DOWNLOA
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Chamberlain University College of
Nursing
Final Exam Study Guide
Course: NR 509
, NR 509 Final Exam Study Guide
1. Know which cranial nerves affects the eyelid
a. CN 3-Oculomotor
2. Know which cranial nerves affects eye direction
a. CN 3-Oculomotor(III)
b. CN 4- Trochlear (IV)
c. CN 6- Abducens (VI)
3. Know which physical assessment maneuver to do when shoulder height is unequal
a. CN 11 Spinal accessory (XI)????
4. Know how to Naegele rule
a. Using the Naegele rule, the EDD can be estimated by taking the LMP,
adding 7 days, subtracting 3 months, and adding 1 year. For example:
b. LMP = November 26, 2020
c. +7 days = December 2, 2020
d. −3 months = September 2, 2020
e. +1 year = September 2, 2021 = EDD
5. Know physical assessment findings for condylomata acuminata(Genital warts)
a. Appearance: Single or multiple papules or plaques of variable shapes; may
be round, acuminate (pointed), or thin and slender. May be raised, flat, or
cauliflower-like (verrucous).
b. Causative organism: HPV, usually subtypes 6, 11; carcinogenic subtypes
rare, approximately 5%–10% of all anogenital warts. Incubation: weeks to
+months; infected contact may have no visible warts.
c. Can arise on penis, scrotum, groin, thighs, anus; usually asymptomatic,
occasionally cause itching and pain.
d. May disappear without treatment.
6. Know which part of the cervix to obtain cells for Pap smears from
, a. Transformation zone.
7. Know when not to do a Pap smear
a. When menstrual cycle is present( Could not find in book but is one of the
questions from the back of the book.)
8. Know the signs of osteoarthritis
a. Asymmetric, weight-bearing joints, Heberden/Bouchard nodes.
b. Heberden nodes on the dorsolateral aspects of the distal interphalangeal
(DIP) joints from bony overgrowth of osteoarthritis (OA). Usually hard and
painless, they affect middle-aged or older adults and are often associated with
arthritic changes in other joints. Flexion and deviation deformities may develop.
Bouchard nodes on the proximal interphalangeal (PIP) joints are less common.
The metacarpophalangeal (MCP) joints are generally spared.
9. Know the signs of sacrospinalis
a. ??
10. Know emergency signs during pregnancy
a. Gestational hypertension is systolic blood pressure (SBP) >140 mm Hg or
diastolic blood pressure (DBP) >90 mm Hg first documented after 20 weeks,
without proteinuria or other evidence of preeclampsia, that resolves by 12 weeks
postpartum.
b. Hypertension can be both an independent diagnosis and a marker of
preeclampsia (Box 26-4). Preeclampsia increases cardiovascular disease risk
eight- to ninefold in women with preeclampsia giving birth before 34 weeks’
gestation.20
c. Box 26-4. Definition of Preeclampsia
d. SBP ≥140 or DBP ≥90 after 20 weeks on two occasions at least 4 hours
apart in a woman with previously normal BP or BP ≥160/110 confirmed within
minutes and proteinuria ≥300 mg/24 hours, protein to creatinine ratio ≥0.3, or
dipstick 1+;
OR
e. New-onset hypertension without proteinuria and any of the following:
thrombocytopenia (platelets <100,000/μL), impaired liver function (liver
, transaminase levels more than twice normal), new renal insufficiency (creatinine
>1.1 mg/dL or doubles in the absence of renal disease), pulmonary edema, or
new-onset cerebral or visual symptoms.20
f. Count the respiratory rate, which should remain normal throughout
pregnancy.
g. Chronic hypertension is SBP >140 or DBP >90 that predates pregnancy or is
diagnosed in the first 20 weeks’ gestation. Chronic hypertension affects almost
2% of U.S. births.21
h. Dyspnea accompanied by increased respiratory rate, cough, crackles, or
respiratory distress points to possible infection, asthma, pulmonary embolus, or
peripartum cardiomyopathy
11. Know how to examine the prostate
a. Male Patients: Posterior prostate gland
1. Tell patient that examiner will be going to feel the prostate gland and he may
feel an urge to urinate.
2. Sweep finger over the prostate gland and note its size, shape, and
consistency; any nodules or tenderness (examiner should be able to feel the two
lateral lobes and medial sulcus between them)
3. Rotate hand clockwise and counterclockwise to palpate bilaterally and
posteriorly (For female patient, palpate anterior wall as well, though this may be
more properly part of the female pelvic exam. For males, anterior wall will be part
of the prostate exam.)
