RN ATI FUNDAMENTALS CONTENT
MASTER CLOSING SCRIPT UPDATED
QUESTIONS AND ANSWERS VIEW AHEAD
PREP MATERIAL SOLVED
⩥ Cranial Nerves.
Answer: 1. Olfactory - one nose
2. Optic - two eyes
3. Oculomotor - test three things (1. Shine light 2. Move light towards pt
Accommodation 3.
4. Trochlear
5. Trigeminal - try not ti bite my 5 caret ring
6. Abducens - 6 pack - need peripheral vision to look at 6 pack
7. facial - smile, frown
8. Acoustic - whisper into ear - Big 8 earrings
9. Glossopharyngeal - Fine-nine. A fine glossy hair makes me gag -
testing gag reflex
10. Vagus - Vagus - X (10) rated. stick tongue out - Vegas = oh la la
11. Spinal Accessory - Raise shoulders. Stranger things = 11
12. Hypoglossal - pt sticks out tongue and moves it side to side
⩥ Cranial Nerves - sensory, motor or both.
,Answer: Some
Say
Marry
Money
But
My
Brother
Says
Big
Brains
Matter
Most
S=Sensory
M=Motor
B=Both
⩥ Rinne Test.
Answer: Place a vibrating tuning fork firmly against the mastoid bone.
Have the patient state when he can no longer hear the sound. Note the
length of time that the patient heard the sound (Bone conduction)
Then move the tuning fork in front of the ear canal. When the patient
can no longer hear, note that (air conduction)
,*Air conduction should be longer than bone conduction (2:1)
⩥ Weber Test.
Answer: Place a vibrating tuning fork on top of the patients head. Ask
whether the patient can hear the sound best in right ear, left ear, or
equally in both.
Expected Finding - Patient heard it equally in both = Negative Weber
Test
⩥ Auscultation Expected Sounds.
Answer: Bronchial - Loud, high-pitched, hollow quality, expiration
longer than inspiration over the trachea
Bronchovesicular - Medium pitch, blowing sounds and intensity with
equal inspiration and expiration times over the larger airways.
Vesicular - Soft, low-pitched, breezy sounds, inspiration 3x longer than
expiration.
⩥ Unexpected Lung Sounds (5).
, Answer: 1. Crackles - Fine to coarse bubbly sounds (that are not cleared
with coughing) as air passes through fluid or re-expands collapsed small
airways.
2. Wheezes - High-pitched whistling, music sounds as air passes through
narrowed or obstructed airways. Usually louder on expiration.
3. Rhonchi - Coarse, loud, low-pitched rumbling sounds during
inspiration or expiration resulting from fluid or mucus. It can clear with
cough.
4. Pleural Friction Rub - Dry, grating, or rubbing sound as the inflamed
visceral and parietal pleura rub against each other during inspiration and
expiration.
5. Absence of breath sounds/Silent Lungs - From collapsed or surgically
removed lobes.
⩥ S1.
Answer: Closure of the mitral and tricuspid valves which signals the
beginning of ventricular systole (contraction) and produces S1 (LUBB)
sound.
Lubb sound
MASTER CLOSING SCRIPT UPDATED
QUESTIONS AND ANSWERS VIEW AHEAD
PREP MATERIAL SOLVED
⩥ Cranial Nerves.
Answer: 1. Olfactory - one nose
2. Optic - two eyes
3. Oculomotor - test three things (1. Shine light 2. Move light towards pt
Accommodation 3.
4. Trochlear
5. Trigeminal - try not ti bite my 5 caret ring
6. Abducens - 6 pack - need peripheral vision to look at 6 pack
7. facial - smile, frown
8. Acoustic - whisper into ear - Big 8 earrings
9. Glossopharyngeal - Fine-nine. A fine glossy hair makes me gag -
testing gag reflex
10. Vagus - Vagus - X (10) rated. stick tongue out - Vegas = oh la la
11. Spinal Accessory - Raise shoulders. Stranger things = 11
12. Hypoglossal - pt sticks out tongue and moves it side to side
⩥ Cranial Nerves - sensory, motor or both.
,Answer: Some
Say
Marry
Money
But
My
Brother
Says
Big
Brains
Matter
Most
S=Sensory
M=Motor
B=Both
⩥ Rinne Test.
Answer: Place a vibrating tuning fork firmly against the mastoid bone.
Have the patient state when he can no longer hear the sound. Note the
length of time that the patient heard the sound (Bone conduction)
Then move the tuning fork in front of the ear canal. When the patient
can no longer hear, note that (air conduction)
,*Air conduction should be longer than bone conduction (2:1)
⩥ Weber Test.
Answer: Place a vibrating tuning fork on top of the patients head. Ask
whether the patient can hear the sound best in right ear, left ear, or
equally in both.
Expected Finding - Patient heard it equally in both = Negative Weber
Test
⩥ Auscultation Expected Sounds.
Answer: Bronchial - Loud, high-pitched, hollow quality, expiration
longer than inspiration over the trachea
Bronchovesicular - Medium pitch, blowing sounds and intensity with
equal inspiration and expiration times over the larger airways.
Vesicular - Soft, low-pitched, breezy sounds, inspiration 3x longer than
expiration.
⩥ Unexpected Lung Sounds (5).
, Answer: 1. Crackles - Fine to coarse bubbly sounds (that are not cleared
with coughing) as air passes through fluid or re-expands collapsed small
airways.
2. Wheezes - High-pitched whistling, music sounds as air passes through
narrowed or obstructed airways. Usually louder on expiration.
3. Rhonchi - Coarse, loud, low-pitched rumbling sounds during
inspiration or expiration resulting from fluid or mucus. It can clear with
cough.
4. Pleural Friction Rub - Dry, grating, or rubbing sound as the inflamed
visceral and parietal pleura rub against each other during inspiration and
expiration.
5. Absence of breath sounds/Silent Lungs - From collapsed or surgically
removed lobes.
⩥ S1.
Answer: Closure of the mitral and tricuspid valves which signals the
beginning of ventricular systole (contraction) and produces S1 (LUBB)
sound.
Lubb sound
