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Assessment Final UPDATE Flashcards

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1
Q

Which cranial nerves control the extraocular muscles (EOM)?

A
  • Oculomotor (II),
  • Abducens (VI),
  • Trochlear (IV)
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2
Q

How often should males 15 y/o+ do a testicular self exam?

A

Once a month

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2
Q

Documenting Heart Sounds x4

A
  1. Frequency/Pitch
  2. Intensity/Loudness
  3. Duration
  4. Timing: systole/diastole
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3
Q

skin normal findings seen mostly in infants? x3

A
  1. Cafe Au Lait Spot
  2. Mongolian Spot
  3. Lanugo
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3
Q

Where is the most common site for breast tumors

A

upper outer quadrant

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3
Q

Striae which occur when elastic fibers in the reticular layers of the skin are broken after rapid or prolonged stretching, have a distinct color when of long duration. What is this color?

A

Silvery White

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4
Q
A
  • Keloid
    • hypertrophic scar
    • elevetated skin by excess scar tisue
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5
Q

Straightening a limb at a joint

A

extension

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5
Q

What is the best position for inspecting the breasts for retraction?

A

Sitting with hand pushing onto hips

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5
Q

All Patients Take Meds..

A
  • Aortic (2nd Rt, ICS)
  • Pulmonary (2nd Left, ICS)
  • Tricuspid (Lt lower sternum)
  • Mitral (5th ICS midclavical)
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6
Q

Turning the forearm so the palm is up

A

supination

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6
Q

Cranial Nerve Mneumonic Sensory, Motor or Both

A
  • Some Say Marry Money But My Brother Says Bad Business Marry Money
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7
Q

degeneration of joint cartilage and the underlying bone, most common from middle age onward. It causes pain and stiffness, especially in the hip, knee, and thumb joints.

A

Osteoarthritis

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8
Q
A
  • Keloid
    • hypertrophic scar
    • elevetated skin by excess scar tisue
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9
Q

A newborn’s nail beds may be blue (cyanotic) for the first few hours of life, then they turn what color?

A

pink

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9
Q
A
  • Polycyclic
  • i.e. psoriasis
  • anular lesions grow together
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10
Q

Define a Lymph Node

A
  • Small oval clumps of lymphatic tissue located at intervals along the vessels.
  • Filter fluid before returned to bloodstream
  • remove harmful organisms.
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11
Q
A

Compound Nevus

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12
Q

Which of the following options is not a change that comes with menopause?

A
  • The vaginal pH becomes more alkalotic
  • The vagina becomes shorter and narrower
  • The cervix shrinks
  • The ovaries hypertrophy
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13
Q
A

junctional nevus

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14
Q

Characteristics of Osteoarthritis?

A
  • Joints ache and may be tender but have little or no swelling.
  • Symptoms often begin on one side of the body and may spread to the other side.
  • Onset develops slow over the years
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14
Q
A
  • Scale
  • compact flakes of skin
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15
Q
A
  • Scale
  • compact flakes of skin
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16
Q

During assessment of the spine, what do you ask the patient?

A
  • Flex
  • Extend
  • Abduct
  • Rotate
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18
Q

A murmur heard after S1 and before S2 is classified as

A

systolic (possibly benign)

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18
Q
A
  • Meta-tarso-phangeal joint
  • Redness, swelling, heat, tenderness
  • metabolic disorder, elevated serum uric acid
  • More predominant in men older than 40 yrs
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19
Q

What 4 areas do you auscultate when listening to the heart?

A
  • Aortic, Pulmonic, Tricuspid, Mitral
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20
Q

Describe the Cervical Node

A
  • Drains the head and neck
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22
Q

A 78 year old male comes into the office and the nurse assesses that he has a greying/white arc/circle around his cornea with no vision loss. She should conclude that the patient has:

A

Arcus Senillis

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22
Q
A
  • zosteriform
  • linear around unilateral nerve
  • ex: herpes
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23
Q

Cerebellar function is assesed by which of the following tests?

