NSG 100 STUDY GUIDE EXAM 1 PRACTICE
QUESTIONS WITH CORRECT ANSWERS NEW
MODIFIED EXAM
lifespan considerations for adolescents (tissue) -- ANSWER--increase in sweat
and sebaceous glands higher incidence of warts and fungal infections acne,
hygiene, etc.
lifespan considerations for adults (tissue) -- ANSWER--skin thickens to 40-50s
lifespan considerations for pregnant women (tissue) -- ANSWER--hyper
pigmentation striae (stretch marks) pruritus (itching)
lifespan considerations for elderly (tissue) -- ANSWER--decreased skin
thickness decreased collagen content (decrease elasticity)
lifespan considerations for infants (tissue) -- ANSWER--thinner skin with less
subcutaneous fat milia on face risk for dehydration
lifespan considerations for children (tissue) -- ANSWER--thinner
skin larger body surface area than adults
,Page 2 of 119
increase wrinkles, sagging skin
decreased subcutaneous tissue
dry sin from decreased swear
glands
what are the functions of the skin? -- ANSWER--
protection temperature regulation sensation
vitamin d production immunologic absorption
elimination
what's the epidermis? -- ANSWER--top layer of
skin helps with h20 production
what's the dermis? -- ANSWER--second layer of
skin nerves, hair follicles, etc.
what's the subcutaneous tissue? -- ANSWER--third layer of skin, below
dermis helps with padding, warmth, etc.
what are the 5 steps to the nursing process? -- ANSWER--
assessment diagnoses planning implementation evaluation
what's the assessment phase? -- ANSWER--gathering information about pt's
psychological, physiological, sociological, and spiritual status; gathered in pt
interview; physical exams, hx, etc.
,Page 3 of 119
what's the diagnosing phase? -- ANSWER--nurse makes an educated judgement
about potential or actual health problem; include actual description and whether
or not patient is at risk for further issues
what's the planning phase? -- ANSWER--patient and nurse agree on diagnoses
and plan of action can be developed; assigned clear, measurable goal for
expected beneficial outcome
usually use evidence-based nursing outcome classification
what's the evidence-based nursing outcome classification? -- ANSWER--set of
standardized terms and measurements for tracking patient wellness; may be
used as a resource for planning
what's the implementing phase? -- ANSWER--nurse follows through on decided
plan of action' specific to each patient and focuses on achievable outcomes; can
take place over hours, days, weeks, or months
what's the evaluation phase? -- ANSWER--nurse determines if all goals for
patient wellness have been met; patient's condition improved, patient's condition
stablished, and patient's condition deteriorated, died, or discharged...
, Page 4 of 119
risk factors for press injury development? -- ANSWER---impaired mobility and
partial mobility
-inadequate nutrition
-fecal/urinary incontinence
-decreased mental status
-diminished sensation
-excessive body heat
-advanced age
-chronic medical conditions
-shear/friction
complications of wound healing? -- ANSWER--
hemorrhage infection dehiscence evisceration
what's hemorrhage? -- ANSWER--excessive bleeding --hold pressure and DO
NOT
REMOVE DRESSING until surgeon has been called & assessed
what's noted with infection in a wound? -- ANSWER--
redness drainage