Nurs 264 Exam 3

Which respiratory sign would you see in an overly sedated patient?

which breath sound are you most likely to hear with atelectasis?

Which of the following indicates type 1 resp failure?

When assessing a patient with a TBI you notice uncoordinated movement of the extremities. How would you document this?

P wave represents

What is the purpose of the blood brain barrier?

What is important when obtaining a hx of a neuro patient?

Paralysis of lateral gaze indicates a lesion of cranial nerve

The nurse is assessing the patient's patellar reflex. What is the purpose of this exam?

What question by the RN is most appropriate to further assess the cause of a cough?

During a musculoskeletal assessment, which of the following determine the pt's muscle strength

An elderly client reports feelings of dyspnea with normal ADLs. What is an appropriate action by the nurse?

the pt. is expected to have a brain tumor and is going for a CT. What should the nurse do to prepare the pt. for CT?

Which is the proper nursing action when testing visual acuity?

Which of the following is NOT a cardinal sign of a musculoskeletal injury?

which of the following indicates type II resp failure?

If adventitious sounds are heard, which of the following would the nurse do first?

How long does ventricular depolarization and repolarization last on an ECG (QT inverval)

When evaluating the concept of gas exchange, the movement of O2 and CO2 would best be described as

The nurse has to conduct the physical assessment of a pt. with a traumatic injury. How should he or she begin?

Interpret oxygen status: pH 7.48, PCO2 31, PO2 68, HCO3 24. O2 sat 84

What is the normal range for the PR interval?

intrepret this rhythm: the patient has no pulse or bp

Which of the following is the best indicator of the patient's oxygenation?

The nurse documented a patient diagnosed with a head injury has a GCS of 7. How is this interpreted?

Your comatose patient develops a fixed and dilated pupil, this is due to

Normal QRS intervals last

A patient who has a neurologic disease that affects the pyramidal tract is likely to manifest from which signs?

You are assessing for the development of airway edema. Which would be an expected finding?

QRS represents

Auscultation reveals audible wheezing. What pathological phenomenon underlies wheezing?

How do you assess the accessory nerve?

The finding of what on a chest x-ray would indicate a pneumothorax?

this test looks at nerve conduction to muscle

A patient has been admitted with bronchitis, has high CO2 levels and is on O2. What priority assessment is needed?

When percussing the anterior chest for tone, a nurse should anticipate what tone over the majority of the lung fields?

A male patient is having a tonic-clonic seizure. What should the nurse do first?

Due to their inability to describe injuries, this group may need entire skeletal xrays?

There are _________ cranial nerves

Your patient is having an EMG in the morning. What should you do to prepare your patient?

When reading an ECG, five small boxes are equivalent to ____ secs and thirty large boxes are equal to ____sec

Which of the following is not part of a work breathing assessment?

Which is not a results of the parasympathetic nervous system?

Identify this rhythm

Which of the following is an example of an adventitious breath sound?

Auscultated: a low-pitched, bubbling, moist sounds from early inspiration to early expiration. The RN would document: