NUR 216 Exam 2 Study Integumentaty, HEENT and Neurological, Respirar
tory
Study online at https://quizlet.com/_em4yjg
1. What is edema? Swelling caused by fluid retention in the
body's tissues
2. What is a primary lesion? Initial skin abnormality or change
3. What is a secondary lesion? Result of evolution or modification of primary
lesion
4. What is erythema? Redness of the skin due to capillary dilation
5. The bluish discoloration of the skin due to Cyanosis
poor circulation or inadequate oxygena-
tion is referred to as:
6. What is paleness of the skin due to re- Pallor
duced blood flow or anemia referred as:
7. The grading system for assessing the Pitted Edema Stages +1, +2, +3, +4
depth of pitting in edema on skin
8. Skin's elasticity and ability to return to Skin Turgor
normal after being pinched is defined as?
9. The nurse is assessing a Pt. who is post- c) Pallor
operative day (POD) 0 following a total hip
replacement. The estimated blood loss
during surgery was 400mL+. What find-
ing would the nurse expect when assess-
ing the Pt.'s skin color?
a) Erythema
b) Cyanosis
, NUR 216 Exam 2 Study Integumentaty, HEENT and Neurological, Respirar
tory
Study online at https://quizlet.com/_em4yjg
c) Pallor
d) Edema
10. A nurse is assessing a Pt. for pitted ede- b) +3
ma and notes an indentation of 6 mm
at the point of pressure with prolonged
skin return. Which of the following stages
should the nurse use to document the
severity of the Pt's edema?
a) +4
b) +3
c) +2
d) +1
11. While assessing a Pt.'s skin color, the a) Liver disorder
nurse notices a yellow tint to the sclera.
The most likely indicates:
a) Liver disorder
b) Diet high in vegetables
c) Normal variation
d) Bleeding disorder
12. a) Stage 1 What is the stage of this pressure wound?
a) Stage 1
b) Stage 2
c) Stage 3
d) Deep Tissue Injury
, NUR 216 Exam 2 Study Integumentaty, HEENT and Neurological, Respirar
tory
Study online at https://quizlet.com/_em4yjg
13. A nurse assessing skin turgor is checking a) Hydration
for:
a) Hydration
b) Temperature
c) Texture
d) Consistency
14. Which of the following are parts of the In- a) Skin
tegumentary System? Select all that apply b) Nails
(SATA). c) Hair
a) Skin
b) Nails
c) Hair
d) Eyes
15. What is the outermost layer of the skin? Epidermis (Stratum Corneum)
16. What is the inner middle layer of the skin? Dermis
17. Where is the Subcutaneous layer of adi- Beneath the Epidermis and the Dermis
pose tissue?
18. Which of the following is True about the a) Protect the inner body parts and organs
skin? b) Prevent penetration of microorganisms
, NUR 216 Exam 2 Study Integumentaty, HEENT and Neurological, Respirar
tory
Study online at https://quizlet.com/_em4yjg
c) Excrete waste and toxic substances
a) Protect the inner body parts and or-
gans
b) Prevent penetration of microorgan- "d" is incorrect; the skin produces Vitamin D"
isms
c) Excrete waste and toxic substances
d) Production of Vitamin K
19. What does mnemonic "O,P,Q,R,S,T" Onset, Provokes/Pallitates, Quality, Radi-
mean? ates/Region, Severity, Timing
20. Which of the following are normal, ex- a) General pigmentation is even and consis-
pected findings when assessing the skin? tent
(Select all that apply.) c) Skin exposed to the sun has increased
pigmentation
a) General pigmentation is even and con- d) Hyperpigmentation: birthmarks, sun dam-
sistent age, freckles, and tan lines
b) Whitish pink to light or dark brown with e) Hypopigmentation: scars, stretch marks,
yellow or olive tones vitiligo
c) Skin exposed to the sun has increased
pigmentation
d) Hyperpigmentation: birthmarks, sun
damage, freckles, and tan lines
e) Hypopigmentation: scars, stretch
marks, vitiligo
21. Which of the following are Familial Ten- g) All of the above
dency skin disorders?
