NUR4032 Exam Questions And
Verified Answers
What are the NHS screening programmes? - Answer Pregnancy screening, screening
for newborn babies, diabetic eye screening, breast screening, cervical screening,
bowel cancer screening and abdominal aortic aneurysm.
What are the angles of injection? - Answer Intramuscular- 90 into the muscle
Subcutaneous- 45 into the subcutaneous tissue
Intravenous- 25 into a vein
Intradermal- 10-15 into the dermis
What are the injection sites for a toddler? - Answer Deltoid (arm) and Vastus Lateralis
(thigh).
Why give medications via injection? - Answer Drug absorption
The speed of absorption
Local effect is required
Patient intolerance
Nausea and vomiting
As an alternative to the oral route (nil by mouth, difficulty swallowing)
What is the menopause? - Answer Loss of ovarian reserve and changes in the hormonal
level in women. Typically occurs between the ages of 49-52.
What are the symptoms of the menopause? - Answer Weight gain, changes to the skin
(Reduced perception of temperature changes, loss of subcutaneous fat, loss of skin
elasticity, fewer sensory receptors and increased pain threshold), depressive mood,
irritability, heavy night sweats, bleeding between periods and mood swings.
What are the signs of inflammation? - Answer Redness, heat, swelling and pain.
What are the benefits of inflammation? - Answer Helps prevent the spread of pathogens
Helps prevent the loss of blood
Clears away dead cells before reconstruction
Pain helps to reduce strain on damaged area
, What are the factors leading to post-natal depression? - Answer Unemployment,
unplanned pregnancy, low social class, complicated birth, lack of support, history of
PND and anxiety, life stressors in pregnancy (toxic trio), difficult relationships and
sexual abuse.
What is included in the toxic trio? - Answer Domestic violence, alcohol or substance
misuse and mental health.
What is the A to E assessment? - Answer Airway
Breathing
Circulation
Disability
Exposure
What are the observations of an airway assessment? - Answer Feel for inspiration and
expiration
Listen for noisy breathing sounds- stridor, wheeze, grunting or snoring
Look for chest movement- paradoxical chest and Abdominal Movement and the use of
Accessory Muscles which could indicate airway obstruction
Position the patient, check the mouth, check the mucus membranes and remember
obstruction can occur at any level of the respiratory tract.
What are you assessing in a breathing assessment? - Answer The effort of breathing
The effectiveness of breathing
The effects of respiratory inadequacy
What are the observations of a breathing assessment? - Answer Visual inspection- Look,
listen and feel
Posture/positioning- tripoding
Advanced skills- Palpitation, percussion and auscultation.
Respiratory rate is the most useful indicator that a patient's breathing is compromised.
Use of accessory muscles/of respiration
Mouth breathing/Nasal flaring
Trachea position- deviation from mediastinal shift
Pursed lip breathing
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