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Flashcards in Exam 3: NR414 Rev Deck (133):
1

The extraocular muscles consist of four straight or ________ muscles and two slanting or ______ muscles.

rectus; oblique

2

A slight protrusion of the eyeballs may be noticed when examining individuals who come from which ethnic/cultural group?

African American

3

The location in the brain where optic nerve fibers from the temporal fields of vision cross over is identified as the:

optic chiasm

4

Which of the following groups of individuals need to be tested for the presence of color blindness (deficiency)?

White males between the ages of 4 and 8 years

5

Which of the following statements is true in regard to the results obtained from use of the Snellen chart?

The larger the denominator the poorer the vision

6

The lens of the eye functions as a:

  • Refracting medium keeping a viewed object in continual focus on the retina.
  • think cover test

7

When inspecting the eyeballs of an African American individual, which of the following might the examiner expect to observe?

Small brown macules on the sclera

8

The normal color of the optic disc is:

creamy yellow-orange to pink.

9

Which of the following is an expected response on the cover test?

The covered eye maintains its position when uncovered.

10

The covered eye maintains its position when uncovered.

A unilateral small regular pupil that reacts to light and accommodation

11

Decreased vision in the elderly may be due to which of the following conditions?

cataracts, glaucoma, or macular degeneration

12

Narrow palpebral fissures, epicanthal folds, and midfacial hypoplasia are characteristic of:

fetal alcohol syndrome

13

Kyphosis of the spine is common with aging. To compensate, older adults will:

extend their heads and jaws forward.

14


Most facial bones articulate at a suture.  Which facial bone articulates at a joint?
 

mandible

15

What disease is characterized by a flat, expressionless, or mask-like face, a staring gaze, oily skin, and elevated eyebrows?

Parkinson disease

16

Facial characteristics include a plethoric, rounded, “moonlike” face, prominent jowls, red cheeks, and hirsutism on the upper lip, lower cheeks, and chin.

Cushings Syndrome

17

Binaural interaction at the level of the brain stem permits:

identification of the direction of the sound.

18

What behavior may be indicative of
hearing loss?

Frequently asking for the question to be repeated

19

Which of the following children is at risk of recurrent otitis media?

An 18-month-old infant who has had three episodes of ear infections in a 5-month period.

20

The external structure of the ear is identified as the:

auricle or pinna

21

The labyrinth of the inner ear is responsible for maintaining the body's:

equilibrium

22

The normal pathway of hearing is

air conduction

23

The eustachian tube allows

equalization of air pressure on each side of the tympanic membrane.

24


When an otoscope examination is performed on an older adult client, the tympanic membrane may be:
 

whiter than that of a younger adult, or opaque and dull

25

assesses the ability of the vestibular apparatus in the inner ear to help maintain standing balance.

Romberg Test

26

gives a precise quantitative measure of hearing by assessing the person’s ability to hear sounds of varying frequency.

An audiometer test

27

The position of the tympanic membrane in the neonate is more ________________, making it more difficult to visualize with the otoscope.

horizontal

28

What color is a normal tympanic membrane

shiny and translucent, with a pearly gray color.

29

If the tympanic membrane has white dense areas, the examiner suspects:

scarring from recurrent ear infections.

30

This documentation statements indicates a normal assessment of the perianal area?

"Anus moist, color darker than adjacent tissues. No lesions or discharge. Opening tightly closed."

31

Upon palpation the prostate gland is enlarged, nontender, firm and smooth with a palpable central groove. This assessment finding indicates:

benign prostatic hypertrophy.

32

Long-term use of laxatives frequently leads to:

dependence

33

Voluntary control of the external anal sphincter cannot occur until

the nerves supplying the area have become fully myelinated, usually around 1½ to 2 years of age.

34

Which continent has the lowest prevalence rate of prostate cancer?

Asia

35

tears that occur in the superficial mucosa and often result from trauma

fissure

36

An anorectal fistula is usually caused by:

a chronically inflamed gastrointestinal tract.

37

A patient is taking iron supplements. The patient should expect the stools to be:

nontarry and black.

38

blood in the stools that is not visible.

occult

39

Hematuria is a term used for:

blood in the urine

40

The most common sexually transmitted infection in the United States is:

chlamydia

41

Cessation of menses is known as:

menopause

42

inflammation of the fallopian tube.

salpingitis.

