NUR 106 COMPREHENSIVE EXAM ACTUAL QUESTIONS
AND SOLUTIONS GRADED A+
✔✔Right Upper Quadrant Organs - ✔✔Liver, Gallbladder, Pylorus, Duodenum, Head of
Pancreas, (R) kidney and adrenal gland, Hepatic flexure of the colon, Section of the
ascending and transverse colon
✔✔Right Lower Quadrant Organs - ✔✔Appendix, cecum, lower pole of kidney, (R)
ureter, (R) ovary, (R) fallopian tube, (R) spermatic cord
✔✔Left Lower Quadrant Organs - ✔✔sigmoid colon, section of the descending colon,
lower pole of (L) kidney, (L) ureter, (L) ovary, (L) fallopian tube, (L) spermatic cord
✔✔Left Upper Quadrant Organs - ✔✔(L) lobe of liver, Stomach, Spleen, Body of
pancreas, portion of (L) kidney and adrenal gland, Section of the transverse and
descending colon (splenic flexure of colon)
✔✔Midline Quadrant - ✔✔aorta, uterus (if enlarged), bladder (if distended)
✔✔lordosis - ✔✔abnormal anterior curvature of the lumbar spine (sway-back condition)
✔✔kyphosis - ✔✔excessive outward curvature of the spine, causing hunching of the
back.
✔✔Scoliosis - ✔✔lateral curvature of the spine; S-shaped curvature
✔✔Gibbus - ✔✔a sharp, angular deformity associated with a collapsed vertebra due to
osteoporosis
✔✔adventitious breath sounds - ✔✔Abnormal breath sounds such as wheezing, stridor,
rhonchi, and crackles.
✔✔crackles (rales) - ✔✔Short and intermittent clicking, rattling, or popping sounds
heard during inhalation when air is forced through an airway narrowed by fluid.
✔✔Rhonchi (sonorous wheeze) - ✔✔Sonorous or coarse; snoring quality
Low-pitched, continuous sounds
Auscultated during inspiration and expiration
Coughing may clear the sound somewhat
Air passing through or around secretions
✔✔wheezes - ✔✔continuous, high-pitched squeak or musical sound made as air moves
through narrowed or partially obstructed airway passages
,✔✔stridor - ✔✔strained, harsh, loud, high-pitched sound heard on inspiration caused by
obstruction in the pharynx or larynx
✔✔pleural friction rub - ✔✔localized grating or creaking sound caused by the rubbing
together of inflamed parietal and visceral pleurae
✔✔Ausculatate the chest - ✔✔- use diaphragm of stethescope
•Posterior and
anterior
•Breath Sounds
•Normal
•Adventitious
•Voice Sounds
✔✔Mnemonic for 5 points of heart sounds - ✔✔All
People
Enjoy
Time
Magazine
✔✔Pulses grade strength - ✔✔0 absent
1+ weak
2+ normal
3+ bounding
✔✔What pulse is assessed bilaterally but not at the same time? - ✔✔Carotid
✔✔skin lesions - ✔✔Macule - flat, nonpalpable (freckle, petechia)
Papule - PALPABLE, solid elevation of skin (elevated nevus)
Nodule - elevated solid mass, deeper and firmer than papule (wart)
Tumor - solid mass deep in subcutaneous tissue (epithelioma)
Wheal - irregularly shaped, elevated area (hive, mosquito bite
Vesicle - elevation of skin with serous (clear) fluid
Pustule - similar to vesicle but filled with pus (acne)
Ulcer - deep loss of skin (venous statis ulcer)
Atophy - thinning of skin
, ✔✔Transfer types - ✔✔-Stand-pivot: individual stands and turns to transfer surface
-Pop-over or seated sitting: a full stand position is not required and is used for those
with decreased endurance and/or weight bearing precautions
-Sliding board for those who are not able to stand to transfer (ie. individuals with spinal
cord injuries or amputations): 1) board is placed under individual's gluteal region during
a weight shift, while the other end of board is placed on surface being transferred to 2)
individual then uses upper extremities to push buttocks up and "slide" over to transfer
surface 3) if the individual uses a tenodesis grasp or splint for functional activities, the
person should weight bear on clenched fists with wrists extended
-Dependent: caregiver is required to fully perform the transfer
-Mechanical lift: use of ceiling lift, track lift, Hoyer lift or trans-aid
-Use of adaptive or mobility devices: 1) bed transfer aids (trapeze; bedrail) 2) bath
transfer aids (grab bars; active-aid commode, a commode with small wheels to allow
transfer to bathroom and shower stall when otherwise not possible) 3) beside or 3-in-1
commode 4) ambulatory devices (ie. canes, walkers) 5) wheelchairs (ie. removable
arms, swing arms, leg rests)
-Chair lifts: chair with power control to allow elevation from surface for individuals who
may otherwise not be able to transfer independently
✔✔Increased effects of immobility - ✔✔Respiratory secretions
atelectasis
respiratory congestion
cardiac workload
orthostatic hypotension
venous thrombosis
✔✔Decreased effects of immobility - ✔✔Muscle strength, muscle tone, muscle size
Joint mobility and flexibility
ventilatory effort
appetite
constipation
urination
endurance
✔✔Braden Scale - ✔✔Pressure ulcers
lower the number, higher the risk
4-23
less than 17 = risk for pressure ulcers
✔✔Assistive devices for walking - ✔✔- Walkers
- Canes
- Crutches (Measuring, Crutch gait, Ascend and descend stairs, Sitting in a chair)
✔✔How do you check tympanic temperature on adult and child? - ✔✔Adults= pull the
pinna up and back
AND SOLUTIONS GRADED A+
✔✔Right Upper Quadrant Organs - ✔✔Liver, Gallbladder, Pylorus, Duodenum, Head of
Pancreas, (R) kidney and adrenal gland, Hepatic flexure of the colon, Section of the
ascending and transverse colon
✔✔Right Lower Quadrant Organs - ✔✔Appendix, cecum, lower pole of kidney, (R)
ureter, (R) ovary, (R) fallopian tube, (R) spermatic cord
✔✔Left Lower Quadrant Organs - ✔✔sigmoid colon, section of the descending colon,
lower pole of (L) kidney, (L) ureter, (L) ovary, (L) fallopian tube, (L) spermatic cord
✔✔Left Upper Quadrant Organs - ✔✔(L) lobe of liver, Stomach, Spleen, Body of
pancreas, portion of (L) kidney and adrenal gland, Section of the transverse and
descending colon (splenic flexure of colon)
✔✔Midline Quadrant - ✔✔aorta, uterus (if enlarged), bladder (if distended)
✔✔lordosis - ✔✔abnormal anterior curvature of the lumbar spine (sway-back condition)
✔✔kyphosis - ✔✔excessive outward curvature of the spine, causing hunching of the
back.
