RNSG 1413 ACTUAL FINALS QUESTIONS AND
ANSWERS SET A+
✔✔thrill - ✔✔an abnormal vibration felt on palpation
✔✔tortuosity - ✔✔bending and twisting
✔✔phlebitis - ✔✔inflammation of a vein
✔✔paresthesia - ✔✔numbness or tingling
✔✔lordosis - ✔✔increased lumbar curvature
✔✔kyphosis - ✔✔excessive outward curvature of the spine, causing hunching of the
back.
✔✔Scoliosis - ✔✔sideways or S-shaped curvature of the spine
✔✔Hypertonicity - ✔✔increased muscle tone
✔✔Hypotonicity - ✔✔decrease in muscle tone
✔✔Glasgow Coma Scale (GCS) - ✔✔a scale used to assess the consciousness of a
patient upon physical examination, typically in patients with neurological concerns or
complaints
✔✔Striae - ✔✔stretch marks
✔✔Peristalsis - ✔✔Involuntary waves of muscle contraction that keep food moving
along in one direction through the gastrointestinal system
✔✔Borborygmi - ✔✔hyperactive bowel sounds (stomach growling)
, ✔✔stenosis - ✔✔narrowing of the vessels
✔✔smegma - ✔✔a whitish substance found under the foreskin
✔✔Clonus - ✔✔a repetitive vibratory contraction of the muscle that occurs in response
to muscle and tendon stretch
✔✔ Health Care Documentation - ✔✔any written or electronically generated information
about a patient that describes the patient, the patient's health, and the care and services
provided, including the dates of care.
✔✔medical record - ✔✔a document with comprehensive information about a patient's
health care encounter, as well as demographic, administrative, and clinical data
✔✔Electronic Medical Record (EMR) - ✔✔the documentation of a single episode of
care
✔✔Computerized provider order entry (CPOE) - ✔✔allows clinicians to enter orders in a
computer that are sent directly to the appropriate department
✔✔Five steps of the nursing process - ✔✔1) Assessment
2) Diagnosis
3) planning
4) Implementation
5) Evaluation
✔✔problem oriented medical record (POMR) - ✔✔A system developed to organize a
medical record that uses a common list of patient problems as its base
✔✔Charting by exception (CBE) - ✔✔documentation that records only abnormal or
significant data
✔✔medication administered record (MAR) - ✔✔a list of ordered medications, along with
dosages, routes, and times of administration, on which the nurse initials medications
given or not given
✔✔Health Insurance Portability and Accountability Act (HIPAA) - ✔✔created standards
for the protection of personal health information wether conveyed orally or recorded in
any form or medium
✔✔hand-off report - ✔✔real-time process of passing patient-specific information from
one caregiver to another or among interdisciplinary team members to ensure continuity
of care and patient safety
ANSWERS SET A+
✔✔thrill - ✔✔an abnormal vibration felt on palpation
✔✔tortuosity - ✔✔bending and twisting
✔✔phlebitis - ✔✔inflammation of a vein
✔✔paresthesia - ✔✔numbness or tingling
✔✔lordosis - ✔✔increased lumbar curvature
✔✔kyphosis - ✔✔excessive outward curvature of the spine, causing hunching of the
back.
✔✔Scoliosis - ✔✔sideways or S-shaped curvature of the spine
✔✔Hypertonicity - ✔✔increased muscle tone
✔✔Hypotonicity - ✔✔decrease in muscle tone
✔✔Glasgow Coma Scale (GCS) - ✔✔a scale used to assess the consciousness of a
patient upon physical examination, typically in patients with neurological concerns or
complaints
✔✔Striae - ✔✔stretch marks
✔✔Peristalsis - ✔✔Involuntary waves of muscle contraction that keep food moving
along in one direction through the gastrointestinal system
✔✔Borborygmi - ✔✔hyperactive bowel sounds (stomach growling)
, ✔✔stenosis - ✔✔narrowing of the vessels
✔✔smegma - ✔✔a whitish substance found under the foreskin
✔✔Clonus - ✔✔a repetitive vibratory contraction of the muscle that occurs in response
to muscle and tendon stretch
✔✔ Health Care Documentation - ✔✔any written or electronically generated information
about a patient that describes the patient, the patient's health, and the care and services
provided, including the dates of care.
✔✔medical record - ✔✔a document with comprehensive information about a patient's
health care encounter, as well as demographic, administrative, and clinical data
✔✔Electronic Medical Record (EMR) - ✔✔the documentation of a single episode of
care
✔✔Computerized provider order entry (CPOE) - ✔✔allows clinicians to enter orders in a
computer that are sent directly to the appropriate department
✔✔Five steps of the nursing process - ✔✔1) Assessment
2) Diagnosis
3) planning
4) Implementation
5) Evaluation
✔✔problem oriented medical record (POMR) - ✔✔A system developed to organize a
medical record that uses a common list of patient problems as its base
✔✔Charting by exception (CBE) - ✔✔documentation that records only abnormal or
significant data
✔✔medication administered record (MAR) - ✔✔a list of ordered medications, along with
dosages, routes, and times of administration, on which the nurse initials medications
given or not given
✔✔Health Insurance Portability and Accountability Act (HIPAA) - ✔✔created standards
for the protection of personal health information wether conveyed orally or recorded in
any form or medium
✔✔hand-off report - ✔✔real-time process of passing patient-specific information from
one caregiver to another or among interdisciplinary team members to ensure continuity
of care and patient safety
