Exam 3( Advanced health assessment) Questions And 100% Accurate Answers.
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Course
NUR 631
Institution
NUR 631
XI Spinal Accessory - Answer - shoulder movement
- head rotation
tests
* head/neck rotation against resistance
* shrug shoulder against resistance
IX Glossopharyngeal - Answer -sensations from throat, taste
- swallowing
* listen to voice quality, volume, characteristics, articulation...
Exam 3( Advanced health assessment)
Questions And 100% Accurate Answers.
XI Spinal Accessory - Answer - shoulder movement
- head rotation
tests
* head/neck rotation against resistance
* shrug shoulder against resistance
IX Glossopharyngeal - Answer -sensations from throat, taste
- swallowing
* listen to voice quality, volume, characteristics, articulation of words
X Vagus - Answer - movement of palate, larynx + swallowing, gag reflex
* ask patient to say "ah"
* observe rising of soft palate/uvula
* observe swallow
* check gag reflex
VIII Vestibulocochlear - Answer - hearing, balance
- test one ear at a time
- whisper test - stand behind patient 1-2 feet away, whisper 2 syllable word, increase volume as
necessary
VII Facial - Answer - taste
- facial muscle movement - expressions
- raise eyebrows
- close eyes tight with resistance
,- frown, smile
- show upper and lower teeth
- puff out cheeks with resistance
VI Abducens - Answer - extraocular eye movements
- assess directions of gaze
- moves eyes laterally
V Trigeminal - Answer - mastication + lateral jaw movements
- inspect/palpate TMJ - crepitus or popping
- transmission of stimuli from face
- assess 3 facial areas - upper, middle, lower
- check with light touch, sharp and dull
I Olfactory - Answer - smell
- assess each nostril separately
IV Trochlear - Answer - extraocular eye movements
- 6 cardinal directions
- moves eyes down, and towards nose
- rotates internally
III Oculomotor - Answer - extraocular eye movements
- pupil constrction
- raises eye lid
II Optic - Answer - vision - acuity
- Snellen Chart
-fields by confrontation - flicker finger and ask patient when sees the finger in they field of vision
, murmur - Answer - abnormal heart sound
- made due to turbulent blood flow
Functional / innocent murmur - Answer - non cardiac murmurs related to pregnancy, hyperthyroidism,
exercise, anemia
- common in children
- heard with systole, in the pulmonic area
S4 - Answer - atrial gallop
- fourth heart sound
- occurs in the late diastolic filling due to atrial contraction
- happens just before s1 - difficult to hear
- an impulse just before the systolic apical beat itself
- can occur normally in people older than 40, especially after exercise
s3 - Answer - ventricular gallop
- third heart sound
- listen with bell of stethoscope at apex of heart
- occurs after s1 and s2
- results from the change in blood flow in diastole when rapid filling ends and slow filling starts
- resembles - ken-TUCK-Y y=s3
- can be normal in those under age 40 and trained athletes
- brief mid diastolic impulse
Mitral area - Answer - Apical area
- Apex of the heart
- 5th left intercostal space at the midclavicular line
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