SENSORY/NEURO
CARDIO
MUSC/SKELETAL
ABDOMINAL
Peripheral Vessels/Lymphatics
100
The lobe that controls personality, behavior, emotions, and intellectual function.
What is the Frontal Lobe?
100
This heart sound is occurs at the end of diastole, at presystole, just before S1
What is S4
100
To test ROM of this particular joint, the nurse will ask the patient to:
Bend and straighten the ______
Movement of 90 degrees in pronation and supination
What is the Elbow?
100
Part of the descending colon, sigmoid colon, left ovary and tube, left ureter, and left spermatic cord
What are the organs located in the LLQ?
100
Spleen, tonsils, thymus
What are organs that aid the lymphatic system?
200
A client is experiencing problems with balance, as well as fine and gross motor function. Which area of the brain is malfunctioning?
What is the cerebellum is the portion of the brain that controls balance and fine and gross motor function.
200
The nurse assessing Erb's point recognizes its location as
What is the 3rd ICS (intracostal space) Left. RATIONALE: Erb's point is located at the third left intercostal space, close to the sternum. Murmurs of both aortic and pulmonic origin may be heard at Erb's point.
200
This disorder is most apparent during the preadolescent growth spurt, ribs are humped on one side, as child bends forward, with unequal landmark elevation
What is Scoliosis?
200
Tympany and dullness
What are sounds percussed over all four quadrants of the abdomen?
200
This duct drains the rest of the body. It empties into the left subclavian vein.
What is the thoracic duct?
300
During an assessment the client is able to follow instructions by the nurse but uses distorted speech sounds and some of the words are unintelligible. How should the nurse document this finding?
What is Dysarthria
300
The characteristics noted when listening for murmurs.
Intensity, timing, pattern, position, pitch, quality, location, radiation, posture, loudness, and duration
300
A client is diagnosed with osteoporosis. Which statements should the nurse include when teaching the client about the disease?
A. "It's common in females after menopause."
B. "It's a degenerative disease characterized by a decrease in bone density."
C. "It's a congenital disease caused by poor dietary intake of milk products."
D. "It can cause pain and injury."
E. "Passive range-of-motion exercises can promote bone growth."
F. "Weight-bearing exercise should be avoided."
What is A, B D RATIONALES: Osteoporosis is a degenerative metabolic bone disorder in which the rate of bone resorption accelerates and the rate of bone formation decelerates, thus decreasing bone density. Postmenopausal women are at increased risk for this disorder because of the loss of estrogen. The decrease in bone density can cause pain and injury. Osteoporosis isn't a congenital disorder; however, low calcium intake does contribute to the disorder. Passive range-of-motion exercises may be performed but they won't promote bone growth. The client should be encouraged to participate in weight-bearing exercise because it promotes bone growth.
300
An enlarged span or palpating this organ more that 1 to 2 cm below the right costal margin
What is the liver is enlarged? Could mean hepatitis or early heart failure
300
Sudden onset of intense, sharp, deep muscle pain, increased warmth, and swelling in calf
What is Deep Vein Thrombophlebitis?
400
Abnormalities for these nerves include Strabismus, Nystagmus, and Ptosis
What are Cranial Nerves III, IV, and VI
Oculomotor, Trochlear, and Abducens
400
During a physical examination, the nurse asks a client to hold the breath briefly, and then uses a stethoscope to auscultate over the carotid arteries. Which finding is normal when auscultating over these arteries?
1.No sounds heard over either carotid artery,
2. Faint swishing sounds heard over both carotid arteries,
3. Throbbing pulsations heard bilaterally,
4. Louder sounds heard over the right carotid artery than over the left carotid artery
What is 1. RATIONALE: Absence of sounds over either carotid artery indicates unobstructed blood flow. Auscultation of any sounds (bruits) is abnormal.
400
Sudden locking, the person is unable to extend the knee fully. Audible pop, sudden buckling
What is a meniscal tear?
400
Sudden sharp abdominal pain , Blumberg's sign
What is appendicitis?
400
Used to detect weak peripheral pulses, to monitor blood pressure in infants or children, or to measure a low blood pressure or blood pressure in a lower extremity
What is the Doppler Ultrasonic Probe?
500
With your eyes close, this is the inability to identify object correctly, occurs with stroke.
What is Astereognosis?
500
Venous pulsations noted above the sternal angle, bilateral edema in lower extremities, and nocturia are all signs of this
What is fluid overload due to heart failure?
500
The nurse should do this when unequal leg lengths are noted?
What is measure leg length discrepancy?
500
A patient complains of nausea, vomiting. What question is most appropriate?
1. Any recent travel?
2. How much comes up?
3. What foods did you eat in the past 24 hours?
4. Is there an odor?
What foods did you eat in the past 24 hours?
Consider food poisoning or other types of bacterial or viral gastroenteritis
500
Aching pain in calf or lower leg, worsens at the end of the day, drainage, pulses normal, brown pigment discoloration
What is a venous (Stasis) Ulcer?