NUR 205 EXAMS 3 CORE ANSWERS AND QUESTIONS
SET A+
✔✔Grading pulse force - ✔✔4+ strong and bounding
3+ full pulse, increased
2+ normal, easily palpable
1+ weak, barely palpable
✔✔Assessing the abdomen subjective - ✔✔-changes in appetite
-weight gain
-dietary intake
-intolerance to certain foods
-nausea/vomiting/diarrhea
-bowel movements
-medications
✔✔Assessing the abdomen objective - ✔✔-ask patient to empty bladder
-warm hands and end piece of stethoscope
-examine painful areas last
-order to assess
✔✔Assessment of the Musculoskeletal System subjective - ✔✔-joint pain
-swelling
-limited motion
-muscle pain
-bone pain
-limited ADLS
-exercise patterns
✔✔Assessment of the Musculoskeletal System objective - ✔✔Inspection- gait, posture,
cervical, thoracic, or lumbar curves
Palpation- palpate all bones, joints, and surrounding muscles
✔✔Assessing range of motion - ✔✔Perform active and passive range of motion
exercises
,Check for pain, limited mobility
Normally joints contender, without swelling and move freely
✔✔Assessing the Neurological system subjective - ✔✔-headaches
-dizziness
-tremors
-weakness
-incoordination
-numbness/tingling
-medications
-history of seizures
✔✔Assessing the Neurological system objective - ✔✔-assessment of cranial nerves
-level of consciousness
-Pupils
-Motor function
-Cerebellar function
-coordination
-sensory function
✔✔assessing level of consciousness - ✔✔-confusion
-talk to patient
-assess appropriateness of behavior and conversation
-lightly touch patient as culturally patient
✔✔Assessing Female Genitalia and reproductive tract subjective - ✔✔-urinary
difficulties
-pain
-menstrual and obstetrical history
-medications
-sexual activity
-contraceptives
-history of STI
✔✔Assessing Female Genitalia and reproductive tract objective - ✔✔-use calm relaxing
approach
-complete exam includes; external genitalia and vaginal exam
-patient to empty bladder before exam
-patient placed in lithotomy position with drape across lap
✔✔Assessing male genitalia subjective - ✔✔-urinary difficulty
-pain
-lesions
-medications
-sexual activity
-history of STI
, ✔✔Assessing male genitalia objective - ✔✔-includes assessment
-patient may stand or lie down
-noting size and shape
✔✔Assessing rectum and anus subjective - ✔✔-usual bowel movements
-any change in bowel
-rectal pain
-dietary habits
-problems with urination
-previous screening for cancer
-medications
✔✔Documentation is - ✔✔-written or electronic
-a legal document
-serve as a source of patient information
✔✔Principles of documentation - ✔✔-data needs to be recorded accurately
-always follow agency protocol for documentation
✔✔Documentation Guidelines - ✔✔-always follow procedures for confidentiality
-record findings about health history and physical exam as soon as possible after
completion
✔✔Fatigue - ✔✔Extreme tiredness, exhaustion
✔✔Scope of fatigue - ✔✔No fatigue (full functional status)
mild fatigue
moderate fatigue
exhaustion (impaired functional status)
✔✔Characteristics of fatigue - ✔✔-perception of generalized weakness, resulting in
inability to initiate certain activities
-Easy fatiguability and reduced capacity to maintain performance
-Mental fatigue resulting in impaired concentration and loss of memory and emotional
stability
✔✔Physiological process(fatigue) - ✔✔Can be normal
-to be recognized as a significant health problem must be prominent symptom for at
least 2 consecutive weeks
✔✔Classifications of fatigue; physiological - ✔✔caused by activities
✔✔Classifications of fatigue; secondary/ pathological - ✔✔caused by condition
SET A+
✔✔Grading pulse force - ✔✔4+ strong and bounding
3+ full pulse, increased
2+ normal, easily palpable
1+ weak, barely palpable
✔✔Assessing the abdomen subjective - ✔✔-changes in appetite
-weight gain
-dietary intake
-intolerance to certain foods
-nausea/vomiting/diarrhea
-bowel movements
-medications
✔✔Assessing the abdomen objective - ✔✔-ask patient to empty bladder
-warm hands and end piece of stethoscope
-examine painful areas last
-order to assess
✔✔Assessment of the Musculoskeletal System subjective - ✔✔-joint pain
-swelling
-limited motion
-muscle pain
-bone pain
-limited ADLS
-exercise patterns
✔✔Assessment of the Musculoskeletal System objective - ✔✔Inspection- gait, posture,
cervical, thoracic, or lumbar curves
Palpation- palpate all bones, joints, and surrounding muscles
✔✔Assessing range of motion - ✔✔Perform active and passive range of motion
exercises
,Check for pain, limited mobility
Normally joints contender, without swelling and move freely
✔✔Assessing the Neurological system subjective - ✔✔-headaches
-dizziness
-tremors
-weakness
-incoordination
-numbness/tingling
-medications
-history of seizures
✔✔Assessing the Neurological system objective - ✔✔-assessment of cranial nerves
-level of consciousness
-Pupils
-Motor function
-Cerebellar function
-coordination
-sensory function
✔✔assessing level of consciousness - ✔✔-confusion
-talk to patient
-assess appropriateness of behavior and conversation
-lightly touch patient as culturally patient
✔✔Assessing Female Genitalia and reproductive tract subjective - ✔✔-urinary
difficulties
-pain
-menstrual and obstetrical history
-medications
-sexual activity
-contraceptives
-history of STI
✔✔Assessing Female Genitalia and reproductive tract objective - ✔✔-use calm relaxing
approach
-complete exam includes; external genitalia and vaginal exam
-patient to empty bladder before exam
-patient placed in lithotomy position with drape across lap
✔✔Assessing male genitalia subjective - ✔✔-urinary difficulty
-pain
-lesions
-medications
-sexual activity
-history of STI
, ✔✔Assessing male genitalia objective - ✔✔-includes assessment
-patient may stand or lie down
-noting size and shape
✔✔Assessing rectum and anus subjective - ✔✔-usual bowel movements
-any change in bowel
-rectal pain
-dietary habits
-problems with urination
-previous screening for cancer
-medications
✔✔Documentation is - ✔✔-written or electronic
-a legal document
-serve as a source of patient information
✔✔Principles of documentation - ✔✔-data needs to be recorded accurately
-always follow agency protocol for documentation
✔✔Documentation Guidelines - ✔✔-always follow procedures for confidentiality
-record findings about health history and physical exam as soon as possible after
completion
✔✔Fatigue - ✔✔Extreme tiredness, exhaustion
✔✔Scope of fatigue - ✔✔No fatigue (full functional status)
mild fatigue
moderate fatigue
exhaustion (impaired functional status)
✔✔Characteristics of fatigue - ✔✔-perception of generalized weakness, resulting in
inability to initiate certain activities
-Easy fatiguability and reduced capacity to maintain performance
-Mental fatigue resulting in impaired concentration and loss of memory and emotional
stability
✔✔Physiological process(fatigue) - ✔✔Can be normal
-to be recognized as a significant health problem must be prominent symptom for at
least 2 consecutive weeks
✔✔Classifications of fatigue; physiological - ✔✔caused by activities
✔✔Classifications of fatigue; secondary/ pathological - ✔✔caused by condition
