NSG 207 final Questions With Complete Solutions
-ABCDEs of melanoma Correct Answer -used to assess skin
cancer
Asymmetry
Border
Color
Diameter
Elevation
-Age-related changes in vision Correct Answer -Presbyopia:
gradual loss of your eyes' ability to focus on nearby objects;
common over 45 y/o
-Entropion: inversion or inward turning of the eyelid margin
-Ectropion: a condition in which your eyelid turns outward are
common in older clients (usually not abnormal).
-Pinguecula are common in older clients; yellowish nodules on
bulbar conjunctiva, usually first on medial side and then on
lateral side of iris.
-Arcus senilis: lipid deposits that appear as rings on the outer
region of the cornea
-BMI ranges and interpretation Correct Answer Underweight-
Below 18.5
Healthy Weight- 18.5 - 24.9
Overweight: 10% over IBW & 25.0 - 29.9 BMI
Obese- over 20% IBW & 30.0 and Above BMIMacule
flat, non palpable less than 1 cm (freckle, moles) no elevation
,-COLDSPA Correct Answer C-character
O- onset
L- location
D-duration
S- severity
P- Pattern
A- Associated factors
-Contour variations (including herniations) and their
implications Correct Answer Flat- stomach that is smooth and
without raised areas or indentations
rounded- a distended abdomen or swollen belly
Scaphoid- The anterior abdominal wall is sunken and presents a
concave rather than a convex contour (can be abnormal; not
always)
distended/protuberant (usually abnormal)- a bulging or rounded
abdomen caused by excessive gas, solid material, or fluid
Umbilical hernia- protrusion of the intestine through a weakness
in the abdominal wall around the umbilicus (navel)
Epigastric hernia- a lump in the midline between your belly
button and sternum
Diastasis Recti- separation of abdominal muscles
,-Creating SMART objectives Correct Answer -Specific (who
and what), measurable (by how much), achievable (how),
relevant (why), and time-bound (when)
-Definitions of family, immediate family, etc. Correct Answer -
Traditional based on relationships of blood, marriage, or
adoption
-Examples of families include: single-parent families, extended
families, communes, gay and lesbian couples, multigenerational
families
-Family refers to two or more individuals who depend on one
another for emotional physical and economic support, the
members are self-defined.
-The family is whoever they say they are!
-Definitions of race, ethnicity, etc. Correct Answer - Culture is
a pattern of shared attitudes, beliefs values that can occur among
those who speak a particular language or live in a defined
geographic region
-Enculturation: Process by which a person learns norms, values,
and behaviors of another culture
-Acculturation: Process of acquiring new attitudes, role,
customs, or behaviors
-Assimilation: Process by which a person gives up his or her
original identify and develops a new cultural identity by
becoming absorbed into the dominant cultural group
-Biculturalism: Dual pattern of identification
-Ethnicity and Ethnic Identity: Common ancestry that leads to
shared values and beliefs
Race: Influenced by physical or biological characteristics
, -Documentation do's and don'ts Correct Answer Do: nursing
interview/history, physical examination:, document legibly, use
correct grammar and spelling.
Don't: avoid recording the word "normal" for normal findings.
-Information collection technique Correct Answer -FICA
Spiritual History Tool
oF: Faith and Belief
oI: Importance
oC: Community
oA: Address in care
-Explore client's background.
-Observe nonverbal and verbal communication patterns.
-Ask specific questions concerning religious and/or spiritual
beliefs and practices.
-Self-Assessment: Brief Religious Coping Questionnaire
(RCOPE)
-Levels of consciousness and assessment Correct Answer -
Assessed using Glasgow's coma scale, assessing eye-opening,
motor, and verbal responses.
-scored between 3 and 15, 3 being the worst and 15 the best.
-Less than 8, intubate
-Eye opening response
-Best verbal response; oriented to time, place, self (5),
-Best motor response; moves when asked, moving to localized
pain
Coma- remaining unresponsive to all stimuli; eyes stay closed.
