NSG-316 FINAL EXAM
QUESTIONS AND ANSWERS
2024/2025
full mental status assessment includes - ANS >>LOC, language, mood and affect, attention, memory,
abstract reasoning, thought process, thought content, perceptions
scale for muscle testing - ANS >>5: full ROM and resistance (normal)
4: full ROM and some resistance
3: full ROM with gravity
2: full ROM with no gravity (eliminated)
1: slight contraction
0: no contraction
GI system changes in the aging adult - ANS >>-salivation decreases
-dec sense of taste
-delayed esophageal emptying and gastric acid secretion
-dec liver size (normal liver functions)
-dec drug metabolism
-frequent constipation
, NSG-316 Final Exam
tonsil grading scale - ANS >>1+: visible
2+: halfway b/n tonsillar pillars and uvula
3+: touching uvula
4+: touching each other
(1-2 in healthy people)
normal contour of abdomen - ANS >>flat or rounded
contour of the abdomen describes - ANS >>nutritional state
how to auscultate bowel sounds - ANS >>use diaphragm of stethoscope, hold lightly against skin, begin
in RLQ
how long do you need to auscultate in each quadrant to determine bowel sounds are completely absent
- ANS >>5 minutes
how to auscultate vascular sounds - ANS >>use the bell of the stethoscope, use firmer pressure over the
arteries
is there usually tenderness when palpating the sigmoid colon - ANS >>yes
what can make organs enlarged - ANS >>trauma, injury, distention, infection
abnormal findings in GI/GU system - ANS >>-thrills and bruits
-obesity
-ascites
-cysts
-tumor
-hypo/hyperactive bowel sounds