MCCN 204 Study Guide Exam 2 Questions And
Correct Answers (A+)
Nursing ethics - ANSWER Formal study of ethical issues that arise in the practice of
nursing
Analysis used by nursing to make ethical judgements
ANA standards - ANSWER Delivers care inn a manner that preserves and protects
health care consumer autonomy, dignity, rights, values, and beliefs
What are some abnormal and normal assessment findings in the older adult? - ANSWER
Normal - skin looser; prone to bruises
The facial bones are more prominent and the skin sags because there is a decrease in
elasticity, subcutaneous fat and moisture
Abnormal- Sclerosis
Assessment of a thyroid gland - ANSWER Thyroid gland-an important endocrine gland
straddles trachea in middle of neck
Synthesizes Thyroxine (T4) and Triiodothyronine (T3) which are hormones that regulate
cellular metabolism
Has two lobes connected in middle bu thin isthmus and above by the cricoid
cartilage/upper tracheal ring
Thyroid cartilage above that is palpable notch in upper edge (Adams apple)
Thyroid assessment:
Posterior and annterior approach
Place fingers on each side of the middle of the neck and have patient swallow
If feel lump in neck-cancerous? if its soft and mobile--not cancer
, Enlarge thyroid-auscultate-- listen for bruit.
Test for Visual acuity, Confrontation test ANSWER Eye level and 2feet away
The patient Covers one eye while you cover your opposite--measure the peripheral
vision/move the target/your finger
(move fingers 90 degrees temporally anteroposterior axis of eye, 70 degrees inferiorly,
50 degrees superiorly, 60 degrees nasally)
Assessment of client's vision using Snellen chart - ANSWER Have person at 20 feet away
20/30 top number is how far the person can see from the chart. bottom number is the
distance the normal eye could see
Ear examination technique in an adult - ANSWER Otoscope- used to inspect ears
Testing hearing acuity (conversational speech; voice test)
Tuning fork tests -Weber test; Rinne test
Cause of conductive and sensorineural hearing loss - ANSWER Conductive-Mechanical
dysfunction (Ruptured tympanic membrane, cilia becomes corse and stiff)
Sensorineural- Cranial nerve 8--cause gradual never degeneration that occurs with
again and Ototoxic drugs in which affect hair cells in cochlea (pathological)
(Ex of drugs:
Amino glycosides
Antibiotics
Cardiac Drugs
Mood alternating drugs
--The benefits outweigh the bad)
Ethical dilemma - ANSWER Two or more clear moral principles apply but support
mutually inconsistent courses of action(view in medical profession--everyone votes this
but family votes otherwise)
Correct Answers (A+)
Nursing ethics - ANSWER Formal study of ethical issues that arise in the practice of
nursing
Analysis used by nursing to make ethical judgements
ANA standards - ANSWER Delivers care inn a manner that preserves and protects
health care consumer autonomy, dignity, rights, values, and beliefs
What are some abnormal and normal assessment findings in the older adult? - ANSWER
Normal - skin looser; prone to bruises
The facial bones are more prominent and the skin sags because there is a decrease in
elasticity, subcutaneous fat and moisture
Abnormal- Sclerosis
Assessment of a thyroid gland - ANSWER Thyroid gland-an important endocrine gland
straddles trachea in middle of neck
Synthesizes Thyroxine (T4) and Triiodothyronine (T3) which are hormones that regulate
cellular metabolism
Has two lobes connected in middle bu thin isthmus and above by the cricoid
cartilage/upper tracheal ring
Thyroid cartilage above that is palpable notch in upper edge (Adams apple)
Thyroid assessment:
Posterior and annterior approach
Place fingers on each side of the middle of the neck and have patient swallow
If feel lump in neck-cancerous? if its soft and mobile--not cancer
, Enlarge thyroid-auscultate-- listen for bruit.
Test for Visual acuity, Confrontation test ANSWER Eye level and 2feet away
The patient Covers one eye while you cover your opposite--measure the peripheral
vision/move the target/your finger
(move fingers 90 degrees temporally anteroposterior axis of eye, 70 degrees inferiorly,
50 degrees superiorly, 60 degrees nasally)
Assessment of client's vision using Snellen chart - ANSWER Have person at 20 feet away
20/30 top number is how far the person can see from the chart. bottom number is the
distance the normal eye could see
Ear examination technique in an adult - ANSWER Otoscope- used to inspect ears
Testing hearing acuity (conversational speech; voice test)
Tuning fork tests -Weber test; Rinne test
Cause of conductive and sensorineural hearing loss - ANSWER Conductive-Mechanical
dysfunction (Ruptured tympanic membrane, cilia becomes corse and stiff)
Sensorineural- Cranial nerve 8--cause gradual never degeneration that occurs with
again and Ototoxic drugs in which affect hair cells in cochlea (pathological)
(Ex of drugs:
Amino glycosides
Antibiotics
Cardiac Drugs
Mood alternating drugs
--The benefits outweigh the bad)
Ethical dilemma - ANSWER Two or more clear moral principles apply but support
mutually inconsistent courses of action(view in medical profession--everyone votes this
but family votes otherwise)
