NUR265 EXAM #3 QUESTIONS AND VERIFIED
ANSWERS; 100% CORRECT; GRADE A
***abdo assessment sequence - correct answer-
inspection, auscultation, percussion, palpation
0 muscle strength - correct answer- no contraction
1 muscle strength - correct answer- slight contraction
2 muscle strenth - correct answer- full ROM without
gravity (passive motion)
3 muscle strength - correct answer- full ROM with gravity
4 muscle strength - correct answer- full ROM against
gravity, some resistance
5 muscle strength - correct answer- full ROM against
gravity, full resistance
,abduction - correct answer- movement away from the
midline
active ROM - correct answer- patient does it themselves;
what we want to happen; want to see full active ROM; with
injury, likely have decreased ROM - describe how far they can
move it; recognize limitations and avoid injury
adduction - correct answer- movement toward the
midline
allis test - correct answer- used to check for hip
dislocation by comparing leg lengths
ankle and foot ROM - correct answer- dorsiflexion,
plantar flexion, eversion, inversion
ankylosing spondylitis - correct answer- chronic inflamed
vertebrae; affects spine, pelvis, thoracic cage; lower
back/buttocks pain, back stiffness - esp in AM
- Men 2:1 ratio, late adolescent/early 20's
, ascites - correct answer- fluid-filled abdomen,
protuberant
asking adolescents about sex - correct answer- "often
people your age experience.."
"some people your age..."
open-ended questions: "when did you..." instead of "do you..."
assess pulse __ to injury - correct answer- distal
axillary lymph nodes - correct answer- central, pectoral
(anterior), subscapular (posterior), lateral
black, tarry stool - correct answer- melena, upper GI
bleed
bowel sounds abdominal surgery post-op - correct answer-
hypoactive
bowel sounds should be heard in ____; where is it
recommended to start - correct answer- all 4 quadrants,
RLQ
ANSWERS; 100% CORRECT; GRADE A
***abdo assessment sequence - correct answer-
inspection, auscultation, percussion, palpation
0 muscle strength - correct answer- no contraction
1 muscle strength - correct answer- slight contraction
2 muscle strenth - correct answer- full ROM without
gravity (passive motion)
3 muscle strength - correct answer- full ROM with gravity
4 muscle strength - correct answer- full ROM against
gravity, some resistance
5 muscle strength - correct answer- full ROM against
gravity, full resistance
,abduction - correct answer- movement away from the
midline
active ROM - correct answer- patient does it themselves;
what we want to happen; want to see full active ROM; with
injury, likely have decreased ROM - describe how far they can
move it; recognize limitations and avoid injury
adduction - correct answer- movement toward the
midline
allis test - correct answer- used to check for hip
dislocation by comparing leg lengths
ankle and foot ROM - correct answer- dorsiflexion,
plantar flexion, eversion, inversion
ankylosing spondylitis - correct answer- chronic inflamed
vertebrae; affects spine, pelvis, thoracic cage; lower
back/buttocks pain, back stiffness - esp in AM
- Men 2:1 ratio, late adolescent/early 20's
, ascites - correct answer- fluid-filled abdomen,
protuberant
asking adolescents about sex - correct answer- "often
people your age experience.."
"some people your age..."
open-ended questions: "when did you..." instead of "do you..."
assess pulse __ to injury - correct answer- distal
axillary lymph nodes - correct answer- central, pectoral
(anterior), subscapular (posterior), lateral
black, tarry stool - correct answer- melena, upper GI
bleed
bowel sounds abdominal surgery post-op - correct answer-
hypoactive
bowel sounds should be heard in ____; where is it
recommended to start - correct answer- all 4 quadrants,
RLQ
