Exam (elaborations)
Endocrine Nclex Questions with correct answer2
- Course
- NCLEX
- Institution
- Maryville College
Endocrine Nclex Questions with correct answer2
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Endocrine Nclex Questions with correct answersAbnormal Findings in Spine Assessment: Kyphosis Correct Answer--
Exaggerated curvature of thoracic spine
- Widened gait and a shift in the center of gravity higher to
accommodate for this change
- Common in elderly
Abnormal Findings in Spine Assessment: Lordosis Correct Answer--
Exaggerated curvature of lumbar spine
- Associated with low back pain
- Toddlers, pregnancy
Abnormal Findings in Spine Assessment: Scoliosis Correct Answer--
Exaggerated lateral curvature
- May also be observed from the posterior by looking at alignment of
shoulders
Allen's Sign Correct Answer-o Used to identify whether or not there is
an occlusion in radial/ulnar artery
o Modified Allen's sign covers both radial and ulnar artery, whereas the
original just covers the radial
Anisocoria Correct Answer-Different size pupils
Anosmia Correct Answer-loss of smell, Olfactory nerve not intact
,Anuria Correct Answer-o No urine output
o Less than 100 mL in a day
Appendicitis Correct Answer-appendix becomes sore, swollen, and
diseased
Apply assessment findings of skin to describe peripheral vascular issues
Correct Answer-Skin should be warm with pink hue
Arteries Correct Answer-Receive oxygenated blood from the heart and
carry it to the organs and tissue
Assess capillary refill time and note expected vs unexpected findings
Correct Answer-Should be less than 2 seconds, if not could be a sign of
poor perfusion due to peripheral vasoconstriction
Assessing lower lymphatic system: Correct Answer-o Inspect, then
palpate
o Start with Epitrochlear (inner arm, by brachialis)
o Move to Axillary (front armpit)
o Finally, move to Inguinal (By femoral artery)
Assessing lower lymphatic system: Expected Findings Correct Answer--
Nodes feel moveable, nontender, discrete, soft
- Normal lymph nodes are almost always non palpable
- Should not feel hard
, Athetosis Correct Answer-(slow, writhing movements)
Blood glucose Correct Answer-Age 45+ every 3 years
Blood Pressure screening Correct Answer-2 years. annually if elevated
Bowel Sounds: Absent Correct Answer-No bowel sounds heard (listen
for at least 5 minutes)
Bowel Sounds: HypERactive Correct Answer-More than 30 sounds per
minute
Bowel Sounds: HypOactive Correct Answer-Less than 5 sounds per
minute
Bowel Sounds: Normoactive Correct Answer-5-30 sounds per minute
Breast Cancer Screening Correct Answer-Recommended biennial (every
2 years) mammograms from age 50-74
Bruits Correct Answer-Vascular sound associated with turbulent blood
flow
o means that the blood flow may be partially blocked; artery blockage is
most often due to atherosclerosis (hardening of the arteries)
o Use bell side of stethoscope to assess bruits (Bruits Bad Bell)
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