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NURS 2004 – Midterm & Final Review – Canadian Nursing Curriculum – Community, Epidemiology, and Indigenous Health Q&A Guide

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This document compiles both midterm and final exam review materials for NURS 2004, focusing on community health nursing in a Canadian context. It includes definitions, case-based questions, and verified answers covering key public health concepts such as epidemiology, social determinants of health, health promotion models, Indigenous health inequities, harm reduction strategies, vulnerable populations, and levels of prevention. Designed to reinforce theoretical understanding and critical application for community nursing practice.

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NURS 2004 |1085 FINAL questions with accurate
answers
__________ in inner ear constantly feeds info to the brain about body's
position in space Ans✓✓✓ labyrinth


______________ ____________normally may have slight protrusion of
eyeball beyond supraorbital ridge Ans✓✓✓ african americans


- a kind of arthritis caused by a buildup of uric acid crystals in the joints.
-It is soft, boggy, or fluctuant fullness when palpated
-it is Very Painful
-The small joint at the base of the big toe is the most common site for an
attack.
-Other joints that can be affected include the ankles, knees, wrists,
fingers, and elbows. Ans✓✓✓ gout


- sensory pathway of spinal cord, cerebellum, basal ganglia, and
brainstem; form synapse on way to cerebral cortex, human emotion and
creativity, "waking center", secretary for the cerebral cortex - decides
which signals from the ears, eyes mouth and skin to relay to the cerebral
cortex. *** Smell goes straight to the brain, CN I Ans✓✓✓ thalamus


- the sound of secretions in the airway i.e. bronchitis and pneumonia
-may be heard during inspiration and/or expiration.
-improved with cough

,(can also be from pulmonary edema)
heard during INSPIRATION AND/OR EXPIRATION Ans✓✓✓
rhonchi


-articulation of manubrium and body of sternum; start counting ribs here
-continuous w 2nd rib (anteriorly); continuous w T4 (posteriorly)
-where tracheal bifurcation into right and left main bronchi occurs;
upper border of atria and heart Ans✓✓✓ sternal angle (angle of louis)


-dependent edema around area of feet and ankles
-sign of venous insufficiency or right-sided heart failure
-pitting edema Ans✓✓✓ peripheral edema


-low blood pressure. depends on one's average BP. in normotensive
adults, SBP <95 and/or DBP <60 Ans✓✓✓ hypotension


**must have adequate BP to have perfusion, so hypotension impairs
tissue and organ perfusion


-reflect heart function better than peripheral arteries
-commonly auscultated Ans✓✓✓ carotid artery


-the sound of air being forced through a swollen airway i.e. asthma
-may be heard during INSPIRATION AND/OR EXPIRATION

,-improved with medication (i.e. bronchodilator, steroid)
(musical/whistling sound) Ans✓✓✓ wheezes


-the sound of alveoli popping open i.e. atelectasis
-only heard during INSPIRATION. improved with deep breaths (sounds
like velcro or hair brushing against your stethoscope) Ans✓✓✓
crackles (used to be known as Rales)


-what the patient tells you
-the history, from chief complaint through Review of Systems


EX: Mrs. G is a 54 year old hairdresser who reports pressure over her
left chest "like an elephant sitting there", which goes into her left neck
and arm Ans✓✓✓ subjective data


-what you detect during examination
-all physical examination findings


EX: mrs. G is an older, overweight white female, who is pleasant and
cooperative. height 5'4, weight 150 lbs, BMI 26, BP 160/80, HR 96 and
regular, respiratory rate 24, temperature 97.5 Ans✓✓✓ objective data


, round, moonlike face with red cheeks, hair on upper lip and chin,
Ans✓✓✓ cushings

, : has dark pigmentation to prevent light from reflecting internally and is
heavily vascularized to deliver blood to retina
Anteriorly is continuous with ciliary body and iris
Muscles of ciliary body control thickness of lens Ans✓✓✓ choroid


: tough, protective, white covering of the eye
Continuous anteriorly with smooth, transparent cornea, which covers iris
and pupil Ans✓✓✓ sclera


: type of hearing loss that occurs with aging, even in people living in
quiet environment Ans✓✓✓ prebycusis


"groin" area; juncture of lower abdominal wall and the thigh; borders are
anterior superior iliac spine and symphysis pubis Ans✓✓✓ inguinal
ligaments


"hip bones" Ans✓✓✓ anterior superior iliac spines


"moonlight" face, prominent jowls, red cheeks, think Ans✓✓✓ cushing
syndrome


(around T10) 12th rib forms an angle w the vertebral column (spine), to
confirm symmetric chest expansion. left kidney slightly higher than right
due to placement of liver Ans✓✓✓ costovertebral angle (posterior)

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