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NUR210 FINAL EXAM STUDY GUIDE @
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NUR210 FINAL EXAM STUDYGUIDE @ 2024-2025
tonsil grading scale - Answer 0: no tonsils
1+: visible
2+: halfway b/w tonsillar pillars and uvula
3+: touching uvula
4+: touching each other
skin cancer screening - Answer A: asemmetry
B: border
C: color
D: diameter
E: elevation
differentiating lymph nodes - Answer normal: may be small or also commonly
non-palable
Infection: enlarged, mobile, tender located within region of the infection
malignant: enlarged node; fixed to underlying tissue, non- tender
Stages of pressure ulcers - Answer stage 1: red, no breakdown
stage 2: partial thickness
stage 3: full thickness, can see subq fat
stage 4: see muscle, tendons and bone
how do you calculate BMI - Answer wight(kg)/height(m2)
BMI categories - Answer Underweight = <18.5
Normal weight = 18.5-24.9
Overweight = 25-29.9
Obesity = BMI of 30 or greater
,Pitting edema grading scale - Answer 1+ mild dent, doesn't look swollen
2+ moderate pitting, indent goes away quickly
3+ indent stays short time. looks swollen
4+ very deep, grossly swollen, indent lasts
reflex grading - Answer 0 = no reflex, always abnormal
1+ = diminished response
*2+ = normal*
3+= brisk/exaggerated rseponse
4+ = hyperactive, always abnormal response
5+ = sustained clonus
peripheral pulse grading - Answer 0 absent
1+ weak, thready
2+ palpable but can obliterate( kind of weak)
*3+ palpable but can not obliterate*
4+ bounding
organs in RUQ - Answer R lobe of liver
gallbladder
duodenum
head of pancreas
R kidney and adrenal
colon
part of ascending and transverse colon
organs in LUQ - Answer spleen
stomach
L lobe of liver
L kidney and adrenal
part of transverse and descending colon
,pancrease
sm intestine
organs in RLQ - Answer cecum, appendix, right ovary and tube, right ureter, right
spermatic cord
organs in LLQ - Answer Part of descending colon
Sigmoid colon
Left ovary and tube
Left ureter
Left spermatic cord
Cranial n I - Answer Olfactory
Sensory
-smell
Cranial n II - Answer Optic
Sensory
-vision
snellen chart, 14 inches, peripheral, identify colors
Cranial n III - Answer Oculomotor
Motor
-eyelid/eyeball movement
accommodation
Cranial n IV - Answer Trochlear
Motor
-eyeball movement
EOM
Cranial n V - Answer Trigeminal
motor
- mastication
, palpate masseter and temporal mm.
sensory
-facial sensation
identify sharp and dull on face
Cranial n VI - Answer abducens
motor
-lateral eye movement
EOM
Cranial n VII - Answer Facial
Motor
-eye and mouth closure
frown, tightly close eyes
sensory
-taste on anterior 2/3 of tongue
taste sweet
Cranial n VIII - Answer Vestibulocochlear
sensory
-hearing, balance
romberg and whisper test
cranial n IX - Answer Glossopharyngeal
motor
-saliva production
gag reflex
sensory
- taste on posterior 1/3 of tongue
taste bitter
cranial n X - Answer Vagus
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