a) Acne
b) Skin Cancer
c) Eczema
tory
Study online at https://quizlet.com/_em4yjg
1. What is edema? Swelling caused by fluid retention in the
body's tissues
2. What is a primary lesion? Initial skin abnormality or change
3. What is a secondary lesion? Result of evolution or modification of primary
lesion
4. What is erythema? Redness of the skin due to capillary dilation
5. The bluish discoloration of the skin due to Cyanosis
poor circulation or inadequate oxygena-
tion is referred to as:
6. What is paleness of the skin due to re- Pallor
duced blood flow or anemia referred as:
7. The grading system for assessing the Pitted Edema Stages +1, +2, +3, +4
depth of pitting in edema on skin
8. Skin's elasticity and ability to return to Skin Turgor
normal after being pinched is defined as?
9. The nurse is assessing a Pt. who is post- c) Pallor
operative day (POD) 0 following a total hip
replacement. The estimated blood loss
during surgery was 400mL+. What find-
ing would the nurse expect when assess-
ing the Pt.'s skin color?
a) Erythema
b) Cyanosis
, NUR 216 Exam 2 Study Integumentaty, HEENT and Neurological, Respirar
tory
Study online at https://quizlet.com/_em4yjg
c) Pallor
d) Edema
10. A nurse is assessing a Pt. for pitted ede- b) +3
ma and notes an indentation of 6 mm
at the point of pressure with prolonged
skin return. Which of the following stages
should the nurse use to document the
severity of the Pt's edema?
a) +4
b) +3
c) +2
d) +1
11. While assessing a Pt.'s skin color, the a) Liver disorder
nurse notices a yellow tint to the sclera.
The most likely indicates:
a) Liver disorder
b) Diet high in vegetables
c) Normal variation
d) Bleeding disorder
12. a) Stage 1 What is the stage of this pressure wound?
a) Stage 1
b) Stage 2
c) Stage 3
d) Deep Tissue Injury
, NUR 216 Exam 2 Study Integumentaty, HEENT and Neurological, Respirar
tory
Study online at https://quizlet.com/_em4yjg
13. A nurse assessing skin turgor is checking a) Hydration
for:
a) Hydration
b) Temperature
c) Texture
d) Consistency
14. Which of the following are parts of the In- a) Skin
tegumentary System? Select all that apply b) Nails
(SATA). c) Hair
a) Skin
b) Nails
c) Hair
d) Eyes
15. What is the outermost layer of the skin? Epidermis (Stratum Corneum)
16. What is the inner middle layer of the skin? Dermis
17. Where is the Subcutaneous layer of adi- Beneath the Epidermis and the Dermis
pose tissue?
18. Which of the following is True about the a) Protect the inner body parts and organs
skin? b) Prevent penetration of microorganisms
, NUR 216 Exam 2 Study Integumentaty, HEENT and Neurological, Respirar
tory
Study online at https://quizlet.com/_em4yjg
c) Excrete waste and toxic substances
a) Protect the inner body parts and or-
gans
b) Prevent penetration of microorgan- "d" is incorrect; the skin produces Vitamin D"
isms
c) Excrete waste and toxic substances
d) Production of Vitamin K
19. What does mnemonic "O,P,Q,R,S,T" Onset, Provokes/Pallitates, Quality, Radi-
mean? ates/Region, Severity, Timing
20. Which of the following are normal, ex- a) General pigmentation is even and consis-
pected findings when assessing the skin? tent
(Select all that apply.) c) Skin exposed to the sun has increased
pigmentation
a) General pigmentation is even and con- d) Hyperpigmentation: birthmarks, sun dam-
sistent age, freckles, and tan lines
b) Whitish pink to light or dark brown with e) Hypopigmentation: scars, stretch marks,
yellow or olive tones vitiligo
c) Skin exposed to the sun has increased
pigmentation
d) Hyperpigmentation: birthmarks, sun
damage, freckles, and tan lines
e) Hypopigmentation: scars, stretch
marks, vitiligo
21. Which of the following are Familial Ten- g) All of the above
dency skin disorders?
a) Acne
b) Skin Cancer
c) Eczema
