NU 650 Final Exam SG (145 Quizzes) with 100% Verified Answers 2023-2024., Exams of Nursing

Download NU 650 Final Exam SG (145 Quizzes) with 100% Verified Answers 2023-2024. and more Exams Nursing in PDF only on Docsity! NU 650 Final Exam SG (145 Quizzes) with 100% Verified Answers 2023-2024. Order of Assessment - Exact Answer: Inspection, Palpation, Percussion and Auscultation. EXCEPT with abdomen Comprehensive Health History - Exact Answer: chief complaint, reason for visit, ROS, past medical and surgical history, social history and family history Pediatric Body measurements - Exact Answer: length, height, weight, head circumference from birth to 36 months Normal/Hypertension cut off - Exact Answer: <130 normal 140+ hypertension Fontanel Closure - Exact Answer: posterior 1-2 months, anterior 9mo- 2years otoscope - Exact Answer: adult-up and back, peds- down and back, using largest speculum that will fit comfortably tympanic membrane - Exact Answer: Cone of light R-5 l-7 NU 650 Final Exam SG (145 Quizzes) with 100% Verified Answers 2023-2024. EOM testing - Exact Answer: CN III, IV, VI AP diameter of chest - Exact Answer: 1:2 (AP less than transverse) barrel chest - Exact Answer: COPD Flat or Dull percussion - Exact Answer: effusion or pneumonia normal resonant percussion - Exact Answer: healthy lung Hyperresonance (percussion) - Exact Answer: trapped air crackles/rales - Exact Answer: high pitched, discontinuous Wheezes - Exact Answer: high-pitched whistling or squeaking sounds during inspiration or expiration Rhonchi - Exact Answer: snoring, rumbling sounds heard upon auscultation of the chest during respiration-low pitched NU 650 Final Exam SG (145 Quizzes) with 100% Verified Answers 2023-2024. murmur grading scale - Exact Answer: I-Barely Audible II-Quiet, Clearly Audible III-moderately Loud IV-loud, thrill V-Very loud, can palpate thrill VI-Very loud, thrill palpable and visible clubbing - Exact Answer: bulbous enlargement of distal phalanges of fingers and toes that occurs with chronic cyanotic heart and lung conditions edema scale - Exact Answer: 1+ = disappears rapidly. 2+ = last 10-15 seconds. 3+ = lasts more than one minute. 4+ = lasts 2-5 minutes. These are signs used in what scale? normal/abnormal findings spleen - Exact Answer: normal=tympanic, dullness could be enlargement not normally felt on exam Blumberg Sign: Rebound Test - Exact Answer: peritoneal inflammation, hurts more when release from palpation NU 650 Final Exam SG (145 Quizzes) with 100% Verified Answers 2023-2024. shifting dullness - Exact Answer: a sign of free peritoneal fluid wherein the dullness of percussion shifts, generally from one side to the other, as the patient is turned from side to side. Psoas sign - Exact Answer: RLQ pain with extension of right thigh indicative of appendicitis Obturator sign - Exact Answer: RLQ on internal rotation of right thigh indicative of appendicitis assessment of hernia - Exact Answer: pt may report a lump. observe pt while lying and standing, hernia may disappear while lying. ask pt to strain or perform Valsalva maneuver and observe for bulging. absent bowel sounds may indicate strangulation. cardinal signs of Musculoskeletal disease - Exact Answer: pain, erythema, swelling, increased warmth, deformity, loss of function Scoliosis - Exact Answer: abnormal lateral curvature of the spine NU 650 Final Exam SG (145 Quizzes) with 100% Verified Answers 2023-2024. kyphosis - Exact Answer: excessive outward curvature of the spine, causing hunching of the back. Knock-knee (genu valgum) - Exact Answer: Legs curved inward so knees come together as person walks bow-legged - Exact Answer: knees too far apart anatomic snuffbox - Exact Answer: landmark depression on the radial aspect of the dorsal wrist; overlays the scaphoid bone Impingement Sign - Exact Answer: POSITIVE: pain in the shoulder INDICATES: overuse injury to the supraspinatus and possibly biceps tendon Drop Arm Test - Exact Answer: identifies tear and/or full rupture of rotator cuff NU 650 Final Exam SG (145 Quizzes) with 100% Verified Answers 2023-2024. VI. Abducens-EOM VII. Facial-face actions VIII. Vestibulocochlear-hearing IX. Glossopharyngeal-gag, tongue X. Vagus-ahh XI. Accessory-raise shoulders XII. Hypoglossal-ahh Weber test - Exact Answer: Test done by placing the stem of a vibrating tuning fork on the midline of the head and having the patient indicate in which ear the tone can be heard. conductive in lateral side or sensory in opposite Rinne test - Exact Answer: hearing test using a tuning fork; checks for differences in bone conduction and air conduction rinne usually conductive hearing loss Muscle strength scale - Exact Answer: 0 - no movement 1 - flicker of muscle 2 - joint movement, not against gravity NU 650 Final Exam SG (145 Quizzes) with 100% Verified Answers 2023-2024. 