NRSG 3323 Exam 1 Questions With Complete Solutions
12 lead placement Correct Answers V1 - 4th ICS RSB
V2 - 4th ICS LSB
V3 - between V2 and V4
V4 - 5th ICS left MCL
V5 - 5th ICS left AAL
V6 - 5th ICS left MAL
Limb leads: black (LA), red (LL), white (RA), green (RL)
3 lead placement Correct Answers black (LA), red (LL), white
(RA)
5 lead placement Correct Answers 3 lead plus
black (LA), red (LL), white (RA), green (RL), brown (usually
V1 but can be any precordial placement)
accomodation Correct Answers the process by which the eye's
lens changes shape to focus near or far objects on the retina
- looking far away, the pupil should dilate
- looking close, the pupil should constrict
anisocoria Correct Answers unequal pupil size
arterial disease Correct Answers skin: shiny pale/dependent
rubor
skin temp: cool
capillary refill: >3secs
pulses: weak/absent
hair: absent
edema: absent
,necrosis: likely
pain: sharp/stabbing
atrioventricular valves Correct Answers tricuspid and
mitral/bicuspid valves
Cardiac auscultation landmarks (APETM) Correct Answers o
Aortic area - 2nd ICS/right sternal border, S2>S1
o Pulmonic area - 2nd ICS/left sternal border, S2>S1
o Erb's point - 3rd ICS/left sternal border, S1=S2
o Tricuspid area - 4th ICS/left sternal border, S1>S2
o Mitral (Apical) area - 5th ICS/midclavicular line, S1>S2
cataracts Correct Answers clouding of the lens
Categories of a traditional health history Correct Answers CC -
chief complaint
HPC/HPI - history of present concern/illness
PMH - past medical history
FH - family history
SH - social/lifestyle history
central venous access (CVAD) Correct Answers - delivery of
hyperosmolar solutions or when PIV access is
exhausted/contraindicated
- monitor central venous pressure
- delivery of large volumes of fluid
comatose Correct Answers - patient does not respond to
continuous or painful stimulation
, - does not move, except possibly reflexively, and does not make
any verbal sounds
corneal arcus Correct Answers yellow/gray ring around the iris
Cranial Nerve I Correct Answers OLFACTORY
- Smell reception & interpretation
- Assess by having patient close their eyes, close one nostril, and
identify a smell such as coffee or alcohol
Cranial Nerve II Correct Answers Optic - vision
- Assess by testing visual acuity and pupillary constriction
Cranial Nerve III Correct Answers Oculomotor nerve
1) Allows EOMs to move eye inward, lateral, and upward
2) Responsible for upper eyelid symmetry (ptosis)
- Assess by testing visual acuity, pupillary constriction, and six
cardinal points of gaze
Cranial Nerve IV Correct Answers Trochlear - allows EOMs to
move eye inward and downward toward nose
- assess by testing six cardinal fields of gaze
Cranial Nerve IX Correct Answers Glossopharyngeal - taste on
the last 1/3 of tongue
- assess by palpating soft palate for symmetry, say "ah", test gag
reflex, and have the patient swallow
Cranial Nerve V Correct Answers Trigeminal - sensation of the
face and biting/chewing
12 lead placement Correct Answers V1 - 4th ICS RSB
V2 - 4th ICS LSB
V3 - between V2 and V4
V4 - 5th ICS left MCL
V5 - 5th ICS left AAL
V6 - 5th ICS left MAL
Limb leads: black (LA), red (LL), white (RA), green (RL)
3 lead placement Correct Answers black (LA), red (LL), white
(RA)
5 lead placement Correct Answers 3 lead plus
black (LA), red (LL), white (RA), green (RL), brown (usually
V1 but can be any precordial placement)
accomodation Correct Answers the process by which the eye's
lens changes shape to focus near or far objects on the retina
- looking far away, the pupil should dilate
- looking close, the pupil should constrict
anisocoria Correct Answers unequal pupil size
arterial disease Correct Answers skin: shiny pale/dependent
rubor
skin temp: cool
capillary refill: >3secs
pulses: weak/absent
hair: absent
edema: absent
,necrosis: likely
pain: sharp/stabbing
atrioventricular valves Correct Answers tricuspid and
mitral/bicuspid valves
Cardiac auscultation landmarks (APETM) Correct Answers o
Aortic area - 2nd ICS/right sternal border, S2>S1
o Pulmonic area - 2nd ICS/left sternal border, S2>S1
o Erb's point - 3rd ICS/left sternal border, S1=S2
o Tricuspid area - 4th ICS/left sternal border, S1>S2
o Mitral (Apical) area - 5th ICS/midclavicular line, S1>S2
cataracts Correct Answers clouding of the lens
Categories of a traditional health history Correct Answers CC -
chief complaint
HPC/HPI - history of present concern/illness
PMH - past medical history
FH - family history
SH - social/lifestyle history
central venous access (CVAD) Correct Answers - delivery of
hyperosmolar solutions or when PIV access is
exhausted/contraindicated
- monitor central venous pressure
- delivery of large volumes of fluid
comatose Correct Answers - patient does not respond to
continuous or painful stimulation
, - does not move, except possibly reflexively, and does not make
any verbal sounds
corneal arcus Correct Answers yellow/gray ring around the iris
Cranial Nerve I Correct Answers OLFACTORY
- Smell reception & interpretation
- Assess by having patient close their eyes, close one nostril, and
identify a smell such as coffee or alcohol
Cranial Nerve II Correct Answers Optic - vision
- Assess by testing visual acuity and pupillary constriction
Cranial Nerve III Correct Answers Oculomotor nerve
1) Allows EOMs to move eye inward, lateral, and upward
2) Responsible for upper eyelid symmetry (ptosis)
- Assess by testing visual acuity, pupillary constriction, and six
cardinal points of gaze
Cranial Nerve IV Correct Answers Trochlear - allows EOMs to
move eye inward and downward toward nose
- assess by testing six cardinal fields of gaze
Cranial Nerve IX Correct Answers Glossopharyngeal - taste on
the last 1/3 of tongue
- assess by palpating soft palate for symmetry, say "ah", test gag
reflex, and have the patient swallow
Cranial Nerve V Correct Answers Trigeminal - sensation of the
face and biting/chewing
