NUR 3066 FINAL REVIEW COMPREHENSIVE EXAM QUESTIONS WITH DETAILED VERIFIED
AND 100% ACCURATE ANSWERS BRAND NEW EXAM ALREADY GRADED A+
Components of the Mental Status Examination -(ANSWER)A: Appearance
B: Behavior
C: Cognition
T: Thought Processes
Marijuana -(ANSWER)reddened eyes, tachycardia, dry mouth, increased appetite, loss of
coordination/balance
Cocaine -(ANSWER)pupillary dilation, tachycardia or bradycardia, elevated or lowered BP, sweating,
chills,
nausea, vomiting, weight loss
Heroin -(ANSWER)pinpoint pupils, decrease blood pressure, pulse, respirations and temperature
Hallucinogens -(ANSWER)tachycardia, nausea, increased blood pressure, respirations or temperature,
loss of
appetite, dry mouth, paranoia, psychosis
Inhalants: -(ANSWER)slurred speech, lack of coordination, dizziness, delusions
Methamphetamines -(ANSWER)pupillary dilation, tachycardia or bradycardia, elevated or decreased
blood
pressure, sweating or chills, nausea and vomiting, weight loss
Temperature -(ANSWER)Normal -Oral 96.4-99.1 F -Rectal 97.1-100.1 F
Abnormal: Fever (hyperthermia): 100.4+F, Cold (hypothermia) <96.4 F
-Rectal temps are most accurate
-Tympanic temp utilized in peds often due to ease
,NUR 3066 FINAL REVIEW COMPREHENSIVE EXAM QUESTIONS WITH DETAILED VERIFIED
AND 100% ACCURATE ANSWERS BRAND NEW EXAM ALREADY GRADED A+
Pulse Rate -(ANSWER)Normal- 60-100 BPM
Abnormal: Bradycardia <60, Tachycardia >100
-Low pulse can be normal
-Pediatrics run higher and have a different scale of normal
-Doppler can be used if not palpable
Pulse Force -(ANSWER)2+
0=absent, 1+=weak, thread, 3+=bounding
-Reflects strength of heart's stroke volume
Respirations -(ANSWER)Normal- 10-20/minutes
Abnormal: Bradypnea <10, Tachypnea>20
-Distract patient to get accurate result
-Pediatric population differs
-Con signal declining status
-Count for 30 seconds and x2 (count for full minute if suspected abnormality)
Oxygen Saturation -(ANSWER)Normal: >95% on room air
Abnormal: <95% on room air
-Lung disease may cause lower normal reading
-Move pulse oximeter around if getting odd reading - could be due to placement
Blood Pressure -(ANSWER)Systolic= maximum pressure during left ventricular contraction, TOP reading
Diastolic= recoil/resting pressure between each contraction, BOTTOM reading
Pulse Pressure= difference between systolic and diastolic pressures and reflects stroke volume
Causes of Abnormalities: medical diagnoses, medications, current state
, NUR 3066 FINAL REVIEW COMPREHENSIVE EXAM QUESTIONS WITH DETAILED VERIFIED
AND 100% ACCURATE ANSWERS BRAND NEW EXAM ALREADY GRADED A+
Performing Blood Pressure Reading -(ANSWER)Ensure cuff is correct size
Place around arm as directed (practice in lab)
Inflate to maximum level
Deflate cuff slowly and evently
Listen for Korotkoff sounds (Systolic= 1st sound heard, Diastolic= last sound before silence)
Readings should always be even numbered
Do NOT do BP on mastectomy arm
Sources of Pain -(ANSWER)Visceral: from internal organs
Somatic: from musculoskeletal tissues
Deep Somatic: from blood vessels, joints, tendons, muscles, bone
Cutaneous: from skin surface and subcutaneous tissues
Referred: from another body location (originated from another area)
Lesions
Assess CEPSLA -(ANSWER)C: Color
E: Elevation
P: Pattern or Shape
S: Size
L: Location and distribution
A: Any exudate (color, odor)
Primary: -(ANSWER)Macule and Patch: flat, nonpalpable, circumscribed border, discolored
-Macule: less than 1 cm in size
-Patch: greater than 1 cm
