In a comprehensive physical assessment what do you inspect for? - Answers -Contour, symmetry,
size, shape, colour, surface characteristics, visible veins
-Urine, emesis, stool
In a comprehensive physical assessment what do you auscultate for? - Answers Bowel sounds,
vascular sounds
In a comprehensive physical assessment what do you percuss on? - Answers Kidneys, liver, spleen,
bladder
In a comprehensive physical assessment what do you palpate on? - Answers Light palpation, deep
palpation: liver, spleen, kidneys, abdominal aorta, bladder, lymph nodes
What are the major gastrointestinal organs? - Answers Stomach, small intestines, colon
What are the accessory organs of the gastrointestinal system? - Answers Liver, pancreas, gallbladder
What organs are included in the genitourinary system? - Answers Kidneys, ureters, bladder
What is the primary function of the gastrointestinal system? - Answers Ingestion, digestion,
absorption of nutrients, and elimination
What are the four methods of collecting objective data in an abdominal assessment? - Answers
Inspection, auscultation, percussion, palpation
What are common subjective symptoms to assess during an abdominal assessment? - Answers
Nausea, vomiting, hematemesis, dysphagia, constipation, diarrhea
What is the significance of assessing emesis color? - Answers It can indicate the cause of vomiting,
such as red for blood or coffee ground for digested blood.
What are some urgent symptoms that require prompt attention in abdominal assessments? -
Answers Severe dehydration, fever, acute abdominal pain
What is the process of mechanical digestion? - Answers Chewing, peristalsis, and churning of food
Where does absorption of nutrients primarily occur? - Answers Almost exclusively in the small
intestine
What changes occur in the gastrointestinal system of older adults? - Answers Reduced saliva and
stomach acid production, slowed gastric motility, and peristalsis
What are some common abdominal symptoms to assess? - Answers Indigestion, anorexia, jaundice,
urinary/renal symptoms
What is Murphy's sign used to assess? - Answers Gallbladder inflammation
What does Rovsing's sign indicate? - Answers Appendicitis
What are some common laboratory tests used in abdominal assessments? - Answers CBC, BMP, LFTs,
colonoscopy, CT scans
What are the lifespan considerations for older adults in abdominal assessments? - Answers Potential
alterations like poor dentition, decreased muscle mass, and renal function
What should a nurse avoid doing when assessing a patient with a history of liver transplant? -
Answers Palpating the abdomen
What are the signs of hepatomegaly during palpation? - Answers A firm hepatic edge indicating
cirrhosis
What are some cultural considerations in abdominal health? - Answers Conditions like sickle cell
anemia in African Americans and lactose intolerance in certain populations
What is the total number of bones in the human body? - Answers 206 bones
How many skeletal muscles are in the human body? - Answers 600 skeletal muscles
What are the three types of joints based on movement? - Answers Fibrous (immovable),
Cartilaginous (slightly movable), Synovial (freely movable)
What type of joint is the ankle or tibiotalar joint? - Answers A hinge joint limited to flexion and
extension
What are the two movements of the ankle joint? - Answers Dorsiflexion and plantar flexion
What is the function of ligaments in the musculoskeletal system? - Answers To connect bone to bone
What is the role of tendons in the musculoskeletal system? - Answers To connect muscle to bone
What is a common symptom of musculoskeletal issues? - Answers Pain or discomfort (myalgia or
arthralgia)
What is the significance of the GALS locomotor screen? - Answers It assesses gait, arms, legs, and
spine for musculoskeletal issues
, What are some common age-related changes in older adults regarding the musculoskeletal system? -
Answers Decreased muscle strength, increased rate of falls, loss of bone density (osteoporosis)
What are some risk factors for osteoporosis? - Answers Race, heredity, hormonal factors, physical
activity, calcium intake, smoking, high salt intake, alcohol intake
What should be included in a comprehensive osteoporosis strategy? - Answers Calcium and vitamin D
intake, weight-bearing exercise, avoiding smoking and alcohol
What are the components of a comprehensive physical examination for the musculoskeletal system? -
Answers Inspection, palpation, range of motion (ROM), and muscle strength assessment
What is the Morse Fall Scale used for? - Answers To assess fall risk in patients, the higher the score,
the higher the risk of falling.
What is the purpose of the Romberg test? - Answers To assess balance and coordination
What are common subjective data points to collect in a musculoskeletal assessment? - Answers Pain,
weakness, stiffness, deformity, lack of balance and coordination
What is the role of connective tissue in the musculoskeletal system? - Answers To support and
connect various structures, including cartilage, ligaments, and tendons
What is the difference between myalgia and arthralgia? - Answers Myalgia refers to muscle pain,
while arthralgia refers to joint pain
What types of diagnostic tests are commonly used in musculoskeletal assessments? - Answers X-ray,
CT, MRI, bone density scans
What are some common nursing diagnoses related to musculoskeletal issues? - Answers Risk for falls,
impaired physical mobility, chronic pain
What interventions can be implemented for patients with musculoskeletal issues? - Answers Teach
patients to summon help to ambulate, document assistance needed, encourage independent
activities
Abduction is - Answers movement away from the midline
Adduction is: - Answers moving a body part toward the midline
What are the two main parts of the nervous system? - Answers The Central Nervous System (CNS)
and the Peripheral Nervous System (PNS).
What structures make up the Central Nervous System? - Answers The brain and spinal cord.
How many pairs of cranial nerves are in the Peripheral Nervous System? - Answers 12 pairs of cranial
nerves.
How many pairs of spinal nerves are in the Peripheral Nervous System? - Answers 31 pairs of spinal
nerves.
What are the main functions of the frontal lobe? - Answers Complex cognition, language, voluntary
motor function, and integration of cognitive function with emotional responses.
What is the role of the parietal lobe? - Answers Recognizes size, shape, texture of objects, and
interprets touch, pressure, and pain.
What is the primary visual area of the brain? - Answers The occipital lobe.
What functions are associated with the temporal lobe? - Answers Hearing, speech, behavior, and
memory.
What does the Wernicke area do? - Answers Integrates understanding of spoken and written words.
What is the function of the Broca area? - Answers Regulates verbal expression and writing ability.
What is the function of the basal ganglia? - Answers Initiates and coordinates movement and controls
automatic associated movements.
What is the role of the thalamus? - Answers Acts as the main relay station for sensory pathways.
What functions does the hypothalamus regulate? - Answers Appetite, sex drive, temperature, heart
rate, blood pressure, sleep, and emotional status.
What are the components of the brainstem? - Answers Medulla, midbrain, and pons.
what does the medulla control - Answers respiratory; cardiac; vasomotor function
What is the function of the cerebellum? - Answers Coordinates voluntary movement, posture, muscle
tone, and maintains balance and equilibrium.
What protective structures surround the Central Nervous System? - Answers Meninges, skull, and
cerebrospinal fluid (CSF).
What is the function of the spinal cord? - Answers Contains ascending and descending tracts for
sensory and motor information.
What is the reflex arc? - Answers The neural pathway that mediates a reflex action.