NUR 3065 Exam 1 Questions With Complete Solutions
-- "OLD CART" mnemonic Correct Answers Onset
Location/radiation
Duration
Characteristics
Aggravating factors
Relieving factors
Timing/Treatment
Severity
-- communication Correct Answers is key to ensure the well-
being of the patient; is encouraged/supported through team
huddles, interdisciplinary meetings, and documentation (it
ensures best possible care is provided)
-- MEWS (modified early warning system) Correct Answers
looks at respirations per minute, heart rate per minute, systolic
blood pressure, LOC, and temp
-- Morse Fall Risk and Braden scale Correct Answers assess a
patient's risk for fall
,-- PQRSTU mnemonic Correct Answers Provokes (what cause
problem/pain?)
Quality (what does it feel like; sharp, dull, stabbing, burning,
crushing)
Region/radiation (where is the problem; can you feel pain in one
place or does it radiate)
Severity (how severe is the problem/pain on a scale of 1-10)
Time (time/problem started; how long did it last)
Understand patient's perception of the problem
-- SBAR Correct Answers is an effective and efficient way to
communicate important information about a patient;
standardizes communication and allows parties to provide
continuity of care
abnormal integument: elderly Correct Answers -- Ecchymosis
= excessive bruising; especially if on blood thinners
-- Telangiectasias = vascular dilation, spider veins; easily visible
through skin; smaller, red, purple, and blue vessels that twist and
turn under skin
-- Petechiae = superficial capillary bleeding; tiny hemorrhages,
round and discrete; will not blanch
, abnormal integument: infant and children Correct Answers --
Measles: rubeola = red-purple blotchy rash
-- Rubella: german measles = fine, popular rash
-- Varicella: chicken pox = small, tight, shiny vesicles (dewdrop
on a rose petal); first appears on trunk, spreads to face, arms and
legs; vesicles then erupt and become pustules; contagious 2 days
before raush until lesions are crusted
abnormal nail characteristics Correct Answers Cyanotic, pale
color, and brown linear lines are all abnormal too
Actinic Keratosis: Correct Answers -- AKs can be pre-
cancerous precursors to SCC
-- Usually asymptomatic, red, rough, scaly, and poorly
circumscribed lesions
-- more than 80% occur on head, nose, tips of the ears, neck,
back of the hand, and forearms
Alopecia: Correct Answers loss of hair, balding
assess the pulses Correct Answers -- rate: beats/minute
-- rhythm: regular or not
-- sinus arrhythmia: speeds up at the peak of inspiration and
slows with expiration
-- force/amplitude: 3+ bounding, 2+ normal, 1+ weak or
thready, 0 absent
-- elasticity: feels springy, straight, resilient
-- "OLD CART" mnemonic Correct Answers Onset
Location/radiation
Duration
Characteristics
Aggravating factors
Relieving factors
Timing/Treatment
Severity
-- communication Correct Answers is key to ensure the well-
being of the patient; is encouraged/supported through team
huddles, interdisciplinary meetings, and documentation (it
ensures best possible care is provided)
-- MEWS (modified early warning system) Correct Answers
looks at respirations per minute, heart rate per minute, systolic
blood pressure, LOC, and temp
-- Morse Fall Risk and Braden scale Correct Answers assess a
patient's risk for fall
,-- PQRSTU mnemonic Correct Answers Provokes (what cause
problem/pain?)
Quality (what does it feel like; sharp, dull, stabbing, burning,
crushing)
Region/radiation (where is the problem; can you feel pain in one
place or does it radiate)
Severity (how severe is the problem/pain on a scale of 1-10)
Time (time/problem started; how long did it last)
Understand patient's perception of the problem
-- SBAR Correct Answers is an effective and efficient way to
communicate important information about a patient;
standardizes communication and allows parties to provide
continuity of care
abnormal integument: elderly Correct Answers -- Ecchymosis
= excessive bruising; especially if on blood thinners
-- Telangiectasias = vascular dilation, spider veins; easily visible
through skin; smaller, red, purple, and blue vessels that twist and
turn under skin
-- Petechiae = superficial capillary bleeding; tiny hemorrhages,
round and discrete; will not blanch
, abnormal integument: infant and children Correct Answers --
Measles: rubeola = red-purple blotchy rash
-- Rubella: german measles = fine, popular rash
-- Varicella: chicken pox = small, tight, shiny vesicles (dewdrop
on a rose petal); first appears on trunk, spreads to face, arms and
legs; vesicles then erupt and become pustules; contagious 2 days
before raush until lesions are crusted
abnormal nail characteristics Correct Answers Cyanotic, pale
color, and brown linear lines are all abnormal too
Actinic Keratosis: Correct Answers -- AKs can be pre-
cancerous precursors to SCC
-- Usually asymptomatic, red, rough, scaly, and poorly
circumscribed lesions
-- more than 80% occur on head, nose, tips of the ears, neck,
back of the hand, and forearms
Alopecia: Correct Answers loss of hair, balding
assess the pulses Correct Answers -- rate: beats/minute
-- rhythm: regular or not
-- sinus arrhythmia: speeds up at the peak of inspiration and
slows with expiration
-- force/amplitude: 3+ bounding, 2+ normal, 1+ weak or
thready, 0 absent
-- elasticity: feels springy, straight, resilient
