General Sections Final Exam

Question 1

Order of exam

Answer 1

Neuro
Respiratory
Cardiovascular
Abdomen
Musculoskeletal
closure

Question 2

Neuro

Answer 2

Orientation to person, place and time
Eyes open, spontaneous, name
Pupil size in mm and reaction, right and left
Ability to swallow
Upper muscles strength
Lower muscle strength
Facial droop
Senseations bilaterally, upper and lower extremities
Able to communicate needs and follow directions
Cerebellar function, balance, coordination, kinetheisa

Question 3

Respiratory

Answer 3

Effort and rate
Palpate lumps, bumps, tenderness, pulsesations
chest expansion
auscultate breath sounds, anteriorly, posteriorly, lateral
cough/sputum

Question 4

Cardiovascular

Answer 4

Auscultate rhythm at apex, regular or irregular
check apical pulse versus radial pulse
palpates pulses: radial, brachial pedal, post-tib. bilaterally
check for pretrial edema

Question 5

Abdomen

Answer 5

bowel habits, last bm
urinary pattern, difficulties, elimination
contour and shape of abdomen, pulsations, scarring
bowel sounds in all four quadrants , vascular sounds
light and deep palpation
organs
masses
pain, rebound tenderness

Question 6

Musculoskeletal

Answer 6

Moves all extremities
ROM, strength
Need for SCD, TEDs, Splints
Ambulation, gait
Assistive devices (walker, crutches, w/c, crane

Question 7

Closure

Answer 7

return bed to lowest position
verify brakes are locked
raise appropriate bedrails for safety
ensure call bell is available
personal belongings, table, water within reach
termination with client interaction
verbalize documentation of assessment