Foundations Final Jersey College
Questions and Answers Rated
100% Correct
Hypoxia - correct answer ✔✔deficiency in the amount of oxygen reaching the tissues
Auscultation - correct answer ✔✔to listen
Palpation - correct answer ✔✔an examination technique in which the examiner's hands are
used to feel the texture, size, consistency, and location of certain body parts
percussion - correct answer ✔✔tapping on a surface to determine the difference in the density
of the underlying structure
Piece of equipment is used to perform the Weber test and Rinne test - correct answer
✔✔Tuning Fork
Weber's test and Rinne's test are performed in order to assess - correct answer ✔✔Sound
Conduction (deafness)
When assessing a "PT" eye, which instrument would the nurse use to visualize the retina -
correct answer ✔✔Ophtalmoscope
ophtalmoscope - correct answer ✔✔instrument for examining the interior of the eye, especially
the retina
,percutaneous - correct answer ✔✔through the skin
The nurse performs a comprehensive assessment of a newly admitted client. What is the
primary purpose of this admission assessment - correct answer ✔✔Identify baseline data
Comprehensive assessment - correct answer ✔✔The comprehensive assessment is conducted
when a client first enters the health care setting to obtain baseline information that can be used
for comparison to later assessments.
When assessing the glossopharyngeal nerve, it is most important for the nurse to implement
which intervention - correct answer ✔✔The clients ability to swallow
cranial nerves - correct answer ✔✔12 pairs of nerves that carry messages to and from the brain
Cranial Nerve 1 - correct answer ✔✔Olfactory (smell)
Cranial Nerve 2 - correct answer ✔✔Optic - vision
Cranial Nerve 3 - correct answer ✔✔Oculomotor (eye movement)
Cranial Nerve 4 - correct answer ✔✔Trochlear (eye movement)
Cranial Nerve 5 - correct answer ✔✔Trigeminal
Cranial Nerve 6 - correct answer ✔✔Abducens (motor)
Cranial Nerve 7 - correct answer ✔✔facial nerve
,Cranial Nerve 8 - correct answer ✔✔Vestibulocochlear
Cranial Nerve 9 - correct answer ✔✔Glossopharyngeal
Cranial Nerve 10 - correct answer ✔✔Vagus
Cranial Nerve 11 - correct answer ✔✔Accessory (motor)
Cranial Nerve 12 - correct answer ✔✔Hypoglossal (tongue movement)
popping sounds heard on auscultation of the lungs - correct answer ✔✔crackles
Hepatitis - correct answer ✔✔inflammation of the liver
Hepatitus B Virus - correct answer ✔✔Virus caused by contact with bodily fluids and can cause
scarring of the liver, liver failure, cancer, or death.
Assessment - correct answer ✔✔Before the nurse can determine what care a person requires,
the nurse must determine the client's needs and problems. This requires the use of assessment
skills and data collection, which include interviewing, observing, and examining the client, and
in some cases, the client's family. Following the assessment, the nurse can also use the client's
medical record and contact other healthcare providers.
When using an interpreter - correct answer ✔✔The nurse should observe the cues the client
expresses with body language, and listen to the tone of voice.
