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Health Assessment > Final Review > Flashcards

Final Review Flashcards

1
Q

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

A

Auscultation

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2
Q

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

A

Be silent and allow the patient to continue

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3
Q

The most common site of breast cancer is

A

Tail of Spence

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4
Q

What is hematemesis

A

vomiting blood

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5
Q

Which body part would induce sharp pain at CVA

A

Kidneys

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6
Q

When auscultating the heart what does the first number represent

A

Systole caused by closure of the AV valves

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7
Q

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

A

Brachial

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8
Q

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

A

Convergence of Axis

Constriction of Pupils

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9
Q

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

A

Crackles

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10
Q

The correct method to use when auscultating the thorax is

A

Side to Side

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11
Q

What area in the nervous system is responsible for mediating reflexes

A

Spinal Cord

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12
Q

Babinski Reflex

A

Adult - Abnormal

Infant - Expected as primal reflex

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13
Q

Signs of head injury

A

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

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14
Q

Musical whistle during lung auscultation

A

Wheezing

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15
Q

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

A

Gallbladder

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16
Q

Pill-rolling is common with which disease

A

Parkinson’s

17
Q

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

A

Tell me what you mean by your concerns

18
Q

Which CN is responsible for light touch sensations?

A

V

19
Q

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

A

patient concerns or unexpected findings in general screening

20
Q

Where do you listen for S1

A

APEX

21
Q

What does S1 sound like

A

LUB

22
Q

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

A

Malnutrition

23
Q

How long would you auscultate before concluding bowel sounds are absent

A

5 minutes

24
Q

Mental status exam is

A

non-quantifiable and is evaluated indirectly

25
Q

Testicular Cancer is

A

Curable

4x more likely to occur in white males

26
Q

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

A

Hyperreflexia

27
Q

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

A

Murphy’s sign

28
Q

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

A

Positive Romberg sign

29
Q

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

A

Complete neurologic examination

30
Q

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

A

Do you have any warning signs before your seizure starts?

31
Q

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

A

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

32
Q

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

A

Sensory, Motor, Both

33
Q

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

A

Afferent: away
Efferent: to

34
Q 
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
A

VII’s motor

35
Q 
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
A

Parkinson’s Disease

Health Assessment (4 decks)

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