Download nurs 190 physical assessment midterm Complete Questions and Correct Answers,. and more Exams Nursing in PDF only on Docsity!
nurs 190 physical assessment midterm
Complete Questions and Correct
Answers,.
insect bites, allergic reactions, and hives are examples of? - Correct
answer wheals
melanoma and hemangioma are examples of? - Correct answer nodules
acne and herpes simplex are examples of? - Correct answer pustules
cystic acne and sebaceous cysts are examples of? - Correct answer cysts
a blister is an example of a? - Correct answer bulla
varicella, shingles, and eczema are examples of? - Correct answer vesicles
a freckle, mole, measles are examples of a? - Correct answer mole
a birthmark or vitiligo are examples of a? - Correct answer patch
a wart, elevated mole, or skin tag are examples of? - Correct answer papule
psoriasis and eczema are examples of? - Correct answer plaque
clear and watery drainage are associated with which type of conjunctivitis? -
Correct answer alergic and viral
thick white green drainage is associated with which type of conjunctivitis? -
Correct answer bacterial
cataracts are cloudiness of the? - Correct answer lens
swelling, edema, and petechiae of the hard and soft palate may indicate an? -
Correct answer infection
green and yellow sinus drainage may indicate? - Correct answer an infection
(sinusitis)
red sinus drainage may indicate? - Correct answer epistaxis
brown sinus drainage may indicate? - Correct answer bronchitis
white sinus drainage may be due to? - Correct answer consumption of dairy
what are some signs of acute otis media? - Correct answer redness, pain,
erythema, bulging, n/v/d if a patient is stating that they feel as if "no one cares about them and that life is not
worth living anymore" what is a therapeutic response? - Correct answer "I
care about you and i'm concerned"
what are the stages of herepes zooster (shingles) - Correct answer 1.
paresthesia
- redness/swelling
- vesicles
- weeping blisters
- crusted lesions 6.postherpic neuralgia
papules in the genital region can also be identified as a? - Correct
answer wart
a "ringworm shape" - Correct answer annular
a person at risk for skin cancer is one who? - Correct answer has had a
previous skin injury uses tanning beds does not wear sunblock
when should a breast exam be conducted? - Correct answer 4-7 days
AFTER menstrual cycle
what happens to the breasts as women age? - Correct answer atrophy,
shrinking, sagging
Supernummerary nipples are found on the? - Correct answer mammary
ridge
a supernummerary nipple is often misdiagnosed as a? - Correct
answer mole
what part of the hands are used to palpate the breasts? - Correct
answer finger pads
the fingerpads are used to assess for? - Correct answer massess,
pulsations, edema, crepitation, and organ size
1+ pitting edema is how deep? - Correct answer 2mm
2+ pitting edema is how deep? - Correct answer 4mm
3+ pitting edema is how deep? - Correct answer 6mm
4+ pitting edema is how deep? - Correct answer 8mm
light palpation is - Correct answer 1cm
what is the normal temperature vital sign range for degrees of celsius? - Correct
answer 36-
a person with a BMI of 24.8 would be classified as? - Correct answer healthy
a person with a BMI of 26 would be classified as? - Correct
answer overweight
a person with a BMI of 11 would be classified as? - Correct
answer hellaaaaaa underweight
a person with a BMI of 32 would be classified as? - Correct answer obese
how do you calculate pack years? - Correct answer take the number of
cigarettes smoked per day then divide it by 20 (cigs in a pack) and then multiply it by how many years they've been smoking
what is the cracking sound of bones rubbing against eachother? - Correct
answer crepitus
vitiligo is an example of? - Correct answer hypopigmentation
a large blister is an example of what type of skin lesion? - Correct
answer bulla
a nail with brown linear streaks can be indicative of? - Correct answer mole
(melanoma)
a rosenbaum chart should be held? It tests? - Correct answer 12-14 inches
away, near vision
which test tests the visual fields? - Correct answer confrontation test
the cover/uncover test, tests? - Correct answer fusion reflex
the rinne's test tests? - Correct answer air conduction vs bone conduction
(reminder: AC > BC)
the whisper and romberg test, test what cranial nerve? - Correct answer VIII
what is hyperopia? - Correct answer farsightedness
what is miosis? - Correct answer pupil constriction
what is an expected pupil size? - Correct answer 3-5?
