NUR 101 Health assessment midterm
exam
A patient's urine is dark brown in color. Knowing the possible cause of this color what
other findings would the nurse anticipate? - correct answerDecreased urine output
A student nurse is assessing the peripheral vascular system of a patient. What action by
the student will cause a clinical instructor to intervene? - correct answerAssessing the
blood pressure in the same arm as an AV fistula (an irrregular connection between an
artery and vein)
Allen's test procedure - correct answerDepress radial and ulnar arteries together and
have person open and close fist. blood should return via ulnar artery for normal
circulation. No return for occluded ulnar artery
Aniscoria - correct answerOne pupil bigger than other
Anuria - correct answer<100 urine mL/day
appendicitis - correct answerPain in RLQ
assess: rebound tenderness (feels good when u apply pressure but pain when released
but NURSES DO NOT DO THIS OR DEEP PERCUSS)
Assessment of eyes abbreviation- OD - correct answerRight
Assessment of eyes abbreviation- OS - correct answerLeft
Assessment of eyes abbreviation- OU - correct answerBoth eyes
Athetosis - correct answerslow, writhing involuntary movements
Avoid what hours for skin cancer - correct answer10-4pm
Basic Nursing Assessment - correct answerNursing assessment of multiple body
system(s) but not as in-depth per each system as focused exams.
example: discharge and shift to shift
Capillary refill takes how long - correct answerAbout 2 seconds
Changes associated with age - correct answer-At age 35, bone formation and
destruction become unequal
-osteopenia: decreased bone density
-Kyphotic posture (widened gait)
-less elastic and compressible
, -synovial joint cartilage
-muscle tissue atrophies
-decreased ROM
Changes of aging in GI/GU system - correct answerDigestion- dentures and xerostomia
(decreased saliva production)
elimination- decreased peristalsis leading to constipation
both lead to nutritional changes (decreased iron absorption and potential drug toxicity)
Chorea - correct answermovements that are sudden, random, and involuntary
circulatory edema versus lymphatic edema - correct answerCirculatory:
usually bilaterally
Occurs faster than lymphatic
For treatment, give lasiks or diuretics
lymphatic:
Usually unilateral
Slower than circulatory
for treatment, wrap extremities
CNS - correct answerbrain and spinal cord
comatose - correct answerUnresponsive to all external stimuli (in a coma)
Comprehensive nursing assessment - correct answerIncludes a detailed physical
examination of the entire body, detailed health history, interview questions about
patient's health, and potential tests/labs
example: new admissions
Conductive hearing loss causes - correct answer-Cerumen impaction (MC) or other
obstruction
-Eustachian tube dysruption (due to URI)
-Chronic ear infection
Cranial Nerve II: Optic - correct answervision
Cranial Nerve III: Oculomotor - correct answerTested by 6 cardinal fields of gaze
Cranial nerve IV: trochlear - correct answerTested by 6 cardinal fields of gaze
Cranial nerve test in order - correct answerI- olfactory
II- optic
III- oculomotor
IV- trochlear
exam
A patient's urine is dark brown in color. Knowing the possible cause of this color what
other findings would the nurse anticipate? - correct answerDecreased urine output
A student nurse is assessing the peripheral vascular system of a patient. What action by
the student will cause a clinical instructor to intervene? - correct answerAssessing the
blood pressure in the same arm as an AV fistula (an irrregular connection between an
artery and vein)
Allen's test procedure - correct answerDepress radial and ulnar arteries together and
have person open and close fist. blood should return via ulnar artery for normal
circulation. No return for occluded ulnar artery
Aniscoria - correct answerOne pupil bigger than other
Anuria - correct answer<100 urine mL/day
appendicitis - correct answerPain in RLQ
assess: rebound tenderness (feels good when u apply pressure but pain when released
but NURSES DO NOT DO THIS OR DEEP PERCUSS)
Assessment of eyes abbreviation- OD - correct answerRight
Assessment of eyes abbreviation- OS - correct answerLeft
Assessment of eyes abbreviation- OU - correct answerBoth eyes
Athetosis - correct answerslow, writhing involuntary movements
Avoid what hours for skin cancer - correct answer10-4pm
Basic Nursing Assessment - correct answerNursing assessment of multiple body
system(s) but not as in-depth per each system as focused exams.
example: discharge and shift to shift
Capillary refill takes how long - correct answerAbout 2 seconds
Changes associated with age - correct answer-At age 35, bone formation and
destruction become unequal
-osteopenia: decreased bone density
-Kyphotic posture (widened gait)
-less elastic and compressible
, -synovial joint cartilage
-muscle tissue atrophies
-decreased ROM
Changes of aging in GI/GU system - correct answerDigestion- dentures and xerostomia
(decreased saliva production)
elimination- decreased peristalsis leading to constipation
both lead to nutritional changes (decreased iron absorption and potential drug toxicity)
Chorea - correct answermovements that are sudden, random, and involuntary
circulatory edema versus lymphatic edema - correct answerCirculatory:
usually bilaterally
Occurs faster than lymphatic
For treatment, give lasiks or diuretics
lymphatic:
Usually unilateral
Slower than circulatory
for treatment, wrap extremities
CNS - correct answerbrain and spinal cord
comatose - correct answerUnresponsive to all external stimuli (in a coma)
Comprehensive nursing assessment - correct answerIncludes a detailed physical
examination of the entire body, detailed health history, interview questions about
patient's health, and potential tests/labs
example: new admissions
Conductive hearing loss causes - correct answer-Cerumen impaction (MC) or other
obstruction
-Eustachian tube dysruption (due to URI)
-Chronic ear infection
Cranial Nerve II: Optic - correct answervision
Cranial Nerve III: Oculomotor - correct answerTested by 6 cardinal fields of gaze
Cranial nerve IV: trochlear - correct answerTested by 6 cardinal fields of gaze
Cranial nerve test in order - correct answerI- olfactory
II- optic
III- oculomotor
IV- trochlear
