Exam Flashcards
What is the appropriate first action of a nursing student after the fainting of an 80 year old patient?
Preform a Glasgow Coma Score (GCS)
When preforming a physical examination on the 80 year old fainting patient what set up will be most appropriate?
Try to minimise position changes for her.
Which test assesses eye muscle strength and cranial nerve function?
Extra Ocular Movement test.
What nursing assessment will give objective data relating to the functioning of the cerebellum?
Coordination
The RN is struggling to elicit a patellar reflex which is the next appropriate action?
Lock the fingers together and pull against eachother.
If the reflex is normal what is the correct number to document this as?
2+
What is the most likely sign of a frontal lobe contusion?
Difficulty Speaking
For which patient condition would you expect a capillary refill time longer than two seconds?
Peripheral Vascular Disease.
What is a myth about pain in the older adult?
That elderly people who are confused or cognitively impaired do not have pain.
What represents the break in sounds between the first and second heart sounds when auscultating.
Auscultatory Gap
What would help with auscultating heart sounds s1 and s2.
Palpating the carotid pulse while auscultating the heart
What type of pain is associated with arthritis?
Chronic
What part of the body would you assess for the presence of central cyanosis?
Oral mucosa
What is a process that is not required in order for effective respiration to occur?
Obstruction
