Respiratory
What sound would the nurse expect to hear over normal lung tissue?
Resonance
What is a nurse listening for when the stethoscope is placed at the 5th intercostal space in the midclavicular line?
Apical Heart Rate
What joint causes crepitus, edema, and pain when an assessment is performed?
Temporomandibular Joint
What diagnosis would the nurse suspect if a client has a 'change in mole size and color with itching, burning and bleeding for the past month?'
Melanoma
Impaired peripheral vision can be found by using what test?
The confrontation test.
If a nurse enters a room to take a blood pressure and finds the patient and a family member arguing, how long after the family member leaves should the nurse come back and take the blood pressure?
30 minutes
Where should the nurse expect to hear bronchovesicular lung sounds in a healthy adult?
Near the sternal boarder.
The S1 heart sound is...
If a lymph node is enlarged, what would that indicate?
an infection
What are small fluid-filled sacs or blisters that can appear on the skin?
Vesicles
When the nurse is performing the corneal light test, looking for symmetry of the light reflex may validate what eye issue?
strabismus
What is the nurse looking for when they apply a pulse ox?
oxygen saturation and pulse
What is the name of the respiratory pattern that increases and decreases in rate and depth with periods of apnea?
Cheyne-Stokes
Capillary refill should refill in... on a healthy person.
1 second
What part of the stethoscope should a nurse listen to the carotid arteries with?
The Bell.
What describes a smaller area of bleeding that often occurs in Petechiae spots have combined?
Purpura
If someone has buzzing or ringing in the ears for weeks, what may this be called?
Tinnitus
How should the nurse assess the respirations of a 10 yr. old male with an acute asthma attack?
For a full minute.
Decreased breath sounds in the lower lobes of both lungs?
Atelectasis
Heart rates increase during...and decrease during...
What is inspiration and expiration
A nurse is assessing a client and finds edema of the lower extremities and jugular venous distention. What would the nurse suspect?
Right-sided heart failure
What vitamin deficiency causes red scorbutic gums?
Vitamin C Deficiency
A bulging membrane with an absent cone of light in the ear is called?
Erythematous.
A nurse assesses a physically active adult client who runs marathons and notes the resting heart rate to be 45 beats per minute. How should the nurse interpret this finding?
Expected for this client
Snapping, popping breath sounds over the right lower lobe is a manifestation of what diagnosis?
Pneumonia
A nurse notes a 'lu-lub-dub' when auscultating a 6-year old, what kind of finding is this?
abnormal
What would cause a bruit in the carotid artery?
A narrowing or partial occlusion of the artery.
What clinical manifestation would the nurse expect to find with a client who is experiencing a fluid volume deficit?
Tenting of the skin.
When the nurse shines a light straight into the clients eyes, they are preforming what assessment?
Pupillary light reflex
If the nurse is taking a blood pressure, what is the normal range?
120/80