NUR 101 Health assessment midterm
Adventitious lung sounds - correct answeradded (abnormal) breath sounds
Air/fluid level or air bubbles behind drum indicates _______ - correct answerserous
otitis media
Allen test - correct answerThe patient is positioned in sitting or standing. The patient is
asked to open and close the hand several times in succession and then maintain the
hand in a closed position. The therapist compress the radial and ulnar arteries. The
patient is then asked to relax the hand and the therapist releases pressure on one of the
arteries while observing the color of the hand and fingers. A positive test is indicated by
delayed or absent flushing of the radial or ulnar half of the hand; may be indicative of an
occlusion in the radial or ulnar artery.
Ankle-brachial index - correct answer(ABI) %= ankle systolic pressure divided by arm
systolic pressure. ABI of 90% or less indicates presence of PVD.
Anterior lobes of lungs - correct answerRight: upper lobe, middle lobe, lower lobe. Left:
upper lobe, lower lobe. No left middle lobe because of heart location
anteroposterior diameter of ribs compared to transverse diameter - correct answerratio
of 1:2
Arterial ulcer - correct answerred
Barrel chest - correct answerEqual anteriorposterior-to-transverse diameter and that
ribs are horizontal instead of the normal downward slope. Associated with normal aging
and also with chronic emphysema and asthma as a result of hyperinflation of lungs.
Bilateral swelling vs. unilateral swelling of legs - correct answerBilateral: systemic;
Unilateral: blockage/infection
Blood flow generated by _________ - correct answercontracting skeletal muscle,
pressure gradient caused by breathing and intraluminal valves.
Blood pressure norms - correct answerSystolic should be under 120, diastolic should be
under 80. Prehypertension: sys 120-139 dia: 80-89. Stg 1 htn: sys 140-159 dia: 90-99.
Stg 2 htn: sys>160, dia> 100
Brachial Artery - correct answermajor blood vessel of upper arm
Bradypnea - correct answerSlow breathing less than ten breaths per minute, seen in
drug use or other cause of depression of resp. Center
, Bronchophony - correct answerOccurs with increased transmission of sound as in
consolidation. Client says "99", words heard clearly and distinctly.
Bulging tympanic membrane indicates _______ - correct answerincreased pressure in
otitis media
Carotid Artery - correct answerThe major artery that supplies blood to the head and
brain, located in neck
Changes of ear in elderly - correct answerPendulous ear lobe with linear wrinkling due
to loss of elasticity of pinna. Coarse wiry hairs may be present at the opening of the ear
canal. Ear drum may be whiter in color, more opaque, thicker, and duller than in
younger adult. Harder, drier cerumen. High-tone frequency loss for those affected with
prebycusis.
Cheyne-stokes - correct answerDeath rattle- pattern of increased breathing, no
breathing
Color vision test - correct answeruse Ishihara plates
Confrontation test - correct answermeasure peripheral vision, compares clients
peripheral vision with your own. Cover opposite eye (clients left, your right), move object
inward from peripheral from 2 ft away, have client tell you when they can see the object.
Conjuctiva - correct answerclear mucous membrane consisting of cells and underlying
basement membrane that covers the sclera (white part of the eye) and lines the inside
of the eyelids. Protects eyes from foreign bodies.
Consolidation (concept) - correct answerThe normal non-diseased lung is a porous
structure of solid and air that is constantly undergoing change in density. Normal lung
tissue does not conduct sound as well as the consolidated tissue does. Pneumonia
changes lung tissue from porous to solid and conducts sounds through it much more
clearly; this is consolidation.
Corneal Light reflex - correct answerReflections of light noted at same location on both
eyes
Cover test - correct answerUncovered eye does not move when opposite eye is
covered. Covered eye does not move as cover is removed.
Crackles (rales) - correct answercaused by air passing through moisture in air
passages. Ususally inspiratory, not usually cleared by coughing. Fine rales= small
airways; course rales= large airways.
