Exam 1: NSG316 NSG 316 Latest

Exam 1: NSG316 / NSG 316 (Latest

Update 2024 / 2025) Health Assessment Exam | Questions and Verified Answers | 100% Correct | Grade A - GCU

Question:

Pressure Ulcers

Answer:

Stage I - non-blanchable erythema - intact skin is red but unbroken.localized redness in lightly pigmented skin does not blanch (turn light with fingertip pressure. dark skin appears darker but does not blanch. may have changes in sensation, temperature, or firmness

Stage II - partial-thickness skin loss - loss of epidermis and exposed dermis.superficial ulcer looks shallow like an abrasion or open blister with a red-pink wound bed. no visible fat or deeper tissue

Stage III - full-thickness skin loss - PI extends into subcutaneous tissue and resembles a crater. see subcutaneous fat, granulation tissue, and rolled edges, but not muscle, bone, or tendon

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Stage IV - full-thickness skin/tissue loss - PI involves all skin layers and extends into supporting tissue. exposes muscle, tendon, or bone, and may show slough (stringy matter attached to wound bed) or eschar (black or brown necrotic tissue), rolled edges, and tunneling

Question:

Stage I Pressure Ulcers

Answer:

non-blanchable erythema - intact skin is red but unbroken. localized redness in lightly pigmented skin does not blanch (turn light with fingertip pressure.dark skin appears darker but does not blanch. may have changes in sensation, temperature, or firmness

Question:

Stage II Pressure Ulcers

Answer:

partial-thickness skin loss - loss of epidermis and exposed dermis. superficial ulcer looks shallow like an abrasion or open blister with a red-pink wound bed. no visible fat or deeper tissue

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Question:

Stage III Pressure Ulcer

Answer:

full-thickness skin loss - PI extends into subcutaneous tissue and resembles a crater. see subcutaneous fat, granulation tissue, and rolled edges, but not muscle, bone, or tendon

Question:

Stage IV Pressure Ulcer

Answer:

full-thickness skin/tissue loss - PI involves all skin layers and extends into supporting tissue. exposes muscle, tendon, or bone, and may show slough (stringy matter attached to wound bed) or eschar (black or brown necrotic tissue), rolled edges, and tunneling

Question:

Stages of Bruising

Answer:

1) Pink and red - immediately after a blow, such as banging your shin on a step or your arm on the door; area is swollen and tender to touch

2) Blue and dark purple - within a day or so of impact; caused by both low oxygen supplies and swelling at the bruising site

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3) Pale green - around the sixth day → sign of hemoglobin breaking down; also means the healing process has begun

4) Yellow and brown - seventh day from the time of injury → last stage of your body's re-absorption process; bruise won't change color again, it will gradually fade away

5) Brown to disappearing

Question:

Nociceptive pain

Answer:

• Develops when function and intact nerve fibers in the periphery and the

CNS are stimulated

• Is triggered by events outside the nervous system from actual or potential

tissue damage

c. Nociception can be divided into four phases: transduction, transmission,

perception, and modulation

Question:

Transduction

Answer:

Noxious stimuli

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