NSE 103 TEST QUESTIONS AND
ANSWERS ALL CORRECT
During pregnancy what happens to blood pressure? - Answer- - During pregnancy: It
decreases about halfway through the first trimester until mid-pregnancy due to
progesterone effects that relax the walls of blood vessels, causing decreased peripheral
vascular resistance. It returns to pre-pregnancy values toward the end of pregnancy.
What happens to female and males blood pressure after puberty? - Answer- male –
increase female - decreases
What happens to female and males blood pressure after menopausal? - Answer- male
– decreases female - increases
The thigh systolic pressure is _______ higher than arm systolic - Answer- 10-40mmHg
What are the 5 level of consciousness? - Answer- 1. Alert and Oriented
2. Confused and Disoriented
3. Lethargic
4. Obtunded
5. unconscious
What are the different type of interventions - Answer- - effective
- ineffective
- unrelated
- contraindicated
The client has no pulse, their chest is not rising, and unresponsive. Give examples of
different type of interventions - Answer- 1. Effective - resuscitate the client with
compressions
2. Ineffective - resuscitate with no compressions
3. Unrelated - notify persons physician
4. contraindicated - wait until physician to come for recitation
List the clinical judgment steps: - Answer- Recognizing cues - (noticing) "What matters
most?" patient is unwell, tired, unenergy, and weak
Analyzing cues - (interpreting) making sense of the collected data
Prioritizing hypothesis - involves figuring out where to start (responding)
, Generate solutions - eliminate solution that are unnecessary, focusing on which solution
best fit the situation (eliminate)
Takes actions - physical (the start of making the solution happen)
Evaluate outcome - checking up on client/patient to see if health is improving or not
What are the different health assessment types? - Answer- primary survey,
cephalocaudal, focused assesment, complete health assesment
List objective assesment - Answer- IPPA
1. inspection - eyes
2. Palpation - feel
3. Percussion - tap
4. Auscultation - hear
quick and short taps - Answer- staccato touch which should be avoided during
palpation. Only do it when indicated.
crepitus - Answer- is when air becomes trapped in the subcutaneous tissues of the
chest/neck area
when palpation, fingers are use specifically for - Answer- feeling texture, moisture,
masses
Percussion - Answer- - tapping the body w/ fingers/small instrument to produce a
sound(indication for presence/absence of fluid, air, solid masses
How to properly do indirect percussion - Answer- non dominant hand parallel to the
body, place distal interphalangeal join of the pleximeter(middle) finger(only that part and
not the rest of the arms), dominant hand tap twice on distal interphalangeal joint of non
dominant, dominant hand should be 90 degrees angle to the surface.
what are the four things you hear when you percuss? - Answer- resonance,
hyperresonance, tympany, dull, flat
In percussion when you hear tympany on the ______ is normal and it has _____ pitch
and _______ than resonance and hyperresonance - Answer- fluid filled organs such as
stomach and intestine, high, longer duration
It is an abnormal percussion of the heart - Answer- flatness which are quieter than dull
and have low pitch with short duration
hyperresonance is normal to - Answer- children
hyperresonance is abnormal to - Answer- adult
ANSWERS ALL CORRECT
During pregnancy what happens to blood pressure? - Answer- - During pregnancy: It
decreases about halfway through the first trimester until mid-pregnancy due to
progesterone effects that relax the walls of blood vessels, causing decreased peripheral
vascular resistance. It returns to pre-pregnancy values toward the end of pregnancy.
What happens to female and males blood pressure after puberty? - Answer- male –
increase female - decreases
What happens to female and males blood pressure after menopausal? - Answer- male
– decreases female - increases
The thigh systolic pressure is _______ higher than arm systolic - Answer- 10-40mmHg
What are the 5 level of consciousness? - Answer- 1. Alert and Oriented
2. Confused and Disoriented
3. Lethargic
4. Obtunded
5. unconscious
What are the different type of interventions - Answer- - effective
- ineffective
- unrelated
- contraindicated
The client has no pulse, their chest is not rising, and unresponsive. Give examples of
different type of interventions - Answer- 1. Effective - resuscitate the client with
compressions
2. Ineffective - resuscitate with no compressions
3. Unrelated - notify persons physician
4. contraindicated - wait until physician to come for recitation
List the clinical judgment steps: - Answer- Recognizing cues - (noticing) "What matters
most?" patient is unwell, tired, unenergy, and weak
Analyzing cues - (interpreting) making sense of the collected data
Prioritizing hypothesis - involves figuring out where to start (responding)
, Generate solutions - eliminate solution that are unnecessary, focusing on which solution
best fit the situation (eliminate)
Takes actions - physical (the start of making the solution happen)
Evaluate outcome - checking up on client/patient to see if health is improving or not
What are the different health assessment types? - Answer- primary survey,
cephalocaudal, focused assesment, complete health assesment
List objective assesment - Answer- IPPA
1. inspection - eyes
2. Palpation - feel
3. Percussion - tap
4. Auscultation - hear
quick and short taps - Answer- staccato touch which should be avoided during
palpation. Only do it when indicated.
crepitus - Answer- is when air becomes trapped in the subcutaneous tissues of the
chest/neck area
when palpation, fingers are use specifically for - Answer- feeling texture, moisture,
masses
Percussion - Answer- - tapping the body w/ fingers/small instrument to produce a
sound(indication for presence/absence of fluid, air, solid masses
How to properly do indirect percussion - Answer- non dominant hand parallel to the
body, place distal interphalangeal join of the pleximeter(middle) finger(only that part and
not the rest of the arms), dominant hand tap twice on distal interphalangeal joint of non
dominant, dominant hand should be 90 degrees angle to the surface.
what are the four things you hear when you percuss? - Answer- resonance,
hyperresonance, tympany, dull, flat
In percussion when you hear tympany on the ______ is normal and it has _____ pitch
and _______ than resonance and hyperresonance - Answer- fluid filled organs such as
stomach and intestine, high, longer duration
It is an abnormal percussion of the heart - Answer- flatness which are quieter than dull
and have low pitch with short duration
hyperresonance is normal to - Answer- children
hyperresonance is abnormal to - Answer- adult
