ETSU NRSE 2350 FINAL exam Questions With Complete
Solutions
Describe abnormal tympanic membranes. Correct Answer -
Retracted drum: drum is dull
-Otitis Media with Effusion: amber-yellow drum, air bubbles
-Acute Otitis Media: Red bulging drum
-Perforation: round or oval darkened area
-Inner ear is sterile
Describe Primary Lesions. Correct Answer (1) Macule -
*flat* freckles, flat nevi (moles), measles;
(2) Papule - *solid elevated* nevus (mole), wart (verruca);
(3) Patch- Mongolian spot, vitiligo;
(4) Plaque - psoriasis;
(5) wheal - *superficial raised* mosquito bite, allergic reaction;
(6) vesicle - *clear serum* herpes simplex, early varicella
(chickenpox), herpes zoster (shingles), contact dermatitis;
(7) Bulla- *superficial* friction blister, burns, contact dermatitis;
(8) cyst- *encapsulated*sebaceous cyst, wen;
(9) Pustule- *pus* impetigo, acne
-Tumor - firm or soft, *deep into the dermis*
-Nodule- solid elevated, *extends into the dermis*
Describe the Objective assessment of the Musculoskeletal
system. Correct Answer Inspection, Palpation, ROM
-*Muscle Testing: Apply opposing force, Grade muscle
strength, Abduction & Adduction
How & why do we provide oral care? Correct Answer -Helps
to decrease the risk of infection for those in long-term care,
,especially the transmission of pathogens that can cause
pneumonia
-Check for aspiration risk, impaired swallowing, or decreased
gag reflex
-Client's with fragile oral mucosa require gentle brushing &
flossing
-Have suction ready to prevent aspiration
-Do not place fingers in an unconscious pt's mouth
-Position the pt on their side with head of bed flat so oral
secretions can drain out
-*Xerostomia: Dry Mouth*
How are visual reflexes checked? Correct Answer -Light
reflex-
Direct - same side
Consensual - opposite side
-Accommodation-
constriction & convergence (accomidating amount of light
needed to focus)
How do you care for dentures? Correct Answer -*Dentures
are very fragile*
-Remove with a gloved hand, pulling *down & out* at the front
of the *upper* denture and lifting *up & out* at the front of the
*lower* denture
-Place in a denture cup, emesis basin, or washcloth on sink
-Brush in a horizontal back & forth motion with a soft brush &
denture cleaner
-Rinse in *tepid* water
-Store in a denture cup labeled with pt's name
, -Place in the cup with water to keep them moist, or help reinsert
the dentures
How does pain affect vital signs? Correct Answer -
Temperature - Increased (stress)
-Pulse - Increased (acute pain) or Decreased (unrelieved severe
pain)
-Pulse Oximetry - Indirectly influenced (ventilation, diffusion,
perfusion)
-Respirations - Increased rate, breaths may be irregular or
shallow
-Blood pressure - Increased (sympathetic stimulation of the HR,
CO, and vascular resistance)
How is breast self-exam education performed? Correct Answer
-Best time to perform a BSE is day 4-7 of the menstrual cycle or
the first of the month
-Assess palpation technique, correct and encourage a return
demonstration
-Benefits of early detection of breast cancer are evidence based.
-BSE is cheap, noninvasive, does not require a visit to the
doctor, enhances self-care actions.
-*BSE*
-Lie down. Press the 3 middle fingers in a circular motion and
use 3 levels of pressure. Follow an up an down pattern.
-Sit up. Examine underarm with arm slightly raised.
-Note surface changes with hands pushed on hips, shoulders
hunched
How is CAUTI prevented? Correct Answer -Follow good
hand hygiene techniques.
Solutions
Describe abnormal tympanic membranes. Correct Answer -
Retracted drum: drum is dull
-Otitis Media with Effusion: amber-yellow drum, air bubbles
-Acute Otitis Media: Red bulging drum
-Perforation: round or oval darkened area
-Inner ear is sterile
Describe Primary Lesions. Correct Answer (1) Macule -
*flat* freckles, flat nevi (moles), measles;
(2) Papule - *solid elevated* nevus (mole), wart (verruca);
(3) Patch- Mongolian spot, vitiligo;
(4) Plaque - psoriasis;
(5) wheal - *superficial raised* mosquito bite, allergic reaction;
(6) vesicle - *clear serum* herpes simplex, early varicella
(chickenpox), herpes zoster (shingles), contact dermatitis;
(7) Bulla- *superficial* friction blister, burns, contact dermatitis;
(8) cyst- *encapsulated*sebaceous cyst, wen;
(9) Pustule- *pus* impetigo, acne
-Tumor - firm or soft, *deep into the dermis*
-Nodule- solid elevated, *extends into the dermis*
Describe the Objective assessment of the Musculoskeletal
system. Correct Answer Inspection, Palpation, ROM
-*Muscle Testing: Apply opposing force, Grade muscle
strength, Abduction & Adduction
How & why do we provide oral care? Correct Answer -Helps
to decrease the risk of infection for those in long-term care,
,especially the transmission of pathogens that can cause
pneumonia
-Check for aspiration risk, impaired swallowing, or decreased
gag reflex
-Client's with fragile oral mucosa require gentle brushing &
flossing
-Have suction ready to prevent aspiration
-Do not place fingers in an unconscious pt's mouth
-Position the pt on their side with head of bed flat so oral
secretions can drain out
-*Xerostomia: Dry Mouth*
How are visual reflexes checked? Correct Answer -Light
reflex-
Direct - same side
Consensual - opposite side
-Accommodation-
constriction & convergence (accomidating amount of light
needed to focus)
How do you care for dentures? Correct Answer -*Dentures
are very fragile*
-Remove with a gloved hand, pulling *down & out* at the front
of the *upper* denture and lifting *up & out* at the front of the
*lower* denture
-Place in a denture cup, emesis basin, or washcloth on sink
-Brush in a horizontal back & forth motion with a soft brush &
denture cleaner
-Rinse in *tepid* water
-Store in a denture cup labeled with pt's name
, -Place in the cup with water to keep them moist, or help reinsert
the dentures
How does pain affect vital signs? Correct Answer -
Temperature - Increased (stress)
-Pulse - Increased (acute pain) or Decreased (unrelieved severe
pain)
-Pulse Oximetry - Indirectly influenced (ventilation, diffusion,
perfusion)
-Respirations - Increased rate, breaths may be irregular or
shallow
-Blood pressure - Increased (sympathetic stimulation of the HR,
CO, and vascular resistance)
How is breast self-exam education performed? Correct Answer
-Best time to perform a BSE is day 4-7 of the menstrual cycle or
the first of the month
-Assess palpation technique, correct and encourage a return
demonstration
-Benefits of early detection of breast cancer are evidence based.
-BSE is cheap, noninvasive, does not require a visit to the
doctor, enhances self-care actions.
-*BSE*
-Lie down. Press the 3 middle fingers in a circular motion and
use 3 levels of pressure. Follow an up an down pattern.
-Sit up. Examine underarm with arm slightly raised.
-Note surface changes with hands pushed on hips, shoulders
hunched
How is CAUTI prevented? Correct Answer -Follow good
hand hygiene techniques.
