Health assessment test 4

Expected findings of musculoskeletal exam of young adult client (select all)

What is stereognosis?

Client reporting internal rotation of the right shoulders may affect ability to perform what activities?

What are the expected natural curves of the spine?

This is called a goniometer

Newborn liver takes up more space and may extend 2cm. (3/4 in) below rib cage

What nerve should the nurse test for a stroke patient starting on solid foods (select all that apply)

Abdominal distention with protrusion at midline, skin area is taut, no involvement of flanks. Which cause of distention

What spinal abnormality is common in older clients with osteoporosis?

Kernig’s sign (straighten leg against resistance) and Brudzinski’s sign ( nuchal rigidity) are 2 tests for meningitis?

What are the functions of cranial nerve IX 9 (select all that apply)

What is a cause of hypoactive bowel sounds? (Select all that apply)

cranial nerve 8 CNVIII is associated with peristalsis?

For a client complaining of abdominal pain, what are questions you would ask during assessment? (Select all that apply)

What is the main function of the hypothalamus? (Select all that apply)

What are abnormal findings for PERLLA? (Select all that apply)

Newborn bladder is located about the symphysis pubis

Name primitive reflexes seen in newborn infants (select all that apply)

Auscultate and percuss thorax as a part of a comprehensive exam, what is expected findings ?

What are the 3 items the Cincinnati Prehospital Stroke Scale measures: (select all that apply)

Name all the cranial nerve associated with taste

A client experiencing sudden behavioral changes after a head injury likely injured what area of the brain?

Name all the cranial nerves associated with taste (select all that apply)

Structures functions of the abdomen

Unexpected client findings would be concave lumbar and spine posteriorly

Tympany/high pitch clicks are unexpected findings while you auscultate for abdomen comprehensive physical?

What does PQRST stand for?

Stethoscope at left midclavicular line at 5th intercostal space is attempting to auscultate what? Select all

Which cranial nerve is associated with peristalsis

Asian people generally have a larger stature.

Hyper extension for your neck is 55° back

In older adults the nipples become smaller, flatter, breasts are softer and more pendulous, nipple inversion, shrinkage

It is unexpected to find an adolescent with muscles slightly larger on dominant side

Caucasian people have higher risks for osteoporosis

What is part of the physical assessment of musculoskeletal ( select all that apply)

What musculoskeletal change is seen in pregnant women during the last trimester?

A client experiences sudden behavioral changes after a head injury. The temporal lobe of the brain is likely injured?

What type of joint is this?

Typical bowel sounds

The nurse is using a goniometer as part of the musculoskeletal assessment. The goniometer is best for assessing:

What test confirms osteoporosis?

Expected drum like percussion sound over the abdomen. Indicates air in the stomach = Tympany

To auscultate mitral valve, place diaphragm over apex, on the left midclavicular line at 5th intercostal space

Which finding would alert the nurse that a patient had a balance problem?

Assessing neurological system, ask them to close eyes and identify which of the following items?

Expected breath sound, med pitch intensity, equal inspiration and expiration times, can expect to hear over large airway

Which part of the brain is responsible for coordination and balance?

Where would you expect a client to have pain with pancreatitis? (Select all that apply)

Shoulder shrug test, tests cranial nerve 11 (CN XI )

What structure is located in the right upper quadrant of the abdomen?

A client experiences sudden behavioral changes after a head injury. The frontal lobe of the brain is likely injured.

What type of joint is this?

Aging clients experience loss of touch sensation, hearing taste and smell, fine finger and reflex and motor response

Neurological exam expected finding in aging adult (select all)

What are 2 tests for meningitis?

In the infant the cranium is much more elongate and bulbous, with large frontal and parietal (side) prominences

What type of joint is this?

Inward curvature of the spine in the lower back is identified as lordosis

The expected percussion sound over thorax, hollow sound that indicates air in lungs= resonance

Focused musculoskeletal assessment has what properties

Sudden & severe headache, unilateral weakness, expressive aphasia, & blurred vision. Are expected finding with stroke.

Typical bowel sounds are heard about how many times per min?

Cullen sign is superficial bruising in the subcutaneous fat around the umbilicus?

What type of joint is this?

What are the functions of cranial nerve IX? (CN 9) (select all that apply)

Which range of motion can the knee perform? (Select all that apply)

What abdominal region(s) is the epigastric in? (Select all that apply)

Newborn liver takes up less space in the abdomen and may extend 2.5 inches

A nurse is preparing to perform a breast exam on an older adult who is post menopausal. What’s expected? (Select all)

What is a standardized, objective assessment tool for testing level of consciousness?

The cerebellum is the part of the brain is responsible for coordination and balance?

Used to test client balance (select all)

What type of joint is this?

The nurse is performing the Romberg test and instructs the client to

What type of joint is this?

What are expected findings for a client with stroke?

The school nurse is assessing a student for scoliosis. Which position is best for assessing scoliosis?

What are the 3 categories measured in the Glasgow Coma Scale:

What are the abdominal shapes

African Americans have a greater bone density

What would you expect if a patient reports abdominal pain with abdominal distention and no bowel movement for 5 days?

What nerve should the nurse test for a stroke patient starting on solid food?

the Vagus cranial nerve X is associated with peristalsis

Obstruction suspected: if a patient reports abdominal pain with abdominal distention and no bowel movement for 5 days?

Describe hyperactive bowel sounds

If sounds persist for over 3 seconds it describe hyperactive bowel sounds

Protrusion is mainly midline and there is no change in flanks

If a client has a distended abdomen with enlarged veins, what condition do you suspect?

Cincinnati Prehospital stroke scale measures what 3 items