NURS 1871: EXAM 2 QUESTIONS WITH COMPLETE
SOLUTIONS
After assessing BEFAST, what are two more things the nurse
must check Correct Answer C- check BG for hyperglycemia
L - last known well (normal/ without SS)
And what are the signs and symptoms of a small bowel
obstruction? Correct Answer Vomiting/nausea with painful
abdominal cramping
Abnormal frequency of bowel movements for patient
High-pitched bowel sounds
Cranial Nerve I Correct Answer Olfactory (smell)
Cranial nerve II Correct Answer Optic
Cranial nerve III Correct Answer oculomotor
Cranial nerve IV Correct Answer Trochlear
Cranial nerve IX Correct Answer Glossopharyngeal
Cranial Nerve V Correct Answer Trigeminal
Cranial Nerve VI Correct Answer Abducens
Cranial Nerve VII Correct Answer Facial
,Cranial Nerve VIII Correct Answer Vestibulocochlear
Cranial Nerve X Correct Answer Vagus
Cranial Nerve XI Correct Answer accessory
Cranial Nerve XII Correct Answer Hypoglossal
Decreased cognitive function _______ a normal part of aging
Correct Answer Is NOT
Define PQRRSTU Correct Answer Provoking: "what makes it
worse/better"
Quality: "sharp? Dull?"
Relief: "what have you done/taken to help relieve the pain"
Region: "where does it hurt"
Severity: "0-10 scale"
Timing: "when do you experience pain"
U: how does this effect YOU (ADLs)
Delirium is________ but can cause ______ lasting effects on
cognition Correct Answer Reversible
Long
,How are UTIs generally treated Correct Answer Lower UTIs:
topical medication
PO antibiotics
Upper UTIs : PO antibiotics
IV Medication/antibiotics
Hospitalization required
How can certain medications affect bowel elimination Correct
Answer Narcotics, slow, peristalsis and contractions, causing
constipation
Antibiotics can decrease, intestinal, flora, causing diarrhea
How could pain associated with bowel elimination affect a
patient's bowel movement pattern Correct Answer Patient
could suppress the bowel movement because of pain related to
hemorrhoids or childbirth
How could surgery/anesthesia affect bowel elimination?
Correct Answer Oftentimes stops peristalsis and effectively
freezes the bowEl (ileus)
How do you treat cerebral edema? Correct Answer You must
treat the underlying condition, causing the edema
How does a nurse perform an abdominal assessment? Correct
Answer Visually
Auscultate for 5 to 15 seconds
Hypoactive bowel= 5 min of auscultation
, Palpate: identify masses/areas of tenderness, or hematomas,
traumas or organ dysfunction
How many nurse assess a patient's mobility Correct Answer
Check their mobility/activity tolerance
Assess ROM
Assess Gait
Assess body alignment
Ask about exercise patterns
Ask about a mobility in general
Ask about pain associated to moving
How would a nurse assess for dependent pneumonia? Correct
Answer Auscultate lungs for crackles and wheezes
Have the patient cough and assess sputum appearance
Assess chest wall symmetry
How would the nurse assess for DVT and PE Correct Answer
Measure the calf/lower leg circumference
Assessed for pain in lower extremities
SOLUTIONS
After assessing BEFAST, what are two more things the nurse
must check Correct Answer C- check BG for hyperglycemia
L - last known well (normal/ without SS)
And what are the signs and symptoms of a small bowel
obstruction? Correct Answer Vomiting/nausea with painful
abdominal cramping
Abnormal frequency of bowel movements for patient
High-pitched bowel sounds
Cranial Nerve I Correct Answer Olfactory (smell)
Cranial nerve II Correct Answer Optic
Cranial nerve III Correct Answer oculomotor
Cranial nerve IV Correct Answer Trochlear
Cranial nerve IX Correct Answer Glossopharyngeal
Cranial Nerve V Correct Answer Trigeminal
Cranial Nerve VI Correct Answer Abducens
Cranial Nerve VII Correct Answer Facial
,Cranial Nerve VIII Correct Answer Vestibulocochlear
Cranial Nerve X Correct Answer Vagus
Cranial Nerve XI Correct Answer accessory
Cranial Nerve XII Correct Answer Hypoglossal
Decreased cognitive function _______ a normal part of aging
Correct Answer Is NOT
Define PQRRSTU Correct Answer Provoking: "what makes it
worse/better"
Quality: "sharp? Dull?"
Relief: "what have you done/taken to help relieve the pain"
Region: "where does it hurt"
Severity: "0-10 scale"
Timing: "when do you experience pain"
U: how does this effect YOU (ADLs)
Delirium is________ but can cause ______ lasting effects on
cognition Correct Answer Reversible
Long
,How are UTIs generally treated Correct Answer Lower UTIs:
topical medication
PO antibiotics
Upper UTIs : PO antibiotics
IV Medication/antibiotics
Hospitalization required
How can certain medications affect bowel elimination Correct
Answer Narcotics, slow, peristalsis and contractions, causing
constipation
Antibiotics can decrease, intestinal, flora, causing diarrhea
How could pain associated with bowel elimination affect a
patient's bowel movement pattern Correct Answer Patient
could suppress the bowel movement because of pain related to
hemorrhoids or childbirth
How could surgery/anesthesia affect bowel elimination?
Correct Answer Oftentimes stops peristalsis and effectively
freezes the bowEl (ileus)
How do you treat cerebral edema? Correct Answer You must
treat the underlying condition, causing the edema
How does a nurse perform an abdominal assessment? Correct
Answer Visually
Auscultate for 5 to 15 seconds
Hypoactive bowel= 5 min of auscultation
, Palpate: identify masses/areas of tenderness, or hematomas,
traumas or organ dysfunction
How many nurse assess a patient's mobility Correct Answer
Check their mobility/activity tolerance
Assess ROM
Assess Gait
Assess body alignment
Ask about exercise patterns
Ask about a mobility in general
Ask about pain associated to moving
How would a nurse assess for dependent pneumonia? Correct
Answer Auscultate lungs for crackles and wheezes
Have the patient cough and assess sputum appearance
Assess chest wall symmetry
How would the nurse assess for DVT and PE Correct Answer
Measure the calf/lower leg circumference
Assessed for pain in lower extremities
