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Final Exam review
Final Exam review
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Review
Flashcards
30 cards
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Practice quiz
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Questions
30
Answers
1
Which of the following is considered an abnormal finding?
Scoliosis in a teenager
Genu valgum (knock-knee) in a 3 year old
Lordosis in a pregnant woman
Kyphosis in an older adult
2
As you educate a 21 yo pt. Which of the following indicates the need for further education?
Even moderate drinking can cause HTN and cardiomyopathy
One 3 oz martini is equal to two standard drinks
As a moderate drinker, there is no risk for breast cancer
I am a moderate drinker, typically one drink every day
3
Cramping in the calves
with walking/activity
x 2 years
Chronic venous
Acute Arterial
Acute venous
Chronic Arterial
4
You are collecting a review of systems (ROS), you know that this is:
A systematic approach to obtaining subjective information
Factual information that incorporates objective information
An important component of the social history
A systematic approach to obtaining objective information
5
The nurse is performing a cardiac exam on a healthy 24 yo. Which of the following is normal and expected?
Bruit
Thrill
Apical impulse
Heaves
6
Which of the following vital signs for an adult patient are considered abnormal, but NOT emergent?
A respiratory rate of 20
A respiratory rate of 12
A respiratory rate of 22
A respiratory rate of 6
7
Feeling a radial pulse would be an assessment for which body system?
Abdomen
Neuro
Cardiovascular/PV
Respiratory
8
2 wk old pt hospitalized x 3 days has erythema on buttocks, what type of database to collect?
Problem- focused
Emergency
Complete
High priority
9
Assessing how much water a client drinks would be part of an assessment for which body system?
Respiratory
Neurological
GI/GU
Musculoskeletal
10
Which of the following is NOT included in a general survey?
Current medication list
LOC
Body odor
Posture
11
A patient's blood pressure is 142/82, what is it classified as?
Normal
Hypertension
Hypotension
Emergent concern
12
What is the first part of every assessment?
Introduction
Health History
General Survey
Vital Signs
13
15 yo boy c/o right quad abdominal pain, dull aching
Referred pain
Neuropathic pain
Somatic pain
Visceral pain
14
Glasgow Coma Scale includes assessment of what 3 areas:
Pupil response, reflexes, pain
Response to fine touch, pain, and position sense
Orientation, Romberg and rapid alternating movements
Eye opening, motor & verbal response to stimuli
15
34 yo male complains of sore throat and generalized myalgias. You expect his lymphnodes to feel
Fixed
Tender
Matted
Unilateral
16
What part of the mental status exam is the Glasgow coma scale checking?
Appearance and hygiene
Cognition
Level of consciousness
Thought processes
17
Having a client squeeze your hands would be an assessment for which body systems?
GI/GU
Abdomen
Neurological
Cardiovascular
18
What cranial nerve is being tested when asking stroke patient to stick out their tongue?
Vagus (CN X)
Hypoglossal (CN XII)
Facial (CN VII)
Spinal Accessory (CN XI)
19
What type of database is most appropriate for an 85-yo female admitted into home health?
Follow-up
Emergency
Complete
Focused
20
Which cranial nerve helps with vision?
Optic
Trochlear
Abducens
Oculomotor
21
Pt has a sore that involves all layers of the skin, bone & slough. What type of pressure injury?
Stage II
Stage III
Stage IV
Stage I
22
What would be abnormal during a pulmonary assessment on an adult pt?
AP transverse diameter of 1:2
Dullness with percussion
Bronchovesicular sounds over the major bronchi
Symmetric tactile fremitus
23
8 month old, stroke plantar side of foot up lateral edge and across the ball of foot, fanning toes
Negative babinski
Positive plantar grasp
Positive babinski
Negative plantar grasp
24
Assess an apical rate for 1 minute for all of the following patients EXCEPT:
An adult with no past medical history
An older female with an irregular HR of 84
An infant
An adult with a HR of 110
25
Which of the following could falsely affect a blood pressure reading:
Deflating the cuff too quickly
Identify and document the first sound as the systolic pressure
Palpating for the brachial artery
Have your patient sit or lie down with bare arm at heart level
26
Red, swollen, achy lower legs after sitting at work all day for the past year
Acute Arterial
Chronic Arterial
Acute Venous
Chronic Venous
27
Which of the following describes objective patient data
When the patient tells the nurse they feel short of breath
A family history
Information that the patient tells the nurse
Data that the nurse assesses and documents such as erythema or fever
28
Which of the following tools helps to assess for Intimate Partner Violence?
CAGE
FLACC
PAIDAD
STAT
29
Testing motor function of CN V- trigeminal, what would you ask patient to do?
Puff out your cheeks
Smile
Shrug shoulders
Clench teeth
30
Which of the following is an
abnormal
neurological exam finding in an older adult?
Brisk 4+ DTRs
Grip strength 5+ bilaterally
Decreased tactile sensation
General slowed response