3 - moves against gravity, not resistance 4 - moves against resistance, but weak 5 - strong against resistance. *Denominator is always 5.* *Strength is only tested with "normal" movement* pronator drift test - Exact Answer: Have pt stretch out arms with palms facing up and close eyes. Positive if one arm goes downward or drifts. Romberg test - Exact Answer: assesses ability of vestibular apparatus in inner ear to help maintain standing balance Reflex grading scale - Exact Answer: 0= no response, always abnormal 1+ = diminishes/depressed response, may or may not be normal 2+ = active normal response, normal 3+ = Brisk/exaggerated response, may or may not be normal 4+ = Very brisk/hyperactive: abnormal response, always abnormal NU 650 Final Exam SG (145 Quizzes) with 100% Verified Answers 2023-2024. Babinski reflex - Exact Answer: in response to the sole of the foot being stroked, a baby's big toe moves upward or toward the top surface of the foot and the other toes fan out Position sense (proprioception) - Exact Answer: Passively move the great toe up and down by grasping along the sides of the interphalangeal joint only a few mms. and ask patient which direction you are moving the toe Reduced perception (including falsely perceived motion) indicates large- fiber disease or DM Graphesthesia - Exact Answer: ability to recognize writing on the skin purely by the sensation of touch Sterognosis test - Exact Answer: identifying object with eyes closed Two point discrimination test - Exact Answer: provides a measure of receptive field size for touch receptors. NU 650 Final Exam SG (145 Quizzes) with 100% Verified Answers 2023-2024. aortic stenosis murmur - Exact Answer: second right intercostal, crescendo-decrescendo Aortic regurgitation murmur - Exact Answer: early diastolic murmur- high pitched "blowing" Mitral stenosis murmur - Exact Answer: "early to mid diastolic low pitch rumble murmur best heard at apex in left lateral decubitus position. May also have presystolic murmur." Mitral regurgitation murmur - Exact Answer: pansystolic murmur, loudest at the apex with radiation to the axilla MR PASS MVP - Exact Answer: mitral regurgitation, physiologic, aortic stenosis, systolic MS ARD - Exact Answer: Mitral Stenosis Aortic NU 650 Final Exam SG (145 Quizzes) with 100% Verified Answers 2023-2024. Regurgitation Diastolic AS SAD - Exact Answer: Aortic stenosis syncope, angina, dyspnea harsh sounds murmur - Exact Answer: stenosis blowing sounds murmur - Exact Answer: regurgitation Tanner stage girls - Exact Answer: Stage 1-Prepuberty Stage 2-Brest bud(onset of thelarche or breast development) Stage 3-Breast tissue and areola are in one mound Stage 4-Areola/nipples separate and form a secondary mound) Stage 5-Adult pattern Tanner stage Boys - Exact Answer: 1. Prepuberty II. enlargement of scrotum & testes III. lengthening of penis IV. increase in size of penis V. Mature stage NU 650 Final Exam SG (145 Quizzes) with 100% Verified Answers 2023-2024. direct hernia - Exact Answer: inguinal hernia does not extend into scrotum, external ring, most common men over 50 Indirect hernia - Exact Answer: most common goes through internal inguinal ring, most common will touch finger tip, Will extend into scrotum Fibrocystic breast disease - Exact Answer: benign, fluid filled cysts, tender to touch, vary in size with periods, *caffeine may exacerbate* -*estrogen and progesterone dependent* rope like Fibroadenoma - Exact Answer: a round, firm, rubbery mass that arises from excess growth of glandular and connective tissue in the breast Cysts in breast - Exact Answer: Squishy (can move and change in size during menstrual cycle) NU 650 Final Exam SG (145 Quizzes) with 100% Verified Answers 2023-2024. in one direction (elbow) 3. Pivot Joint: Allows turning from side to side (a pivot joint connects the skull to the spine) Ortolani test - Exact Answer: -hip abduction w/a resulting clunk as the head relocates into the joint Allis test - Exact Answer: used to check for hip dislocation in infants by comparing leg lengths. Place on back on the table with feet flat on the table and flex knees up. Looking for uneven/even height of knees. Finkelstein's test - Exact Answer: stretching or lengthening of the thumb tendon to assess the possibility of de Quervain's disease, or tenosynovitis of the thumb tendon Trigger Finger - Exact Answer: Inflammation and thickening of the tendons of the finger makes it difficult to flex or extend the finger, may become stuck and then snap into position Tennis elbow (lateral epicondylitis) - Exact Answer: The extensor muscles of the forearm attach to the lateral epicondyle of humerus NU 650 Final Exam SG (145 Quizzes) with 100% Verified Answers 2023-2024. Overuse or trauma Golfer's Elbow Test - Exact Answer: INSTRUCT: pt seated, ex instructs pt to extend the elbow and supinate the hand; ex instructs pt to flex the wrist against resistance POSITIVE: pain over the medial epicondyle INDICATES: medial epicondylitis radiculopathy - Exact Answer: disease of the nerve roots, compression, weak biceps myelopathy - Exact Answer: cervical cord compression, head to chest shock test Turner's sign - Exact Answer: flank grayish blue (turn around to see your flanks) pancreatitis NU 650 Final Exam SG (145 Quizzes) with 100% Verified Answers 2023-2024. Murphy's sign - Exact Answer: Pain with palplation of gall bladder (seen with cholecystitis) Cullen's sign - Exact Answer: ecchymosis in umbilical area, seen with pancreatitis normal bowel sounds - Exact Answer: high-pitched, gurgling, cascading sounds, occurring irregularly anywhere from 5 to 30 times per minute. Cholecystitis/Cholelithiasis - Exact Answer: cholelithiasis- gallstones Cholecystitis - obstruction of the bile duct-colicky epigastric RUQ pain, right shoulder; after fat meal Appendicitis signs and symptoms - Exact Answer: Pain in the periumbilical area that descends to the right lower quadrant. Rebound tenderness and abdominal rigidity Low-grade fever Elevated WBC Anorexia, nausea and vomiting NU 650 Final Exam SG (145 Quizzes) with 100% Verified Answers 2023-2024. Excoriation - Exact Answer: Skin sore or abrasion produced by scratching or scraping Annular - Exact Answer: ring-shaped Zosteriform - Exact Answer: linear shape of skin lesion along a nerve route teleangiectasia - Exact Answer: Dilation of single small blood vessels in the skin or mucous membranes primary lesions - Exact Answer: Macule (<1cm) & Patch (> 1 cm)flat Papule (<1cm)and Plaque (>1 cm) raised Nodule and Tumor larger and deeper Vesicle and Bulla fluid filled Wheal hives Pustule pus Cyst fluid tonsilar grading - Exact Answer: 1+ visible NU 650 Final Exam SG (145 Quizzes) with 100% Verified Answers 2023-2024. 2+ swollen 3+ touching uvula 4+ touching each other (kissing-ME) visceral pain - Exact Answer: a poorly localized, dull, or diffuse pain that arises from the abdominal organs, or viscera parietal pain - Exact Answer: a localized, intense pain that arises from the parietal peritoneum, the lining of the abdominal cavity referred pain - Exact Answer: pain that is felt in a location other than where the pain originates epigastric pain - Exact Answer: Gerd, pre-ecclampsia, pancreatitis, ulcers Spurling's Test - Exact Answer: cervical radiculopathy NU 650 Final Exam SG (145 Quizzes) with 100% Verified Answers 2023-2024. pelvic inflammatory disease (PID) - Exact Answer: inflammation of organs in the pelvic cavity; usually includes the fallopian tubes, ovaries, and endometrium; most often caused by bacteria signs PID - Exact Answer: Cervical motion tenderness (chandelier sign), purulent dischange May include: salpingitis, endometritis, hydrosalpinx and tubo-ovarian abscesses Salpingitis = risk factor for ectopic pregnancy, infertility, chronic pelvic pain and adhesions enlarged prostate gland - Exact Answer: can enlarge for reasons such as infection, a tumor, or old age. When the gland enlarges, it tends to squeeze the urethra, resulting in frequent or difficult urination right lung lobes - Exact Answer: superior, middle, inferior, upper and middle auscultated anteriorly and laterally