Nurs 251 Final Exam PSU Questions With Complete
Solutions
3 types of reflexes Correct Answer Stretch on/ Deep tendon
(myotatic) ex: knee jerk
Superficial (cutaneous) ex: plantar reflex
Visceral (organ) ex: pupil response
abnormal breath sounds Correct Answer Sigh
Tachypnea
Hyperventilation
Bradypnea
Hypoventilation
Cheyne-Stokes respirations
Discontinuous sounds
Crackles
Continuous sounds
Wheeze
Rhonchi
Stridor
Accommodation Correct Answer adaptation of the eye for
near vision by increasing the curvature of the lens
movement of ciliary muscles: convergence (motion towards
axes of eyeballs)
pupils constrict when adapting for near vision
(im going to go towards your nose but wont touch it)
Amplitude of pulses Correct Answer 3+ = large or bounding
,2+ = normal or average
1 = small or reduced
0 = absence of pulse
Aortic valve area of auscultation Correct Answer Right side,
second intercostal space
Arterial Peripheral Vascular Disorder Correct Answer Cool
Skin, Pain in legs, Absent pulses, no edema, lowering feet may
decrease pain
Biographic Data Correct Answer name, address, phone
number, age, birthdate, gender, marital status, race, ethic origin,
occupation, primary language
Blood Pressure Correct Answer 120/80 mmHg
bradypnea Correct Answer slow breathing
breast self examination (BSE) Correct Answer a) Inspection
can be done in front of a mirror. Palpation can be done in a
shower.
b) BSE should always be performed following a menstrual
cycle.
c) If client is menopausal, BSE should be performed on the same
day of each month.
Bronchial, sometimes called tracheal or tubular Correct
Answer harsh, hollow, loud, high-pitched
, Bronchophony Correct Answer say "99" while listening with
stethoscope. Normal: soft, muffled
Abnormal: words more distinct
Bronchovesicular Correct Answer inspiration=expiration in
duration, over major bronchi
Cerebellar Test Correct Answer Nose-Finger-Nose
Gait and balance tests
Tandem walking
Romberg sign
Cerebellum Correct Answer Balance and coordination,
muscle tone of voluntary movements
RAM
Rapid altering movement test
Cheyne-Stokes respiration Correct Answer wax and wane
pattern, increasing rate and depth then decreasing with periods
of apnea (20 sec of no breathing)
Clarification Correct Answer useful when patients words are
confusing
clubbing Correct Answer -angle straightens out to 180
degrees and nail base feels spongy to palpation
-occurs with: congenital cyanotic heart disease, lung cancer,
pulmonary diseases (COPD, bronchitis, emphysema), history of
smoking
CN I Correct Answer Olfactory; smell; sensory
Solutions
3 types of reflexes Correct Answer Stretch on/ Deep tendon
(myotatic) ex: knee jerk
Superficial (cutaneous) ex: plantar reflex
Visceral (organ) ex: pupil response
abnormal breath sounds Correct Answer Sigh
Tachypnea
Hyperventilation
Bradypnea
Hypoventilation
Cheyne-Stokes respirations
Discontinuous sounds
Crackles
Continuous sounds
Wheeze
Rhonchi
Stridor
Accommodation Correct Answer adaptation of the eye for
near vision by increasing the curvature of the lens
movement of ciliary muscles: convergence (motion towards
axes of eyeballs)
pupils constrict when adapting for near vision
(im going to go towards your nose but wont touch it)
Amplitude of pulses Correct Answer 3+ = large or bounding
,2+ = normal or average
1 = small or reduced
0 = absence of pulse
Aortic valve area of auscultation Correct Answer Right side,
second intercostal space
Arterial Peripheral Vascular Disorder Correct Answer Cool
Skin, Pain in legs, Absent pulses, no edema, lowering feet may
decrease pain
Biographic Data Correct Answer name, address, phone
number, age, birthdate, gender, marital status, race, ethic origin,
occupation, primary language
Blood Pressure Correct Answer 120/80 mmHg
bradypnea Correct Answer slow breathing
breast self examination (BSE) Correct Answer a) Inspection
can be done in front of a mirror. Palpation can be done in a
shower.
b) BSE should always be performed following a menstrual
cycle.
c) If client is menopausal, BSE should be performed on the same
day of each month.
Bronchial, sometimes called tracheal or tubular Correct
Answer harsh, hollow, loud, high-pitched
, Bronchophony Correct Answer say "99" while listening with
stethoscope. Normal: soft, muffled
Abnormal: words more distinct
Bronchovesicular Correct Answer inspiration=expiration in
duration, over major bronchi
Cerebellar Test Correct Answer Nose-Finger-Nose
Gait and balance tests
Tandem walking
Romberg sign
Cerebellum Correct Answer Balance and coordination,
muscle tone of voluntary movements
RAM
Rapid altering movement test
Cheyne-Stokes respiration Correct Answer wax and wane
pattern, increasing rate and depth then decreasing with periods
of apnea (20 sec of no breathing)
Clarification Correct Answer useful when patients words are
confusing
clubbing Correct Answer -angle straightens out to 180
degrees and nail base feels spongy to palpation
-occurs with: congenital cyanotic heart disease, lung cancer,
pulmonary diseases (COPD, bronchitis, emphysema), history of
smoking
CN I Correct Answer Olfactory; smell; sensory
