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Exam (elaborations)

NSG 500 Exam 1 – Questions With Appropriate Solutions

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NSG 500 Exam 1 – Questions With Appropriate Solutions

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NSG 500 Exam 1 – Questions With Appropriate
Solutions

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Practice questions for this set


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Cluster of boils.



Choose an answer



Standard physical assessment
1 2 Adult otoscope technique
sequence



3 How is tactile fremitus assessed? 4 Carbuncle

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Terms in this set (165)



Standard physical assessment Inspection → Palpation → Percussion → Auscultation
sequence (IPPA).


Abdominal assessment sequence Inspection → Auscultation → Percussion → Palpation
(IAPP).


Best part of hand for fine Pads of the fingertips.
discrimination


Best part of hand for vibration/tactile Ulnar surface of the hand.
fremitus


How is tactile fremitus assessed? Place hands on both sides of the posterior chest and
compare vibrations while the patient says "99."


Normal percussion note over healthy Resonance.
lung


Hyperresonance Percussion finding suggesting increased air.


Dullness over a solid organ Normal; solid organs such as the liver normally
produce dullness.


Unexpected dullness over the lung May suggest fluid, consolidation, or mass.


Auscultation technique Place the stethoscope directly on bare skin.


Stethoscope diaphragm High-pitched sounds; use firm pressure.

, Stethoscope bell Low-pitched sounds; use light pressure.


Adult otoscope technique Pull the pinna UP and BACK.


Young child otoscope technique Pull the pinna DOWN and BACK.


Normal cone of light Right tympanic membrane ≈ 5 o'clock; left ≈ 7 o'clock.


Pneumatic otoscope Uses pressure to assess tympanic membrane mobility,
especially in pediatrics.


Reflex hammer Assesses deep tendon reflexes and neurologic
function; common sites include patellar, biceps, and
triceps.


Pediatric reflex technique from study Use fingers rather than a reflex hammer.
guide


DTR 0 Absent reflex.


DTR 1+ Diminished reflex.


DTR 2+ Normal reflex.


DTR 3+ Brisk reflex.


DTR 4+ Very brisk/hyperreflexic; may include clonus.


Clonus Rhythmic involuntary alternating muscle contractions
after sudden stretch; sustained clonus is abnormal
and suggests upper motor neuron hyperexcitability.


Wood's lamp UV light used to help identify certain skin infections or
pigment changes.

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