Exam 1: NRSG 1710 Questions With Complete Solutions
Define auscultation
Use of hearing w/ or w/o an instrument
What is the supine position?
Aka known as the dorsal recumbent position, the pt lies on their
back w/ head and shoulders elevated on a small pillow
What is the sims position?
The lower arm is positioned behind the pt, and the upper arm is
flexed
What is the prone position?
Pt lies on their abd w/ their head turned to one side
What is lateral position?
Side-lying with legs in a straight line
What is fowler's high-or-semi?
High: the head of the bed is elevated (90 degrees)
Semi: the head of the bed is elevated only (30 degrees)
What is a strain?
An injury to muscle caused by excessive stress on the muscle
What is a sprain?
A stretch injury of a ligament that causes the ligament to tear
What is a fracture?
,A break in the bone
WHat are bone tumors?
Affect form and function
What is osteomyelitis?
An infection of the bone that may develop after bone injury or
surgery
What is osteoporosis?
Decrease in bone density, which occurs when osteoclast activity
outpaces that of the osetoblast
What is gout?
An inflammatory response to high levels of uric acid
What is ankylosing spondylitis?
Chronic inflammatory joint disease characterized by stiffening
and fusion of the spine and sacroiliac joints
What is rheumatoid arthritis?
RA is an autoimmune disease involving chronic inflammation of
the joints and surrounding C.T, frequently resulting in difficulty
in performing ADL's
What is osteoarthritis (OA)?
*Most preventable type of degenerative joint disease
OA involves loss of a articular cartilage in the joint, w/ pain and
stiffness as the primary symptom
What is a large head size called?
, Acromegaly
Capillary refill #?
<3 sec return to normal
When checking skin, what do the ABC's stand for?
A: Asymmetry
B: Border irregularity
C: Color variation
D: Diameter greater than 0.5 cm
E/E: Elevation (evolution) above the skin surface
If pt has skin elasticity issues what areas do you use to test for
turgor?
Clavicle or forehead
What does turgor test for?
Is pt hydrate or dehydrated?
How many levels of edema are there?
+1- +4
+1 >2 ml depression/return to normal
+2 >dep/10-15 seconds to return to normal
+3 >6 ml depression/1-2min to return to normal
+4 > big indentation/2-3 min to return to normal
How do you assess problems in older adults?
Sleep disorders
Problems eating or feeding
Incontinence
Define auscultation
Use of hearing w/ or w/o an instrument
What is the supine position?
Aka known as the dorsal recumbent position, the pt lies on their
back w/ head and shoulders elevated on a small pillow
What is the sims position?
The lower arm is positioned behind the pt, and the upper arm is
flexed
What is the prone position?
Pt lies on their abd w/ their head turned to one side
What is lateral position?
Side-lying with legs in a straight line
What is fowler's high-or-semi?
High: the head of the bed is elevated (90 degrees)
Semi: the head of the bed is elevated only (30 degrees)
What is a strain?
An injury to muscle caused by excessive stress on the muscle
What is a sprain?
A stretch injury of a ligament that causes the ligament to tear
What is a fracture?
,A break in the bone
WHat are bone tumors?
Affect form and function
What is osteomyelitis?
An infection of the bone that may develop after bone injury or
surgery
What is osteoporosis?
Decrease in bone density, which occurs when osteoclast activity
outpaces that of the osetoblast
What is gout?
An inflammatory response to high levels of uric acid
What is ankylosing spondylitis?
Chronic inflammatory joint disease characterized by stiffening
and fusion of the spine and sacroiliac joints
What is rheumatoid arthritis?
RA is an autoimmune disease involving chronic inflammation of
the joints and surrounding C.T, frequently resulting in difficulty
in performing ADL's
What is osteoarthritis (OA)?
*Most preventable type of degenerative joint disease
OA involves loss of a articular cartilage in the joint, w/ pain and
stiffness as the primary symptom
What is a large head size called?
, Acromegaly
Capillary refill #?
<3 sec return to normal
When checking skin, what do the ABC's stand for?
A: Asymmetry
B: Border irregularity
C: Color variation
D: Diameter greater than 0.5 cm
E/E: Elevation (evolution) above the skin surface
If pt has skin elasticity issues what areas do you use to test for
turgor?
Clavicle or forehead
What does turgor test for?
Is pt hydrate or dehydrated?
How many levels of edema are there?
+1- +4
+1 >2 ml depression/return to normal
+2 >dep/10-15 seconds to return to normal
+3 >6 ml depression/1-2min to return to normal
+4 > big indentation/2-3 min to return to normal
How do you assess problems in older adults?
Sleep disorders
Problems eating or feeding
Incontinence
