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Nurs 2600 Final Exam Review
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Nurs 2600 Final Exam Review
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Nurs 2600 Final Exam Review•The clinic nurse prepares to perform a focused assessment on a client who is
complaining of symptoms of a cold, cough and lung congestion. Which of the following
would the nurse include for this type of assessment? Select all that apply
A. Auscultating lung sounds
B. Obtaining the client's temperature
C. Assessing the strength of peripheral pulses
D. Obtaining information about the client's respirations
E. Performing a musculoskeletal and neurological examination
F. Asking the client about a family history of any illness or disease - ANS-Auscultating
lung sounds
Obtaining the client's temperature
Obtaining information about the client's respirations
Define a bruit, and what side of the stethoscope that is used to hear it. - ANS-Swishing
sounds or murmurs over an artery or vascular organ; Listen with bell side of
stethoscope
Exam 2 Practice Question: A nurse is palpating the chest to assess for tactile fremitus.
The nurse would instruct the patient by saying... - ANS-Each time I place my hand on
your chest (or back), say "99" in a normal voice
Exam 2 Practice Question: After leaving an exam room, the nurse documents the
sounds she heard as "resonance". What sounds was the nurse listening to? -
ANS-Respiratory sounds (in the lungs)
Exam 2 Practice Question: During a cardiovascular assessment of a patient with
ventricular hypertrophy, the nurse notices a sustained forceful thrusting over the
patient's precordium. This is known as... - ANS-Heave
Exam 2 Practice Question: How do you describe heart sounds? - ANS-Pitch = high or
low
Intensity = loud or soft
Duration = long or short
Timing = systole or diastole
Exam 2 Practice Question: In the cardiac cycle, when does atrial systole occur? -
ANS-During ventricular diastole
,Exam 2 Practice Question: Melanie presents to the emergency department for difficulty
breathing. The nurse performs a respiratory assessment. Melanie's breaths are shallow
and nail beds are dusky blue. The nurse would document the nail bed color as... -
ANS-Cyanotic
Exam 2 Practice Question: Mr Jones has been diagnosed with anemia and has little
color in his skin. The nurse completes her assessment and documents her findings. The
expected color change in his skin would be... - ANS-Pallor
Exam 2 Practice Question: Mrs Smith presents to the clinic with complaints of severe
itching to her arms. Inspection reveals dry, scaly skin. The nurse would document the
subjective findings as... - ANS-Pruritus
Exam 2 Practice Question: Mrs Smith presents to the primary care office with several
solid, elevated, hard and larger than 1cm areas on her arms. The nurse would
document this finding as... - ANS-Nodules
Exam 2 Practice Question: Mrs White is 50 years old and presents with several dark
brown, flat, circumscribed areas that are less than 1cm. The nurse would document this
finding as... - ANS-Macules
Exam 2 Practice Question: What do the results of the Iliopsoas Muscle Test indicate? -
ANS-Negative result means no pain felt, no inflammation of appendix; Positive result
means pain felt in RLQ, inflammation of appendix
Exam 2 Practice Question: What does a positive Obturator Test indicate? -
ANS-Perforated appendix
Exam 2 Practice Question: What is the normal finding for the Costovertebral Angle
(CVA) Tenderness Test on the kidney? - ANS-Patient can feel jar/thud but no pain along
with it
Exam 2 Practice Question: What should you ensure a patient does before starting an
Abdominal Assessment? - ANS-Empty the bladder
Exam 2 Practice Question: What test is used to examine the Gallbladder? -
ANS-Murphy's Sign; normal findings are to breathe without pain
, Exam 2 Practice Question: What word would a nurse use to document "normal
abdominal sounds" - ANS-Tympanic
Exam 2 Practice Question: What would a 20/30 result indicate about a patient's vision -
ANS-At 20 feet from the chart, the patient can read what most people could read at 30
feet from the chart. This would be a decrease in eyesight.
Exam 2 Practice Question: When assessing breath sounds, a nurse hears crackles.
What causes these abnormal sounds? - ANS-Moisture in the large air passages
Exam 2 Practice Question: When does unequal chest expansion occur? - ANS-When
part of the lung is obstructed or collapsed
Exam 2 Practice Question: When inspecting the anterior chest, the nurse should assess
for which of the following? - ANS-The shape and configuration of the chest wall
Exam 2 Practice Question: When listening to heart sounds, the nurse knows that which
of the following statements is true concerning S1? - ANS-S1 coincides with the closure
of the atrioventricular valves
Exam 2 Practice Question: When performing auscultation of heart sounds, which
sequence would the nurse use? - ANS-APE To Man; Aortic, Pulmonic, Erb's point,
Tricuspid, Mitral
Exam 2 Practice Question: When performing the Rebound Tenderness (Blumberg Sign)
Test, why is there pain with release of pressure but no pain with initial apply of
pressure? - ANS-The nerve receptors are pushed on and "put out of commission", so
once the pressure is removed, the nerves are able to react to the pain
Exam 2 Practice Question: Which respiratory sound cannot be heard posteriorly? -
ANS-Bronchial sounds; remember, they are heard on the trachea
Exam 2 Practice Question: Why do children get ear infections more commonly? -
ANS-Their eustachian tubes are short, flat and straight into the ear, so it is harder for
infections to drain out of ear
Exam 2 Skin: ABCDEF Skin Assessment - ANS-A = Asymmetry
B = Border irregularity
C = Color variations
D = Diameter > 6mm
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