Nursing II| Review with Questions and
Verified Answers| 100% Correct| Grade
Quiz_________________?
*TRACHEA ASSESSMENT* -
Answer✅
Normally straight, vertical and midline
-Inspect and palpate the trachea for any deviation from midline above the suprasternal notch
-Place index finger on the trachea in sternal notch and slip it off to each side
-Note any deviation in symmetry
-Masses in the neck or mediastinum and pulmonary abnormalities cause lateral displacement
Quiz_________________?
1 pack year -
Answer✅
equal to smoking one pack of cigarettes (20 cigarettes) a day for 1 year.
1
, Quiz_________________?
24 hour specimen -
Answer✅
required for accurate measurement of kidney's excretion of substances that are not at same
rate /day
container should be placed in bucket of ice or fridge
discard first one
Quiz_________________?
5 rights of delegation -
Answer✅
Right task → repetitive, noninvasive, doesn't involve a lot of supervision
Right circumstances → never assign pt. who is unstable
Right person → competent and operating within their scope of practice
Right direction and communication → specific details of task, timeline for completion,
expectation for communicating findings back to nurse
Right supervision and evaluation → may need to provide feedback or recheck results if they
do not seem right
Quiz_________________?
abdomen percussion -
Answer✅
*tympany should be predominate *air rises*
dullness - occurs over fluid, adipose tissue, mass or distended bladder
hyperressonance - gastric distention
2
, Quiz_________________?
Abduction -
Answer✅
moving a joint or extremity away from the midline of the body
Quiz_________________?
ABI (ankle brachial index) -
Answer✅
ratio of BP at the ankle to the BP in upper arm. compared tot he arm, lower BP in the leg
suggests blocked arteries due to peripheral artery disease
Quiz_________________?
abnormal plantar reflex response -
Answer✅
dorsifelxion of big toe and fanning of all other toes
Quiz_________________?
abrasion -
Answer✅
when skin rubs against hard surface
Quiz_________________?
absorption location -
Answer✅
duodenum + jejunum
Quiz_________________?
Adduction -
3
, Answer✅
moving a joint or extremity toward the midline of the body
Quiz_________________?
aging adult considerations of the eyes -
Answer✅
- pupils decrease in size
- tear production decreases (dry eye)
- lens lose elasticity
- ability to change shape for near vision decreases
- by 70 yrs, normal transparent fibers of lens begin to thicken and yellow (cataracts)
- visual acuity may gradually decline after 50
Quiz_________________?
air embolism -
Answer✅
SYSTEMIC COMPLICATION
chest, shoulder or back pain, dyspnea/SOB, hypotension, thready pulse, cyanosis, loss of
consciousness
clamp catheter and occlude puncture site if removed to prevent addition air from entering;
immediately position pt on left side in Trendelenburg position
Quiz_________________?
airborne precautions -
Answer✅
private room AIIR; respirator mask, fittings
4
Verified Answers| 100% Correct| Grade
Quiz_________________?
*TRACHEA ASSESSMENT* -
Answer✅
Normally straight, vertical and midline
-Inspect and palpate the trachea for any deviation from midline above the suprasternal notch
-Place index finger on the trachea in sternal notch and slip it off to each side
-Note any deviation in symmetry
-Masses in the neck or mediastinum and pulmonary abnormalities cause lateral displacement
Quiz_________________?
1 pack year -
Answer✅
equal to smoking one pack of cigarettes (20 cigarettes) a day for 1 year.
1
, Quiz_________________?
24 hour specimen -
Answer✅
required for accurate measurement of kidney's excretion of substances that are not at same
rate /day
container should be placed in bucket of ice or fridge
discard first one
Quiz_________________?
5 rights of delegation -
Answer✅
Right task → repetitive, noninvasive, doesn't involve a lot of supervision
Right circumstances → never assign pt. who is unstable
Right person → competent and operating within their scope of practice
Right direction and communication → specific details of task, timeline for completion,
expectation for communicating findings back to nurse
Right supervision and evaluation → may need to provide feedback or recheck results if they
do not seem right
Quiz_________________?
abdomen percussion -
Answer✅
*tympany should be predominate *air rises*
dullness - occurs over fluid, adipose tissue, mass or distended bladder
hyperressonance - gastric distention
2
, Quiz_________________?
Abduction -
Answer✅
moving a joint or extremity away from the midline of the body
Quiz_________________?
ABI (ankle brachial index) -
Answer✅
ratio of BP at the ankle to the BP in upper arm. compared tot he arm, lower BP in the leg
suggests blocked arteries due to peripheral artery disease
Quiz_________________?
abnormal plantar reflex response -
Answer✅
dorsifelxion of big toe and fanning of all other toes
Quiz_________________?
abrasion -
Answer✅
when skin rubs against hard surface
Quiz_________________?
absorption location -
Answer✅
duodenum + jejunum
Quiz_________________?
Adduction -
3
, Answer✅
moving a joint or extremity toward the midline of the body
Quiz_________________?
aging adult considerations of the eyes -
Answer✅
- pupils decrease in size
- tear production decreases (dry eye)
- lens lose elasticity
- ability to change shape for near vision decreases
- by 70 yrs, normal transparent fibers of lens begin to thicken and yellow (cataracts)
- visual acuity may gradually decline after 50
Quiz_________________?
air embolism -
Answer✅
SYSTEMIC COMPLICATION
chest, shoulder or back pain, dyspnea/SOB, hypotension, thready pulse, cyanosis, loss of
consciousness
clamp catheter and occlude puncture site if removed to prevent addition air from entering;
immediately position pt on left side in Trendelenburg position
Quiz_________________?
airborne precautions -
Answer✅
private room AIIR; respirator mask, fittings
4