tonsils occupying less than 25% of the lateral dimension? - Correct
answer 1+
tonsils occupying more than 50% but less than 75% of the lateral dimension? -
Correct answer 3+
what is a sign of gingival hyperplasia? - Correct answer overgrowth of the
tissues
assessment finding of the ears: watery drainage after trauma - Correct
answer skull fracture
a tounge that is smooth, swollen, and dark red indicates a? - Correct
answer vitamin b-12 deficiency
the corneal light reflex tests for? - Correct answer misalignment
What test is the nurse conducting when she shines the light into one eye and compares
the reaction in the other eye? - Correct answer consensual Constriction
What is a unilateral black curtain coming down with the sight of vision a sign of? -
Correct answer detached retina
central vision loss is a sign of? - Correct answer macular degeneration
peripheral vision loss is a sign of? - Correct answer glaucoma
What part of the body is being assessed with the Weber and Rinne test? - Correct
answer ears
which breath sound clears with coughing? - Correct answer rhonci
the size of a vesicle is - Correct answer < 1cm
the size of a macule is - Correct answer <1cm
the size of a patch is - Correct answer >1cm
the size of a papule is - Correct answer <1cm
the size of a bulla is - Correct answer >1cm
the size of a pustule - Correct answer <1cm
how many chambers are in the heart? - Correct answer 4
what are the pumping chambers? - Correct answer ventricles
what are the filling chambers? - Correct answer atria
semilunar valves are the? - Correct answer aortic/pulmonic
atrioventricular valves are? - Correct answer tricuspid and bicuspid (mitral)
Av valves produce what sound? - Correct answer S
Semilunar valves produce what sound? - Correct answer S
S3 sound is early in diastole right after? - Correct answer S
this sound is produced late in diastole? - Correct answer S
bell - Correct answer low pitch sounds
popliteal pulse - Correct answer behind knee
dorsalis pedis - Correct answer on top of the foot
posterior tibialis - Correct answer medial ankle
prominent raising of the PMI - Correct answer heave or lift
when the AV valves close what sound is heard? - Correct answer S1 -
systole
when the SL valves close what sound is heard? - Correct answer S2 -
diastole
this sound refers to stenosis or regurgitation in the heart - Correct
answer murmur
what do you feel for an AV fistula? - Correct answer thrill
what do you listen for an AV fistula? - Correct answer bruit
venous thromboembolism mannifestations - Correct answer warmth, pain,
edema
nursing care for PVD (venous thromboembolism) - Correct answer -elevate
the legs -wear compression socks -no massaging
P wave represents - Correct answer atrial depolarization
QRS segment represents - Correct answer ventricular depolarization
T wave represents - Correct answer ventricular repolarization
visceral pleura covers the? - Correct answer outer surface
parietal pleura covers the? - Correct answer thoracic cavity
how many lobes are on the right lung? - Correct answer 3
how many lobes are on the left lung? - Correct answer 2
regular patterns of deep breathing and apnea? - Correct answer cheyne-
stokes respirations
irregular patterns of deep breathing and apnea - Correct answer ataxia
(biot's) respirations
crepitus indicates that? - Correct answer there is subcutaneous air pockets
fremitus indicates that? - Correct answer there is fluid accumualtion
Both inspiration and expiration duration of sounds are equal. - Correct
answer tracheal breath sounds
he client's inspiration is shorter than the expiration. - Correct
answer bronchial breath sounds
These breath sounds are soft like wind blowing through trees. Vesicular inspiratory
sounds last longer than the expiratory sounds - Correct answer vesicular
breath sounds the standard Anterior Posterior diameter to be______ of the transverse diameter -
Correct answer 1 to 2
this is caused by hyperinflation of the lungs- could be as a result from COPD or the
normal aging process - Correct answer barrel chest
herpes - Correct answer painful fluid-filled vesicles
wart - Correct answer pain-less papule
where is the liver and gallbladder located? - Correct answer RUQ
where is the appendix located? - Correct answer RLQ
where is the spleen located? - Correct answer LUQ
urine less than 100-400mL is called? - Correct answer oliguria
what is costovertebral angle tenderness associated with? - Correct
answer pylenopheritis
ecchymosis over the flank area is known as? - Correct answer grey turner's
sign
bowel sounds are - Correct answer irregular, high-pitched, and last 5-
minutes
stabbing epigastric and umbilical pain is known as? - Correct
answer pancreatits
a positive murphy's sign can indicate - Correct answer cholecystitis
vascular sounds (arteries) are heard best with what side of the stethoscope? -
Correct answer bell
exams to rule out colorrectal cancer - Correct answer FOBT, sigmoidoscopy,
colonoscopy
Accessory Nerve (XI/11) - Correct answer moves head
Olfactory nerve (1) - Correct answer smell
Abducens nerve (VI/6) - Correct answer moves eye
Facial nerve (VII/7) - Correct answer
Hypoglossal nerve (XII/ 12) - Correct answer moves tounge
Vestibulocochlear nerve (VIII/8) - Correct answer hearing balance
optic nerve (2) - Correct answer sight
Vagus nerve (X/10) - Correct answer heart rate and digestion
Oculomotor nerve (III) - Correct answer moves eye, pupil
Trochlear nerve (IV/4) - Correct answer moves eye
Glossopharyngeal (IX/9) - Correct answer taste, swallow
Trigeminal (V/5) - Correct answer facce sensation, chewing
romberg test - Correct answer pt stands feet and arms together closes eyes
for 20 seconds
snellen chart - Correct answer pt covers one eye at a time, read numbers,
20 ft away
rosenbaum test - Correct answer pt covers one eye at a time, read numbers
14 inches from chart near vision
frontal lobe - Correct answer motor control, problem solving, speech
production
temporal lobe - Correct answer auditory processing, language
comprehension, memory/information retrieval
