Page 1 of 68
MEDSURG CERTIFICATION EXAM V1 (LATEST UPDATE
) QUESTIONS AND ANSWERS | GRADE A
| 100% CORRECT (VERIFIED SOLUTIONS)
nursing process .....ANSWER.....Assessment
Diagnosis
Planning
Implementation
Evaluation
adrenal glands purpose .....ANSWER.....aldosterone and cortisol
are produced by the adrenals to cause the kidneys to retain
sodium and fluid
pituitary gland .....ANSWER.....Under the influence of the
hypothalamus, the pituitary regulates growth and controls other
endocrine glands. stores and releases ADH from the
,Page 2 of 68
hypothalamus to direct kidneys to retain fluids to maintain
cellular osmotic pressure
parathyroid glands .....ANSWER.....small pea-like organs that
regulate calcium and phosphate balance in blood, bones, and
other tissues
assessment steps .....ANSWER.....Inspection
Palpation
Percussion
Auscultation
how to palpate for tactile fremitus .....ANSWER.....Say the word
"ninety-nine" while hands are on their back.
Should be symmetrical
If the vibration isn't equal, there may be a collapse of lung tissue,
fluid, or some type of blockage.
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percussion .....ANSWER.....tapping on a surface to determine the
difference in the density of the underlying structure; sounds are
tympany, resonance, hyperresonance, dullness, flatness
tympany percussion .....ANSWER.....hollow drum sound produced
when organ contains air (Stomach, intestine)
resonance .....ANSWER.....Hollow sound heard upon percussion of
the chest wall; the percussion tone expected when percussing the
lungs
hyperresonance .....ANSWER.....lower-pitched, booming sound
found when too much air is present such as in emphysema or
pneumothorax
dullness .....ANSWER.....Thud like sound produced by dense tissue
such as the liver, spleen or heart
flatness .....ANSWER.....heard over bones and muscle
, Page 4 of 68
austultation .....ANSWER.....intensity- level of sound in terms of
loudness
frequency- low or high pitch
quality- distinguish between rumbling and musical types
Areas of Auscultation of the Heart .....ANSWER.....aortic,
pulmonic, erb's point, tricuspid, apical
1st heart sound .....ANSWER.....AV valves closing (mitral and
tricuspid), heard at apex of the heart
2nd heart sound .....ANSWER.....Closure of the semilunar valves.
(Aortic Valve & Pulmonary Valve) heart at base of heart
Systole .....ANSWER.....Contraction of the heart- time between S1
and S2
Diastole .....ANSWER.....Relaxation of the heart, time between s2
and s1
MEDSURG CERTIFICATION EXAM V1 (LATEST UPDATE
) QUESTIONS AND ANSWERS | GRADE A
| 100% CORRECT (VERIFIED SOLUTIONS)
nursing process .....ANSWER.....Assessment
Diagnosis
Planning
Implementation
Evaluation
adrenal glands purpose .....ANSWER.....aldosterone and cortisol
are produced by the adrenals to cause the kidneys to retain
sodium and fluid
pituitary gland .....ANSWER.....Under the influence of the
hypothalamus, the pituitary regulates growth and controls other
endocrine glands. stores and releases ADH from the
,Page 2 of 68
hypothalamus to direct kidneys to retain fluids to maintain
cellular osmotic pressure
parathyroid glands .....ANSWER.....small pea-like organs that
regulate calcium and phosphate balance in blood, bones, and
other tissues
assessment steps .....ANSWER.....Inspection
Palpation
Percussion
Auscultation
how to palpate for tactile fremitus .....ANSWER.....Say the word
"ninety-nine" while hands are on their back.
Should be symmetrical
If the vibration isn't equal, there may be a collapse of lung tissue,
fluid, or some type of blockage.
,Page 3 of 68
percussion .....ANSWER.....tapping on a surface to determine the
difference in the density of the underlying structure; sounds are
tympany, resonance, hyperresonance, dullness, flatness
tympany percussion .....ANSWER.....hollow drum sound produced
when organ contains air (Stomach, intestine)
resonance .....ANSWER.....Hollow sound heard upon percussion of
the chest wall; the percussion tone expected when percussing the
lungs
hyperresonance .....ANSWER.....lower-pitched, booming sound
found when too much air is present such as in emphysema or
pneumothorax
dullness .....ANSWER.....Thud like sound produced by dense tissue
such as the liver, spleen or heart
flatness .....ANSWER.....heard over bones and muscle
, Page 4 of 68
austultation .....ANSWER.....intensity- level of sound in terms of
loudness
frequency- low or high pitch
quality- distinguish between rumbling and musical types
Areas of Auscultation of the Heart .....ANSWER.....aortic,
pulmonic, erb's point, tricuspid, apical
1st heart sound .....ANSWER.....AV valves closing (mitral and
tricuspid), heard at apex of the heart
2nd heart sound .....ANSWER.....Closure of the semilunar valves.
(Aortic Valve & Pulmonary Valve) heart at base of heart
Systole .....ANSWER.....Contraction of the heart- time between S1
and S2
Diastole .....ANSWER.....Relaxation of the heart, time between s2
and s1
