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CNUR 107 EXAM TEST BANK QUESTIONS WITH 100% CORRECT ANSWERS UPDATED

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CNUR 107 EXAM TEST BANK QUESTIONS WITH 100% CORRECT ANSWERS UPDATED Developmental Considerations (Genitourinary System males) - Answer- -Sperm production begins to decrease at 40 years -Testosterone declines gradually after age 55 years -Slower and less intense sexual response -Sexual expressi...

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  • October 22, 2024
  • 33
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • CNUR 107

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CNUR 107 EXAM TEST BANK
QUESTIONS WITH 100%
CORRECT ANSWERS UPDATED
2024-2025
Developmental Considerations (Genitourinary System males) - Answer- -Sperm
production begins to decrease at 40 years
-Testosterone declines gradually after age 55 years
-Slower and less intense sexual response
-Sexual expression in later life
-Physical changes do not interfere with libido

Subjective Data: Health History (Genitourinary System) - Answer- -Frequency, urgency,
and nocturia
-Dysuria
-Hesitancy and straining
-Urine colour
-Past genitourinary history

Subjective Data: Health History (Genitourinary System males) - Answer- -Penis: pain,
lesion, discharge
-Scrotum: self-care behaviors, lump
-Sexual activity and contraceptive use
-Sexually transmitted infections

Additional History for Older Men (Genitourinary System) - Answer- -Prostate
enlargement
-Incontinence
-Nocturia
-Sexual function

Inspection & Palpation of Penis - Answer- -Skin
-Glans
-Urethral meatus
-Pubic hair
-Urethral discharge
-Shaft

,Inspection & Palpation of Scrotum - Answer- -Skin
-Testis
-Epididymis
-Spermatic cord
-Any mass
-Note characteristics
-Transillumination

Inspection & Palpation of Inguinal Canal (men) - Answer- -Performed with client
standing
-Then performed while the client bears down

Structure and Function of Female Genitourinary System - Answer- -External genitalia
(vulva)
-Labia majora
-Labia minora
-Clitoris
-Urethral meatus
-Vaginal orifice
-Internal genitalia
-Vagina
-Cervix
-Uterus
-Fallopian tubes
-Ovaries

Developmental Considerations in Older Women (Genitourinary System) - Answer- -
Hormone levels rapidly decrease
-Menopause
-Uterus shrinks in size
-Ovaries atrophy
-Relaxation of sacral ligaments and pelvic musculature weakens
-More fragile vaginal surfaces
-Physiological changes in sexual response cycle

Subjective Data: Health History (Genitourinary System Females) - Answer- -Menstrual
history
-Obstetrical history
-Menopause
-Self-care behaviours
-Urinary symptoms
-Vaginal discharge
-Past history
-Sexual activity
-Contraceptive use
-Sexually transmitted infections (STIs)/contact

,-STI risk reduction

Additional History for Older Women (Genitourinary System) - Answer- -Bleeding
-Vaginal problems
-Incontinence
-Sexuality

Inspection of External Genitalia (Females) - Answer- -Skin colour
-Hair distribution
-Lesions
-Labia majora
-Clitoris
-Labia minora
-Urethral opening
-Perineum
-Anus

Subjective data (neuro system) - Answer- -Headache
-Head injury
-Dizziness or vertigo
-Seizures
-Tremors
-Weakness
-Incoordination
-Numbness or tingling sensations (paresthesia)
-Difficulty swallowing (dysphagia) or speaking
-Significant past history (i.e., stroke, spinal cord injury)
-Environmental or occupational hazards

Objective Data (neuro system) - Answer- 1.Cerebral Function
-LOC, mental status, cognitive function, behavior, speech
-Glasgow Coma Scale (GCS) tool
2.Brainstem Function
-Cranial Nerve examination
3.Motor and Cerebellar Function
-Strength, movement, gait, posture
4.Sensory Function
-Tactile and pain sensations
5.Reflexes
-Superficial and deep tendon reflexes

CN I. Olfactory - Answer- -Function: Smell (olfaction)
-Type: Sensory
-Not done routinely unless client reports loss of smell

CN II. Optic - Answer- -Function: Visual acuity & visual fields

, -Type: Sensory

CN III(Oculomotor - mixed) - Answer- pupillary light reflex
-Determine pupil size, round shape, equal
-Direct & consensual constriction
-Accommodation
-PERRLA

CN IV (Trochlear - motor)
CN VI (Abducens - motor) - Answer- -Assess using the cardinal positions of gaze
-Reveals any weakness of extraocular muscles
-Client eyes follows movement through 6 positions
-Normal response is parallel tracking
-Note any nystagmus (mild is normal)

CN V. Trigeminal - Answer- -Sensory - tests all three divisions of the nerve: (a)
ophthalmic, (b) maxillary, and (c) mandibular.
-Motor - muscle of mastication (chewing)
-Corneal Reflex - cotton wisp coming from the side of the eye to elicit a blink (not
routinely done)
-Type: Mixed

CN VII. Facial - Answer- -Sensory - taste anterior 2/3 of tongue
-Motor - facial mobility & symmetry
-Ask client to smile, frown, close eyes tightly, lift eyebrows, show teeth, puff out cheeks
-Normal = facial symmetry and mobility
-Type: Mixed

CN VIII. Vestibulocochlear (Acoustic) - Answer- Function: tests hearing acuity
-Assessed by the Whispered Voice test (see Jarvis, p. 362)
-Type: Sensory

CN IX. Glossopharyngeal
CN X. Vagus - Answer- Motor function:
-Depress tongue with tongue blade & ask client to say "ahhh" or yawns - note the uvula
and soft palate rise in the midline and the tonsillar pillars should move medially
-Gag reflex
-Voice sounds are smooth and not strained

Sensory function:
-Note: CN IX mediates taste on posterior 1/3 of tongue but it is too difficult to test. We
will just practice the motor assessments for CN IX

CN XI. Spinal Accessory - Answer- -Function: Sternomastoid and trapezius muscle
strength
-Type: Motor

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