1
Q
What is the test for blot clot risk?
A
D-dimer
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2
Q
What does bruit sound indicate?
A
obstruction
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3
Q
What is the iliopsoas muscle test for and how is the test done?
A
tests for appendicitis: raise right leg up, flex knee: resulting pain is “positive psoas sign”
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4
Q
What is a common assessment of level of consciousness in a stroke victim?
A
gag reflex
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5
Q
What is the commonest LOC scale?
A
Glasgow coma scale
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6
Q
What respiration rate signals need to intubate?
A
8
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7
Q
DTR means _______.
A
deep tendon reflex
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8
Q
What is nuchal rigidity and what does it indicate?
A
neck pain and resistance to flexion; indicates meningitis
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9
Q
What is egophony and what does it indicate?
A
hyperresonance (usually heard over lung tissue with pleural effusion)
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10
Q
SOAP stands for
A
Subjective, Objective, Assessment, Plan
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11
Q
DAR stands for
A
Data, Assessment, Recommendation
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12
Q
What is a sinus disrhythmia (aka sinus arrhythmia)?
A
In children note that pulse rhythm may vary with respirations, speeding up during inspiration and slowing down with expiration. This is common in children and young adults
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13
Q
What are Hindu dietary practices?
A
Hindu: avoid beef, pork, and alcohol. Many are vegetarians.
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14
Q
What are Seventh-Day Adventist dietary practices?
A
Seventh Day Adventist: many are lacto-ovo-vegetarians
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15
Q
What are Islamic dietary practices?
A
Islam: avoid pork and birds of prey. Fast during Ramadan
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16
Q
What are Buddhist dietary practices?
A
Buddhism: Many are lacto-ovo-vegetarians
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17
Q
What is the ABCT assessment?
A
appearance, behavior, cognition and thoughts
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18
Q
List 4 urgent situations involving the head and neck that require emergency assessment.
A
head or neck injuries, neck pain (may be cardiac), enlarged hard nodes (may indicate cancer), and thyrotoxicosis
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19
Q
What is the Jaeger test for?
A
Near vision
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20
Q
What indicates normal in a Rinne test?
A
air conduction hearing is twice as long a bone conduction hearing
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21
Q
Which test assesses for unilateral hearing loss?
A
Weber
22
Q
List the acute and emergency situations involving the thorax and lungs.
A
•Dyspnea, decreased LOC, respirations greater than 30 breaths per minute, oxygen saturation less than 90%, intercostals retractions, and accessory muscle use may indicate an acute or emergency situation
23
Q
What type of breath sounds are soft, low-pitched and found over fine airways near the site of exchange (lung periphery)
A
vesicular breath sounds
24
Q
What type of breath sounds are found more centrally, over major bronchi that have fewer alveoli?
A
bronchovesicular
25
Q
What type of breath sounds are loud, high-pitched, and found over the trachea and larynx?
A
bronchial
26
Q
What are gallops?
A
extra heart sounds
27
Q
What does an apical S3 heart sound in a patient over 40 indicate? What causes it?
A
possible heart failure- sound is caused by atrial pressure
28
Q
What does an apical S4 heart sound indicate? What causes it?
A
possible hypertension- sound is caused by noncompliant ventricles
29
Q
What could be the cause of a heart sound that is like a “snap?”
A
mitral stenosis
30
Q
What could be the cause of a “rubbing” heart sound?
A
acute pericarditis
31
Q
What are the most common sources of murmurs in adults?
A
stenosis, mitral insufficiency, and ventricular septal defect
32
Q
Breast development in adolescents girls occurs over a ___ year period
A
3
33
Q
When is the best time to perform a BSE?
A
4 to 7 days after the menstrual cycle starts
34
Q
Define ascites.
A
fluid collection in the abdomen
35
Q
________ pain occurs when hollow organs are distended (poorly localized and dull, aching, burning and cramping)
A
visceral
36
Q
_________ pain occurs from inflammation of the peritoneum (more localized and more severe and steady)
A
parietal
37
Q
_________ pain occurs in more distant sites (innervated at the same level)
A
referred
38
Q
Liver assessment by percussion: where should you start? Where would you expect to hear the sound change and what would you expect to hear? WHat is the normal liver span?
A
start over the lung at the 3rd intercostal space, percuss until you hear dull instead of hollow sound, which is usually between the 5th and 7th intercostal space. Normal liver span is 6-12cm.
39
Q
What is the most common blood-borne virus in the U.S.?
A
Hepatitis C
40
Q
What is the number rating for good muscle strength?
A
5/5
41
Q
are common presenting symptoms of gonnorhea?
A
dysuria, urethral discharge (obtain specimen if present), or rectal pain
42
Q
How many stages of syphilis are there? What is the first stage?
A
5 Stages; first stage is painless sores
43
Q
TSE should be performed monthly after age ____.
A
14
44
Q
Chlamydia is associated with _______.
A
salpingitis (PID)
45
Q
What does Murphy’s sign test for?
A
gall bladder pain
46
Q
The role of the professional nurse is to:
A
promote health, prevent illness, treat human responses, and advocate for patients.
47
Q
Four main goals of nursing are to:
A
Four main goals of nursing are to
48
Q
Steps of the nursing process include
A
assessing, diagnosing, setting goals and outcomes, planning, intervening, and evaluating.
49
Q
hyperresonance in thorax indicates ____
A
emphysematous lungs
50
Q
resonance in thorax indicates ____
A
healthy lungs