Cyanosis - correct answerbluish skin due to hypoperfusion, lack of oxygen
Adventitious lung sounds - correct answeradded (abnormal) breath sounds
Air/fluid level or air bubbles behind drum indicates _______ - correct answerserous
otitis media
Allen test - correct answerThe patient is positioned in sitting or standing. The patient is
asked to open and close the hand several times in succession and then maintain the
hand in a closed position. The therapist compress the radial and ulnar arteries. The
patient is then asked to relax the hand and the therapist releases pressure on one of the
arteries while observing the color of the hand and fingers. A positive test is indicated by
delayed or absent flushing of the radial or ulnar half of the hand; may be indicative of an
occlusion in the radial or ulnar artery.
Ankle-brachial index - correct answer(ABI) %= ankle systolic pressure divided by arm
systolic pressure. ABI of 90% or less indicates presence of PVD.
Anterior lobes of lungs - correct answerRight: upper lobe, middle lobe, lower lobe. Left:
upper lobe, lower lobe. No left middle lobe because of heart location
anteroposterior diameter of ribs compared to transverse diameter - correct answerratio
of 1:2
Arterial ulcer - correct answerred
Barrel chest - correct answerEqual anteriorposterior-to-transverse diameter and that
ribs are horizontal instead of the normal downward slope. Associated with normal aging
and also with chronic emphysema and asthma as a result of hyperinflation of lungs.
Bilateral swelling vs. unilateral swelling of legs - correct answerBilateral: systemic;
Unilateral: blockage/infection
Blood flow generated by _________ - correct answercontracting skeletal muscle,
pressure gradient caused by breathing and intraluminal valves.
Blood pressure norms - correct answerSystolic should be under 120, diastolic should be
under 80. Prehypertension: sys 120-139 dia: 80-89. Stg 1 htn: sys 140-159 dia: 90-99.
Stg 2 htn: sys>160, dia> 100
Brachial Artery - correct answermajor blood vessel of upper arm
Bradypnea - correct answerSlow breathing less than ten breaths per minute, seen in
drug use or other cause of depression of resp. Center
, Bronchophony - correct answerOccurs with increased transmission of sound as in
consolidation. Client says "99", words heard clearly and distinctly.
Bulging tympanic membrane indicates _______ - correct answerincreased pressure in
otitis media
Carotid Artery - correct answerThe major artery that supplies blood to the head and
brain, located in neck
Changes of ear in elderly - correct answerPendulous ear lobe with linear wrinkling due
to loss of elasticity of pinna. Coarse wiry hairs may be present at the opening of the ear
canal. Ear drum may be whiter in color, more opaque, thicker, and duller than in
younger adult. Harder, drier cerumen. High-tone frequency loss for those affected with
prebycusis.
Cheyne-stokes - correct answerDeath rattle- pattern of increased breathing, no
breathing
Color vision test - correct answeruse Ishihara plates
Confrontation test - correct answermeasure peripheral vision, compares clients
peripheral vision with your own. Cover opposite eye (clients left, your right), move object
inward from peripheral from 2 ft away, have client tell you when they can see the object.
Conjuctiva - correct answerclear mucous membrane consisting of cells and underlying
basement membrane that covers the sclera (white part of the eye) and lines the inside
of the eyelids. Protects eyes from foreign bodies.
Consolidation (concept) - correct answerThe normal non-diseased lung is a porous
structure of solid and air that is constantly undergoing change in density. Normal lung
tissue does not conduct sound as well as the consolidated tissue does. Pneumonia
changes lung tissue from porous to solid and conducts sounds through it much more
clearly; this is consolidation.
Corneal Light reflex - correct answerReflections of light noted at same location on both
eyes
Cover test - correct answerUncovered eye does not move when opposite eye is
covered. Covered eye does not move as cover is removed.
Crackles (rales) - correct answercaused by air passing through moisture in air
passages. Ususally inspiratory, not usually cleared by coughing. Fine rales= small
airways; course rales= large airways.
Cyanosis - correct answerbluish skin due to hypoperfusion, lack of oxygen
