Page 1 of 58
EXAM 1: NR302 / NR 302 (LATEST 2025/ 2026
UPDATES STUDY BUNDLE PACKAGE WITH SOLUTIONS)
HEALTH ASSESSMENT I | QUESTIONS & ANSWERS |
GRADE A | 100% CORRECT (VERIFIED SOLUTIONS) -
CHAMBERLAIN
BCDE of skin lesion assessment .....ANSWER.....Asymmetry-not
regular, round or oval, mishaped
Border irregularity- ragged edges
Color variation- brown, black blue, red
Diameter- 6 mm plus can be malanoma
Elevation- Changes w/ time
Vitiligo .....ANSWER.....Loss of skin pigment (micheal Jackson)
White blotches have definition
Hair will be white where the skin is white
,Page 2 of 58
Pigment Change .....ANSWER.....Albinos have no pigment
occur in any race & skin color
Hirsutism .....ANSWER.....Females only
Growing hair where it does not belong
Ex: chest hair
Alopecia .....ANSWER.....Loss of hair all over body
by chemo, malnutrition
Can happen for no reason
Skin .....ANSWER.....Largest organ in body
Protect from foreign objects
Herpes Zoster .....ANSWER.....Small grouped vesicles emerged
along route of cutaneous sensory nerve, pus then crust.
Pain is severe & long lasting
Does not cross midline
,Page 3 of 58
Caused by varicella zoster virus
Subjective data .....ANSWER.....What the patient tells you
Ex: Patient history
Objective datat .....ANSWER.....Something you can see, feel, or
prove via lab charts.
Ex" vital signs
Pallor .....ANSWER.....Body does not produce adequate RBC's
Determine by: mucus membranes, lips, nail beds(cap. refill)
can be from anemia, blood loss, not producing RBC, lack of iron
How to tell on dark skin- mucus membranes, cap. refill are same
as light skin
Erythema .....ANSWER.....Intense redness of skin, excess blood in
superficial capillaries
Ex: fever, inflammation, blushing, red cheeks
, Page 4 of 58
Cyanosis .....ANSWER.....Bluish color of the skin from high levels of
deoxygenated blood flow
Ex: Hypoxia, Hypoxemia
Juandice .....ANSWER.....A yellowish tint in skin color indicates the
rising amounts of bilirubin in the blood.
Can be certain by a yellow tint in sclera
Treatment-put in sunlight
Diaphoresis .....ANSWER.....Profuse sweating
Dehydration .....ANSWER.....Not enough fluid.
Skin is dry
including: Lips, mucus membranes, no saliva or sweat.
Test: check for tenting (turgor test)
Skin turgor .....ANSWER.....This assesses the patient skin for
dehydration
EXAM 1: NR302 / NR 302 (LATEST 2025/ 2026
UPDATES STUDY BUNDLE PACKAGE WITH SOLUTIONS)
HEALTH ASSESSMENT I | QUESTIONS & ANSWERS |
GRADE A | 100% CORRECT (VERIFIED SOLUTIONS) -
CHAMBERLAIN
BCDE of skin lesion assessment .....ANSWER.....Asymmetry-not
regular, round or oval, mishaped
Border irregularity- ragged edges
Color variation- brown, black blue, red
Diameter- 6 mm plus can be malanoma
Elevation- Changes w/ time
Vitiligo .....ANSWER.....Loss of skin pigment (micheal Jackson)
White blotches have definition
Hair will be white where the skin is white
,Page 2 of 58
Pigment Change .....ANSWER.....Albinos have no pigment
occur in any race & skin color
Hirsutism .....ANSWER.....Females only
Growing hair where it does not belong
Ex: chest hair
Alopecia .....ANSWER.....Loss of hair all over body
by chemo, malnutrition
Can happen for no reason
Skin .....ANSWER.....Largest organ in body
Protect from foreign objects
Herpes Zoster .....ANSWER.....Small grouped vesicles emerged
along route of cutaneous sensory nerve, pus then crust.
Pain is severe & long lasting
Does not cross midline
,Page 3 of 58
Caused by varicella zoster virus
Subjective data .....ANSWER.....What the patient tells you
Ex: Patient history
Objective datat .....ANSWER.....Something you can see, feel, or
prove via lab charts.
Ex" vital signs
Pallor .....ANSWER.....Body does not produce adequate RBC's
Determine by: mucus membranes, lips, nail beds(cap. refill)
can be from anemia, blood loss, not producing RBC, lack of iron
How to tell on dark skin- mucus membranes, cap. refill are same
as light skin
Erythema .....ANSWER.....Intense redness of skin, excess blood in
superficial capillaries
Ex: fever, inflammation, blushing, red cheeks
, Page 4 of 58
Cyanosis .....ANSWER.....Bluish color of the skin from high levels of
deoxygenated blood flow
Ex: Hypoxia, Hypoxemia
Juandice .....ANSWER.....A yellowish tint in skin color indicates the
rising amounts of bilirubin in the blood.
Can be certain by a yellow tint in sclera
Treatment-put in sunlight
Diaphoresis .....ANSWER.....Profuse sweating
Dehydration .....ANSWER.....Not enough fluid.
Skin is dry
including: Lips, mucus membranes, no saliva or sweat.
Test: check for tenting (turgor test)
Skin turgor .....ANSWER.....This assesses the patient skin for
dehydration
