NURS 1230 Exam 1 Questions With Complete Solutions
The faith community nurse is teaching the community center
woman's group about breast cancer risk factors. Which factors
does the nurse include? Select all that apply
A. First child at the age of 26 years
B. Menopause onset at the age of 29 years
C. Family history with BRCA1 inherited gene mutation
D. Age over 40 years
E. Onset of menses before the age of 12
F. Recent use of oral contraceptives
C, D, E, F
What should you ask when assessing allergies of a patient?
Type of reaction, what are they allergic to
What are the different Code Status?
DNR, DNI, full code
Orthostatic hypotension
low blood pressure that occurs upon standing up
What is considered normal blood pressure?
120/80
What is considered normal heart rate?
60-100 bpm
What is considered normal temperature?
,96.4-100.4
What is considered normal O2 sat?
>95%
What is considered normal respiratory rate?
12-20 breaths per minute
What is abnormal behavior in mental status?
Confusion, hallucinations
Lesions
General term for any abnormality of skin
Purpura, petechiae, and ecchymosis indicate what?
Bleeding
Ecchymosis is another word for:
Bruising
How to assess a patient with dark skin for pallor?
Assess mucus membranes
How to assess a patient with dark skin for cyanosis?
Assess lips and tongue, nail beds, soles of feet, palms
How to assess a patients with dark skin for jaundice?
Eyes and hard palate. Don't go by palms or soles of feet because
they have a natural yellow color
What are some other signs of cyanosis?
,Tachycardia, hypotensive, changes in respiratory rate,
confusion, low O2 sats
What is a macular rash?
flat rash
What is a papula rash?
Rash that is raised
Is it normal for nails to be tender?
No
Onychomycosis
fungal infection of the nail
Is dandruff a dryness issue or an oil issue?
Oil issue
Hirsutism
excessive hair growth
Microcephalic
abnormally small head
Macrocephaly
abnormally large head
Exophthalmus
protrusion of the eyes out of the eye socket, common in
endocrine disorders
Ptosis
, drooping
What are abnormal findings of the cornea?
Cloudy, specks
Nystagmus
Involuntary rapid eye movements, can lead to blurred vision
What do the six cardinal positions of the eye test?
Cranial nerves III, IV, and VI
Tinnitus
ringing in the ears
Polyps
Abnormal growth, not cancerous
Should you be able to palpate lymph nodes?
no should not be palpable or tender
Why do you need to assess allergies or kidney function before
CT scan?
Because of the dye used
What should you assess for before an MRI?
Any implantable devices because of the magnetisim
Dyspnea
shortness of breath
Orthopnea
The faith community nurse is teaching the community center
woman's group about breast cancer risk factors. Which factors
does the nurse include? Select all that apply
A. First child at the age of 26 years
B. Menopause onset at the age of 29 years
C. Family history with BRCA1 inherited gene mutation
D. Age over 40 years
E. Onset of menses before the age of 12
F. Recent use of oral contraceptives
C, D, E, F
What should you ask when assessing allergies of a patient?
Type of reaction, what are they allergic to
What are the different Code Status?
DNR, DNI, full code
Orthostatic hypotension
low blood pressure that occurs upon standing up
What is considered normal blood pressure?
120/80
What is considered normal heart rate?
60-100 bpm
What is considered normal temperature?
,96.4-100.4
What is considered normal O2 sat?
>95%
What is considered normal respiratory rate?
12-20 breaths per minute
What is abnormal behavior in mental status?
Confusion, hallucinations
Lesions
General term for any abnormality of skin
Purpura, petechiae, and ecchymosis indicate what?
Bleeding
Ecchymosis is another word for:
Bruising
How to assess a patient with dark skin for pallor?
Assess mucus membranes
How to assess a patient with dark skin for cyanosis?
Assess lips and tongue, nail beds, soles of feet, palms
How to assess a patients with dark skin for jaundice?
Eyes and hard palate. Don't go by palms or soles of feet because
they have a natural yellow color
What are some other signs of cyanosis?
,Tachycardia, hypotensive, changes in respiratory rate,
confusion, low O2 sats
What is a macular rash?
flat rash
What is a papula rash?
Rash that is raised
Is it normal for nails to be tender?
No
Onychomycosis
fungal infection of the nail
Is dandruff a dryness issue or an oil issue?
Oil issue
Hirsutism
excessive hair growth
Microcephalic
abnormally small head
Macrocephaly
abnormally large head
Exophthalmus
protrusion of the eyes out of the eye socket, common in
endocrine disorders
Ptosis
, drooping
What are abnormal findings of the cornea?
Cloudy, specks
Nystagmus
Involuntary rapid eye movements, can lead to blurred vision
What do the six cardinal positions of the eye test?
Cranial nerves III, IV, and VI
Tinnitus
ringing in the ears
Polyps
Abnormal growth, not cancerous
Should you be able to palpate lymph nodes?
no should not be palpable or tender
Why do you need to assess allergies or kidney function before
CT scan?
Because of the dye used
What should you assess for before an MRI?
Any implantable devices because of the magnetisim
Dyspnea
shortness of breath
Orthopnea
