Nursing 1300 Final Exam Review Latest Update
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"List" abnormal curvature of the back - CORRECT ANSWER: spine tilts to one side, away from the affected side, usually associated with pressure on the local spinal nerve root from a herniated disc
- romberg sign = - CORRECT ANSWER: sign is loss of balance increased by closing of
the eyes. if occurs with cerebellar ataxia
ms or alcohol consumption
2 layers of the skin - CORRECT ANSWER: epidermis
dermis
"3rd layer" subcutaneous layer of adipose tisuse
a bruit occurs with - CORRECT ANSWER: turbulent blood flow, indicating arterial
occlusion
a score of less than 7 on the glasgow coma scale indicates what? - CORRECT
ANSWER: coma
abnormal characteristics of pigmented lesions - CORRECT ANSWER: ABCDE
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Asymmetry Border irregularity Color variation Diameter > 6mm Elevation or enlargement
aslo note burning, itching or bleeding of a mole
abnormal eye position - CORRECT ANSWER: III
IV VI
abnormal musculoskeletal findings - CORRECT ANSWER: mass
asymmetry of muscles head tilt to one side hard muscles with spasm limited ROM person cannot hold flexion pain
abnormal or asymmetrical pupils - CORRECT ANSWER: II,III
accommodation - CORRECT ANSWER: pupils dilate then reverse
acrochordons - CORRECT ANSWER: skin tags, normal on eyelids, cheeks, neck,
axillae, and trunk
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active ROM - CORRECT ANSWER: pt performing ROM by self
adventitous sounds - CORRECT ANSWER: abnormal sounds caused by collision of
moving air with secretions in the tracheobronchial passageways or popping open of a previously deflated airway
after auscultating in supine position, roll pt to what side to to listen for presence of any
diastolic filling sounds - CORRECT ANSWER: left
aging skin increases risk of - CORRECT ANSWER: pressure ulcers d/t subcutaneous
fat diminishing, and thinner skin
albinism - CORRECT ANSWER: total absence of pigmentation
all cranial nerves supply primarily the head and neck with the exception of the -
CORRECT ANSWER: vagus nerve which travels to the heart, respiratory muscles,
stomach and gallbladder
also included in the musculoskeletal system is functional assessment of - CORRECT
ANSWER: ADL's
so ROM, and muscle strength, performance of functions essential for independent home life
analgesia - CORRECT ANSWER: absent pain sensation
anesthesia - CORRECT ANSWER: absent touch sensation
ankylosing - CORRECT ANSWER: wrist in extreme flexion
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apex of the heart - CORRECT ANSWER: points down and to the left
apical pulse not palpable with, - CORRECT ANSWER: pulmonary emphysema d/y
hyperinflated lungs which override the heart
apocrine glands - CORRECT ANSWER: open into hair follicles, become active during puberty and produce sweat glands with emotional and sexual stimulation
appearance - CORRECT ANSWER: A&O
distress?
arteries - CORRECT ANSWER: carry freshly oxygenated blood and nutrients to all body tissues
articulation of words - CORRECT ANSWER: V
VII X XII
ascites - CORRECT ANSWER: skin glistening and taut
ascites often occurs with - CORRECT ANSWER: heart failure, portal hypertension,
cirrhosis, hepatitis, pancreatitis, and cancer
assessment of motor responses - CORRECT ANSWER: muscle symmetry
proximal to distal atrophy hands, shoulders, thighs- close attention
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