and answers latest update
What you observe and can measure - What is objective data?
Data that only the subject or "patient" can feel and will tell you. Usually in a statement. - What is
subjective data?
Airway Problems
Breathing Problems
Cardiovascular Problems - What does ABC stand for when assessing priority?
Values, beliefs, attitudes, practices, characteristics, and customs shared by a group of people -
What is culture?
O - Onset
P - Provoke
Q - Quality
R - Region/Radiate
S - Severity
,T - Time/Treatment
U - Understanding
V - Value - What does OPQRSTUV stand for in a pain assessment?
1. Physical Appearance
2. Body Structure
3. Mobility
4. Behaviour - What are 4 things to consider in General Survey?
4-7 days after menstruation starts - What time of the month should a patient do a breast self-
exam?
Finger pads of first three fingers. - What part of the hand do you use to palpate the breast?
Gentle, rotary motion - What technique would be appropriate for palpating the breast?
Only in the case of a female lactating during after giving birth. - Is breast discharge ever
normal?
1-5 minutes in the absence of sound (until you hear sounds if there are active bowel sounds) -
How long do you listen to bowel sounds?
Normal - Your patient's capillary refill is within 2 seconds. Is this a normal or abnormal finding?
The lithotomy position (body supine, feet in stirrups, knees apart, and buttocks at the edge of
the table) - What is the best position for a rectal/vaginal exam?
After a warm shower, gently massage the testicle to look for masses. - How do you perform a
testicular self-exam?
Romberg Test - What do omit when assessing balance on an elderly patient?
Elder Abuse - Your 80 year old patient seems scared when a certain person enters the room, or
is withdrawn when you try to speak to them. What could this indicate?
Financial Elder Abuse - Your patient's grandson visits her every second day, but only stays for a
few minutes each time. On one of his visits, you are present and hear him say "You don't even
need the money, and I am struggling to eat. Why can't you just lend me money so I don't
starve?!" What kind of Elder Abuse is this?
"I am having trouble breathing"
"I have chest pain" - Which statement would indicate to the practical nurse to assess Vital
Signs?
Pain assessment - What is the next step after taking a health history?
CNIII (Oculomotor)
CNIV (Trochlear)
, CNVI (Abducens) - While doing an assessment, you hold up your finger and ask them to follow
it with only their eyes. You then move it through 6 cardinal positions and bring it in between their
eyes. which cranial nerve(s) are you assessing?
CNVIII (Acoustic/Vestibulocochlear) - While doing an assessment, you ask your patient to close
their eyes while you stand behind them and whisper three two-syllable words and ask them to
repeat them. Which cranial nerve(s) are you assessing?
CNVII (Facial) - While doing an assessment, you ask your patient to smile (with and without
teeth), bloat their cheeks, purse their lips and raise their eyebrows. What cranial nerve(s) are
you assessing?
CNII (Optic) - What cranial nerve(s) are you assessing using the Snellen Chart?
CNV (Trigeminal) - Which cranial nerve(s) requires you to assess the Masseter muscles and
their strength?
Aortic Valve
Pulmonic Valve
Erbs Point
Tricuspid Valve
Mitral Valve - Which order would you listen to cardiac sounds in? (list)
S1 - When will the apex be louder in a Cardio assessment?
S2 - When will the base be louder in a Cardio Assessment?
False - True or False: You should hear S3 and/or S4 sounds in a Cardio Assessment
C - Color
T - Temperature
E - Edema
M - Movement
P - Pulse
S - Sensation - When assessing the Peripheral Vascular system, what does CTEMPS stand
for?
Benign Prostatic Hyperplasia - If a male reports hesitancy with urination, what could be the
suspected problem?
Dysmenorrhea - A 22 year old female patient is complaining that they have a very painful
menstrual period. What is the name for this?
The abdomen is "hollow", or filled with air/gas. - Your patient's abdomen is round and firm to
touch, and percussion yields a tympanic or drum-like sound. What could this be indicating?
Swan-neck deformities - A patient who has had rheumatoid arthritis for years comes to the clinic
to ask about changes in her hands. The nurse knows that changes associated with rheumatoid
arthritis include: