AND ANSWERS | 2026/27 LATEST UPDATED |
ALREADY GRADED A+
Skin - Correct answer2 layers
- Epidermis
- Dermis
- Then, subcutaneous layer of adipose fat
Skin is waterproof, protective, and adaptive (functions of skin) - Correct answer-
protection
- prevents penetration
- perception
- temp regulation
- identification
- communication
- wound repair
- absorption and excretion
- produce vitamin D
*necessary for intestines to absorb calcium
Skin subjective data - Correct answer- allergies
- dryness, excessive moisture
- rash
- lesions
- hair loss
- change in nails
- bruising
- self- care behaviors
aging adults - Correct answer- changes in skin last few years
- delay in wound healing
- falling, bruises, trauma
- diabetes or PVD
inspect and palpate skin - Correct answer- pigmentation, freckles, moles, birthmarks
- note color change over entire body
- pallor (pale): anemia, shock, lack of blood flow
- erythema (red): sun exposure, rash, infection
, - cyanosis (blue/purple): mucous membranes, hypoxia, impaired venous return
- jaundice (yellow): liver dysfunction, RBC destruction
Edema - Correct answer- shiny and tight skin
- assess all areas
- assess over a boney area
+1= trace, 2mm, rapid return
+2= mild, 4mm, 10-15sec return
+3: moderate, 6mm, prolonged return
+4: severe, 8mm, prolonged return
lesions - Correct answer- note pattern, shape, size, exudate (color and odor),
elevation, location, and distribution
- use woods light to detect florecent lighting
hair - Correct answer- color due to melanin production
- texture: thick, curly, straight, etc.
- distribution: tanner staging, lack of hair on legs= vascular disease
- lesions: look at scalp
diabetics - Correct answer- check feet daily
- no soaking/ lotion between toes
- no nail clipping just filing
- where closed-toed shoes, no barefoot, medium coverage
- water soluble lotion
- never anything between toes
regional exam - Correct answer- focused on skin alone
- assess as one entity, getting overall impression
- inspect carefully
Melanomas - Correct answerA: asymmetry
B: border- irregular
C: color- different shades
D: diameter- usually >6mm
E: evolving/ evolution: pt reports change
turgor - Correct answer- find turgor by pinching hand or arm
*clavicle for older adults
(less than 2 sec return)
nail inspection - Correct answer- shape and contour
- clubbing indicates chronic hypoxia (HD and circulation)
- consistency