NURS 5220-Advanced Health Assessment-Test 2 questions with solutions

NURS 5220-Advanced Health Assessment-Test 2 bn bn bn bn




1. cranial nerve I:Olfactory (smell) bn bn n
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2. cranial nerve II:Optic - vision bn bn n
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3. cranial nerve III:Oculomotor bn bn n
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4. cranial nerve IV:Trochlear bn bn n
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5. how do you test cranial nerve IV?:cardinal field test
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6. cranial nerveV:Trigeminal bn n
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7. howdo youtest trigeminalnerve?:Assessfacialsensation(hot/cold,
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dull/sharp), clench teeth, corneal reflex
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8. cranial nerveVI:Abducens bn n
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9. how do you test abducens nerve?:6 fields of gaze for lateral movement
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10. what3 cranial nerves are tested together?:III, IV,VI
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11. corneal reflex:blinking in response to corneal stimulation by a c otton wisp bn n
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12. CranialNerveVII:Facial-controlsmostfacialexpressions&secretionoftears & n
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saliva & taste
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13. cranialnerveVIII:Vestibulocochlear (hearing and balance) n
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14. cranial nerve IX:Glossopharyngeal bn bn n
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15. cranial nerve IX and X:ability to identify sour and bitter tastes on each side of the
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tongue.Test gag reflex and ability to swallow.
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Inspectpalateanduvulaforsymmetrywithspeechsoundsandgagreflex.Observe for
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swallowing difficulty.Evaluate quality of guttural speech sounds (presence of nasal or
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hoarse quality to voice).
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16. cranial nerve XI:spinal accessory bn bn n
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17. how to test cranial nerve XI?:shrug shoulders and rotate head against resis- tance
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18. cranial nerve XII:Hypoglossal bn bn n
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19. howtotestcranialnerveXII?:inspecttongueinmouthandwhileprotrudedfor
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symmetry, tremors, atrophy.Inspect tongue movement toward nose and chin.Test
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tongue strength with index finger when tongue is pressed against cheek.Evaluate
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quality of lingual speech sounds (l, t, d, n).
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20. achilles reflex tests....:plantar flexion of foot bn bn n
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21. DTR 0:no response bn n
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, NURS 5220-Advanced Health Assessment-Test 2 bn bn bn bn




22. DTR 1+:sluggish or diminished bn n
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23. DTR 2+:active or expected response bn n
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24. DTR 3+:more brisk than expected, slightly hyperactive
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25. DTR 4+:brisk, hyperactive with intermittent or transient clonus
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26. clonus:rapidlyalternatinginvoluntarycontractionandrelaxationofamusclein n
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response to sudden stretch
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27. extension of the elbow tests for....:triceps reflex bn bn bn bn bn n
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28. triceps reflex:C7-C8 bn n
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29. Kernig'ssign:a diagnosticsignfor meningitismarkedbythe pe to rson'sinability bn n
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extend the leg completely when the thigh is flexed upon the abdo personmen and the
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is sitting or lying down
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30. Brudzinski'ssign:Signofmeningitis;positivewhenapatient'sle gsliftinvolun- n
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tarily when lifting a patient's head
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31. palmargrasp:An infantreflexthatoccurswhensomethingis pl bn n
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infant's palm; the infant grasps the object.
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32. Plantargrasp:Touchsoleof foot,toescurl downwards bn n
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33. Mororeflex:Infantreflexwherea babywillstartle inresponseto or
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sudden movement.
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34. placing reflex:Hold the infant upright under the arms, close to a table. bn n
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Let the dorsal "top" of foot touch the underside of the table.
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Noteflexingofhipandknee,followedbyextensionatthehip,toplacefo Reflex ot on table
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bn appears at 4 days after birth bn bn bn bn bn




2/11 bn bn