43

refers to the structures most closely related structurally and functionally to the uterus; these structures include the ovaries, fallopian tubes, and ligaments

Adnexa

44

The cervical mucosa during the second month of pregnancy is blue which is termed

the Chadwick sign

45

small, red mass protruding from the urethral meatus

A caruncle

46

Adnexa is/are:

uterine accessory organs

47

Dyspareunia is the term to describe

painful intercourse

48

a thin, circular or crescent shaped fold that may cover part of the vaginal orifice or may be absent completely.

hymen

49

Dysmenorrhea is:

pain associated with menstruation

50

The first sign of puberty in girls is:

breast and pubic hair development

51


Decreased estrogen levels during menopause cause:

the ovaries to atrophy

52

The sequence of techniques used during an examination of the abdomen

  1. Inspect
  2. Auscultate
  3. Percuss
  4. Palpate

53

What may be noted through inspection of the abdomen

venous patterm peristaltic waves, and ab contour

54

Right upper quadrant tenderness may indicate pathology in the?

liver, pancreas, or ascending colon

55

Hyperactive bowel sound characteristics x3

  1. high pitched
  2. rushing
  3. tinkling

56

The absence of bowel sounds is established after listening for how long?

5 full minutes

57

Auscultation of the abdomen may reveal bruits of the _____arteries.

 

  • aortic
  • renal
  • iliac
  • femoral

58

The range of normal liver span in the right midclavicular line in the adult is:

6-12 cm

59

Striae, which occur when the elastic fibers in the reticular layer of the skin are broken after rapid/prolonged stretching, have a distinct color when of long duration. What is the color?

silvery white

60

Auscultation of the abdomen is begun in the right lower quadrant because?

bowel sounds are always normally present here

61

A dull percussion note forward ot the left midaxillary line is:

indicative of spleen enlargement

62

Shifting dullness is a test for?

ascites

63

Tenderness during abdominal palpation is expected when palpating in this area?

sigmoid colon

64

this is pain felt when taking a deep breath when the examiner's fingers are on the location of the inflamed gallbladder?

Murphy sign

65

This indicates the presence of occult blood from bleeding higher in the GI tract. Blood has been broken down during the digestive process.

Black tarry stools

66

This occurs with localized bleeding in the lower GI tract around the anus (hemorroids)

Red Blood in stools

67

The examiner is inspecting and palpating for a hernia. The man is instructed to?

bear down when the examiner's fingersi at the inguinal canal

68

Normal finding of a scrotum assessment?

the left testicle hangs lower than the right

69

Symptoms of prostatic hypertrophy

  • straining
  • loss of force
  • sense of residual urine

70

a 64 year old man has come for a health examination. A normal age-related change in scrotum would be?

pendulous scrotum

71

A normal finding during palaption of the testes?

firm, rubbery and smooth

72

Age range for testicular cancer

15-34

73

During examination of a full term newborn male, a finding requiring investigation would be

absent testes

74

How sensitive to pressure are normal testes?

somewhat

75

The first physical sign associated with puberty in boys is:

testes enlargement

76

In the aging male, when does infertility occur?

there is no specific age, men may be fertile into their 80s and 90s

77

A patient has soft, moist fleshy painless papules around the anus. The examiner suspects this condition is:

HPV

78

Vaginal lubrication is provided during intercourse by this gland

bartholin's glands

79

How does the cervix appear on a woman who has not had any children?

smooth and circular

80

Examination of the genitalia of a 70 year old woman, normal finding?

thin and sparse pubic hair

81

A woman has come for health care complaining of a thick, white discharge with intense itching. These symptoms are:

Candidiasis

82

How do you prepare the vaginal speculum for insertion?

lubricate with warm water

83

How do you insert a speculum so patient remains comfortable?

  • press introitus down with one hand
  • insert the blades obliquely with the other hand

84

Before withdrawing the speculu, the examiner swabs the cervix with a swab soaked in acetic acid. This examination is done to asses for?

Human papillomavirus

85

Describe the uterus

  • Pear shaped
  • thick walled organ
  • flattened anteroposteriorly

86

When placing a finger on either side of the cervix and moving it side to side you are assessing for?

cervical motion tenderness

87

Normal findings on inspection/palpation of the vulva and perineum?

  • labia majora that are wide apart and gaping

88

The notation in a health record indicated G2 P3 Ab0

Pregnant 2x with 3 children and all children are living

89

Problems with smoking and oral contraceptives?

  • thrombophlebitis
  • pulmonary emboli

90

When preparing to insert an indwelling urinary catheter in a male patient, it is important for the nurse to do what?

lubricate the first 5-7 inches of the catheter

91

This decreases the patients' risk for injury during inserting of an indwelling urinary catheter?

assessing the patiient for allergies related to latex, antiseptic tape, or iodine based substances

92

Instruction given to the NAP caring for the patient with an indwelling catheter has been effective, in this scenario?

the excess catheter tubing has been coiled beside the patients inner thigh

93

What should you do if you do not see urine flow after inserting the urinary catheter in a female patient?

inspect the catheter location as it may be in the vagina

94

Mr M's hearing has gotten much worse in a short amount of time, which test should you use to assess?

