Nursing 251 Exam 1 Updated Questions With Complete
Solutions
4 Physical Assessment Techniques Correct Answer
Inspection, palpation, percussion, auscultation
AAA (Aortic Abdominal Aneurysm) Correct Answer NEVER
PALPATE PULSING ABDOMINAL AREA
Abduction Correct Answer movement away from the midline
Abstraction Correct Answer Explain common proverbs "Up
shits creek without a paddle"
Active ROM Correct Answer Ask client to move joint
Adduction Correct Answer Movement toward midline
Alert and Oriented Correct Answer A+Ox3
Amphiarthrotic Correct Answer Slightly moveable joints;
separated with cartilage or cartilage discs; vertebrae
Amplitude of Pulse Correct Answer Thready or weak, normal,
bounding
Aphasia Correct Answer Can not communicate
Apraxia Correct Answer Can not plan
,Assessment Correct Answer Collecting subjective and
objective data; establish data base with client's wellness, health
practices, past illnesses, and establish goals
Ataxic Correct Answer Lack Coordination
Auscultation Correct Answer Listening for sounds of
movement within the body
Babinsky Test Correct Answer Positive is abnormal in
children and adults (flexion/ fanning of toes)
Bell of Stethoscope Correct Answer Domed surfaces. Low
pitched sound (vascular sounds, extra heart sounds)
Biceps and Triceps Assessment Correct Answer Push and pull
with hands at wrist
Bimanual Palpation Correct Answer Capture organ or mass
between 2 hands; uses to assess breast tissue, spleen, uterus, and
masses
Blood Pressure Correct Answer The pressure exerted on the
walls of the arteries when the ventricles contract (systole) and
relax (diastole); 120/80
Blunt Percussion Correct Answer Non-dominant hand flat on
organ; dominant hand (fist) hits non-dominant hand; ex. kidneys
Bounding Correct Answer 3+; unable to obliterate
, Bradycardia Correct Answer <60bmp
Bradypnea Correct Answer <10 breaths per minute; head
injury, stroke, medication
Brain Stem Correct Answer Wakefulness, but not awareness
Brain Stem Functioning Correct Answer Pupillary size shape,
reaction to light, consensual reaction, accommodation
C.O.L.D.S.P.A. Correct Answer Character, onset, location,
duration, severity, pattern, associated symptoms
Carpal Tunnel Correct Answer Pinched medial nerve, postive
tinel sign
Cerebellar Coordination Correct Answer Finger to thumb,
point to point, finger to nose, heel down shin
Cerebellum Correct Answer Coordination, equilibrium,
reflexive control of muscle tone
Cerebrum Correct Answer Intellect; language
Change in Blood Pressure Correct Answer Note the change,
take a second reading, tell the doctor
Changes in Pulse Correct Answer From sympathetic and
parasympathetic nervous system
Solutions
4 Physical Assessment Techniques Correct Answer
Inspection, palpation, percussion, auscultation
AAA (Aortic Abdominal Aneurysm) Correct Answer NEVER
PALPATE PULSING ABDOMINAL AREA
Abduction Correct Answer movement away from the midline
Abstraction Correct Answer Explain common proverbs "Up
shits creek without a paddle"
Active ROM Correct Answer Ask client to move joint
Adduction Correct Answer Movement toward midline
Alert and Oriented Correct Answer A+Ox3
Amphiarthrotic Correct Answer Slightly moveable joints;
separated with cartilage or cartilage discs; vertebrae
Amplitude of Pulse Correct Answer Thready or weak, normal,
bounding
Aphasia Correct Answer Can not communicate
Apraxia Correct Answer Can not plan
,Assessment Correct Answer Collecting subjective and
objective data; establish data base with client's wellness, health
practices, past illnesses, and establish goals
Ataxic Correct Answer Lack Coordination
Auscultation Correct Answer Listening for sounds of
movement within the body
Babinsky Test Correct Answer Positive is abnormal in
children and adults (flexion/ fanning of toes)
Bell of Stethoscope Correct Answer Domed surfaces. Low
pitched sound (vascular sounds, extra heart sounds)
Biceps and Triceps Assessment Correct Answer Push and pull
with hands at wrist
Bimanual Palpation Correct Answer Capture organ or mass
between 2 hands; uses to assess breast tissue, spleen, uterus, and
masses
Blood Pressure Correct Answer The pressure exerted on the
walls of the arteries when the ventricles contract (systole) and
relax (diastole); 120/80
Blunt Percussion Correct Answer Non-dominant hand flat on
organ; dominant hand (fist) hits non-dominant hand; ex. kidneys
Bounding Correct Answer 3+; unable to obliterate
, Bradycardia Correct Answer <60bmp
Bradypnea Correct Answer <10 breaths per minute; head
injury, stroke, medication
Brain Stem Correct Answer Wakefulness, but not awareness
Brain Stem Functioning Correct Answer Pupillary size shape,
reaction to light, consensual reaction, accommodation
C.O.L.D.S.P.A. Correct Answer Character, onset, location,
duration, severity, pattern, associated symptoms
Carpal Tunnel Correct Answer Pinched medial nerve, postive
tinel sign
Cerebellar Coordination Correct Answer Finger to thumb,
point to point, finger to nose, heel down shin
Cerebellum Correct Answer Coordination, equilibrium,
reflexive control of muscle tone
Cerebrum Correct Answer Intellect; language
Change in Blood Pressure Correct Answer Note the change,
take a second reading, tell the doctor
Changes in Pulse Correct Answer From sympathetic and
parasympathetic nervous system