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NUR 500 Health Assessment Final Exam Dr. Bolden
LATEST 2024 - 2025 QUESTION WITH ANSWERS GRADED
A+ (MSJ)
Generalized Anxiety Disorder Scale when asked a variety of questions about anxiety in the past two weeks: 0 - not at all 1 - several days 2 - more than half the days 3 - nearly every day scores of 5, 10, or 15 total for the 7 questions shows mild, moderate, or severe anxiety Patient Health Questionnaire (for Depression) when asked a variety of questions about depression symptoms in the past 2 weeks: 0 - not at all 1 - several days
2 - more than half the days 3 - nearly every day scores of 5 to 20 total for the 9 questions suggests mild to severe depression Brainpower Read More Levels of Consciousness 1 - alert: awake; fully aware of stimuli and reacts appropriately 2 - lethargic: not fully alert; can be aroused with normal voice 3 - obtunded: sleeps most of the time; difficult to arouse; needs constant stimuli 4 - semi-coma: spontaneously unconscious; responds only to vigorous shake/voice 5 - coma: completely unconscious; no response to pain or other stimuli Normal Pupil Size 3 - 5 mm
Strength 5 - full ROM against resistance 4 - full ROM against some resistance 3 - full ROM with gravity 2 - full ROM with no gravity 1 - slight contraction 0 - no contraction Reflexes 4+ very brisk; hyperactive; indicative of disease 3+ brisker than normal; might be disease 2+ average, normal 1+ diminished; only with reinforcement 0 no response CN I
- smell CN II
- optic nerve
- sight CN III
- oculomotor nerve
- opening eyelids
- pupil constriction/lens shape CN IV
- trochlear nerve
- down and inward movement of eye CN V
- trigeminal nerve
CN IX
- glossopharyngeal nerve
- phonation and swallowing
- taste on posterior tongue/gag reflex
- parotid gland CN X
- vagus nerve
- talking and swallowing
- general sensation from carotid
- carotid reflex CN XI
- spinal accessory nerve
- movement of shoulders CN XII
- hypoglossal nerve
- movement of tongue Borborygmi loud, gurgling bowel sounds signaling increased motility or hyperperistalsis; occurs with early bowel obstruction, gastroenteritis, diarrhea Pyrosis heartburn Hypoactive underactive Hyperactive overly active Protuberant seen when the abdomen has a convex shape; can indicate distention
Splenomegaly abnormal enlargement of the spleen Peristalsis the process of wave-like muscle contractions of the alimentary tract that moves food along Dysmenhorrhea painful menstruation Kyphosis excessive outward curvature of the spine, causing hunching of the back. Ascites abnormal accumulation of fluid in the abdomen
Nocturia excessive urination at night Phimosis stenosis or narrowing of foreskin so that it cannot be retracted over the glans penis Hematemesis blood in vomit Striae silvery white or pink scar tissue formed by stretching of abdominal skin as with pregnancy or obesity Dysphagia difficulty swallowing
Hesitancy difficulty initiating urination Stress Incontinence state in which the person experiences a loss of urine of less than 50 mL that occurs with increased abdominal pressure; can be due to activities such as running Hypogonadism the condition of deficient secretion of hormones by the sex glands Stricture an abnormal narrowing of a body passage, especially a tube or a canal Rugae the folds in the mucosa lining the vagina; these folds allow for the expansion needed during childbirth
Superficial Veins veins located near the body surface Epispadias congenital defect in which the urethra opens on the upper side of the penis near the glans penis instead of the tip Nocturnal Enuresis urinary incontinence during sleep Paraphimosis painful constriction of glans by retracted foreskin Hypospadias congenital abnormality in which the male urethral opening is on the undersurface of the penis, instead of at its tip
Seasonal Allergic Rhinitis caused by inhalation of allergen; results in edema and nasal mucosa irritation Tooth Caries an infectious condition that deteriorates the structure of teeth; the most common result is a cavity Candidiasis white, cheesy, curdlike patch on buccal mucosa due to superficial fungal infection Acute Tonsillitis viral or bacterial infection that causes inflammation of the tonsils Gynecomastia development of breast tissue in males
Peau d'Orange conditions in which the skin is dimpled, resembling the skin of an orange; specifically seen on the breasts as a sign of cancer or edema Diastole when the heart relaxes and fill up with blood Systole when the heart contracts and pumps blood from the ventricles into the pulmonary and systemic arteries Cardiac Output the amount of blood pumped by the heart per minute; equal to the stroke volume x the number of beats per minute Cyanosis a bluish discoloration of the skin resulting from poor circulation or inadequate oxygenation of the blood
Edema puffy swelling of tissue from the accumulation of fluid Carotid Bruit turbulent blood flow heard as a whooshing sound with auscultation over the carotid artery due to narrowing or plaque Tachycardia abnormally rapid heartbeat; usually over 100 bpm Bradycardia abnormally slow heart rate; usually under 60 bpm Central Venous Pressure venous blood pressure within the right atrium that influences the pressure in the large peripheral veins
Point of Maximum Impulse place on the chest wall where heart pulsations are most strongly felt Thrill palpable vibration on the chest wall accompanying strong heart murmurs Pulse Deficit difference between the apical and radial pulse rates; must be larger than 2 bpm to be considered a deficit Murmur a blowing, swooshing sound that occurs with turbulent blood flow in the heart or great vessels Sinus Arrthymia a heart rhythm that varies with respiration
