FUNDS OF NURSING EXAM 1 TEST
BANK QUESTIONS WITH CORRECT
ANSWERS
Interviewing includes - Answer-getting information, identifying problems, evaluate
change, teach, and provide support consoling and therapy
Assessment Techniques - Answer-Inspection
Palpation
Percussion
Auscultation
Using Percussion whats the difference of Direct and indirect - Answer-Direct: Using
your hands
Indirect: Using utensils
Mainily used to spot edema
General Survey includes - Answer-Appearance, mental status, weight, height, levels
of comfort, and vitals
During a skin assessment what do you look for? - Answer-1. Color
2. Temperature
3. Vascularity
4. Lessions
5. edema
6. Turgor
What is assessed for color of the skin - Answer-Cyanosis, Jaundice, Erythema
(redness), Pallor (pale), vitiligo (Hypo and hyper pigmentation)
What is assessed for temperature - Answer-Cool and clammy skin, dry, warm, and
diaphoresis (sweating)
What is assessed for Vascularity - Answer-Check for rate, rythm, and volume.
- petechial is platelets little red dots on the skin
- Ecchymosis: bleeding the blood vessels causing bruising
What is assessed for lesions? - Answer-Is an infection on the skin that can lead to an
ucler or rash.
What is assessed for Edema - Answer-Edema is fluid in the body and assessed by
pitting to check for the recoil of the skin to come back
What is assessed for Turgor - Answer-Is the process of measuring the skin or
measure of hydration.
- Assessing Turgor on elderly should be assessed on the shoulder, the sternum or
under the clavicle
,What is being assessed for in the nails? - Answer-Capillary refill, smooth texture,
color, infection, pain, paleness, and clubbing (Hypoxia)
What is being looked for when looking at the hair - Answer-Abnormal color, hygiene,
cleanliness, dry, blood, and alopecia (hair loss)
Head and neck assessment - Answer-Assess the
- Hair
- Ears
- Eyes
- Nose
- Mouth
- Vascularity on the neck
Define PERRLA - Answer-Pupils, equal, round, reactive to light, accommodation
What to look for when assessing the ears? - Answer-Use the pen light to assess for
any abnormal foreign objects, blood, fluids, skin lesions,
What to look for when assessing the oral cavity - Answer-- inspect the tongue and
mobility, hygiene, tonsils
- Inspect the hard and soft palate for color, shape, and texture
- Inspect the tonsils for pink and smooth and normal size
What to look for when assessing the nose - Answer-- symmetry, blood, fluids (color
of the fluids), and deviated nasal septum
What are the lung sounds to hear in the respiratory system - Answer-Bronchial,
Bronchovesicular, and vesicular
- Bronchial: loudest sound high pitch
- Bronchovesicular: Moderate intensity and moderate-pitched "Blowing" sounds from
the larger airways
- Vesicular: Soft intensity, low pitched by air moving through smaller airways
(bronchioles and alveoli)
Define Dyspnea - Answer-Labored breathing
Define Wheezing - Answer-Is a high pitch sound through a narrow pathway
Define Dullness - Answer-Heard during percussion:is a thud-like sound produced by
dense tissue such as the liver, spleen, or heart.
- Intensity: medium
- Pitch: medium
Define Flatness - Answer-Heard during percussion: extremely dull sound produced
by very dense tissue, such as a muscle or bone
- Intensity: soft
- Pitch: high
, Define Resonance: - Answer-Heard during percussion: is a hollow sound, such as
produced by the lungs filled with air.
- Intensity: loud
- Pitch: low
Define hyperresonance - Answer-heard during percussion: is not produced in a
healthy body, described as a booming that can be heard over an emphysematous
lung.
- Intensity: very loud
- Pitch: very low
Define Tympany - Answer-Heard during percussion: is a musical or drumlike sound
produced from an air filled stomach
- Intensity: Loud
- Pitch: High
Define hydrocephalus - Answer-enlargement of the head caused by inadequate
drainage of cerebrospinal fluid,
Define Pleximeter - Answer-using your nondominant hand during percussion
Define plexor - Answer-Using the tip of your dominant hand during percussion
Define Emesis - Answer-Process of throwing up
What are the landmarks of the heart - Answer-S1: Heard in the tricuspid and mitral
valve.
S2: Heard in the aorta and pulmonary
S3: Heard in children and young adults. Abnormal: heard in an adult
S4: Sounds commonly heard in older adults, indicating a change in the left ventricle.
Abnormal: may be a sign of hypertension
Location of the aorta in the intercostal space - Answer-second of the intercostal
space , right to the sternum
Location of the Pulmonary artery in the intercostal space - Answer-heard at the
second of the intercostal space to the left of the sternum
Location of the tricuspid valvee in the intercostal space - Answer-Heard between 5
intercostal space on the sternum
Location of the Mitral valve in the intercostal space - Answer-5th intercostal space,
below the left nipple
Define Scope of practice? - Answer-The scope of practice describes the procedures,
actions, and processes that a healthcare practitioner is permitted to undertake in
keeping with the terms of their professional license.
