fluid filled
<1 cm
Patch - ANSWER: a flat, discolored area on the skin
>1cm
Plaque - ANSWER: Raised skin lesion
>1cm
Not fluid filled
Nodule - ANSWER: solid, round or oval elevated lesion 1 cm or more in diameter
Tumor - ANSWER: Large nodule greater than a few centimeters
Can be firm or can be soft, but it's deeper into the dermis
Wheal - ANSWER: raised red skin lesion due to interstitial fluid
mosquito bite
Cyst - ANSWER: elevated, encapsulated fluid filled cavity in the dermis or
subcutaneous tissue
Vesicle - ANSWER: Raised lesion
>1cm
Fluid filled
Bulla (blister) - ANSWER: Raised lesion
>1 cm
Fluid filled
Pustule - ANSWER: raised spot on the skin containing pus
Primary vs secondary skin lesions - ANSWER: Primary skin lesions- Arise from the
epidermis
Secondary skin lesions- Secondary effects of the primary skin lesion
Fissure - ANSWER: Linear crack with abrupt edges
Erosion - ANSWER: scooped out shallow depression of superficial epidermis
Ulcer - ANSWER: deep depression extending into the dermis
It's more indurated
Deeper past the epidermis into the dermis area and causes extreme pain
Excoriation - ANSWER: Skin sore or abrasion produced by scratching or scraping
Keloid - ANSWER: overgrowth of scar tissue
