Neuro
Pain
Cardi!
Lung Assessment
HEENT and More
100

What is PERRLA?

pupils equal round reactive to light and accommodation

100
Define pain.
What is what the patient says it is.
100
What sound is in 2nd sternal border left side of heart?
What is pulmonic
100

What term refers to a higher- than- normal respiratory rate in an adult


What is Tachypnea?

100

After assessing the throat, the nurse documents the client's tonsils as 4+

What is Touching each other ?

200

What Cranial nerve assess the client’s ability to hear the spoken word?

What is cranial nerve VIII- vestibulocochlear 

200
What are the parameters of a thorough pain assessment?
What is Parameters of thorough pain assessment • Character onset or provocation, Quality, Region of radiation • Location, timing, severity, pattern • Associated factors: What relieves and aggravates it?
200
What sound is in 2nd sternal border right side of heart?
What is aortic
200
What are objective signs observed during a physical examination for lung assessment?
What is shape of chest (barrel chest), breathe sounds, respiratory rate, color of skin?
200

What is the number of minutes bowel sounds are considered absent?

What is 5 minutes?

300

As part of the examination, the nurse will be assessing the client's balance. The test that should be administered is the

What is Romberg test.

300
Define chronic pain.
What is constant pain for at least 6 months
300

S 1 is considered

What is Systole 

300
What is the breath sounds are heard over the periphery of the lungs?
What is vesicular
300

 A Nurse is preparing to examine an adult client's eyes, using a Snellen chart. What should the nurse do?

What is position the client 20 feet away from the chart 

400

What evaluates the patient's response to verbal, motor and sensory stimuli ?

What is Glasgow Coma Scale?

400
What is the effect of severe pain on vital signs?
What is increased heart rate, increased respiratory rate, increase blood pressure equals severe pain.
400
The next step for fully distended jugular veins seen at supine is?
What is sit the patient at a 45 degree angle.?
400
What is the normal percussion note over lungs?
What is resonance?
400

The nurse plans to assess a client's abdomen as they palpate deeply while quickly releasing pressure.

What is rebound tenderness?

500

What Measurement of the client's ability to differentiate between sharp and dull sensations over the forehead tests which cranial nerve? 

What is Trigeminal - Cranial Nerve V (5)

500
Define the type of pain perceived in a missing limb or a paralyzed body part.
What is Phantom pain
500

What position enhances apical pulsation and displaces heart toward chest?

What is left lateral supine position

500
What part of the hand should be used to palpate fremitus?
What is ball of hand or ulnar portion
500

What is the normal tympanic membrane color?

What is translucent pearl gray?