NURS 321 FINAL EXAM QUESTIONS WITH
ACCURATE ANSWERS; GRADED A+
Apical pulse location in children - correct answer- 4th
intercostal under 7 years of age; 5th intercostal for 7 years of
age and older
Aspects of assessing the pediatric client - correct answer-
Doorway assessment: LOC, respiratory effort, color Primary
assessment: ABCDE: airway and patency, breathing, circulation,
disability presence, environment Secondary assessment:
SAMPLE: s/s, allergies, medical history, past medical, last meal
eaten, environmental influences to illness
Aspects of headache evaluation - correct answer- Onset,
duration, location, character, severity, presence of visual
prodromal event, pattern, associated symptoms, precipitating
facts, efforts to treat
Assessment readiness for toilet training - correct answer-
•Voluntary sphincter control •Able to stay dry for 2 hours •Fine
motor skills to remove clothing•Willingness to please
parents•Curiosity about adult's or sibling'stoilet
habits•Impatient with wet or soiled diapers
,Care of eyes includes: - correct answer- 0Clean
frominner to outer canthus with wet, warm cloth, cotton ball, or
compress0Use artificialtear solution or normal saline every 4
hours if blink reflex is absent - ifordered by physician00Care
foreyeglasses, contact lens, or artificial eye if indicated
Categories of cancers of the larynx - correct answer-
Supraglottic: false vocal cords above vocal cords Glottic: true
vocal cords Subglottic: below vocal cords
Cellular changes of the immune system with age - correct
answer- Decrease in T-cell function, decrease in response to
foreign antigen
Changes in body contour with age - correct answer-
Bony prominences show, weight distributes to waist and hips,
subcutaneous tissue leave the face and arms and move to
abdomen/hips, height decreases
Changes in bones with age - correct answer- Decrease in
bone density because resorption is more rapid than deposition
,Changes in cardiovascular conductivity with age - correct
answer- SA node firing isn't as fast, so heart rate decreases
Atrial fibrillation can occur from fibrosis of SA node
Changes in cardiovascular system with aging - correct
answer- Elasticity of blood vessels decreased because of
changes in collagen; vessel walls become thick and frayed
Changes in endocrine pancreas with age - correct answer-
Secretion does NOT decrease, tissues may develop decreased
sensitivity to insulin
Changes in esophagus with age - correct answer-
Contractions increase, propulsion is decreased
Changes in female reproductive system with age - correct
answer- Decreased estradiol, decreased estrone, breast size
decreases, breast lumps more evident, menopause, cessation of
menses, atrophy of ovaries
Changes in gait in each gender with age - correct answer-
Male gait: smaller steps, wider base Female gait: waddling gait,
bowing of legs
, Changes in intelligence with age - correct answer-
Crystallized intelligence remains the same Fluid intelligence
becomes more difficult-->requires more repetition
Changes in joints, tendons, and ligaments with age - correct
answer- Cartilage changes, tendons may shorten
Changes in kidneys with age? What is the result? - correct
answer- Changes in Loss of nephrons, decreased kidney
mass, decreased GFR in linear fashion->medications stay in body
longer
Changes in male reproductive system with age - correct
answer- Benign prostatic hypertrophy
(BPH)-->dribbling/difficulty initiating urine stream May see an
increase in fatty tissue of the breast-->self-breast exam
increasingly important
Changes in musculoskeletal structure with age - correct
answer- Disks become thin and shortening, slight forward
bent posture
ACCURATE ANSWERS; GRADED A+
Apical pulse location in children - correct answer- 4th
intercostal under 7 years of age; 5th intercostal for 7 years of
age and older
Aspects of assessing the pediatric client - correct answer-
Doorway assessment: LOC, respiratory effort, color Primary
assessment: ABCDE: airway and patency, breathing, circulation,
disability presence, environment Secondary assessment:
SAMPLE: s/s, allergies, medical history, past medical, last meal
eaten, environmental influences to illness
Aspects of headache evaluation - correct answer- Onset,
duration, location, character, severity, presence of visual
prodromal event, pattern, associated symptoms, precipitating
facts, efforts to treat
Assessment readiness for toilet training - correct answer-
•Voluntary sphincter control •Able to stay dry for 2 hours •Fine
motor skills to remove clothing•Willingness to please
parents•Curiosity about adult's or sibling'stoilet
habits•Impatient with wet or soiled diapers
,Care of eyes includes: - correct answer- 0Clean
frominner to outer canthus with wet, warm cloth, cotton ball, or
compress0Use artificialtear solution or normal saline every 4
hours if blink reflex is absent - ifordered by physician00Care
foreyeglasses, contact lens, or artificial eye if indicated
Categories of cancers of the larynx - correct answer-
Supraglottic: false vocal cords above vocal cords Glottic: true
vocal cords Subglottic: below vocal cords
Cellular changes of the immune system with age - correct
answer- Decrease in T-cell function, decrease in response to
foreign antigen
Changes in body contour with age - correct answer-
Bony prominences show, weight distributes to waist and hips,
subcutaneous tissue leave the face and arms and move to
abdomen/hips, height decreases
Changes in bones with age - correct answer- Decrease in
bone density because resorption is more rapid than deposition
,Changes in cardiovascular conductivity with age - correct
answer- SA node firing isn't as fast, so heart rate decreases
Atrial fibrillation can occur from fibrosis of SA node
Changes in cardiovascular system with aging - correct
answer- Elasticity of blood vessels decreased because of
changes in collagen; vessel walls become thick and frayed
Changes in endocrine pancreas with age - correct answer-
Secretion does NOT decrease, tissues may develop decreased
sensitivity to insulin
Changes in esophagus with age - correct answer-
Contractions increase, propulsion is decreased
Changes in female reproductive system with age - correct
answer- Decreased estradiol, decreased estrone, breast size
decreases, breast lumps more evident, menopause, cessation of
menses, atrophy of ovaries
Changes in gait in each gender with age - correct answer-
Male gait: smaller steps, wider base Female gait: waddling gait,
bowing of legs
, Changes in intelligence with age - correct answer-
Crystallized intelligence remains the same Fluid intelligence
becomes more difficult-->requires more repetition
Changes in joints, tendons, and ligaments with age - correct
answer- Cartilage changes, tendons may shorten
Changes in kidneys with age? What is the result? - correct
answer- Changes in Loss of nephrons, decreased kidney
mass, decreased GFR in linear fashion->medications stay in body
longer
Changes in male reproductive system with age - correct
answer- Benign prostatic hypertrophy
(BPH)-->dribbling/difficulty initiating urine stream May see an
increase in fatty tissue of the breast-->self-breast exam
increasingly important
Changes in musculoskeletal structure with age - correct
answer- Disks become thin and shortening, slight forward
bent posture
