NUR 310 Exam 1 Questions With Complete Solutions
ABCDE Principle Correct Answer guides the primary survey
(60 sec assessment of life-threatening conditions) and
emergency care
A = airway/cervical spine- patent airway and protect head/neck
from trauma
B = breathing- ensure adequate ventilation
C = circulation- pulse, CPR, ensure adequate circulation
D = Disability-client's level of consciousness
E = Exposure-physical assessment of client's exposure to
adverse elements
Abrasion Correct Answer Surface scrape either unintentional
or intentional; open wound
aphasia Correct Answer inability to comprehend or formulate
language
Blanchable Correct Answer Turns white with pressure and then
color returns; peripheral vascular system able to refill
BMI ranges Correct Answer underweight: <18.5
healthy weight: 18.5-24.9
overweight: >25
obese: >=30
Calculate ideal body weight Correct Answer F: 100 lb for 5 ft
of height plus 5 lb for each inch over 5 ft plus or minus 10% for
body frame size
,M: 106 lb for 5 ft of height plus 6 lb for each inch over 5 ft plus
or minus 10% for body frame size
Clinical Manifestations of Malnutrition: Eyes Correct Answer
Pale or red conjunctiva, dryness, soft cornea, dull cornea, night
blindness (vitamin A deficiency)
Clinical Manifestations of Malnutrition: General appearance and
vitality Correct Answer Apathetic, listless, looks tired, easily
fatigued
Clinical Manifestations of Malnutrition: GI System Correct
Answer Anorexia, indigestion, diarrhea, constipation, enlarged
liver, protruding abdomen
Clinical Manifestations of Malnutrition: Gums Correct Answer
Spongy, swollen, inflamed; bleed easily (vitamin C deficiency)
Clinical Manifestations of Malnutrition: Hair Correct Answer
Dry, dull, sparse, loss of color, brittle
Clinical Manifestations of Malnutrition: Muscles Correct
Answer Underdeveloped, flaccid, wasted, soft
Clinical Manifestations of Malnutrition: Nails Correct Answer
Brittle, pale, ridged, or spoon shaped (iron)
Clinical Manifestations of Malnutrition: Nervous System
Correct Answer Decreased reflexes, sensory loss, burning and
tingling of hands and feet (B vitamins), mental confusion or
irritability
, Clinical Manifestations of Malnutrition: Skin Correct Answer
Dry, flaky, or scaly; pale or pigmented; presence of petechiae or
bruises; lack of subcutaneous fat; edema
Clinical Manifestations of Malnutrition: Tongue Correct
Answer Swollen, beefy red or magenta colored (B vitamins);
smooth appearance (B vitamins deficiency); decrease or increase
in size
Clinical Manifestations of Malnutrition: Weight Correct
Answer overweight or underweight
Clinical Manifestations of Malnutrition:Lips Correct Answer
Swollen, red cracks at side of mouth, vertical fissures (B
vitamins)
Common Diagnostic Tests for Nutrition and what they do
Correct Answer A1c-average glucose over a period of time
HgB-reflects a persons iron status(possible anemia)
Albumin-identifies chronic nutritional status/protein status
Transferrin-iron transporting protein
Lipids-fat metabolism, high levels-CV disease
Creatinine-Muscle mass, hydration status
Electrolytes-dehydration and over hydration. Hydration status
Lymphocytes-reflects the immune status and directly affected by
your nutrition intake
DXA scans- bone density
Consequences of over-nutrition Correct Answer ❖Linked to
obesity, diabetes, CV diseases