N125 Study Guide2+ Questions with 100%
Correct Solutions
Physical Examination Data
Data observed by the nurse, not verbally reported.
Screening Assessment
Assessment for common chronic and acute conditions.
Clustering Data is the ______ step in analyzing collected patient data
First step in analyzing collected patient data.
Focused Assessment
Data collection for specific organ system or complaint.
Comprehensive Assessment
Holistic exam covering the entire body.
Skin Changes in Older Adults (2)
Loss of elastin and subcutaneous fat affects skin.
Chronic Conditions increase risk of injury to
Increase risk of injury to peripheral tissues.
Skin Assessment Terms
Turgor, edema, capillary refill/blanching
Peripheral Vasoconstriction is caused by
exposure to cold temperatures.
,Concerning Skin Lesion Characteristics (3)
Burning, bleeding, and color variation indicate melanoma.
If the skin on the hard and soft palate are pink and the patient's sclera are white you
can usually rule out
jaundice
Emphysema and chronic bronchitis (both subsets of COPD) can cause
"clubbing" of the nails.
Decreased Skin Turgor (tenting) can be symptomatic of
hypovolemia (dehydration)
Skin Inflammation Assessment for darker individuals
Palpation for edema and increased warmth
Palpebral Fissures are innervated by which cranial nerve (name and number)
Innervated by cranial nerve VII, the facial nerve.
the discrimination of Sharp/Dull stimuli to the sides of the face are controlled by what
cranial nerve (name and number)
Controlled by trigeminal nerve (CN V) function.
what are the 2 Palpable Salivary Glands
Parotid and submandibular glands can be felt.
Cranial Nerve XI controls what (and what is name of this nerve)
Controls shoulder shrugging and head rotation. (Spinal accessory)
, You can assess the sternomastoid and trapezius muscles to assess what cranial nerve
function
CN 11 FUNCTION
Which gland is associated with T4 lab values?
Thyroid Gland Association
Neck Mass Characteristics: A mobile and soft neck mass may or may not indicate
cancerous thyroid nodule?
Mobile, soft mass may not indicate cancer.
Lymph Node Assessment Areas
Head, neck, arms, inguinal area, and axillae.
Infected Lymph Node characteristics
Typically appear firm and freely mobile.
Cerebellum helps to maintain
Helps maintain balance and steadiness.
If a spinal nerve is severed, the neighboring spinal nerves will often be able to _____
_______ for the lost sensation in the affected dermatome due to what?
partially compensate ; the overlapping innervation between adjacent nerves
After a head injury, deep tendon reflexes may be ______ or _______
May be normal or pronounced after head injury.
Some common "skin" assessments are actually better termed as _________
assessments.
Correct Solutions
Physical Examination Data
Data observed by the nurse, not verbally reported.
Screening Assessment
Assessment for common chronic and acute conditions.
Clustering Data is the ______ step in analyzing collected patient data
First step in analyzing collected patient data.
Focused Assessment
Data collection for specific organ system or complaint.
Comprehensive Assessment
Holistic exam covering the entire body.
Skin Changes in Older Adults (2)
Loss of elastin and subcutaneous fat affects skin.
Chronic Conditions increase risk of injury to
Increase risk of injury to peripheral tissues.
Skin Assessment Terms
Turgor, edema, capillary refill/blanching
Peripheral Vasoconstriction is caused by
exposure to cold temperatures.
,Concerning Skin Lesion Characteristics (3)
Burning, bleeding, and color variation indicate melanoma.
If the skin on the hard and soft palate are pink and the patient's sclera are white you
can usually rule out
jaundice
Emphysema and chronic bronchitis (both subsets of COPD) can cause
"clubbing" of the nails.
Decreased Skin Turgor (tenting) can be symptomatic of
hypovolemia (dehydration)
Skin Inflammation Assessment for darker individuals
Palpation for edema and increased warmth
Palpebral Fissures are innervated by which cranial nerve (name and number)
Innervated by cranial nerve VII, the facial nerve.
the discrimination of Sharp/Dull stimuli to the sides of the face are controlled by what
cranial nerve (name and number)
Controlled by trigeminal nerve (CN V) function.
what are the 2 Palpable Salivary Glands
Parotid and submandibular glands can be felt.
Cranial Nerve XI controls what (and what is name of this nerve)
Controls shoulder shrugging and head rotation. (Spinal accessory)
, You can assess the sternomastoid and trapezius muscles to assess what cranial nerve
function
CN 11 FUNCTION
Which gland is associated with T4 lab values?
Thyroid Gland Association
Neck Mass Characteristics: A mobile and soft neck mass may or may not indicate
cancerous thyroid nodule?
Mobile, soft mass may not indicate cancer.
Lymph Node Assessment Areas
Head, neck, arms, inguinal area, and axillae.
Infected Lymph Node characteristics
Typically appear firm and freely mobile.
Cerebellum helps to maintain
Helps maintain balance and steadiness.
If a spinal nerve is severed, the neighboring spinal nerves will often be able to _____
_______ for the lost sensation in the affected dermatome due to what?
partially compensate ; the overlapping innervation between adjacent nerves
After a head injury, deep tendon reflexes may be ______ or _______
May be normal or pronounced after head injury.
Some common "skin" assessments are actually better termed as _________
assessments.
