NSG 121 EXAM SCRIPT PREMIUM REVIEW
SHEET TESTED QUESTIONS AND ANSWERS
●● Interpreter
Answer: Person who can translate between languages.
For patients who do not speak English, use an interpreter whenever
possible
●● Interrupting Client
Answer: Do not interrupt clients, in health care settings, it is better to
listen than to talk and to ask good questions rather than have all of the
right answers.
●● BMI Risk Assessment
Answer: An assessment of risk factors includes questions about past
medical and surgical histories, medication and supplement use, family
history, food and fluid intake patterns, and the patient's psychosocial
profile
●● Low BMI
Answer: Below 18.5
●● Normal BMI
,Answer: 18.5-24.9
●● Nutritional Assessment
Answer: Risk factors to review in a nutritional assessment include
medical history, abnormal weight history, appetite or taste changes,
gastrointestinal symptoms, food allergies or intolerances, changes in
eating or fluid patterns, poor food habits, inability to cook, social
isolation, multiple medications, inappropriate supplements or lack of
supplements, and alcohol or drug use.
Consider a board range of influences on patient's food choices
●● Mental Orientation
Answer: Person, Place, Time, Situation
●● CAGE
Answer: CAGE is a self report questionnaire used as an assessment tool
for drugs and alcohol. Yes to two or more of the questions indicate a
potential problem
Cutdown,Annoyed,Guilty,Eye Opener
●● Abstract Thinking
Answer: Assessment of thought processes:
Patient's thoughts are easy to follow, logical, coherent, relevant, goal
directed, consistent, and abstract
,Abstract Thinking: Ability to understand concepts that are real
●● Referred Pain Appendicitis
Answer: Referred pain originates from a specific site, but the person
experiencing it feels the pain at another site along the innervating spinal
nerve
It will "refer" pain often to the mid upper abdomen, the epigastrum.
Because the appendix is a piece of intestine, it follows a similar referral
pattern.
●● Nail Ridges in Geriatric Patients
Answer: Longitudinal ridging is common in aging patients
●● Skin Turger Assessment
Answer: Assess skin turgor. Gently grasp a fold of the patient's skin
between your fingers and pull up, then release. Below clavicle
Tenting indicates dehydration, poor skin turgor is also associated with
aging
●● Clubbing Oxygen Saturation
Answer: Clubbing of the nails indicates chronic hypoxia. Clubbing is
identified when the angle of the nail to the finger is more than 160º
Emphysema or congestive heart failure
, ●● Pallor Dark Skin
Answer: Normal skin color is pink, noting the usual undertones present
with even dark skin. The tongue, lips, nail beds, and buccal mucosa are
less pigmented areas and may be the best indicators of pallor or
cyanosis. Patients with darker skin may normally have hypopigmented
skin on the palms and soles
●● Lesion Assessment & Primary vs. Secondary Lesion
Answer: Primary Lesion: arise from previously normal skin
Secondary Lesion: follow primary lesions (scare tissue)
If observed, note the shape and measure the length, width, and depth
with a ruler. If a wound is deep or tunneled, insert a cotton applicator to
measure depth.
●● Goiter Assessment
Answer: Palpation of Thyroid, Unilateral Bulging
●● Fall Assessment After a Fall
Answer: Falls or sudden jerking of the head and neck (whiplash) are
particularly likely to result in dislocation of the cervical vertebrae.
Fractures may also occur with headfirst falls. Any history of falls or
sudden jerks of the neck requires careful investigation.
●● Snellen Test
SHEET TESTED QUESTIONS AND ANSWERS
●● Interpreter
Answer: Person who can translate between languages.
For patients who do not speak English, use an interpreter whenever
possible
●● Interrupting Client
Answer: Do not interrupt clients, in health care settings, it is better to
listen than to talk and to ask good questions rather than have all of the
right answers.
●● BMI Risk Assessment
Answer: An assessment of risk factors includes questions about past
medical and surgical histories, medication and supplement use, family
history, food and fluid intake patterns, and the patient's psychosocial
profile
●● Low BMI
Answer: Below 18.5
●● Normal BMI
,Answer: 18.5-24.9
●● Nutritional Assessment
Answer: Risk factors to review in a nutritional assessment include
medical history, abnormal weight history, appetite or taste changes,
gastrointestinal symptoms, food allergies or intolerances, changes in
eating or fluid patterns, poor food habits, inability to cook, social
isolation, multiple medications, inappropriate supplements or lack of
supplements, and alcohol or drug use.
Consider a board range of influences on patient's food choices
●● Mental Orientation
Answer: Person, Place, Time, Situation
●● CAGE
Answer: CAGE is a self report questionnaire used as an assessment tool
for drugs and alcohol. Yes to two or more of the questions indicate a
potential problem
Cutdown,Annoyed,Guilty,Eye Opener
●● Abstract Thinking
Answer: Assessment of thought processes:
Patient's thoughts are easy to follow, logical, coherent, relevant, goal
directed, consistent, and abstract
,Abstract Thinking: Ability to understand concepts that are real
●● Referred Pain Appendicitis
Answer: Referred pain originates from a specific site, but the person
experiencing it feels the pain at another site along the innervating spinal
nerve
It will "refer" pain often to the mid upper abdomen, the epigastrum.
Because the appendix is a piece of intestine, it follows a similar referral
pattern.
●● Nail Ridges in Geriatric Patients
Answer: Longitudinal ridging is common in aging patients
●● Skin Turger Assessment
Answer: Assess skin turgor. Gently grasp a fold of the patient's skin
between your fingers and pull up, then release. Below clavicle
Tenting indicates dehydration, poor skin turgor is also associated with
aging
●● Clubbing Oxygen Saturation
Answer: Clubbing of the nails indicates chronic hypoxia. Clubbing is
identified when the angle of the nail to the finger is more than 160º
Emphysema or congestive heart failure
, ●● Pallor Dark Skin
Answer: Normal skin color is pink, noting the usual undertones present
with even dark skin. The tongue, lips, nail beds, and buccal mucosa are
less pigmented areas and may be the best indicators of pallor or
cyanosis. Patients with darker skin may normally have hypopigmented
skin on the palms and soles
●● Lesion Assessment & Primary vs. Secondary Lesion
Answer: Primary Lesion: arise from previously normal skin
Secondary Lesion: follow primary lesions (scare tissue)
If observed, note the shape and measure the length, width, and depth
with a ruler. If a wound is deep or tunneled, insert a cotton applicator to
measure depth.
●● Goiter Assessment
Answer: Palpation of Thyroid, Unilateral Bulging
●● Fall Assessment After a Fall
Answer: Falls or sudden jerking of the head and neck (whiplash) are
particularly likely to result in dislocation of the cervical vertebrae.
Fractures may also occur with headfirst falls. Any history of falls or
sudden jerks of the neck requires careful investigation.
●● Snellen Test
