NURS 310 - exam #1 Questions With Complete Solutions
ABCDEs of melanoma Correct Answer asymmetry, border,
color, diameter, evolution
Abnormal posturing Correct Answer decorticate:Flexion and
internal rotation of upper extremity joint and legs
•Damage between the brain and spinal cord
decerebrate:Neck and elbow extension with the wrists and
fingers flexed
•More serious of the two
active listening Correct Answer •Close attention to what the
patient is communicating
•Be aware of patient's emotional state
•Avoid drifting to next question
•Take minimal notes.
acute vs chronic pain Correct Answer acute-Occurs suddenly
with recent illness or injury
chronic-Pain that persists for more than 3-6 months, Recurring
at intervals of months or years
,•Making sounds during movement
•Guarding body parts or holding parts
•Repeating movement over and over
•Increased confusion or disorientation
•Crying, whimpering, whining, or grunting
•Gritting teeth
•No movement
•Holding breath
•Rapid breathing
•Begging for help
•Not eating or drinking
•Persistent restlessness
Bell vs. diaphragm of stethoscope Correct Answer Bell is the
smaller surface(used for low pitches); diaphragm is the larger
one(used for high pitches)
BMI ranges Correct Answer ratio of height and weight
underweight: <18.5
normal: 18.5-24.9
overweight: 25-29.9
obese: >30
Braden Scale Correct Answer A tool for predicting pressure
ulcer risk
•Looks at sensory perception, moisture, activity, mobility,
nutrition, friction and sheer.
•Score: Ranges from 6-23
•6-17: High Risk
•=/> 18: Low Risk
, CAGE is used to assess for what? what do the letters mean?
Correct Answer used to test for substance/ alcohol abuse
-Cut down, Annoyed by criticism, Guilty, and Eye Opener
classification of lesions Correct Answer •Primary- arise from
healthy skin tissue.
•Secondary- results from a change in a primary lesion.
•Vascular- results from aging changes or blood-vessel damage
in or near the skin.
•Purpuric- red or purple discolored spots on the skin that do not
blanch on applying pressure
classifications of purpuric lesions Correct Answer •petechiae --
< 5 mm
•purpura -- 5-9 mm
•ecchymoses -- > 9 mm
Components of the comprehensive health history Correct
Answer •Asking pertinent questions to gather data
•Past medical history
•Past physical issues
•Past psychological issues
•Social history
•Cultural history
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