NURA 1100 Test 1 Questions With Complete Solutions
GCS Eye Response - (ANSWER)Spontaneously - 4
To speech - 3
To pain - 2
None - 1
GCS Verbal Response - (ANSWER)Oriented - 5
Confused - 4
Inappropriate words - 3
Incomprensible sounds - 2
No response - 1
GCS Motor Response - (ANSWER)Obeys command - 6
Localized pain - 5
Flexion withdrawal - 4
Abnormal flexion - 3
Abnormal extension - 2
None - 1
Oriented X4 - (ANSWER)Person, place, time, situation. If not all 4, write out each single one out.
Subjective Data - (ANSWER)Information reported to you; what patient or family member says.
Objective Data - (ANSWER)Information you can see and gather through your senses.
Nursing Process ADPIE - (ANSWER)Assessment
Diagnosis
Planning
Implement
,NURA 1100 Test 1 Questions With Complete Solutions
Evaluate
Body Mass Index Equation - (ANSWER)Wt. x 704.5 / Ht(2)
BMI ranges - (ANSWER)BMI < 18.5 = underweight
BMI 18.5-24.9 = healthy
BMI 25-29 = overweight
BMI 30-39 = obese
BMI 40 ^ = morbid obesity
Order of Gathering Data - (ANSWER)Chief Complaint (CC)
History of present illness (HPI)
Past health/medical history
Social/family history (SH/FH)
Review of Systems (ROS)
Anisocoria - (ANSWER)Difference in pupil size
Presbyopia - (ANSWER)diminished near vision in adults 45 ^ (reading glasses)
CN II - (ANSWER)Optic nerve, visual acuity.
Strabismus - (ANSWER)abnormal alignment of one or both eyes (Lazy eye)
CN VIII - (ANSWER)Auditory, Hearing; Whisper, Weber and Rinne test.
CN I - (ANSWER)Olfactory, nose/smell
,NURA 1100 Test 1 Questions With Complete Solutions
CN III, CN IV, CN VI - (ANSWER)Oculomotor, Trochlear, Abducens.
Extraocular eye movement, Pupil constriction and dilation, lateral movement of eyeballs
CN V - (ANSWER)Trigeminal; sensory nerve to skin and face and motor nerve to jaw muscles. To asses
motor (move jaw side to side), to assess sensory ( sweep cotton ball across face )
CN VII - (ANSWER)Facial, motor function; smile, frown. Sensory function, taste (salty & sweet).
CN IX and CN X - (ANSWER)Glossopharyngeal and Vagus. Ability to swallow, talk, and gag reflex
CN XI - (ANSWER)Spinal accessory; shrug shoulders and turn head side to side against resistance.
CN XII - (ANSWER)Hypoglossal; position of tongue, move tongue side to side.
Vitligo - (ANSWER)skin disease; patches of unpigmented skin
Pallor - (ANSWER)Extremely pale
Cyanosis - (ANSWER)Ashy, bluish discoloration of the skin and mucous membranes
Acrocyanosis - (ANSWER)Blue hands or feet
Ecchymosis - (ANSWER)the purple or black-and-blue area resulting from a bruise
Petechiae - (ANSWER)Bleeding under the skin
Jaundice - (ANSWER)Yellowing of the skin, liver failure.
, NURA 1100 Test 1 Questions With Complete Solutions
Erythema - (ANSWER)Abnormal redness of skin.
Shiny, thin skin - (ANSWER)Pale, Ages 50 & ^ .
Pitting edema - (ANSWER)indentation
Edema - (ANSWER)swelling from excessive accumulation of serous fluid in tissue
S1 - (ANSWER)Lub sound, located @ apex; mitral and tricuspid closing
S2 - (ANSWER)Dub sound, located @ base; aortic and plumonic valve closing.
Bruit - (ANSWER)Swishing/narrowing sound of blood flow
APETM - (ANSWER)Aortic (S2 Clearest)
Pulmonic
2nd Pulmonic
Tricuspid
Mitral (S1 Clearest)
Peristalsis - (ANSWER)the process of wave-like muscle contractions of the alimentary tract that moves
food along
Arterial Pulses - (ANSWER)Carotid - neck
Radial - wrist
Brachial - Upper arm
Femoral - Upper inner thigh
Popliteal - posterior knee
GCS Eye Response - (ANSWER)Spontaneously - 4
To speech - 3
To pain - 2
None - 1
GCS Verbal Response - (ANSWER)Oriented - 5
Confused - 4
Inappropriate words - 3
Incomprensible sounds - 2
No response - 1
GCS Motor Response - (ANSWER)Obeys command - 6
Localized pain - 5
Flexion withdrawal - 4
Abnormal flexion - 3
Abnormal extension - 2
None - 1
Oriented X4 - (ANSWER)Person, place, time, situation. If not all 4, write out each single one out.
Subjective Data - (ANSWER)Information reported to you; what patient or family member says.
Objective Data - (ANSWER)Information you can see and gather through your senses.
Nursing Process ADPIE - (ANSWER)Assessment
Diagnosis
Planning
Implement
,NURA 1100 Test 1 Questions With Complete Solutions
Evaluate
Body Mass Index Equation - (ANSWER)Wt. x 704.5 / Ht(2)
BMI ranges - (ANSWER)BMI < 18.5 = underweight
BMI 18.5-24.9 = healthy
BMI 25-29 = overweight
BMI 30-39 = obese
BMI 40 ^ = morbid obesity
Order of Gathering Data - (ANSWER)Chief Complaint (CC)
History of present illness (HPI)
Past health/medical history
Social/family history (SH/FH)
Review of Systems (ROS)
Anisocoria - (ANSWER)Difference in pupil size
Presbyopia - (ANSWER)diminished near vision in adults 45 ^ (reading glasses)
CN II - (ANSWER)Optic nerve, visual acuity.
Strabismus - (ANSWER)abnormal alignment of one or both eyes (Lazy eye)
CN VIII - (ANSWER)Auditory, Hearing; Whisper, Weber and Rinne test.
CN I - (ANSWER)Olfactory, nose/smell
,NURA 1100 Test 1 Questions With Complete Solutions
CN III, CN IV, CN VI - (ANSWER)Oculomotor, Trochlear, Abducens.
Extraocular eye movement, Pupil constriction and dilation, lateral movement of eyeballs
CN V - (ANSWER)Trigeminal; sensory nerve to skin and face and motor nerve to jaw muscles. To asses
motor (move jaw side to side), to assess sensory ( sweep cotton ball across face )
CN VII - (ANSWER)Facial, motor function; smile, frown. Sensory function, taste (salty & sweet).
CN IX and CN X - (ANSWER)Glossopharyngeal and Vagus. Ability to swallow, talk, and gag reflex
CN XI - (ANSWER)Spinal accessory; shrug shoulders and turn head side to side against resistance.
CN XII - (ANSWER)Hypoglossal; position of tongue, move tongue side to side.
Vitligo - (ANSWER)skin disease; patches of unpigmented skin
Pallor - (ANSWER)Extremely pale
Cyanosis - (ANSWER)Ashy, bluish discoloration of the skin and mucous membranes
Acrocyanosis - (ANSWER)Blue hands or feet
Ecchymosis - (ANSWER)the purple or black-and-blue area resulting from a bruise
Petechiae - (ANSWER)Bleeding under the skin
Jaundice - (ANSWER)Yellowing of the skin, liver failure.
, NURA 1100 Test 1 Questions With Complete Solutions
Erythema - (ANSWER)Abnormal redness of skin.
Shiny, thin skin - (ANSWER)Pale, Ages 50 & ^ .
Pitting edema - (ANSWER)indentation
Edema - (ANSWER)swelling from excessive accumulation of serous fluid in tissue
S1 - (ANSWER)Lub sound, located @ apex; mitral and tricuspid closing
S2 - (ANSWER)Dub sound, located @ base; aortic and plumonic valve closing.
Bruit - (ANSWER)Swishing/narrowing sound of blood flow
APETM - (ANSWER)Aortic (S2 Clearest)
Pulmonic
2nd Pulmonic
Tricuspid
Mitral (S1 Clearest)
Peristalsis - (ANSWER)the process of wave-like muscle contractions of the alimentary tract that moves
food along
Arterial Pulses - (ANSWER)Carotid - neck
Radial - wrist
Brachial - Upper arm
Femoral - Upper inner thigh
Popliteal - posterior knee
