Nursing 142-Quiz 2 Questions and
Answers (100% Correct Answers)
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PERRLA Correct Answer: pupils equal, round, reactive to light
and accommodation
Alert and Oriented Correct Answer: measuring of mental
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function, measured in orientation to person, place, time, and
situation. If a person is oriented to all 4, it is recorded as
A&Ox4
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MOE X4 Correct Answer: movement of extremities, equal
motor strength
Brundzski Test Correct Answer: Passive Flexion of Neck-
Checks for Meningitis
Romberg test Correct Answer: Ask the patient to stand about
2 feet in front of you, with his feet together, toes pointed
forward, and his hands at his sides. While you extend your
hands so that one is on either side of the patient, ask him to
close his eyes. Watch to see how well he can maintain balance
in that position. A minimum of swaying is normal, but if the
patient sways more than a couple of inches, stop the test and
document that he demonstrated difficulty maintaining balance
Babinski reflex Correct Answer: Plantar reflex. Test it on the
plantar aspect or sole of the foot by tracing an upside-down J
with the handle of the reflex hammer, starting at the patient's
heel and moving up the lateral aspect and then across the ball
of the foot.
Adult-Toes Curl Up
, 2
Child-Toes Fan Out
Palpation Correct Answer: examination of the body using the
sense of touch. The pads of the fingers are used because their
concentration of nerve endings makes them highly sensitive to
tactile discrimination
Palpitation is to determine Correct Answer: Texture (e.g., of
the hair)
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Temperature (e.g., of a skin area)
Moisture
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Vibration (e.g., of a joint)
Swelling
Rigidity or spasticity
Crepitation
Location, position, size, consistency, and mobility of organs,
lumps, or masses
Distention (e.g., of the urinary bladder)
Amplitude of pulses
The presence of tenderness or pain.
two types of palpitation Correct Answer: light and deep