Whispered Voice Test

95

What is a safety issue with ambulation related to ears?

Vertigo

96

perceptive hearing loss indicates a pathologic condition of cranial nerve 8

Sensorineural

97

what might be the cause of sensorineural hearing loss

presbycusis- an age-related gradual degeneration of the nerve

98

hearing loss involves a mechanical dysfunction of the external or middle ear. If the sound amplitude is increased enough, the person can hear.

Conductive

99

What might be the cause of conductive hearing loss

Cerumen buildup and otosclerosis

100

What technique do you use to palpate the cervical lymph nodes?

  • Gentle Pressure
  • use both hands
  • compare both sides

101

Normal Findings Nursing Inspection/Palpation of the Head:

  • Normocephalic appropriate to body size
  • No deformities or lumps, tenderness
  • Symmetry of Movement (CN VII)
  • No involuntary movements or edema

102

Inspection of the Neck Normal Findings

  • Active ROM
  • No enlargements of the salivary glands
  • No tenderness at lymph
  • Lymph nodes should be freely moveable

103

PERRLA Stands for

  • Pupils
  • Equal
  • Round
  • Reactive
  • Light
  • Accomodation

104

How do you inspect the ear w/ an otoscope for an adult

up and back

105

How do you inspect the ear with a child under 3 years

down and back

106

What are you looking for with the otoscope

  1. Cerumen discharge
  2. redness or swelling of canal wall
  3. external canal

107

What are you looking for in the tympanic membrane?

  • Color/characteristics
  • position (flat, bulging, retracted)
  • integrity of membrane

108

Note response to conversational speech

109

  • CVA Tenderness
  • if they have an infection of the kidneys will be very painful when you do this

110

Right Upper Quadrant

  • Liver
  • Kidney
  • Gallbladder
  • Pancreas
  • lg/sm intestine

111

Left Upper Quadrant

  • Liver
  • Kidney
  • Stomach
  • Spleen
  • lg/sm intestine

112

Left Lower Quadrant

  • lg/sm intestine
  • bladder

113

Right Lower Quadrant

  • lg/sm intestine
  • bladder
  • APPENDIX

114

this describes the nutritional state and normally ranges from flat to rounded

contour of the abdomen

115

116

What does a bruit in the thyroid gland indicate

hyperplasia- enlargement of an organ or tissue

117

a condition in which part of an organ is displaced and protrudes through the wall of the cavity containing it

Hernia

118

Can be brought on by heavy lifting, muscle atrophy, obesity, chronic cough, or ascites?

  • Hernia

119

Where can a testicular self exam take place

in the shower where it is warm and relaxed

120

What technique to do a testicular self exam>

roll testicle between fingers feel for any lumps

121

When you percuss the abdomen what are you listening for?

tympany vs dullness

122

Describe Retinal Detachment

  • lacks oxygen
  • Risk for permanent blindness

123

You may feel as though you are off balance, spinning, whirling, falling, or tilting

Vertigo

124

a feeling that you are about to faint or "pass out." Often goes away or improves when you lie down

Lightheadedness

125

Changes associated with menopause

  • Vagina shrinks
  • Itchiness, dryness
  • Risk for pain during intercourse (dyspanunia)
  • Becomes more alkaline

126

This measures the five stages of pubic hair development. Helpful in teaching girls sequence of sexual development.

Tanner Stages

127

measured by the ability to discern letters or numbers at a given distance according to a fixed standard.

Visual Acuity

128

 An increase in abdominal pressure -- such as when you exercise, laugh, sneeze, or cough. Urine leaks due to weakened pelvic floor muscles and tissues.

Stress Incontinence

129

overactive bladder: You have an urgent need to go to the bathroom and may not get there in time, leaking urine.

Urge Incontinence

130

if you are not able to empty your bladder appropriately. As a result, you may have leakage once the bladder is already full. This is more common in men with symptoms of frequent dribbling of urine.

Overflow

131

physical problems such as arthritis, or cognitive problems such as dementia, prevent you from getting to the bathroom in time.

Functional Incontinence

132

How do we detect Prostate Cancer early?

  • Blood for prostate specific antigen (PSA)
  • Digital Rectal Examination (DRE)

133

What is Menoconium

stool