NR 509 Final Exam
Assessing from Head to Toe (Answer)- Think about which order you will be
assessing your patient from head to toe
Start by inspecting- you will inspect you patient head/face
Then palpating lymph nodes
Ascultating lung sounds and heart soun Percussing abdomen
Assess patient’s gait
OLD CART (Answer)- Onset
Location
Duration
Characteristic
Aggravating factors
Relieving factors
Treatment
Subarachnoid Hemorrhage (Answer)- Severe and Sudden “worst headache of my
life”
Nausea and Vomiting can be present
Cranial Nerve X (Answer)- Vagus nerve
Used to assess when you touch the soft palate and view uvula
Signs of Otitis Externa (swimmers Ear) (Answer)- Painful movement of the auricle
and tragus (page 245)
Review fig 7-43
Physical Signs of Meningitis (Answer)- (pg 765)
Neck stiffness with resistance of flexion.
Won’t be able to touch chin to chest
Red flags for Headaches (Answer)- Progressively frequent or severe over 3 month
period
New onset after 50
Aggravated or relieved by change in position
Recent head trauma
Labs to check with Vitiligo (Answer)- Thyroid panel: TSH, free T3 and Free T4,
СВС
Preservation (Answer)- Patient uses words repeatedly.
Using words or phrases repeatedly often seen in schizophrenia
Erectile Dysfunction (Answer)- Older men in their late 40s that experience ED is
usually psychological rather than testosterone.
Tanner Staging of breasts in females Stage I: (Answer)- preadolescents-elevation
of nipple
Tanner Staging of breasts in females Stage 2: (Answer)- Breast bud stageelevation of breast and nipple as a small mound.
Tanner Staging of breasts in females Stage 3: (Answer)- further enlargement of
elevation of breast and areola
Tanner Staging of breasts in females Stage 4: (Answer)- projection of areola and
nipple for a secondary mound above the level of the breast
Tanner Staging of breasts in females Stage 5: (Answer)- mature stage- projection
of nipple only
HPV vaccine (Answer)- Prevents infection from subtypes 16 and 18.
Measuring tape when measuring uterus in a pregnant woman (Answer)- Place tape
measure on pubic symphysis and place zero end of tape, when you can firm feel
the bone.
Extend the tape measure to the very top of the uterine fundus and note the number
of cm measured.
The number should equal the number of weeks of gestation
Bounding pulse (Answer)- Bounding meaning 2+
On scale 0-3