FUNDAMENTALS OF NURSING 210 - HUNTER COLLEGE -
EXAM 2 QUESTIONS WITH ACCURATE ANSWERS
0 or 1 Apgar score correct answer An infant whose respiration is inadequate but
who is otherwise well
1 year respiratory rate correct answer 20-40 per minute
1+ edema correct answer slight pitting, no visible distortion, disappears rapidly
2+ edema correct answer somewhat deeper that 1+, but again no readily
detectable distortion; disappears in 10 to 15 seconds
3 year respiratory rate correct answer 20-30 per minute
3+ edema correct answer noticeable deep pit that may last more than a minute;
dependent extremity looks fuller and swollen
4+ edema correct answer very deep pit that lasts as long as 2-5 minutes;
dependent extremity is grossly distorted
6 years correct answer 16-22 per minute
10 years correct answer 16-20 per minute
17 years correct answer 12-20 per minute
,A wave correct answer Transmission back through jugular veins as a pulse
showing activity of the right side of the heart.
The first and most prominent component.
Result of a brief backflow of blood to the vena cavae during right atrial
contraction.
A2 correct answer One component of S2
produced by aortic valve closing.
produces most of the sound in S2 when it's heard in aortic of pulmonic areas.
Accessory muscles correct answer The sternocleidomastoid and trapezius
muscles.
Contributes to respiratory movements
Used during exercise or when there is pulmonary compromise
Acute venous obstruction correct answer may result from injury, external
compression, or thrombosis.
In the affected area, constant pain occurs simultaneously with the following:
Swelling and tenderness over the muscles
Engorgement of superficial veins
Erythema and/or cyanosis
adventitious sounds correct answer Most common: crackles, rhonchi, wheezes,
and friction rub
,Air trapping correct answer result of a prolonged but inefficient expiratory effort.
The rate of respiration increases in order to compensate; as this happens, the
effort becomes more shallow, the amount of trapped air increases, and the lungs
inflate. Leads to a barrel chest.
Alae nasi flaring correct answer sign of air hunger.
Smell the breath; pulmonary infection may make it malodorous.
Allen Test correct answer assesses patency of ulnar artery.
Perform prior to radial artery puncture for arterial blood gas sampling or insertion
of a radial arterial catheter.
1. With patient's palm facing upward, compress the radial and ulnar artery with
your fingers
2. Have the patient close and open the fist give times and then leave blanched
palm open
3. Release pressure on ulnar artery alone and watch for palmar reperfusion within
4-5 seconds
4. If palmar reperfusion does not occur, suspect ulnar artery insufficiency and
don't puncture radial artery.
Allen Test Step 1 correct answer With patient's palm facing upward, compress the
radial and ulnar artery with your fingers
Allen Test Step 2 correct answer Have the patient close and open the fist give
times and then leave blanched palm open
, Allen Test Step 3 correct answer Release pressure on ulnar artery alone and
watch for palmar reperfusion within 4-5 seconds
Allen Test Step 4 correct answer If palmar reperfusion does not occur, suspect
ulnar artery insufficiency and don't puncture radial artery.
Also contributes to respiratory movements correct answer The
sternocleidomastoid and trapezius muscles.
These "accessory" muscles are used during exercise or when there is pulmonary
compromise
alveoli correct answer tiny air sacs of the lungs which allow for rapid gas exchange
Amphoric breathing correct answer resembles the noise made by blowing across
the mouth of a bottle.
most often heard with large, relatively stiff-walled pulmonary cavity or a tension
pneumothorax with bronchopleural fistula.
Amplitude of 0 of pulse. correct answer absent pulse. not palpable.
Amplitude of 1 of pulse. correct answer diminished pulse
Amplitude of 2 of pulse. correct answer expected pulse
Amplitude of 3 of pulse. correct answer full, increased pulse
EXAM 2 QUESTIONS WITH ACCURATE ANSWERS
0 or 1 Apgar score correct answer An infant whose respiration is inadequate but
who is otherwise well
1 year respiratory rate correct answer 20-40 per minute
1+ edema correct answer slight pitting, no visible distortion, disappears rapidly
2+ edema correct answer somewhat deeper that 1+, but again no readily
detectable distortion; disappears in 10 to 15 seconds
3 year respiratory rate correct answer 20-30 per minute
3+ edema correct answer noticeable deep pit that may last more than a minute;
dependent extremity looks fuller and swollen
4+ edema correct answer very deep pit that lasts as long as 2-5 minutes;
dependent extremity is grossly distorted
6 years correct answer 16-22 per minute
10 years correct answer 16-20 per minute
17 years correct answer 12-20 per minute
,A wave correct answer Transmission back through jugular veins as a pulse
showing activity of the right side of the heart.
The first and most prominent component.
Result of a brief backflow of blood to the vena cavae during right atrial
contraction.
A2 correct answer One component of S2
produced by aortic valve closing.
produces most of the sound in S2 when it's heard in aortic of pulmonic areas.
Accessory muscles correct answer The sternocleidomastoid and trapezius
muscles.
Contributes to respiratory movements
Used during exercise or when there is pulmonary compromise
Acute venous obstruction correct answer may result from injury, external
compression, or thrombosis.
In the affected area, constant pain occurs simultaneously with the following:
Swelling and tenderness over the muscles
Engorgement of superficial veins
Erythema and/or cyanosis
adventitious sounds correct answer Most common: crackles, rhonchi, wheezes,
and friction rub
,Air trapping correct answer result of a prolonged but inefficient expiratory effort.
The rate of respiration increases in order to compensate; as this happens, the
effort becomes more shallow, the amount of trapped air increases, and the lungs
inflate. Leads to a barrel chest.
Alae nasi flaring correct answer sign of air hunger.
Smell the breath; pulmonary infection may make it malodorous.
Allen Test correct answer assesses patency of ulnar artery.
Perform prior to radial artery puncture for arterial blood gas sampling or insertion
of a radial arterial catheter.
1. With patient's palm facing upward, compress the radial and ulnar artery with
your fingers
2. Have the patient close and open the fist give times and then leave blanched
palm open
3. Release pressure on ulnar artery alone and watch for palmar reperfusion within
4-5 seconds
4. If palmar reperfusion does not occur, suspect ulnar artery insufficiency and
don't puncture radial artery.
Allen Test Step 1 correct answer With patient's palm facing upward, compress the
radial and ulnar artery with your fingers
Allen Test Step 2 correct answer Have the patient close and open the fist give
times and then leave blanched palm open
, Allen Test Step 3 correct answer Release pressure on ulnar artery alone and
watch for palmar reperfusion within 4-5 seconds
Allen Test Step 4 correct answer If palmar reperfusion does not occur, suspect
ulnar artery insufficiency and don't puncture radial artery.
Also contributes to respiratory movements correct answer The
sternocleidomastoid and trapezius muscles.
These "accessory" muscles are used during exercise or when there is pulmonary
compromise
alveoli correct answer tiny air sacs of the lungs which allow for rapid gas exchange
Amphoric breathing correct answer resembles the noise made by blowing across
the mouth of a bottle.
most often heard with large, relatively stiff-walled pulmonary cavity or a tension
pneumothorax with bronchopleural fistula.
Amplitude of 0 of pulse. correct answer absent pulse. not palpable.
Amplitude of 1 of pulse. correct answer diminished pulse
Amplitude of 2 of pulse. correct answer expected pulse
Amplitude of 3 of pulse. correct answer full, increased pulse
