AM
NUR352 EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED GRADED A
2025/2026
Integument Physical -Inspection
Assessment -Palpaiton
Techniques
-Sunscreen
Integument health -Monthly self-checks
promotion -diet (avoiding saturated fats and processed
foods)
Braden Scale A tool for predicting pressure ulcer risk
-Out of 23, the lower the score the higher the
risk
ABCDE skin cancer screening
asymmetry, border, color, diameter, evolving
Expected skin color + -color variation (scars, genetic, age, sun damage,
temp findings pregnancy)
-temperature (environmental or chronic
perfusion issue)
Unexpected skin color -Color (pallor, cyanosis, jaundice, erythema,
+temp findings ecchymosis, hematoma, petechiae)
-hypo or hyperthermia
-scars
Skin integrity expected -good hygiene
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-chart the beginning of any sores
-Lesions; need investigation
-Primary lesions are the direct result of something
(a burn)
Skin integrity -Secondary lesions occur when a primary is
unexpected untreated
-Obtain subjective history of new changes
-ABCDE
-infestation
- location
-mobility
-age
-weight
Pressure wound risk -nutrition
factors
-chronic conditions (diabetes)
-moisture/friction
-Braden scale!
Braden scale sensory perception, moisture, activity, mobility,
categories nutrition, friction and shear
1. Nonblanchable; intact skin with redness
2. Partial loss on outermost layers; shiny
Pressure wound 3. Full thickness loss through subQ
staging 4. Full thickness loss with necrosis or damage to
bone/muscle
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-nurses cannot stage, and they cannot be staged
if the bottom is not visible
Pressure wound care -Advocate for pain control
-Administer pain meds before wound changes
-Turn every 2 hours
Primary pressure -Can be delegated after inspection
wound interventions -Maintain diet and hygiene
- wound care
Secondary pressure -gel pads
wound interventions -pillows
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