NUR 218 Final Exam Review
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Terms in this set (122)
The nurse is asking a pt Nail bases with an angle of 180 degrees or greater
with COPD for clubbing of and that feel spongy
the fingernails. The nurse
recognizes which finding
for positive for clubbing?
firm but freely moveable
During exam of female
patient the nurse notes
adenopathy and notices
*Acutely infected lymph nodes are bilateral,
suspects acute infection.
enlarged, warm and tender. They are firm but freely
Acutely infected lymph
movable. Unilaterally enlarged lymph nodes that
nodes would be
are firm. non tender may indicate cancer*
When assessing the Consists of 2 lobes (because of the heart)
patient's lungs the nurse
recalls that the left lung *right lung has 3 lobes*
Ordered: Dilantin 85mg 3.4
daily
Available: Dilantin
suspension 125mg/5ml
How many mL will you
give?
,When assessing the Shine light across pupil from side and observe for
pupillary light reflex, the direct and consensual pupillary constriction
nurse should use which of
the following techniques?
The nurse is assessing for Palpating the skin for edema and increased warmth
inflammation in a dark
skinned person. Which
techniques is the best?
The nurse knows Muffled voice sounds and symmetrical tactile fremitus
expected normal
assessment findings of the
lungs in an adult to be:
A visitor from Poland who the front with the nurses thumbs placed either side of
speaks no English seems his trachea and his head tilted back
to be somewhat
apprehensive about the
nurse examining his head
and neck. He would
probably be more
comfortable with nurse
examining his thyroid
gland from
A 65 year old man with clubbing of nails
emphysema and
bronchitis has come to the *Clubbing of nails occurs with congenital heart
clinic for a follow-up. On diseases and neoplastic and pulmonary diseases.*
assessment, the nurse
might expect to see which
finding?
, The nurse is examining a The purpose of cerumen is to protect and lubricate
patient's ears and notices the ear
cerumen in the exterior
ear canal. Which of the
following statement is
correct?
The nurse is performing an The outer layer of the eye is very sensitive to touch
external eye examination.
Which statement *The trigeminal nerve (CN V) and the facial nerve
regarding the outer layer (CN VII) are stimulated when the outer surface of the
of the eye is true? eye is stimulated*
What about the retina, This is where light waves are changed into nerve
inner layer of the eye is impulses
true?
What about the choroid, This layer contains the dark pigmentation to prevent
the middle layer of the light from reflecting internally
eye is true?
During an assessment of a Dehydration
20-year-old patient with a
3-day history of nausea
and vomiting, the nurse
notices dry mucosa and
deep vertical fissures in
the tongue. These findings
are reflective of:
During the exam the nurse Using gentle pressure, palpate bilaterally to compare
knows that the best way to both sides
palpate lymph nodes in
the neck is:
Save
Terms in this set (122)
The nurse is asking a pt Nail bases with an angle of 180 degrees or greater
with COPD for clubbing of and that feel spongy
the fingernails. The nurse
recognizes which finding
for positive for clubbing?
firm but freely moveable
During exam of female
patient the nurse notes
adenopathy and notices
*Acutely infected lymph nodes are bilateral,
suspects acute infection.
enlarged, warm and tender. They are firm but freely
Acutely infected lymph
movable. Unilaterally enlarged lymph nodes that
nodes would be
are firm. non tender may indicate cancer*
When assessing the Consists of 2 lobes (because of the heart)
patient's lungs the nurse
recalls that the left lung *right lung has 3 lobes*
Ordered: Dilantin 85mg 3.4
daily
Available: Dilantin
suspension 125mg/5ml
How many mL will you
give?
,When assessing the Shine light across pupil from side and observe for
pupillary light reflex, the direct and consensual pupillary constriction
nurse should use which of
the following techniques?
The nurse is assessing for Palpating the skin for edema and increased warmth
inflammation in a dark
skinned person. Which
techniques is the best?
The nurse knows Muffled voice sounds and symmetrical tactile fremitus
expected normal
assessment findings of the
lungs in an adult to be:
A visitor from Poland who the front with the nurses thumbs placed either side of
speaks no English seems his trachea and his head tilted back
to be somewhat
apprehensive about the
nurse examining his head
and neck. He would
probably be more
comfortable with nurse
examining his thyroid
gland from
A 65 year old man with clubbing of nails
emphysema and
bronchitis has come to the *Clubbing of nails occurs with congenital heart
clinic for a follow-up. On diseases and neoplastic and pulmonary diseases.*
assessment, the nurse
might expect to see which
finding?
, The nurse is examining a The purpose of cerumen is to protect and lubricate
patient's ears and notices the ear
cerumen in the exterior
ear canal. Which of the
following statement is
correct?
The nurse is performing an The outer layer of the eye is very sensitive to touch
external eye examination.
Which statement *The trigeminal nerve (CN V) and the facial nerve
regarding the outer layer (CN VII) are stimulated when the outer surface of the
of the eye is true? eye is stimulated*
What about the retina, This is where light waves are changed into nerve
inner layer of the eye is impulses
true?
What about the choroid, This layer contains the dark pigmentation to prevent
the middle layer of the light from reflecting internally
eye is true?
During an assessment of a Dehydration
20-year-old patient with a
3-day history of nausea
and vomiting, the nurse
notices dry mucosa and
deep vertical fissures in
the tongue. These findings
are reflective of:
During the exam the nurse Using gentle pressure, palpate bilaterally to compare
knows that the best way to both sides
palpate lymph nodes in
the neck is:
