NR304/NR 304 FINAL EXAM2024/2025 ACTUAL COMPLETE 75
REAL EXAM QUESTIONS WITH DETAILED CORRECT
ANSWERS (VERIFIED ANSWERS) /A+ GRADE ASSURED
What are the risk factors for a stroke? - ANSWER -High blood
pressure, cigarette smoking, cardiac disorders
What are the highest and lowest scores of Glasgow coma scale
and what do they indicate? - ANSWER -Highest score=15: fully
alert and oriented
Lowest score=3: anything below 6 is coma
What are the three categories of Glasgow coma scale? -
ANSWER -Eyeopening response, motor response, verbal
response
What does FAST stand for? - ANSWER -Face drooping, arm
weakness, speech difficulty, time to call 911
What are the manifestations of a UTI in older adults? - ANSWER
-
Communication problems, confusion, lethargy
,What are the manifestations of urinary retention? - ANSWER -
Dysuria, nocturia, suprapubic pain, gross hematuria
What are the manifestations of benign prosthetic hypertrophy
(BPH)? - ANSWER -Urinary frequency, urgency, hesitancy,
straining to urinate, weak stream, sensation of incomplete
emptying, nocturia, symmetric nontender enlargement, prostate
feel smooth/rubbery/firm like a nose
What is indicated by a positive Rhomberg test? - ANSWER -
More than normal swaying
o Physical appearance- age, sex, LOC, skin color, facial
features, overall appearance,
o Body structure- stature, nutrition, symmetry, posture,
position, body build, contour, physical deformities. o Mobility-
gait, ROM, involuntary movement. o Behavior- facial
expression, mood/affect, speech, dress, personal hygiene.
o Measurement- weight, height, BMI, waist circumference -
ANSWER Components of General Survey
Age: person appears their stated age
Sex: development is appropriate for sex and age; if transgender
note stage of transformation
,Level of consciousness: alert and oriented to person, place,
time, and situation Skin color: color tone even, pigmentation
varies, skin intact, note tattoos and piercings
Facial features: note symmetry
Overall appearance: acute distress? - ANSWER -Physical
appearance
Stature: height in normal range for age/genetics?
Nutrition: weight within normal range for height/build?
Symmetry: body parts equal bilaterally?
Posture: stand erect comfortably? "plumb line" through
anterior ear, shoulder, hip, patella, ankle
Exceptions are toddler lordosis and aging person with
kyphosis Position: sits comfortably with arms relaxed at
sides and head towards examiner
Body build, contour:
Arm span = height
Crown to pubis ≈ pubis to sole
Obvious physical deformities? - ANSWER -Body structure
Gait: feet shoulder width apart, foot placement accurate, walk
smooth and even, maintain balance without assistance,
symmetric arm swing present
, Range of motion: full mobility for each joint; movement is
deliberate, accurate, smooth, coordinated;
no involuntary movement - ANSWER -Mobility assessment
Facial expression: maintains eye contact (if culturally
appropriate), expressions appropriate to situation
Mood and affect: person comfortable and cooperative,
interacts pleasantly
Speech: articulation clear and understandable
Speech pattern: fluent with even pace, conveys ideas
clearly, word choice appropriate for culture/education,
communicates easily by themselves or with interpreter
Dress: clothing appropriate to climate and culture, clean
and fits body Personal hygiene: clean and groomed
appropriately for age, occupation, socioeconomic group
o How does the patient interact with others?
Personal Hygiene - ANSWER -Behavior
3+ increased, full, bounding
2+ normal
1+ weak
0 absent - ANSWER -Grading Pulse Force
REAL EXAM QUESTIONS WITH DETAILED CORRECT
ANSWERS (VERIFIED ANSWERS) /A+ GRADE ASSURED
What are the risk factors for a stroke? - ANSWER -High blood
pressure, cigarette smoking, cardiac disorders
What are the highest and lowest scores of Glasgow coma scale
and what do they indicate? - ANSWER -Highest score=15: fully
alert and oriented
Lowest score=3: anything below 6 is coma
What are the three categories of Glasgow coma scale? -
ANSWER -Eyeopening response, motor response, verbal
response
What does FAST stand for? - ANSWER -Face drooping, arm
weakness, speech difficulty, time to call 911
What are the manifestations of a UTI in older adults? - ANSWER
-
Communication problems, confusion, lethargy
,What are the manifestations of urinary retention? - ANSWER -
Dysuria, nocturia, suprapubic pain, gross hematuria
What are the manifestations of benign prosthetic hypertrophy
(BPH)? - ANSWER -Urinary frequency, urgency, hesitancy,
straining to urinate, weak stream, sensation of incomplete
emptying, nocturia, symmetric nontender enlargement, prostate
feel smooth/rubbery/firm like a nose
What is indicated by a positive Rhomberg test? - ANSWER -
More than normal swaying
o Physical appearance- age, sex, LOC, skin color, facial
features, overall appearance,
o Body structure- stature, nutrition, symmetry, posture,
position, body build, contour, physical deformities. o Mobility-
gait, ROM, involuntary movement. o Behavior- facial
expression, mood/affect, speech, dress, personal hygiene.
o Measurement- weight, height, BMI, waist circumference -
ANSWER Components of General Survey
Age: person appears their stated age
Sex: development is appropriate for sex and age; if transgender
note stage of transformation
,Level of consciousness: alert and oriented to person, place,
time, and situation Skin color: color tone even, pigmentation
varies, skin intact, note tattoos and piercings
Facial features: note symmetry
Overall appearance: acute distress? - ANSWER -Physical
appearance
Stature: height in normal range for age/genetics?
Nutrition: weight within normal range for height/build?
Symmetry: body parts equal bilaterally?
Posture: stand erect comfortably? "plumb line" through
anterior ear, shoulder, hip, patella, ankle
Exceptions are toddler lordosis and aging person with
kyphosis Position: sits comfortably with arms relaxed at
sides and head towards examiner
Body build, contour:
Arm span = height
Crown to pubis ≈ pubis to sole
Obvious physical deformities? - ANSWER -Body structure
Gait: feet shoulder width apart, foot placement accurate, walk
smooth and even, maintain balance without assistance,
symmetric arm swing present
, Range of motion: full mobility for each joint; movement is
deliberate, accurate, smooth, coordinated;
no involuntary movement - ANSWER -Mobility assessment
Facial expression: maintains eye contact (if culturally
appropriate), expressions appropriate to situation
Mood and affect: person comfortable and cooperative,
interacts pleasantly
Speech: articulation clear and understandable
Speech pattern: fluent with even pace, conveys ideas
clearly, word choice appropriate for culture/education,
communicates easily by themselves or with interpreter
Dress: clothing appropriate to climate and culture, clean
and fits body Personal hygiene: clean and groomed
appropriately for age, occupation, socioeconomic group
o How does the patient interact with others?
Personal Hygiene - ANSWER -Behavior
3+ increased, full, bounding
2+ normal
1+ weak
0 absent - ANSWER -Grading Pulse Force