A

coordination, hop on one foot

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23
Q

Describe the Epitrochlear Node

A
  • In the Antecubital fossa
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24
Q

moving the sole of the foot outward at the ankle

A

eversion

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24
Q

3 Common types of birthmarks

A
  1. freckles
  2. junctional nevus
  3. compound nevus
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26
Q

3 areas of the Glasgow Coma Scale

A
  1. eye opening
  2. motor response to stimuli
  3. verbal response
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26
Q

The nurse assess a patient with osteoarthritis, what would be an expected sign/symptom?

A
  • stiff knees, hips, fingers, and vertebrae
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26
Q

3 Common types of birthmarks

A
  1. freckles
  2. junctional nevus
  3. compound nevus
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27
Q
A
  • Confluent Lesion
  • ex hives//uriticaria
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29
Q

Describe the Left Lung

A
  • narrower than the right w/ 2 lobes
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30
Q

moving the arm in a circle around the shoulder

A

circumduction

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31
Q

Melena

A

really dark stools b/c of blood

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32
Q
A
  • Discrete lesion
  • Skin tags//acne
34
Q

Swan-neck, boutonnière deformity, and ulnar deviation are conditions associated with

A

rheumatoid arthritis

36
Q

An area of the body that is supplied mainly from one spinal segment through a particular spinal nerve is identified as a:

A

dermatone

36
Q

Often seen with history of trauma or obesity, and can be genetic

A

osteoarthritis

37
Q
A

junctional nevus

38
Q

What is the parietal lobe concerned with?

A
  • post-central gyrus
  • primary center for sensation
38
Q

Arterial Insufficiency Characteristics

A
  • coolness/pallor
  • Diminished pulses
  • shiny, thin skin
  • well defined edges NO bleeding
  • pale ischemic base
  • occur at toes, heels, lateral ankle
39
Q

Cranial Nerve Mneumonic

Oh Oh Oh To Touch And Feel Very Good Velvet AH!

A
  • Olfactoryoptic
  • Oculomotor
  • Trochlear
  • Trigeminal
  • Abducens
  • Facial
  • Vestibulocochlear
  • Glossopharyngeal
  • Vagus
  • Accessory
  • Hypoglossal
41
Q

The group of axillary lymph nodes that drains the other three groups of nodes is the:

A

Central Nodes

43
Q

Why are children more at risk for ear infections?

A

They have shorter, wider, more horizontal Eustachian tubes

44
Q

Each half of the cerebrum is a

A

hemisphere

45
Q

characterized by hard, nontender nodules, 2 to 3 mm or more

A

Osteoarthritis

46
Q
A
  • Wheal
    • Urticaria-hives
  • raised irregular shape due to edema
  • mosquito bites, allergies
47
Q

control of body temperature

A

hypothalamus

48
Q
A
  • Discrete lesion
  • Skin tags//acne
49
Q

Subjective Data for Osteoarthritis

A
  • Pain (worse later in the day)
  • stiffness
  • reported limited ROM
49
Q

Where do arteries carry blood from?

A

from the heart

49
Q

Describe the inguinal nodes

A
  • in the groin
50
Q
A
  • Macule
    • Patch larger than 1 cm
  • flat not raised
51
Q

Where is S1 louder than S2

A

at the apex

52
Q
A

Gyrate Lesion

54
Q

Temporal Lobe Function?

A
  • Auditory reception center
  • Hearing, taste, and smell
  • Wernicke’s Area= language comprehension
55
Q
A

Gyrate Lesion

56
Q

Objective Findings for Osteoarthritis

A
  • Limited ROM in the affected joint
  • fluid is easily moved around the joint space
56
Q
A
  • Polycyclic
  • i.e. psoriasis
  • anular lesions grow together
57
Q

This occurs when the pulmonic valve stays open a little bit longer during inspiration.

