FINAL EXAM: NU 650 / NU650 (LATEST
UPDATES STUDY BUNDLE PACKAGE WITH SOLUTIONS)
HEALTH ASSESSMENT / NURSING | QUESTIONS AND
ANSWERS | GRADE A | 100% CORRECT (VERIFIED
ANSWERS) - REGIS
left lateral decubitus .....ANSWER.....listen for mitral stenosis
(diastolic rumble)
with bell at PMI
PMI .....ANSWER.....5th ICS, midclavicular line
bell of stethoscope
absent red reflex .....ANSWER.....children: retinoblastoma,
cataracts
adults: cataracts, retinal detachement
peritonsillar abscess (quinsy) .....ANSWER.....causes uvula
deviation away from affected side/abscess
,Page 2 of 42
hot potato voice, drooling, trismus, severe unilaterla sore throat
drain and treat with ABX
transilluminated sinuses .....ANSWER.....clear sinuses/air filled =
light travels
mass, congestion = fluid, mucus, mass
cover-uncover test .....ANSWER.....detects strabismus
differentiates phorias from tropias
phoria .....ANSWER.....temporary/latent strabismus
occurs when you disrupt fixation
tropia .....ANSWER.....persistent/manifest strabismus
present without interruption
serous OM/OME .....ANSWER.....fluid behind eardrum in
allergies, cold (no infection), with fluid-air level visible
muffled sound, no systemic effects
,Page 3 of 42
squatting .....ANSWER.....increases venous return, stroke volume,
and cardiac output, snd SVR;
intensifies aortic stenosis murmur - increases LV volume and
pressure, turbulence across valve
aortic stenosis .....ANSWER.....best heard sitting up and leaning
forward
intensified by squatting
relieved by valsalva and standing
HOCM .....ANSWER.....harsh systolic murmur
louder stand standing or valsalva (decreases return)
relieved by squatting/hand grip, leg raises (increase return)
tactile fremitus .....ANSWER.....felt over consolidated lung (lobular
pneumonia)
pleural effusion .....ANSWER.....percussion is dull/flat - not
resonant
, Page 4 of 42
pneumothorax .....ANSWER.....hyperresonant
valsalva .....ANSWER.....decreases venous return
standing
squatting
hand grip
leg raise .....ANSWER.....increases venous return, stroke volume,
and cardiac output
LSHF .....ANSWER.....pulmonary congestion
JVD .....ANSWER.....heart failure, right side
tracheal tugging .....ANSWER.....retraction of the tissues of the
neck due to airway obstruction or dyspnea
tracheal deviation .....ANSWER.....Pathology occurs inside the
lung: Deviation toward pathology