HESI NSG 261 FINAL EXAM
STUDYGUIDE 2024-2025 QUESTIONS
AND CORRECT ANSWERS
What three things does respiration assessment include?
Correct Answer Rate, rhythm, and depth
What three things fo pulse assessment include? Correct
Answer Rate, rhythm, and amplitude
What are the levels of amplitude for pulse assessment?
Correct Answer 0 absent pulse
1+ Thready/ weak pulse
2+ normal pulse
3+ bounding pulse
What is pulse deficit? Correct Answer Difference in apical
pulse and radial pulse, which is usually due to irregular
heart rhythm
What is OLDCARTS? Correct Answer Onset
Location
Duration
Characteristic
Aggravating symptoms
Relieving symptoms
Treatment
Severity
,What is HPI? Correct Answer History of presenting illness
= chief complaint
What is ABCDE? Correct Answer -Used for mole
assessment
Asymmetrical
Borders irregular
Color uneven
Diameter > 6mm
Evolving
What is albinism? Correct Answer Genetic disorder
caused by the absence of ability to produce melanin
What is central cyanosis? Correct Answer Bluish
discoloration related to decreased circulating oxygen -
seen in oral mucosa, conjunctiva, lips, and tongue
What is peripheral cyanosis? Correct Answer Bluish
discoloration of skin related to decreased circulating
oxygen in the peripheral extremities
What is erythema? Correct Answer Redness of the skin
What is pallor? Correct Answer Decrease in circulating red
blood cells or low levels of oxygen resulting in white skin
color
What is vitiligo? Correct Answer Pigmentation disease
characterized by smooth white patches of skin all over the
body
,What is the critical care pain observation tool used for?
Correct Answer Assessing pain for intubated patients
What is PAINAD? Correct Answer Pain assessment for
advanced dementia patients
What are macules? Correct Answer flat spot (less than 0.5
cm) - freckle
What is a patch? Correct Answer Flat spot (greater than
0.5cm) - large freckle
What is a papule? Correct Answer Elevated spot (less
than 0.5cm) - mole
What is a plaque? Correct Answer Thickened papule
(greater than 0.5 cm)
What is a vesicle? Correct Answer Lesion with serous
(clear) fluid (less than 0.5cm) - shingles
What is a pustule? Correct Answer Lesion with purulent
(pus) fluid (less than 0.5cm) - pimple
What is a nodule? Correct Answer Solid elevated lesion
(less than 0.5cm) - lipoma
What is a tumor? Correct Answer Solid elevated lesion
(greater than 0.5cm)
, What is a keloid? Correct Answer Thick scar resulting from
excessive growth of fibrous tissue
What is a wheal? Correct Answer Raised, swollen red
bump - hives
What is telangiectasia? Correct Answer Small dilated
blood vessels - rosacea
What is a cyst? Correct Answer Elevated lesion (greater
than 1cm)
What is a crust? Correct Answer Dried collection of fluid
as part of healing process - dried shingles
What is a scale? Correct Answer Build up of dead skin
that flakes - psoriasis
What is excoriation? Correct Answer Loss of the
epidermal layer - chronic incontinence
What is erosion? Correct Answer Depressed area that is
moist and shiny - yeast
What is a fissure? Correct Answer Linear break in skin
through epidermis and dermis
What is a scar? Correct Answer Fibrous tissue over
healed surface
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