-Example: freckles, measles, Mongolian spots, vitiligo
AND 100% ACCURATE ANSWERS BRAND NEW EXAM ALREADY GRADED A+
Components of the Mental Status Examination -(ANSWER)A: Appearance
B: Behavior
C: Cognition
T: Thought Processes
Marijuana -(ANSWER)reddened eyes, tachycardia, dry mouth, increased appetite, loss of
coordination/balance
Cocaine -(ANSWER)pupillary dilation, tachycardia or bradycardia, elevated or lowered BP, sweating,
chills,
nausea, vomiting, weight loss
Heroin -(ANSWER)pinpoint pupils, decrease blood pressure, pulse, respirations and temperature
Hallucinogens -(ANSWER)tachycardia, nausea, increased blood pressure, respirations or temperature,
loss of
appetite, dry mouth, paranoia, psychosis
Inhalants: -(ANSWER)slurred speech, lack of coordination, dizziness, delusions
Methamphetamines -(ANSWER)pupillary dilation, tachycardia or bradycardia, elevated or decreased
blood
pressure, sweating or chills, nausea and vomiting, weight loss
Temperature -(ANSWER)Normal -Oral 96.4-99.1 F -Rectal 97.1-100.1 F
Abnormal: Fever (hyperthermia): 100.4+F, Cold (hypothermia) <96.4 F
-Rectal temps are most accurate
-Tympanic temp utilized in peds often due to ease
,NUR 3066 FINAL REVIEW COMPREHENSIVE EXAM QUESTIONS WITH DETAILED VERIFIED
AND 100% ACCURATE ANSWERS BRAND NEW EXAM ALREADY GRADED A+
Pulse Rate -(ANSWER)Normal- 60-100 BPM
Abnormal: Bradycardia <60, Tachycardia >100
-Low pulse can be normal
-Pediatrics run higher and have a different scale of normal
-Doppler can be used if not palpable
Pulse Force -(ANSWER)2+
0=absent, 1+=weak, thread, 3+=bounding
-Reflects strength of heart's stroke volume
Respirations -(ANSWER)Normal- 10-20/minutes
Abnormal: Bradypnea <10, Tachypnea>20
-Distract patient to get accurate result
-Pediatric population differs
-Con signal declining status
-Count for 30 seconds and x2 (count for full minute if suspected abnormality)
Oxygen Saturation -(ANSWER)Normal: >95% on room air
Abnormal: <95% on room air
-Lung disease may cause lower normal reading
-Move pulse oximeter around if getting odd reading - could be due to placement
Blood Pressure -(ANSWER)Systolic= maximum pressure during left ventricular contraction, TOP reading
Diastolic= recoil/resting pressure between each contraction, BOTTOM reading
Pulse Pressure= difference between systolic and diastolic pressures and reflects stroke volume
Causes of Abnormalities: medical diagnoses, medications, current state
, NUR 3066 FINAL REVIEW COMPREHENSIVE EXAM QUESTIONS WITH DETAILED VERIFIED
AND 100% ACCURATE ANSWERS BRAND NEW EXAM ALREADY GRADED A+
Performing Blood Pressure Reading -(ANSWER)Ensure cuff is correct size
Place around arm as directed (practice in lab)
Inflate to maximum level
Deflate cuff slowly and evently
Listen for Korotkoff sounds (Systolic= 1st sound heard, Diastolic= last sound before silence)
Readings should always be even numbered
Do NOT do BP on mastectomy arm
Sources of Pain -(ANSWER)Visceral: from internal organs
Somatic: from musculoskeletal tissues
Deep Somatic: from blood vessels, joints, tendons, muscles, bone
Cutaneous: from skin surface and subcutaneous tissues
Referred: from another body location (originated from another area)
Lesions
Assess CEPSLA -(ANSWER)C: Color
E: Elevation
P: Pattern or Shape
S: Size
L: Location and distribution
A: Any exudate (color, odor)
Primary: -(ANSWER)Macule and Patch: flat, nonpalpable, circumscribed border, discolored
-Macule: less than 1 cm in size
-Patch: greater than 1 cm
-Example: freckles, measles, Mongolian spots, vitiligo