✔✔Scoliosis - ✔✔lateral curvature of the spine; S-shaped curvature
✔✔Gibbus - ✔✔a sharp, angular deformity associated with a collapsed vertebra due to
osteoporosis
✔✔adventitious breath sounds - ✔✔Abnormal breath sounds such as wheezing, stridor,
rhonchi, and crackles.
✔✔crackles (rales) - ✔✔Short and intermittent clicking, rattling, or popping sounds
heard during inhalation when air is forced through an airway narrowed by fluid.
✔✔Rhonchi (sonorous wheeze) - ✔✔Sonorous or coarse; snoring quality
Low-pitched, continuous sounds
Auscultated during inspiration and expiration
Coughing may clear the sound somewhat
Air passing through or around secretions
✔✔wheezes - ✔✔continuous, high-pitched squeak or musical sound made as air moves
through narrowed or partially obstructed airway passages
,✔✔stridor - ✔✔strained, harsh, loud, high-pitched sound heard on inspiration caused by
obstruction in the pharynx or larynx
✔✔pleural friction rub - ✔✔localized grating or creaking sound caused by the rubbing
together of inflamed parietal and visceral pleurae
✔✔Ausculatate the chest - ✔✔- use diaphragm of stethescope
•Posterior and
anterior
•Breath Sounds
•Normal
•Adventitious
•Voice Sounds
✔✔Mnemonic for 5 points of heart sounds - ✔✔All
People
Enjoy
Time
Magazine
✔✔Pulses grade strength - ✔✔0 absent
1+ weak
2+ normal
3+ bounding
✔✔What pulse is assessed bilaterally but not at the same time? - ✔✔Carotid
✔✔skin lesions - ✔✔Macule - flat, nonpalpable (freckle, petechia)
Papule - PALPABLE, solid elevation of skin (elevated nevus)
Nodule - elevated solid mass, deeper and firmer than papule (wart)
Tumor - solid mass deep in subcutaneous tissue (epithelioma)
Wheal - irregularly shaped, elevated area (hive, mosquito bite
Vesicle - elevation of skin with serous (clear) fluid
Pustule - similar to vesicle but filled with pus (acne)
Ulcer - deep loss of skin (venous statis ulcer)
Atophy - thinning of skin
, ✔✔Transfer types - ✔✔-Stand-pivot: individual stands and turns to transfer surface
-Pop-over or seated sitting: a full stand position is not required and is used for those
with decreased endurance and/or weight bearing precautions
-Sliding board for those who are not able to stand to transfer (ie. individuals with spinal
cord injuries or amputations): 1) board is placed under individual's gluteal region during
a weight shift, while the other end of board is placed on surface being transferred to 2)
individual then uses upper extremities to push buttocks up and "slide" over to transfer
surface 3) if the individual uses a tenodesis grasp or splint for functional activities, the
person should weight bear on clenched fists with wrists extended
-Dependent: caregiver is required to fully perform the transfer
-Mechanical lift: use of ceiling lift, track lift, Hoyer lift or trans-aid
-Use of adaptive or mobility devices: 1) bed transfer aids (trapeze; bedrail) 2) bath
transfer aids (grab bars; active-aid commode, a commode with small wheels to allow
transfer to bathroom and shower stall when otherwise not possible) 3) beside or 3-in-1
commode 4) ambulatory devices (ie. canes, walkers) 5) wheelchairs (ie. removable
arms, swing arms, leg rests)
-Chair lifts: chair with power control to allow elevation from surface for individuals who
may otherwise not be able to transfer independently
✔✔Increased effects of immobility - ✔✔Respiratory secretions
atelectasis
respiratory congestion
cardiac workload
orthostatic hypotension
venous thrombosis
✔✔Decreased effects of immobility - ✔✔Muscle strength, muscle tone, muscle size
Joint mobility and flexibility
ventilatory effort
appetite
constipation
urination
endurance
✔✔Braden Scale - ✔✔Pressure ulcers
lower the number, higher the risk
4-23
less than 17 = risk for pressure ulcers
✔✔Assistive devices for walking - ✔✔- Walkers
- Canes
- Crutches (Measuring, Crutch gait, Ascend and descend stairs, Sitting in a chair)
✔✔How do you check tympanic temperature on adult and child? - ✔✔Adults= pull the
pinna up and back
