NUR 207 EXAM 1 STUDY GUIDE
CORRECT 100%
Nursing Process - ANSWER-Assessment
-Diagnosis
-Planning
-Implementation
-Evaluation
What are Activities of Daily Living? Name 3 - ANSWER-Feeding
-Cleaning
-Hygiene Care
What is the Four Unrelated Words Test? - ANSWER-gauge how well a patient responds
to new information by telling them 4 unrelated words and asking for it 5 minutes later
What is the FACT test? - ANSWER-you ask the patient for them to recall 10 things of a
topic
(ex: 10 States, 10 countries, 10 vegetables)
What is the whispered voice test? - ANSWER-to test the patients hearing
-You... whisper into their ear...
What does the abbreviation A and O x 3 mean? What are the 3 things? - ANSWERIs
the patient Awake, Alert, and Oriented?
What does PERRLA stand for? - ANSWERPupils, Equal, Round, Reactive (to), Light,
Accomodation
What is crepitus? - ANSWERThe crackling, crunching, grinding or grating noise of
bones and cartilage that accompanies flexing a joint
What is a normal BMI? What BMI is considered obese? - ANSWER-18.5-25 is the
normal BMI range
-Anything over 30 is considered obese.
If a client has an abnormal/ irregular pulse how long do you palpate the pulse? What
about an irregular respiratory pattern? - ANSWER-Check for the full 60 seconds to
observe the pulse
-Same for the respiratory pattern
, What does systolic and diastolic refer to regarding blood pressure? - ANSWERSystolic
pressure: reflects the force produced by the heart when it pumps blood out to the body
Diastolic blood pressure: is the pressure in your blood vessels when the heart is at rest
What will the BP reading be if the client has their legs crossed? What if the cuff is too
small? Too large? - ANSWERLegs crossed = higher
Too small = higher
Too Large = Lower
What's the difference between afferent and efferent nerve pathways? -
ANSWERAfferent: impulses from organs to CNS
Efferent: impulses from CNS to organs
What comprises the central nervous system? What about the peripheral? -
ANSWERCNS = brain & spinal cord; basal ganglia, thalamus, hypothalamus,
cerebellum, & spinal cord
PNS = all nerve fibers outside the brain & spinal cord; 12 pairs of cranial nerves, 31
pairs of spinal nerves and all their branches
What is Dysphasia? Vertigo? Orthostatic hypotension? kinesthesia? graphesthesia? -
ANSWERDysphasia: difficulty swallowing
Vertigo: a sensation of feeling off balance
Orthostatic Hypotension: form of low blood pressure that happens when standing after
sitting or laying down
Kinesthesia: awareness of the position and movement of the parts of the body by
means of sensory organs
Graphesthesia: the ability to recognize symbols when they're traced on the skin
What is Babinski's reflex? Romberg sign? Clonus sign? - ANSWERBabinski's reflex =
indicates dysfunction of the CST; big toe remains extended or extends itself when the
sole of your foot is stimulated
Romberg sign = indicates balance problems related to proprioception
Clonus sign = test when reflexes are hyperactive
List the 12 cranial nerves and what is considered as a normal response.
CORRECT 100%
Nursing Process - ANSWER-Assessment
-Diagnosis
-Planning
-Implementation
-Evaluation
What are Activities of Daily Living? Name 3 - ANSWER-Feeding
-Cleaning
-Hygiene Care
What is the Four Unrelated Words Test? - ANSWER-gauge how well a patient responds
to new information by telling them 4 unrelated words and asking for it 5 minutes later
What is the FACT test? - ANSWER-you ask the patient for them to recall 10 things of a
topic
(ex: 10 States, 10 countries, 10 vegetables)
What is the whispered voice test? - ANSWER-to test the patients hearing
-You... whisper into their ear...
What does the abbreviation A and O x 3 mean? What are the 3 things? - ANSWERIs
the patient Awake, Alert, and Oriented?
What does PERRLA stand for? - ANSWERPupils, Equal, Round, Reactive (to), Light,
Accomodation
What is crepitus? - ANSWERThe crackling, crunching, grinding or grating noise of
bones and cartilage that accompanies flexing a joint
What is a normal BMI? What BMI is considered obese? - ANSWER-18.5-25 is the
normal BMI range
-Anything over 30 is considered obese.
If a client has an abnormal/ irregular pulse how long do you palpate the pulse? What
about an irregular respiratory pattern? - ANSWER-Check for the full 60 seconds to
observe the pulse
-Same for the respiratory pattern
, What does systolic and diastolic refer to regarding blood pressure? - ANSWERSystolic
pressure: reflects the force produced by the heart when it pumps blood out to the body
Diastolic blood pressure: is the pressure in your blood vessels when the heart is at rest
What will the BP reading be if the client has their legs crossed? What if the cuff is too
small? Too large? - ANSWERLegs crossed = higher
Too small = higher
Too Large = Lower
What's the difference between afferent and efferent nerve pathways? -
ANSWERAfferent: impulses from organs to CNS
Efferent: impulses from CNS to organs
What comprises the central nervous system? What about the peripheral? -
ANSWERCNS = brain & spinal cord; basal ganglia, thalamus, hypothalamus,
cerebellum, & spinal cord
PNS = all nerve fibers outside the brain & spinal cord; 12 pairs of cranial nerves, 31
pairs of spinal nerves and all their branches
What is Dysphasia? Vertigo? Orthostatic hypotension? kinesthesia? graphesthesia? -
ANSWERDysphasia: difficulty swallowing
Vertigo: a sensation of feeling off balance
Orthostatic Hypotension: form of low blood pressure that happens when standing after
sitting or laying down
Kinesthesia: awareness of the position and movement of the parts of the body by
means of sensory organs
Graphesthesia: the ability to recognize symbols when they're traced on the skin
What is Babinski's reflex? Romberg sign? Clonus sign? - ANSWERBabinski's reflex =
indicates dysfunction of the CST; big toe remains extended or extends itself when the
sole of your foot is stimulated
Romberg sign = indicates balance problems related to proprioception
Clonus sign = test when reflexes are hyperactive
List the 12 cranial nerves and what is considered as a normal response.
