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Exam (elaborations)

HHA FINAL EXAM QUESTIONS & ANSWERS SOLVED 100% CORRECT!!

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HHA FINAL EXAM QUESTIONS & ANSWERS SOLVED 100% CORRECT!! What is the main purpose of performing a musculoskeletal assessment? assess for function and safety The purpose of light checking body areas w/light touch such as a cottonball or finger tips is: determine ability to feelsensations in different areas Assessing a client w/ damage to the occitpital lobe, which clinical symptom may the client show? visual changes What is the earliest and most sensative indication of altered cerebral function? change in lvl of consciousness The nurse assesses the glossopharyngeal nerve by testing which reflex? Gag reflex A crebral vascular accident (CVA, stroke) involves Broca's area. What commincation abilities does the nurse expect? client understand speech and in unable to put ideas into meaningful speech Where are the 31 pairs of spinal nerves located? peripheral neverous system A neurological examination usually follows a certain sequence. WHich of the following is the best order/sequence? mental status, motor system, sensory system, reflexes When assessing cerebellar function, which exam may be performed? romberg sign All of the following U.S. states are considered part of the Stroke belt except? Florida Examination of the musculoskeletal system is done in an orderly manner and should always include? bilateral comparison Which description of pain makes the nurse suspect the client's pain is from a muscle? crampy Holding arms straight out from the sides and the nurse tries to push arms down. This test the strength of which muscles? deltoid How does the nurse perform a focused assessment for carpel tunnel syndrome? phalen test What is the purpose of having a client bend and touch their toes? allows the nurse to see how straight the spinal column is. When palpating the sigmoid colon, the nurse recognizes the follow to be expected findings. Bladder is palpable only when full Mild tenderness over the sigmoid colon The nurse is preparing to complete an admissions assessment on a 29 year old client admitted for abdominal pain, what questions should the nurse include related to the admitting diagnosis? What medications do you take? Have you had any recent weight change? When was your last menstrual period? A nurse is assessing a patients mental status during a neurological exam, what other elements does the nurse need to ensure are included in the neurological exam? Motor assessment, and sensory assessment, reflex assessment The nurse is obatianing subjective data from the client who has a neurological condition, all of the fallowing are appropriate data to collect on the patient except: A.difficulty swallow B.changes in nutrition C. Pain, arthritic, swelling in joints Answer: C pain, arthritis, and swelling in joints What does pain in the upper right quadrant signify? Gallbladder Visceral pain originates from abdominal organs and is often described as crampy or gnawing Parietal pain a localized, intense pain that arises from the parietal peritoneum, the lining of the abdominal cavity referred pain of heart When their is plain from abdominal organs, to a non abdominal surface, usually skin Murphy sign is best described as: pain felt when taking a deep breath when the examiner's fingers are on the approximate location of the inflamed gallbladder Cranial Nerve 1: Olfactory smell Cranial Nerve 2: Optic vision Cranial Nerve 3: Oculomotor Opening of the eyelids, eye movement, (upward/medial, upward/lateral, medial, downward/lateral) Cranial Nerve 4: Trochlear Motor nerve that moves the eyeball (downward/ medial) Cranial Nerve 5: Trigeminal Funtion- facial sensation to hot/cold; light touch, chewing Cranial Nerve 6: Abducens eye movement (lateral) Cranial Nerve 7: Facial Facial muscle movement, (except chewing muscles) and eye lid closing Cranial Nerve 8: Vestibulocochlear hearing and balance

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