A

Split S2 (lub-T-dub)

59
Q

Turning the forearm so the palm is out

A

Pronation

60
Q
A
  • Vesicle
    • Bulla- larger than 1cm
  • a blister, herpes chicken pox, shingles
62
Q

Signs/Symptoms of Hemorrhoids

A
  • Swollen and inflamed veins in the rectum and anus that cause discomfort and bleeding
  • Painless flabby papules, varicose vein of the hemorrhoidal plexus
  • Occurs from straining at stool, pregnancy, obesity, liver disease, or low fiber diet.
64
Q

Moving the body part forward and parallel to the ground

A

protraction

66
Q

Neurological Changes in the Older Adult

A
  • loss of muscle bulk
  • general atrophy
  • nerve conduction decrease 5-10%
  • Slower Reaction Time
  • Touch, Smell Taste, Pain sensation diminished
  • decrease blood flow / oxygen
67
Q
A
  • Vesicle
    • Bulla- larger than 1cm
  • a blister, herpes chicken pox, shingles
69
Q

What is the function of the occipital lobe?

A

Visual Receptor Center

70
Q

Describe the Axillary Nodes

A
  • drain the breast and upper arm
72
Q

Signs/Symptoms of Fecal Impaction

A
  • Decreased Bowel Motility
  • A collection of hard, desiccated feces in the rectum
  • May complain of constipatior or of diarrhea as a fecal stream passes around the impaction
73
Q

Venous Insufficiency Characteristics

A
  • Brawny edema
  • brown pigment deposits
  • pulses are normal
  • Bleeding uneven edges
74
Q

What do veins do?

A

drain deoxygenation blood from the tissues and return it to the heart

76
Q

RAM

A
  • Roy’s Adaption Model
  • the individual as a set of interrelated systems (biological, psychological and social).
  • strives to maintain a balance between these systems and the outside world,
77
Q

During neurologic examination the tendon reflex fails to appear. Before striking the tendon again, the examiner might use what type of technique?

A

reinforcement

78
Q

Bending a limb at a joint

A

flexion

79
Q
A
  • zosteriform
  • linear around unilateral nerve
  • ex: herpes
80
Q
A
  • Confluent Lesion
  • ex hives//uriticaria
81
Q

When is the best time to perform a breast self examination?

A

on the 4th - 7th day of the cycle

82
Q
A
  • Papule
    • Plaque larger than 1 cm
  • can feel, slightly elevated
  • mole wart
83
Q

Influences Body Temperature

A

Diurnal Cycle

85
Q

moving a body part backward and parallel to the ground

A

retraction

86
Q
A

Compound Nevus

87
Q

Dehydration Assessment

A
  • Dry mucous membranes
  • lips cracked
  • Skin is fissured
  • Tenting w/ turgor
89
Q

Which of the following vital signs are characteristic of an aging adult?

A
  1. Decreased temperature
  2. Decreased sweating
  3. Increased risk of orthostatic hypotension
90
Q

What are the 4 main lymph nodes accessible to inspection and palpation?

A
  1. Cervical Node
  2. Axillary Node
  3. Epitrochlear Node
  4. Inguinal Node
92
Q

What is genu valgum?

A

Knocked Knees

93
Q
A
  • Papule
    • Plaque larger than 1 cm
  • can feel, slightly elevated
  • mole wart
94
Q
A
  • Macule
    • Patch larger than 1 cm
  • flat not raised
95
Q

Older Adult Expected Finding During Breast Exam

A
  • lactiferous ducts are more palpable
  • feel firm and stringy b/c of fibrosis and calcification.
96
Q

What does a “normal” tympanic membrane look like?

A

Shiny, translucent, pearly grey

97
Q

An Area not commonly associated with pain

A

inramuscular

98
Q
A
  • Nodule
    • tumor larger than 3 cm
99
Q

What is the Frontal Lobe concerned with?

A
  • Personality
  • Behavior
  • Emotions
  • Intellectual Function
  • Broca’s Area- Motor Speech
100
Q
A
  • Wheal
    • Urticaria-hives
  • raised irregular shape due to edema
  • mosquito bites, allergies
101
Q

Pronation and supination of the hand and forearm are hte result of the articulation of the

A
  • Radius
  • Ulna
102
Q

Characteristics of rheumatoid arthritis?

A
  • Joints are painful, swollen, and stiff.
  • It often affects small and large joints on both sides of the body (symmetrical)
  • Onset is rapid
  • Begins at any time in life
103
Q
A
  • Nodule
    • tumor larger than 3 cm

Nursing School (33 decks)

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