, Tugor - correct answer ✔✔skins elasticity; poor elasticity seen when skin remains pinched
(slowly unfolds) sign of dehydration
Chlorhexidine - correct answer ✔✔an antibacterial compound with substantial residual activity
that is used as a liquid antiseptic and disinfectant
arterial blood pressure - correct answer ✔✔Arterial blood pressure (ABP), a basic hemodynamic
index, is often used to guide therapeutic interventions in critically ill patients
peripheral venous catheter - correct answer ✔✔a peripheral venous catheter, peripheral
venous line or peripheral venous access catheter is a catheter placed into a peripheral vein for
intravenous therapy such as medication fluids. Upon insertion, the line can be used to draw
blood
Edema happens when there is which fluid volume imbalance? - correct answer ✔✔extracellular
fluid volume excess
Anemia - correct answer ✔✔a deficiency of red blood cells
pallor - correct answer ✔✔Extreme or unnatural paleness
Appropriate Levels - correct answer ✔✔Potassium
3.5-5.0
Phosphorus
2.5-4.5
Magnesium
Questions and Answers Rated
100% Correct
Hypoxia - correct answer ✔✔deficiency in the amount of oxygen reaching the tissues
Auscultation - correct answer ✔✔to listen
Palpation - correct answer ✔✔an examination technique in which the examiner's hands are
used to feel the texture, size, consistency, and location of certain body parts
percussion - correct answer ✔✔tapping on a surface to determine the difference in the density
of the underlying structure
Piece of equipment is used to perform the Weber test and Rinne test - correct answer
✔✔Tuning Fork
Weber's test and Rinne's test are performed in order to assess - correct answer ✔✔Sound
Conduction (deafness)
When assessing a "PT" eye, which instrument would the nurse use to visualize the retina -
correct answer ✔✔Ophtalmoscope
ophtalmoscope - correct answer ✔✔instrument for examining the interior of the eye, especially
the retina
,percutaneous - correct answer ✔✔through the skin
The nurse performs a comprehensive assessment of a newly admitted client. What is the
primary purpose of this admission assessment - correct answer ✔✔Identify baseline data
Comprehensive assessment - correct answer ✔✔The comprehensive assessment is conducted
when a client first enters the health care setting to obtain baseline information that can be used
for comparison to later assessments.
When assessing the glossopharyngeal nerve, it is most important for the nurse to implement
which intervention - correct answer ✔✔The clients ability to swallow
cranial nerves - correct answer ✔✔12 pairs of nerves that carry messages to and from the brain
Cranial Nerve 1 - correct answer ✔✔Olfactory (smell)
Cranial Nerve 2 - correct answer ✔✔Optic - vision
Cranial Nerve 3 - correct answer ✔✔Oculomotor (eye movement)
Cranial Nerve 4 - correct answer ✔✔Trochlear (eye movement)
Cranial Nerve 5 - correct answer ✔✔Trigeminal
Cranial Nerve 6 - correct answer ✔✔Abducens (motor)
Cranial Nerve 7 - correct answer ✔✔facial nerve
,Cranial Nerve 8 - correct answer ✔✔Vestibulocochlear
Cranial Nerve 9 - correct answer ✔✔Glossopharyngeal
Cranial Nerve 10 - correct answer ✔✔Vagus
Cranial Nerve 11 - correct answer ✔✔Accessory (motor)
Cranial Nerve 12 - correct answer ✔✔Hypoglossal (tongue movement)
popping sounds heard on auscultation of the lungs - correct answer ✔✔crackles
Hepatitis - correct answer ✔✔inflammation of the liver
Hepatitus B Virus - correct answer ✔✔Virus caused by contact with bodily fluids and can cause
scarring of the liver, liver failure, cancer, or death.
Assessment - correct answer ✔✔Before the nurse can determine what care a person requires,
the nurse must determine the client's needs and problems. This requires the use of assessment
skills and data collection, which include interviewing, observing, and examining the client, and
in some cases, the client's family. Following the assessment, the nurse can also use the client's
medical record and contact other healthcare providers.
When using an interpreter - correct answer ✔✔The nurse should observe the cues the client
expresses with body language, and listen to the tone of voice.
, Tugor - correct answer ✔✔skins elasticity; poor elasticity seen when skin remains pinched
(slowly unfolds) sign of dehydration
Chlorhexidine - correct answer ✔✔an antibacterial compound with substantial residual activity
that is used as a liquid antiseptic and disinfectant
arterial blood pressure - correct answer ✔✔Arterial blood pressure (ABP), a basic hemodynamic
index, is often used to guide therapeutic interventions in critically ill patients
peripheral venous catheter - correct answer ✔✔a peripheral venous catheter, peripheral
venous line or peripheral venous access catheter is a catheter placed into a peripheral vein for
intravenous therapy such as medication fluids. Upon insertion, the line can be used to draw
blood
Edema happens when there is which fluid volume imbalance? - correct answer ✔✔extracellular
fluid volume excess
Anemia - correct answer ✔✔a deficiency of red blood cells
pallor - correct answer ✔✔Extreme or unnatural paleness
Appropriate Levels - correct answer ✔✔Potassium
3.5-5.0
Phosphorus
2.5-4.5
Magnesium
