Nur 251 Exam Q&A
- types of reflexes - Correct AnsStretch on/ Deep tendon (myotatic) ex: knee jerk
Superficial (cutaneous) ex: plantar reflex
Visceral (organ) ex: pupil response
abnormal breath sounds - Correct AnsSigh Tachypnea Hyperventilation Bradypnea Hypoventilation Cheyne-Stokes respirations Discontinuous sounds Crackles Continuous sounds Wheeze Rhonchi Stridor
Accommodation - Correct Ansadaptation of the eye for near vision by increasing the curvature of the lens
movement of ciliary muscles: convergence (motion towards axes of eyeballs)
pupils constrict when adapting for near vision
(im going to go towards your nose but wont touch it)
Amplitude of pulses - Correct Ans3+ = large or bounding 2+ = normal or average
- = small or reduced
- = absence of pulse
Aortic valve area of auscultation - Correct AnsRight side, second intercostal space
Arterial Peripheral Vascular Disorder - Correct AnsCool Skin, Pain in legs, Absent pulses, no edema, lowering feet may decrease pain
Biographic Data - Correct Ansname, address, phone number, age, birthdate, gender, marital status, race, ethic origin, occupation, primary language
Blood Pressure - Correct Ans120/80 mmHg
bradypnea - Correct Ansslow breathing
breast self examination (BSE) - Correct Ansa) Inspection can be done in front of a mirror. Palpation can be done in a shower.
b) BSE should always be performed following a menstrual cycle. 1 / 2
c) If client is menopausal, BSE should be performed on the same day of each month.
Bronchial, sometimes called tracheal or tubular - Correct Ansharsh, hollow, loud, high- pitched
Bronchophony - Correct Anssay "99" while listening with stethoscope. Normal: soft, muffled
Abnormal: words more distinct
Bronchovesicular - Correct Ansinspiration=expiration in duration, over major bronchi
Cerebellar Test - Correct AnsNose-Finger-Nose Gait and balance tests Tandem walking Romberg sign
Cerebellum - Correct AnsBalance and coordination, muscle tone of voluntary movements RAM Rapid altering movement test
Cheyne-Stokes respiration - Correct Answax and wane pattern, increasing rate and depth then decreasing with periods of apnea (20 sec of no breathing)
Clarification - Correct Ansuseful when patients words are confusing
clubbing - Correct Ans-angle straightens out to 180 degrees and nail base feels spongy to palpation -occurs with: congenital cyanotic heart disease, lung cancer, pulmonary diseases (COPD, bronchitis, emphysema), history of smoking
CN I - Correct AnsOlfactory; smell; sensory
CN II - Correct AnsOptic: Sensory: Vision Sneal Eye Chart test visual acuity and fields by confrontation
CN III - Correct AnsOculomotor: Both: Motor- extraocular muscle movement; Parasympathetic- pupil constriction
PERRLA
CN IV - Correct AnsTrochlear; Motor; Down and inward movement of eye
CN IX - Correct AnsGlossopharyngeal; Motor: pharynx talking and swallowing, gag
reflex; Sensory: Taste & senses carotid blood pressure
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