NUR 505 EXAM 1 QUESTIONS AND ANSWERS
SURE A+
✔✔What would you expect to see during an opthalmic exam on a patient with HTN, DM,
or glaucoma? - ✔✔HTN - narrowing of blood vessels
Glaucoma - difficulty seeing redreflex
✔✔posturing - ✔✔decorticate - to the core
decerebrate - flexed outward
possible brain injury
✔✔Brudzinski's sign - ✔✔pain with resistance and involuntary flex of hip/knee when
neck is flexed to chest when lying supine
✔✔Kernig's sign - ✔✔Sign of meningitis; positive when the leg is fully bent at the hip
and knee, and subsequent extension of the knee leads to pain
✔✔Romberg test - ✔✔-ask client to stand with feet at comfortable distance apart, arms
at sides, and eyes closed
-expected finding: client should be able to stand with minimal swaying for at least 5
seconds
✔✔what are normal variations in BP readings between extremeties ? - ✔✔5-10 mmHg
✔✔auscultatory gap - ✔✔temporary disappearance of sounds usually heard over the
brachial artery, occurring when the cuff pressure is high and is gradually reduced, with
the sounds again heard at a lower level of pressure
wide - HTN
narrow - cardiac tamponade
✔✔orthostatic hypotension - ✔✔Decrease in blood pressure related to positional or
postural changes from lying to sitting or standing positions
, >20 mmHg drop SBP
>10 mmHg drop DBP
✔✔abnormal attention - ✔✔fatigue
dementia
depression
✔✔abnormal analogies - ✔✔lesion of L hemisphere
✔✔abnormal arithmetic calculation - ✔✔depression
decreased brain development
brain disease
✔✔abnormal writing ability - ✔✔aphasia
dementia
neuropathy
✔✔abnormal memory - ✔✔dementia
✔✔abnormal judgement - ✔✔psychosis
frontal lobe injury
dementia
✔✔abnormal abstract reasoning - ✔✔poor cognition
dementia
schizophrenia
✔✔abnormal thought process and content - ✔✔disorganized or unrealistic thinking from
emotional or psychotic disorder
✔✔broca - ✔✔expressive
understand language, reading is intact
writing impaired
know what they want to say but cannot get the words out
✔✔wernicke - ✔✔receptive
impaired reading/writing
cannot understand words
fluent speech but it is incomprehensible
✔✔global aphasia - ✔✔both production and understanding of language is damaged
✔✔ Subjective data - ✔✔facts from the patient
- identifiers
- CC
SURE A+
✔✔What would you expect to see during an opthalmic exam on a patient with HTN, DM,
or glaucoma? - ✔✔HTN - narrowing of blood vessels
Glaucoma - difficulty seeing redreflex
✔✔posturing - ✔✔decorticate - to the core
decerebrate - flexed outward
possible brain injury
✔✔Brudzinski's sign - ✔✔pain with resistance and involuntary flex of hip/knee when
neck is flexed to chest when lying supine
✔✔Kernig's sign - ✔✔Sign of meningitis; positive when the leg is fully bent at the hip
and knee, and subsequent extension of the knee leads to pain
✔✔Romberg test - ✔✔-ask client to stand with feet at comfortable distance apart, arms
at sides, and eyes closed
-expected finding: client should be able to stand with minimal swaying for at least 5
seconds
✔✔what are normal variations in BP readings between extremeties ? - ✔✔5-10 mmHg
✔✔auscultatory gap - ✔✔temporary disappearance of sounds usually heard over the
brachial artery, occurring when the cuff pressure is high and is gradually reduced, with
the sounds again heard at a lower level of pressure
wide - HTN
narrow - cardiac tamponade
✔✔orthostatic hypotension - ✔✔Decrease in blood pressure related to positional or
postural changes from lying to sitting or standing positions
, >20 mmHg drop SBP
>10 mmHg drop DBP
✔✔abnormal attention - ✔✔fatigue
dementia
depression
✔✔abnormal analogies - ✔✔lesion of L hemisphere
✔✔abnormal arithmetic calculation - ✔✔depression
decreased brain development
brain disease
✔✔abnormal writing ability - ✔✔aphasia
dementia
neuropathy
✔✔abnormal memory - ✔✔dementia
✔✔abnormal judgement - ✔✔psychosis
frontal lobe injury
dementia
✔✔abnormal abstract reasoning - ✔✔poor cognition
dementia
schizophrenia
✔✔abnormal thought process and content - ✔✔disorganized or unrealistic thinking from
emotional or psychotic disorder
✔✔broca - ✔✔expressive
understand language, reading is intact
writing impaired
know what they want to say but cannot get the words out
✔✔wernicke - ✔✔receptive
impaired reading/writing
cannot understand words
fluent speech but it is incomprehensible
✔✔global aphasia - ✔✔both production and understanding of language is damaged
✔✔ Subjective data - ✔✔facts from the patient
- identifiers
- CC
