Final Review

Question 1

After inspection of the abdomen which should the nurse do next?

Answer 1

Auscultation

Question 2

A patient is pausing frequently during an interview, what should the nurse do next?

Answer 2

Be silent and allow the patient to continue

Question 3

The most common site of breast cancer is

Answer 3

Tail of Spence

Question 4

What is hematemesis

Answer 4

vomiting blood

Question 5

Which body part would induce sharp pain at CVA

Answer 5

Kidneys

Question 6

When auscultating the heart what does the first number represent

Answer 6

Systole caused by closure of the AV valves

Question 7

What is the main artery that supplies the arm with the most blood supply

Answer 7

Brachial

Question 8

What is the normal finding when assessing a patients eyes for accommodation response:

Answer 8

Convergence of Axis

Constriction of Pupils

Question 9

When listening to a patient’s lungs, there are adventitious short popping/crackling sounds upon inspiration that is not cleared through coughing

Answer 9

Crackles

Question 10

The correct method to use when auscultating the thorax is

Answer 10

Side to Side

Question 11

What area in the nervous system is responsible for mediating reflexes

Answer 11

Spinal Cord

Question 12

Babinski Reflex

Answer 12

Adult - Abnormal

Infant - Expected as primal reflex

Question 13

Signs of head injury

Answer 13

Lack of light reflex, dilation, increased intercranial pressure on cranial nerves

Question 14

Musical whistle during lung auscultation

Answer 14

Wheezing

Question 15

Murphy’s sign in the abdomen is indicative of which enlarged organ

Answer 15

Gallbladder

Question 16

Pill-rolling is common with which disease

Answer 16

Parkinson’s

Question 17

Which of the following assessments would be an appropriate response to a patient?
Why did you wait so long
If I were you I would have the surgery
Tell me what you mean by your concerns

Answer 17

Tell me what you mean by your concerns

Question 18

Which CN is responsible for light touch sensations?

Answer 18

V

Question 19

Who would the nurse need to do a COMPLETE neuro exam on

Answer 19

patient concerns or unexpected findings in general screening

Question 20

Where do you listen for S1

Answer 20

APEX

Question 21

What does S1 sound like

Answer 21

LUB

Question 22

Patient comes in with dry flaky skin, bleeding gums, spoon-shaped nails and appears irritable. What conclusion would you draw?

Answer 22

Malnutrition

Question 23

How long would you auscultate before concluding bowel sounds are absent

Answer 23

5 minutes

Question 24

Mental status exam is

Answer 24

non-quantifiable and is evaluated indirectly

Question 25

Testicular Cancer is

Answer 25

Curable | 4x more likely to occur in white males

Question 26

Upper motor neuron lesion (such as CVA) will elicit what physical finding

Answer 26

Hyperreflexia

Question 27

What examination tool would a nurse use to isolate cholecystitis from gallbladder inflammation

Answer 27

Murphy's sign

Question 28

When the nurse asks a 68 yr old patient to stand with feet together and arms at his side with his eyes closed, he starts to sway and move his feet farther apart. The nurse would document this finding as

Answer 28

Positive Romberg sign

Question 29

A 50 yr old woman is in the clinic for weakness in her left arm and leg that she has noticed for the past week. The nurse should perform which type of neurologic exam

Answer 29

Complete neurologic examination

Question 30

When taking the history on patient with a seizure disorder, the nurse assesses whether the patient has an aura. How should the nurse pose this question

Answer 30

Do you have any warning signs before your seizure starts?

Question 31

Oh, Oh, Oh, To Touch And Feel Virgin Girls' Vaginas And Hymens

Answer 31

Olfactory, Optic, Oculomotor, Trochlear, Trigeminal, Abducens, Facial, Vestibulocochlear, Glossopharyngeal, Vagus, Accessory, Hypoglossal

Question 32

Some Say Marry Money, But My Brother Says Big Boobs Matter Most

Answer 32

Sensory, Motor, Both

Question 33

Which statement is correct of the Peripheral Nervous System: The CN enter through the spinal cord Efferent fibers carry sensory input to central through spinal cord Peripheral nerves are inside the CNS Peripheral nerves carry input to the CNS by afferent fibers

Answer 33

Afferent: away Efferent: to

Question 34

``` During an assessment of the CNs, the nurse finds the following: asymmetry of smile/frown, uneven eyebrow lift, lower lid sag, and air escape of puff cheeks. Which CN do these findings show as dysfunctional: IV's motor VII's motor XI's motor and sensory VII's sensory and X's motor ```

Answer 34

VII's motor

Question 35

``` During an assessment of a 62 yr old man the nurse notices the pt has a stopped posture, shuffling walk with short steps, flat facial expression, and pill-rolling finger moverments. These findings are consistent with: Parkinsonism Cerebral Palsy Cerebellar Ataxia Muscular Dystrophy ```

Answer 35

Parkinson's Disease