NUR 505 REVIEW TIPS QUESTIONS AND
ANSWERS SURE A+
✔✔What is the pneumatic attachment to the otoscope used for? - ✔✔evaluate
fluctuating capacity of tympanic membrane
✔✔stethoscope - bell - ✔✔low-pitched sounds - extra heart sounds, murmurs, and
blood pressure
hold lightly against pts skin (pressing too tightly causes it to act as a diaphragm)
✔✔stethoscope - diaphragm - ✔✔high pitched sounds (breath, bowel, and normal heart
sounds)
Hold firm against patient's skin
✔✔expected sound over gastric bubble - ✔✔tympany - loud high drum-like
✔✔expected sound over healthy lung - ✔✔resonance - loud, low, hollow
✔✔unexpected sound over lungs - ✔✔hyper resonance - very loud, low, booming
seen with emphysematous lungs
✔✔expected sound over liver - ✔✔dull - soft, moderate, thudlike
✔✔expected sound over muscle - ✔✔flatness - soft, high, dull
✔✔autonomy - ✔✔pts need for self determination, suggest that choices exist and a pt
may choose between alternatives
✔✔nonmaleficence - ✔✔do no harm
✔✔beneficence - ✔✔do good for patients
, ✔✔how does a provider make a diagnosis - ✔✔achieved with information from
competent hx and clinical examination
✔✔how do you define problems noted on the problem list of a MR - ✔✔anything that
will need further evaluation and /or attention
✔✔sensitivity - ✔✔the ability of an observation to identify correctly those who have a
disease
✔✔specificity - ✔✔the ability of an observation to identify correctly those who do NOT
have a disease
✔✔true negative - ✔✔an expected observation that is not found when the disease
characterized by that observation is not present
✔✔true positive - ✔✔an expected observation that is found when the disease
characterized by that observation is present
✔✔false positive - ✔✔an observation made that suggests a disease when that disease
is not present
✔✔Positive predictive value - ✔✔the proportion of persons with an observation
characteristic of a disease who have it
✔✔negative predictive value - ✔✔the proportion of persons with an expected
observation who ultimately prove not to have the expected condition
✔✔SOAP note - ✔✔S: subjective
O: objective
A: assessment
P: plan
✔✔what is included in the HPI - ✔✔Chief complaint (how each symptom developed),
patient's thoughts and feelings, relevant parts of ROS, meds and allergies frequently
pertinent to the present illness
✔✔Symptom analysis - ✔✔questions specifying the onset, location, duration, intensity,
characteristics, and aggravating and alleviating factors
✔✔epilepsy - ✔✔chronic disorder characterized by recurrent, unprovoked electrical
discharges of cerebral neurons
✔✔Multiple Sclerosis - ✔✔progessive autoimmune disorder characterized by a
combination of inflammation and degeneration of myelin of brains white matter
ANSWERS SURE A+
✔✔What is the pneumatic attachment to the otoscope used for? - ✔✔evaluate
fluctuating capacity of tympanic membrane
✔✔stethoscope - bell - ✔✔low-pitched sounds - extra heart sounds, murmurs, and
blood pressure
hold lightly against pts skin (pressing too tightly causes it to act as a diaphragm)
✔✔stethoscope - diaphragm - ✔✔high pitched sounds (breath, bowel, and normal heart
sounds)
Hold firm against patient's skin
✔✔expected sound over gastric bubble - ✔✔tympany - loud high drum-like
✔✔expected sound over healthy lung - ✔✔resonance - loud, low, hollow
✔✔unexpected sound over lungs - ✔✔hyper resonance - very loud, low, booming
seen with emphysematous lungs
✔✔expected sound over liver - ✔✔dull - soft, moderate, thudlike
✔✔expected sound over muscle - ✔✔flatness - soft, high, dull
✔✔autonomy - ✔✔pts need for self determination, suggest that choices exist and a pt
may choose between alternatives
✔✔nonmaleficence - ✔✔do no harm
✔✔beneficence - ✔✔do good for patients
, ✔✔how does a provider make a diagnosis - ✔✔achieved with information from
competent hx and clinical examination
✔✔how do you define problems noted on the problem list of a MR - ✔✔anything that
will need further evaluation and /or attention
✔✔sensitivity - ✔✔the ability of an observation to identify correctly those who have a
disease
✔✔specificity - ✔✔the ability of an observation to identify correctly those who do NOT
have a disease
✔✔true negative - ✔✔an expected observation that is not found when the disease
characterized by that observation is not present
✔✔true positive - ✔✔an expected observation that is found when the disease
characterized by that observation is present
✔✔false positive - ✔✔an observation made that suggests a disease when that disease
is not present
✔✔Positive predictive value - ✔✔the proportion of persons with an observation
characteristic of a disease who have it
✔✔negative predictive value - ✔✔the proportion of persons with an expected
observation who ultimately prove not to have the expected condition
✔✔SOAP note - ✔✔S: subjective
O: objective
A: assessment
P: plan
✔✔what is included in the HPI - ✔✔Chief complaint (how each symptom developed),
patient's thoughts and feelings, relevant parts of ROS, meds and allergies frequently
pertinent to the present illness
✔✔Symptom analysis - ✔✔questions specifying the onset, location, duration, intensity,
characteristics, and aggravating and alleviating factors
✔✔epilepsy - ✔✔chronic disorder characterized by recurrent, unprovoked electrical
discharges of cerebral neurons
✔✔Multiple Sclerosis - ✔✔progessive autoimmune disorder characterized by a
combination of inflammation and degeneration of myelin of brains white matter
