Jersey College
Questions & Answers
1005 Accurate!!
Hypoxia - ANSWER-deficiency in the amount of oxygen reaching the tissues
Auscultation - ANSWER-to listen
Palpation - ANSWER-an examination technique in which the examiner's hands are used to feel the
texture, size, consistency, and location of certain body parts
percussion - ANSWER-tapping on a surface to determine the difference in the density of the
underlying structure
Piece of equipment is used to perform the Weber test and Rinne test - ANSWER-Tuning Fork
Weber's test and Rinne's test are performed in order to assess - ANSWER-Sound Conduction
(deafness)
When assessing a "PT" eye, which instrument would the nurse use to visualize the retina - ANSWER-
Ophtalmoscope
ophtalmoscope - ANSWER-instrument for examining the interior of the eye, especially the retina
,percutaneous - ANSWER-through the skin
The nurse performs a comprehensive assessment of a newly admitted client. What is the primary
purpose of this admission assessment - ANSWER-Identify baseline data
cranial nerves - ANSWER-12 pairs of nerves that carry messages to and from the brain
Cranial Nerve 1 - ANSWER-Olfactory (smell)
Cranial Nerve 2 - ANSWER-Optic - vision
Cranial Nerve 3 - ANSWER-Oculomotor (eye movement)
Cranial Nerve 4 - ANSWER-Trochlear (eye movement)
Cranial Nerve 5 - ANSWER-Trigeminal
Cranial Nerve 6 - ANSWER-Abducens (motor)
Cranial Nerve 7 - ANSWER-facial nerve
Cranial Nerve 8 - ANSWER-Vestibulocochlear
Cranial Nerve 9 - ANSWER-Glossopharyngeal
Cranial Nerve 10 - ANSWER-Vagus
Cranial Nerve 11 - ANSWER-Accessory (motor)
Cranial Nerve 12 - ANSWER-Hypoglossal (tongue movement)
, popping sounds heard on auscultation of the lungs - ANSWER-crackles
Hepatitis - ANSWER-inflammation of the liver
Hepatitus B Virus - ANSWER-Virus caused by contact with bodily fluids and can cause scarring of the
liver, liver failure, cancer, or death.
Assessment - ANSWER-Before the nurse can determine what care a person requires, the nurse must
determine the client's needs and problems. This requires the use of assessment skills and data
collection, which include interviewing, observing, and examining the client, and in some cases, the
client's family. Following the assessment, the nurse can also use the client's medical record and
contact other healthcare providers.
Comprehensive assessment - ANSWER-The comprehensive assessment is conducted when a client
first enters the health care setting to obtain baseline information that can be used for comparison to
later assessments.
When assessing the glossopharyngeal nerve, it is most important for the nurse to implement which
intervention - ANSWER-The clients ability to swallow
When using an interpreter - ANSWER-The nurse should observe the cues the client expresses with
body language, and listen to the tone of voice.
Tugor - ANSWER-skins elasticity; poor elasticity seen when skin remains pinched (slowly unfolds) sign
of dehydration
Chlorhexidine - ANSWER-an antibacterial compound with substantial residual activity that is used as
a liquid antiseptic and disinfectant
arterial blood pressure - ANSWER-Arterial blood pressure (ABP), a basic hemodynamic index, is often
used to guide therapeutic interventions in critically ill patients
peripheral venous catheter - ANSWER-a peripheral venous catheter, peripheral venous line or
peripheral venous access catheter is a catheter placed into a peripheral vein for intravenous therapy
such as medication fluids. Upon insertion, the line can be used to draw blood