What are the Roles of functions of nurses? - Answer-teachers, advocates, caregiver,
communicator, leader, manager, case manager, research consumer, and counselor
BANK QUESTIONS WITH CORRECT
ANSWERS
Interviewing includes - Answer-getting information, identifying problems, evaluate
change, teach, and provide support consoling and therapy
Assessment Techniques - Answer-Inspection
Palpation
Percussion
Auscultation
Using Percussion whats the difference of Direct and indirect - Answer-Direct: Using
your hands
Indirect: Using utensils
Mainily used to spot edema
General Survey includes - Answer-Appearance, mental status, weight, height, levels
of comfort, and vitals
During a skin assessment what do you look for? - Answer-1. Color
2. Temperature
3. Vascularity
4. Lessions
5. edema
6. Turgor
What is assessed for color of the skin - Answer-Cyanosis, Jaundice, Erythema
(redness), Pallor (pale), vitiligo (Hypo and hyper pigmentation)
What is assessed for temperature - Answer-Cool and clammy skin, dry, warm, and
diaphoresis (sweating)
What is assessed for Vascularity - Answer-Check for rate, rythm, and volume.
- petechial is platelets little red dots on the skin
- Ecchymosis: bleeding the blood vessels causing bruising
What is assessed for lesions? - Answer-Is an infection on the skin that can lead to an
ucler or rash.
What is assessed for Edema - Answer-Edema is fluid in the body and assessed by
pitting to check for the recoil of the skin to come back
What is assessed for Turgor - Answer-Is the process of measuring the skin or
measure of hydration.
- Assessing Turgor on elderly should be assessed on the shoulder, the sternum or
under the clavicle
,What is being assessed for in the nails? - Answer-Capillary refill, smooth texture,
color, infection, pain, paleness, and clubbing (Hypoxia)
What is being looked for when looking at the hair - Answer-Abnormal color, hygiene,
cleanliness, dry, blood, and alopecia (hair loss)
Head and neck assessment - Answer-Assess the
- Hair
- Ears
- Eyes
- Nose
- Mouth
- Vascularity on the neck
Define PERRLA - Answer-Pupils, equal, round, reactive to light, accommodation
What to look for when assessing the ears? - Answer-Use the pen light to assess for
any abnormal foreign objects, blood, fluids, skin lesions,
What to look for when assessing the oral cavity - Answer-- inspect the tongue and
mobility, hygiene, tonsils
- Inspect the hard and soft palate for color, shape, and texture
- Inspect the tonsils for pink and smooth and normal size
What to look for when assessing the nose - Answer-- symmetry, blood, fluids (color
of the fluids), and deviated nasal septum
What are the lung sounds to hear in the respiratory system - Answer-Bronchial,
Bronchovesicular, and vesicular
- Bronchial: loudest sound high pitch
- Bronchovesicular: Moderate intensity and moderate-pitched "Blowing" sounds from
the larger airways
- Vesicular: Soft intensity, low pitched by air moving through smaller airways
(bronchioles and alveoli)
Define Dyspnea - Answer-Labored breathing
Define Wheezing - Answer-Is a high pitch sound through a narrow pathway
Define Dullness - Answer-Heard during percussion:is a thud-like sound produced by
dense tissue such as the liver, spleen, or heart.
- Intensity: medium
- Pitch: medium
Define Flatness - Answer-Heard during percussion: extremely dull sound produced
by very dense tissue, such as a muscle or bone
- Intensity: soft
- Pitch: high
, Define Resonance: - Answer-Heard during percussion: is a hollow sound, such as
produced by the lungs filled with air.
- Intensity: loud
- Pitch: low
Define hyperresonance - Answer-heard during percussion: is not produced in a
healthy body, described as a booming that can be heard over an emphysematous
lung.
- Intensity: very loud
- Pitch: very low
Define Tympany - Answer-Heard during percussion: is a musical or drumlike sound
produced from an air filled stomach
- Intensity: Loud
- Pitch: High
Define hydrocephalus - Answer-enlargement of the head caused by inadequate
drainage of cerebrospinal fluid,
Define Pleximeter - Answer-using your nondominant hand during percussion
Define plexor - Answer-Using the tip of your dominant hand during percussion
Define Emesis - Answer-Process of throwing up
What are the landmarks of the heart - Answer-S1: Heard in the tricuspid and mitral
valve.
S2: Heard in the aorta and pulmonary
S3: Heard in children and young adults. Abnormal: heard in an adult
S4: Sounds commonly heard in older adults, indicating a change in the left ventricle.
Abnormal: may be a sign of hypertension
Location of the aorta in the intercostal space - Answer-second of the intercostal
space , right to the sternum
Location of the Pulmonary artery in the intercostal space - Answer-heard at the
second of the intercostal space to the left of the sternum
Location of the tricuspid valvee in the intercostal space - Answer-Heard between 5
intercostal space on the sternum
Location of the Mitral valve in the intercostal space - Answer-5th intercostal space,
below the left nipple
Define Scope of practice? - Answer-The scope of practice describes the procedures,
actions, and processes that a healthcare practitioner is permitted to undertake in
keeping with the terms of their professional license.
What are the Roles of functions of nurses? - Answer-teachers, advocates, caregiver,
communicator, leader, manager, case manager, research consumer, and counselor
