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Exam (elaborations)

NSG 316 FINAL EXAM – Questions With Proper Solutions

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NSG 316 FINAL EXAM – Questions With Proper Solutions

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NSG 316 FINAL EXAM – Questions With Proper Solutions

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Terms in this set (222)


The type of peripheral lung field sound is described as low-
Vesicular Sounds
pitched, with inspiration greater than expiration

The patient with congenital heart disease or COPD may have
What is > 160 degrees
what degree of nail bed during a profile sign assessment.

What is S1 This sounds corresponds with the carotid artery pulse

This sound is the result of the closure of the aortic and pulmonic
What is S2
valves

This type of headache is characterized by non-throbbing and
What is a tension headache
vise-like

What are the cervical nodes These nodes drain the head and neck

This type of sound is due to narrowing of the airway due to
What is wheezes
obstruction or inflammation

What is CN XI (spinal This cranial nerve is intact when the client is able shrug their
accessory)? shoulders

What is arteriosclerosis This is the thickening and loss of elasticity in the arterial walls.

This common manifestation of COPD assists the patient in
What is pursed-lip breathing?
keeping airways open longer during exhalation.

What is crackles? This sound is caused by fluid in the lungs

This popping and crackling sound heard in the lungs when a
What is atelactic crackles?
client wakes up, but clears with or deep breathing.

This high-pitched inspiratory crowing sound is commonly
What is stridor?
associated with an upper airway obstruction.

These structures should be small, movable, and non-tender
What are lymph nodes
when palpating the neck, axilla and inguinal region

What is asymmetry, border, The ABCDEF rule for skin assessment strands for
color, diameter, elevation or
evolution, funny looking?

What is increased tactile This palpable finding is caused by increased consolidation in the
fremitus? lung tissue, like in pneumonia.

This arterial insufficiency can cause cramping in the lower
What is claudication
extremities that is relieved with rest.

This sound is caused by turbulent blood flow through the carotid
What is bruit?
artery.

What is the second left This location is where the pulmonic valve is best auscultated.
interspace?

, What is eye opening, motor The Glasgow Coma Scale (GCS) includes which parameters
response to simuli, and verbal scoring
response?

What are CN III (oculomotor), IV
(trochlear), VI (Abducens)?

This test asks the client to identify a coin when it is placed in the
What is stereognosis?
clients hand?

What are the semilunar These valves separate the ventricles from the arteries.
(pulmonic and aortic) valves?

What is liver, gallbladder, and These 3 organs may be impacted when a client complains of
ascending colon? right upper quadrant tenderness.

What is the right atrioventricular This is another name for the tricuspid valve.
valve?

The nurse knows the client's bowel sounds are within defined
What is 5-30?
limits when they hear ____ gurgles per minute

What is the Alcohol Use To screen for alcohol use disorder
Disorders Identification Test
(AUDIT)

What are appearance, behavior, 4 component are a part of the mental status assessment
cognition, and though
processes (ABCT)?

What is the Four Unrelated This exam tests the client's ability to lay down new memories
Words Test (New Learning)?

This assessment asks the client to plan, manage time, and use
What is the Mini Cog Test?
memory (3 item recall and clock drawing)

What is the Clinical Institute CIWA stands for which scale utilized in clients during withdrawl
Withdrawal Assessment of
Alcohol Scale?

What is physical appearance, 4 areas considered primary components of a general survey
body, structure, mobility, and
behavior?

What is a functional assessment Determines if the patient is able to perform a task of daily living

What is very deep pitting, This would be used for 4+ edema of the right leg
indention lasts a long time?

What is circumduction? ROM is moving the extremity in a circle

What is inspectioin, palpation, The sequence of musculoskeletal assessment
ROM, strength?

What is cyanosis? Blue tones to skin and nails associated with deoxygenation

What is hyperactive bowel Borborygmus is described as (early obstruction sign)
sounds?

What is a urinary tract infection? Cloudy urine usually indicates

An aging adult has an increase Constipation
in this gastrointestinal condition,
which is caused by decreased
physical activity, decreased fiber
intake, and dehydration

Muscle testing grade is 0 (0-5)
described for NO
CONTRACTION

Atrophy smaller, weaker muscles

The client reports an allergy to What type of reaction occurs
amoxicillin and you ask what
additional important question?

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