-ABCDEs of melanoma Correct Answer -used to assess skin
cancer
Asymmetry
Border
Color
Diameter
Elevation
-Age-related changes in vision Correct Answer -Presbyopia:
gradual loss of your eyes' ability to focus on nearby objects;
common over 45 y/o
-Entropion: inversion or inward turning of the eyelid margin
-Ectropion: a condition in which your eyelid turns outward are
common in older clients (usually not abnormal).
-Pinguecula are common in older clients; yellowish nodules on
bulbar conjunctiva, usually first on medial side and then on
lateral side of iris.
-Arcus senilis: lipid deposits that appear as rings on the outer
region of the cornea
-BMI ranges and interpretation Correct Answer Underweight-
Below 18.5
Healthy Weight- 18.5 - 24.9
Overweight: 10% over IBW & 25.0 - 29.9 BMI
Obese- over 20% IBW & 30.0 and Above BMIMacule
flat, non palpable less than 1 cm (freckle, moles) no elevation
,-COLDSPA Correct Answer C-character
O- onset
L- location
D-duration
S- severity
P- Pattern
A- Associated factors
-Contour variations (including herniations) and their
implications Correct Answer Flat- stomach that is smooth and
without raised areas or indentations
rounded- a distended abdomen or swollen belly
Scaphoid- The anterior abdominal wall is sunken and presents a
concave rather than a convex contour (can be abnormal; not
always)
distended/protuberant (usually abnormal)- a bulging or rounded
abdomen caused by excessive gas, solid material, or fluid
Umbilical hernia- protrusion of the intestine through a weakness
in the abdominal wall around the umbilicus (navel)
Epigastric hernia- a lump in the midline between your belly
button and sternum
Diastasis Recti- separation of abdominal muscles
,-Creating SMART objectives Correct Answer -Specific (who
and what), measurable (by how much), achievable (how),
relevant (why), and time-bound (when)
-Definitions of family, immediate family, etc. Correct Answer -
Traditional based on relationships of blood, marriage, or
adoption
-Examples of families include: single-parent families, extended
families, communes, gay and lesbian couples, multigenerational
families
-Family refers to two or more individuals who depend on one
another for emotional physical and economic support, the
members are self-defined.
-The family is whoever they say they are!
-Definitions of race, ethnicity, etc. Correct Answer - Culture is
a pattern of shared attitudes, beliefs values that can occur among
those who speak a particular language or live in a defined
geographic region
-Enculturation: Process by which a person learns norms, values,
and behaviors of another culture
-Acculturation: Process of acquiring new attitudes, role,
customs, or behaviors
-Assimilation: Process by which a person gives up his or her
original identify and develops a new cultural identity by
becoming absorbed into the dominant cultural group
-Biculturalism: Dual pattern of identification
-Ethnicity and Ethnic Identity: Common ancestry that leads to
shared values and beliefs
Race: Influenced by physical or biological characteristics
, -Documentation do's and don'ts Correct Answer Do: nursing
interview/history, physical examination:, document legibly, use
correct grammar and spelling.
Don't: avoid recording the word "normal" for normal findings.
-Information collection technique Correct Answer -FICA
Spiritual History Tool
oF: Faith and Belief
oI: Importance
oC: Community
oA: Address in care
-Explore client's background.
-Observe nonverbal and verbal communication patterns.
-Ask specific questions concerning religious and/or spiritual
beliefs and practices.
-Self-Assessment: Brief Religious Coping Questionnaire
(RCOPE)
-Levels of consciousness and assessment Correct Answer -
Assessed using Glasgow's coma scale, assessing eye-opening,
motor, and verbal responses.
-scored between 3 and 15, 3 being the worst and 15 the best.
-Less than 8, intubate
-Eye opening response
-Best verbal response; oriented to time, place, self (5),
-Best motor response; moves when asked, moving to localized
pain
Coma- remaining unresponsive to all stimuli; eyes stay closed.
