nurs612 exam 2

Question 1

If you find a skin lesion, what will you document? 7 things

Answer 1

size
shape
color
texture
elevation/depression
Attachment @ base: (penducatled) with stalk or sessile (without stalk) 
Exudates

Question 2

Freckles, flat moles, petichiae are all considered:

Answer 2

Macules

Question 3

3 physical signs of palpating lymph nodes:

Answer 3

lypmadenopathy, lyphangitis, or lymphedema

Question 4

Hyperressonance on percussion would indicate:

Answer 4

emphysema, pneumo, some type of consolidation

Question 5

6 characteristics of skin that you are assessing when inspecting

Answer 5

Color
Moisture
Temperature
Texture
Turgor
Elasticity

Question 6

greater clarity and increased loudness of spoken words

Answer 6

Bronchophony

Question 7

Dullness on percussion would indicate:

Answer 7

pneumonia, atelectasis

Question 8

Elevated, firm, circumscribed lesion 1-2 cm in diameter and usually deeper in the dermis than a papule (lipoma, erythema nodosum)

Answer 8

Nodule

Question 9

Psoriasis, seborrheic is examples of

Answer 9

Plaque

Question 10

irregular respiration varying in depth and interrupted by intervals of apnea, but lacking the repetitive pattern of periodic respiration

Answer 10

Biot or ataxic respiration

Question 11

A crackly or crinkly sensation that can be both felt and heard

Answer 11

creptitus

Question 12

flat, circumscribed area that is a change in the color of the skin less than 1 cm in diameter

Answer 12

Macule

Question 13

the intensity of the spoken voice is increased and there is a nasal quality
E to A sounds

Answer 13

Egophony

Question 14

elevated, firm and rough lesion with flat top surface greater than 1 cm

Answer 14

Plaque

Question 15

ABCD of mole changes:

Answer 15

Asymmetry
Border
Color
Diameter

Question 16

Warts, elevated moles are examples of:

Answer 16

papules

Question 17

a palpable, coarse, grative vibration, usually only on inspiration

Answer 17

Pleural Frictrion Rub

Question 18

Vesicle greater than 1 cm in diameter (blisters, pemphigus vulgaris)

Answer 18

Bulla

Question 19

Deep and most often rapid breathing

Answer 19

Kussmaul’s

Question 20

elevated, circumscribed, enapuslated lesion filled with liquid or semisolid material

Answer 20

Cyst

Question 21

loud, low, coarse sounds like a snore. Can disappear with coughing

Answer 21

Rhonchi

Question 22

regular periodic pattern of breathing with intervals of apnea followed by a crescendo/decrescendo sequence

Answer 22

Cheyne-Stokes

Question 23

highest pitch and intensity and heard over the trachea

Answer 23

Bronchial breath sounds

Question 24

elevated, irregular shaped area of cutaneous edema. solid transient with variable diameter (ex: insect bites, urticaria)

Answer 24

Wheal

Question 25

Elevated, circumscribed, superficial, not into the dermis and is filled with serous fluid. Less than 1 cm. (varicella, herpes zoster)

Answer 25

Vesicle

Question 26

moderate pitch/itensity heard over the major bronchi

Answer 26

Bronchovesicular breath sounds

Question 27

Elevated, firm, circumscribed area less than 1 cm

Answer 27

Papule

Question 28

Low-pitched, low-intensity sounds heard over healthy lung tissue

Answer 28

Vesicular breath sounds

Question 29

Elevated, superficial lesion similar to a vesicle but filled with purulent fluid (impetigo, acne)

Answer 29

Pustule

Question 30

What are the thoracic landmarks?

Answer 30

``` Nipples Angle of Louis Costal Angle Vertebra prominens Clavicles ```

Question 31

Migraine with aura is a recurring HA

Answer 31

Classic Migraine

Question 32

Migraine w/o aura and most common type:

Answer 32

Common migraine

Question 33

Occurs in cyclical patterns or cluster periods and is one of the most painful type of headaches

Answer 33

Cluster HA

Question 34

Occurs when neck and scalp muscles become tense or contract

Answer 34

Muscular Tension HA

Question 35

Also called Giant Cell ARteritis or Horton's ARteritis. Occurs more in the elderly

Answer 35

Temporal Arteritis

Question 36

What is oncychomycosis?

Answer 36

fungal infection of the nail