PN 111 INTEGUMENTARY AND HEENT
EXAM QUESTIONS WITH CORRECT ACTUAL
QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST 2024 – 2025
ALREADY GRADED A+
What is clubbing?
an increase in the angle between the base of the nail and the fingernail to greater
than 160 degrees and is caused from CHRONIC hypoxia (lack of oxygen) to the
tissues
What is dysphagia and how would the nurse assess for this condition?
Dysphagia is difficulty swallowing. The nurse would ask the patient to say
"ah"...the uvula should move up and stay midline without deviation. If deviation is
noted to one side or the other this finding would need further evaluation for
dysphagia
What is a macule?
Flat, nonpalpable lesions usually < 10 mm in diameter. Macules represent a
change in color and are not raised or depressed compared to the skin surface.
, Examples include freckles, flat moles, and port-wine stains
How does the nurse asses skin turgor and what does an abnormal finding
indicate?
The nurse will grasp the skin between two fingers so that it is tented up.
Commonly on the hand or chest (for older adults). The skin is held for a few
seconds then released. Skin with normal turgor return rapidly back to its normal
position. Sluggish or "tented" skin could indicate dehydration.
How does the nurse assess nevus (moles) or lesions for possible skin cancer
(melanoma)
By using the ABCDEF rule---F stands for Familiar
What are the four stages of a pressure ulcer?
◦Stage I = prolonged redness with unbroken skin
◦Stage II = partial-thickness skin loss appears as a superficial abrasion, blister, or
excoriation
◦Stage III = full-thickness skin loss with damage to subcutaneous tissue (may note
serosanguineous drainage)
◦Stage IV = full-thickness skin loss with invasion of deeper tissue into muscle
and/or bone; wound appears as an open ulceration with purulent drainage and
peripheral crusting
EXAM QUESTIONS WITH CORRECT ACTUAL
QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST 2024 – 2025
ALREADY GRADED A+
What is clubbing?
an increase in the angle between the base of the nail and the fingernail to greater
than 160 degrees and is caused from CHRONIC hypoxia (lack of oxygen) to the
tissues
What is dysphagia and how would the nurse assess for this condition?
Dysphagia is difficulty swallowing. The nurse would ask the patient to say
"ah"...the uvula should move up and stay midline without deviation. If deviation is
noted to one side or the other this finding would need further evaluation for
dysphagia
What is a macule?
Flat, nonpalpable lesions usually < 10 mm in diameter. Macules represent a
change in color and are not raised or depressed compared to the skin surface.
, Examples include freckles, flat moles, and port-wine stains
How does the nurse asses skin turgor and what does an abnormal finding
indicate?
The nurse will grasp the skin between two fingers so that it is tented up.
Commonly on the hand or chest (for older adults). The skin is held for a few
seconds then released. Skin with normal turgor return rapidly back to its normal
position. Sluggish or "tented" skin could indicate dehydration.
How does the nurse assess nevus (moles) or lesions for possible skin cancer
(melanoma)
By using the ABCDEF rule---F stands for Familiar
What are the four stages of a pressure ulcer?
◦Stage I = prolonged redness with unbroken skin
◦Stage II = partial-thickness skin loss appears as a superficial abrasion, blister, or
excoriation
◦Stage III = full-thickness skin loss with damage to subcutaneous tissue (may note
serosanguineous drainage)
◦Stage IV = full-thickness skin loss with invasion of deeper tissue into muscle
and/or bone; wound appears as an open ulceration with purulent drainage and
peripheral crusting
