Final

Question 1

If u have a large pulsating mass above the umbilicus

Answer 1

Emergency

Question 2

What is a sign of the positive Romberg test

Answer 2

Feet move apart

Question 3

Characteristics of the soft palate

Answer 3

Pink moist smooth

Question 4

When do u address pain

Answer 4

Immediately

Question 5

What cranial nerves assesses the gag reflex

Answer 5

Assessment of CN IX and X

Question 6

What do u want to look for when assessing mental status

Answer 6

Memory
Speech
Reasoning
Judgment

Question 7

Where do you percuss the triceps reflex

Answer 7

Percuss above the olecranon process

Question 8

What is seen on the client that suggests breast malignancy

Answer 8

Retraction of the breast

Question 9

What is the CN that is tested by clinching teeth

Answer 9

Trigeminal nerve

Question 10

What kind of assessment is done for a particular problem

Answer 10

Focused

Question 11

When should a clinical breast exam be done

Answer 11

Must be done every 3 years for young adult women

Question 12

What patient has barrel chest

Answer 12

Emphysema patients

Question 13

What is a dysfunction of CN VIII

Answer 13

Vertigo

Question 14

Things look blurry up close

Answer 14

Presbyopia

Question 15

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

Answer 15

S3

Question 16

Slow less than normal

Answer 16

Brady

Question 17

Where is the mitral/apical pulse located

Answer 17

5th ICS, MCL

Question 18

What is a low back pain test

Answer 18

Straight leg test

Question 19

What does documentation promote

Answer 19

Promotes communication between team members

Question 20

When do you use a Doppler

Answer 20

If there is a non-palpable pulse

Question 21

Where is the apex/apices located

Answer 21

Slightly above the clavicles

Question 22

What nerve is for smell

Answer 22

Olfactory

CN 1

Question 23

What is an organ in the left upper quadrant

Answer 23

Spleen

Question 24

What is clear watery drainage from the ear

Answer 24

Cerebrospinal fluid

Question 25

What do u do last in the abdominal assessment

Answer 25

Palpate

Question 26

What infection causes a tender tragus

Answer 26

Otitis externa

Question 27

What pulse do you use to asses for arrhythmias

Answer 27

Apical

Question 28

What is the foundation of the nursing process

Answer 28

Assessment

Question 29

What is a method of interview to explore and investigate symptoms

Answer 29

Skillful

Question 30

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

Answer 30

Read back the order

Question 31

Decorticate

Answer 31

Internal rotation of the lower extremities

Question 32

What gender and race had the highest risk for hypertension

Answer 32

African American males

Question 33

What can cause pinpoint pupils

Answer 33

Narcotics

Question 34

Migraine

Answer 34

Visual disturbance in prodromal stage

Question 35

What is the most common pulse site

Answer 35

Radial

Question 36

Where is referred rebound tenderness located

Answer 36

Left lower quadrant

Question 37

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

Answer 37

Rinne test

Question 38

What is shortness of breath also known as

Answer 38

Dyspnea

Question 39

What test do you use to assess knee swelling

Answer 39

Bulge test

Question 40

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

Answer 40

Thigh pain

Question 41

Normal GSC score

Answer 41

14

Question 42

What is the normal degree of lumbar and thoracic extension

Answer 42

30 degree

Question 43

Macule

Answer 43

Flat non palpable lesion

Question 44

Which organ causes RUQ and shoulder pain

Answer 44

Gallbladder

Question 45

What infection can cause absent bowel sounds

Answer 45

Peritonitis

Question 46

Resonance

Answer 46

Percussed loud Low pitched Hollow sound Normal over lung tissue

Question 47

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

Answer 47

Anemia

Question 48

Kyphosis

Answer 48

Aka hunchback | Common in older adults

Question 49

Vagus nerve dysfunction

Answer 49

Drooling

Question 50

Where do you assess pallor in a dark skinned client

Answer 50

Buccal mucosa

Question 51

What to do when auscultating the thyroid

Answer 51

Have client hold their breath

Question 52

Goniometer

Answer 52

Used to measure angles

Question 53

HIPPA

Answer 53

Maintain privacy and confidentiality

Question 54

What is of priority of carotid assessment

Answer 54

Auscultation

Question 55

Cluster headache

Answer 55

Headache to the eye and temple

Question 56

How do you assess the sinuses

Answer 56

Percuss

Question 57

Arterial insufficiency

Answer 57

Deep circular painful ulcer

Question 58

Objective data

Answer 58

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

Question 59

Consensual response

Answer 59

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

Question 60

Cerebellum

Answer 60

Controls balance and coordination

Question 61

Tympany

Answer 61

Predominant sound heard from abdominal percussion | Heard over air

Question 62

What position do COPD patients prefer

Answer 62

Tripod position | Orthopnea

Question 63

Petechiae

Answer 63

Small flat reddish purple macules

Question 64

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

Answer 64

Score of 7

Question 65

Characteristics of bronchial breathe sounds

Answer 65

Harsh high pitched loud sound