12. Know the signs of BPH
a. Incomplete emptying
b. Frequency
c. Intermittency
d. Urgency
e. Weak stream
f. Straining
g. Nocturia
D
Chamberlain University College of
Nursing
Final Exam Study Guide
Course: NR 509
, NR 509 Final Exam Study Guide
1. Know which cranial nerves affects the eyelid
a. CN 3-Oculomotor
2. Know which cranial nerves affects eye direction
a. CN 3-Oculomotor(III)
b. CN 4- Trochlear (IV)
c. CN 6- Abducens (VI)
3. Know which physical assessment maneuver to do when shoulder height is unequal
a. CN 11 Spinal accessory (XI)????
4. Know how to Naegele rule
a. Using the Naegele rule, the EDD can be estimated by taking the LMP,
adding 7 days, subtracting 3 months, and adding 1 year. For example:
b. LMP = November 26, 2020
c. +7 days = December 2, 2020
d. −3 months = September 2, 2020
e. +1 year = September 2, 2021 = EDD
5. Know physical assessment findings for condylomata acuminata(Genital warts)
a. Appearance: Single or multiple papules or plaques of variable shapes; may
be round, acuminate (pointed), or thin and slender. May be raised, flat, or
cauliflower-like (verrucous).
b. Causative organism: HPV, usually subtypes 6, 11; carcinogenic subtypes
rare, approximately 5%–10% of all anogenital warts. Incubation: weeks to
+months; infected contact may have no visible warts.
c. Can arise on penis, scrotum, groin, thighs, anus; usually asymptomatic,
occasionally cause itching and pain.
d. May disappear without treatment.
6. Know which part of the cervix to obtain cells for Pap smears from
, a. Transformation zone.
7. Know when not to do a Pap smear
a. When menstrual cycle is present( Could not find in book but is one of the
questions from the back of the book.)
8. Know the signs of osteoarthritis
a. Asymmetric, weight-bearing joints, Heberden/Bouchard nodes.
b. Heberden nodes on the dorsolateral aspects of the distal interphalangeal
(DIP) joints from bony overgrowth of osteoarthritis (OA). Usually hard and
painless, they affect middle-aged or older adults and are often associated with
arthritic changes in other joints. Flexion and deviation deformities may develop.
Bouchard nodes on the proximal interphalangeal (PIP) joints are less common.
The metacarpophalangeal (MCP) joints are generally spared.
9. Know the signs of sacrospinalis
a. ??
10. Know emergency signs during pregnancy
a. Gestational hypertension is systolic blood pressure (SBP) >140 mm Hg or
diastolic blood pressure (DBP) >90 mm Hg first documented after 20 weeks,
without proteinuria or other evidence of preeclampsia, that resolves by 12 weeks
postpartum.
b. Hypertension can be both an independent diagnosis and a marker of
preeclampsia (Box 26-4). Preeclampsia increases cardiovascular disease risk
eight- to ninefold in women with preeclampsia giving birth before 34 weeks’
gestation.20
c. Box 26-4. Definition of Preeclampsia
d. SBP ≥140 or DBP ≥90 after 20 weeks on two occasions at least 4 hours
apart in a woman with previously normal BP or BP ≥160/110 confirmed within
minutes and proteinuria ≥300 mg/24 hours, protein to creatinine ratio ≥0.3, or
dipstick 1+;
OR
e. New-onset hypertension without proteinuria and any of the following:
thrombocytopenia (platelets <100,000/μL), impaired liver function (liver
, transaminase levels more than twice normal), new renal insufficiency (creatinine
>1.1 mg/dL or doubles in the absence of renal disease), pulmonary edema, or
new-onset cerebral or visual symptoms.20
f. Count the respiratory rate, which should remain normal throughout
pregnancy.
g. Chronic hypertension is SBP >140 or DBP >90 that predates pregnancy or is
diagnosed in the first 20 weeks’ gestation. Chronic hypertension affects almost
2% of U.S. births.21
h. Dyspnea accompanied by increased respiratory rate, cough, crackles, or
respiratory distress points to possible infection, asthma, pulmonary embolus, or
peripartum cardiomyopathy
11. Know how to examine the prostate
a. Male Patients: Posterior prostate gland
1. Tell patient that examiner will be going to feel the prostate gland and he may
feel an urge to urinate.
2. Sweep finger over the prostate gland and note its size, shape, and
consistency; any nodules or tenderness (examiner should be able to feel the two
lateral lobes and medial sulcus between them)
3. Rotate hand clockwise and counterclockwise to palpate bilaterally and
posteriorly (For female patient, palpate anterior wall as well, though this may be
more properly part of the female pelvic exam. For males, anterior wall will be part
of the prostate exam.)
12. Know the signs of BPH
a. Incomplete emptying
b. Frequency
c. Intermittency
d. Urgency
e. Weak stream
f. Straining
g. Nocturia
