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Flashcards in Final Deck (65):
1

If u have a large pulsating mass above the umbilicus

Emergency

2

What is a sign of the positive Romberg test

Feet move apart

3

Characteristics of the soft palate

Pink moist smooth

4

When do u address pain

Immediately

5

What cranial nerves assesses the gag reflex

Assessment of CN IX and X

6

What do u want to look for when assessing mental status

Memory
Speech
Reasoning
Judgment

7

Where do you percuss the triceps reflex

Percuss above the olecranon process

8

What is seen on the client that suggests breast malignancy

Retraction of the breast

9

What is the CN that is tested by clinching teeth

Trigeminal nerve

10

What kind of assessment is done for a particular problem

Focused

11

When should a clinical breast exam be done

Must be done every 3 years for young adult women

12

What patient has barrel chest

Emphysema patients

13

What is a dysfunction of CN VIII

Vertigo

14

Things look blurry up close

Presbyopia

15

What is a sound heard during auscultating the heart in heart failure patients

S3

16

Slow less than normal

Brady

17

Where is the mitral/apical pulse located

5th ICS, MCL

18

What is a low back pain test

Straight leg test

19

What does documentation promote

Promotes communication between team members

20

When do you use a Doppler

If there is a non-palpable pulse

21

Where is the apex/apices located

Slightly above the clavicles

22

What nerve is for smell

Olfactory
CN 1

23

What is an organ in the left upper quadrant

Spleen

24

What is clear watery drainage from the ear

Cerebrospinal fluid

25

What do u do last in the abdominal assessment

Palpate

26

What infection causes a tender tragus

Otitis externa

27

What pulse do you use to asses for arrhythmias

Apical

28

What is the foundation of the nursing process

Assessment

29

What is a method of interview to explore and investigate symptoms

Skillful

30

When you are verifying a phone order what should you always do before hanging up

Read back the order

31

Decorticate

Internal rotation of the lower extremities

32

What gender and race had the highest risk for hypertension

African American males

33

What can cause pinpoint pupils

Narcotics

34

Migraine

Visual disturbance in prodromal stage

35

What is the most common pulse site

Radial

36

Where is referred rebound tenderness located

Left lower quadrant

37

What test do you put the tuning fork to the mastoid process

Rinne test

38

What is shortness of breath also known as

Dyspnea

39

What test do you use to assess knee swelling

Bulge test

40

If the client has a hip fracture what will they complain if

Thigh pain

41

Normal GSC score

14

42

What is the normal degree of lumbar and thoracic extension

30 degree

43

Macule

Flat non palpable lesion

44

Which organ causes RUQ and shoulder pain

Gallbladder

45

What infection can cause absent bowel sounds

Peritonitis

46

Resonance

Percussed loud
Low pitched
Hollow sound
Normal over lung tissue

47

What should u always rule out when an older client complains of weakness and fatigue

Anemia

48

Kyphosis

Aka hunchback
Common in older adults

49

Vagus nerve dysfunction

Drooling

50

Where do you assess pallor in a dark skinned client

Buccal mucosa

51

What to do when auscultating the thyroid

Have client hold their breath

52

Goniometer

Used to measure angles

53

HIPPA

Maintain privacy and confidentiality

54

What is of priority of carotid assessment

Auscultation

55

Cluster headache

Headache to the eye and temple

56

How do you assess the sinuses

Percuss

57

Arterial insufficiency

Deep circular painful ulcer

58

Objective data

Data that you can directly observe
You can see it smell hear touch measure

59

Consensual response

Aka indirect response
Other pupil constricts when light is shone into eye

60

Cerebellum

Controls balance and coordination

61

Tympany

Predominant sound heard from abdominal percussion
Heard over air

62

What position do COPD patients prefer

Tripod position
Orthopnea

63

Petechiae

Small flat reddish purple macules

64

What score on the GCS indicates the client is in a coma

Score of 7

65

Characteristics of bronchial breathe sounds

Harsh high pitched loud sound