NURS 258 Exam #2 Questions With Complete Solutions
Abducens nerve Correct Answer lateral deviation of eye; 6
fields of gaze
Accessory/spinal nerve Correct Answer movement of
trapezius and SCM muscles; rotate head against resistance and
shrug shoulders against resistance
Alert Correct Answer awake, easily arousable, aware of
external and internal stimuli
Anuria Correct Answer technically no urine output; <100
ml/24 hrs
Babinski reflex Correct Answer infants fan toes (positive)
while adults flex toes and forefoot (negative)
BUN (blood urea nitrogen), Creatinine Correct Answer waste
products of metabolism; tested through blood, not urine;
elevated with kidney disease or dehydration
By what age is thought process developed? Correct Answer
becomes logical and concrete by age 7; more abstract by age 12-
15
By what age should a child be able to control bowels? Correct
Answer daytime continence by 3 years, night time by 4-5 years
By what age should children be able to communicate
effectively? Correct Answer age 4
, Calcium lab value Correct Answer 8.8-10.4 mg/dL
Characteristics of normal feces Correct Answer 1. 75% water,
25% bacteria and undigested food
2. color=brown; green or clay could indicate a liver problem,
black could indicate iron consumption or upper GI bleed
3. Odor
4. Consistency=soft and formed
5. Frequency= 1-2/day
Chest x-ray Correct Answer assess for cardiomegaly, fluid,
etc.
Clinical Institute Withdrawal Assessment of Alcohol Scale
(CIWA) Correct Answer tells whether the patient needs to be
medicated or at risk for seizures (0-9 is normal; score of 20-67
would require medication)
CMS acronym with PVS Correct Answer C: circulation-
color, warmth, pulses in area
M: motion/movement- ability to move area independently
S: sensation
Coma Correct Answer completely unconscious with no
response to pain or external stimuli, light coma= some motor
reflex activity, deep coma= no motor response
Common conversions Correct Answer 1 ml=1 cc
1 oz=30 ml
1 gram=1 ml
Abducens nerve Correct Answer lateral deviation of eye; 6
fields of gaze
Accessory/spinal nerve Correct Answer movement of
trapezius and SCM muscles; rotate head against resistance and
shrug shoulders against resistance
Alert Correct Answer awake, easily arousable, aware of
external and internal stimuli
Anuria Correct Answer technically no urine output; <100
ml/24 hrs
Babinski reflex Correct Answer infants fan toes (positive)
while adults flex toes and forefoot (negative)
BUN (blood urea nitrogen), Creatinine Correct Answer waste
products of metabolism; tested through blood, not urine;
elevated with kidney disease or dehydration
By what age is thought process developed? Correct Answer
becomes logical and concrete by age 7; more abstract by age 12-
15
By what age should a child be able to control bowels? Correct
Answer daytime continence by 3 years, night time by 4-5 years
By what age should children be able to communicate
effectively? Correct Answer age 4
, Calcium lab value Correct Answer 8.8-10.4 mg/dL
Characteristics of normal feces Correct Answer 1. 75% water,
25% bacteria and undigested food
2. color=brown; green or clay could indicate a liver problem,
black could indicate iron consumption or upper GI bleed
3. Odor
4. Consistency=soft and formed
5. Frequency= 1-2/day
Chest x-ray Correct Answer assess for cardiomegaly, fluid,
etc.
Clinical Institute Withdrawal Assessment of Alcohol Scale
(CIWA) Correct Answer tells whether the patient needs to be
medicated or at risk for seizures (0-9 is normal; score of 20-67
would require medication)
CMS acronym with PVS Correct Answer C: circulation-
color, warmth, pulses in area
M: motion/movement- ability to move area independently
S: sensation
Coma Correct Answer completely unconscious with no
response to pain or external stimuli, light coma= some motor
reflex activity, deep coma= no motor response
Common conversions Correct Answer 1 ml=1 cc
1 oz=30 ml
1 gram=1 ml
