NSG 316 Final Exam: NSG 316 Final Exam Study Guide: Questions & Answers: Verified 100% Correct

NSG 316 Final Exam: NSG 316 Final Exam Study Guide: Questions & Answers: Verified 100% Correct If a patient presents equal anterior-posterior- to- traverse ratio, what would it be indicative of? a. pectus excavatum b. scoliosis c. kyphosis d. barrel chest - ANSWER -ANSWER: d What lung sounds would present as adventitious? (select all that apply) a. Stridor b. Wheezes c. Bronchi d. Rhonchi e. Rales - ANSWER -ANSWER: a, b, d, e Which of the following adventitious lung sounds are specifically classified as discontinuous? (Select all that apply) a. fine crackles b. atelectatic crackles c. coarse crackles d. sonorous rhonchi wheeze e. pleural friction rub - ANSWER -ANSWER: a, b, c, e Which of the following adventitious lung sounds are specifically classified as continuous? (Select all that apply) a. coarse crackles b. sonorous rhonchi wheeze c. stridor d. fine crackles e. sibilant wheeze - ANSWER -ANSWER: b, c, e How many blocks (stairs) does it take to produce this pain? - ANSWER Claudication distance Unilateral edema - ANSWER -Occurs with occlusion of a deep vein (DVT); it is "brawny" or non pitting and feels hard to the touch Which valves close in S1? (select all that apply) a. Pulmonic b. Tricuspid c. Mitral d. Aortic - ANSWER -ANSWER: b & c - Tricuspid and Mitral are known as the AV valves Which valves close in S2? (select all that apply) a. Aortic b. Pulmonic c. Tricuspid d. Mitral - ANSWER -ANSWER: a & b - Aortic and Pulmonic are known as the semilunar valves What are the characteristic(s) of heart sounds? (select all that apply) a. Intensity b. Duration c. Temperature d. Timing e. Vibrations - ANSWER -ANSWER: a, b, d *There are 4 characteristics. Frequency is another one that involves the pitch (high pitch/low pitch) What sound does a bruit make? What about a murmur? - ANSWER -- A bruit makes a whooshing, swishing sound - A murmur makes a swooshing sound Which condition causes the stool to be gray in color? a. Use of iron medication b. Presence of jaundice or hepatitis c. Localized bleeding around the anus d. Presence of gastrointestinal bleeding - ANSWER -ANSWER: b * Use of iron medications will cause the stool to look black and nontarry * Localized bleeding would result in red blood in the stool * GI bleed leads to black tarry stools If a nurse suspects an enlarged organ, such as a spleen, what should they do? - ANSWER -The nurse should refer it to the HCP and avoid over palpating so that the fragile organ does not rupture Which term would the nurse use to document the palpation of a small fatty nodule through the linea alba on the abdomen when the patient is standing? a. diastasis recti b. incisional hernia c. epigastric hernia d. umbilical hernia - ANSWER -ANSWER: c - Epigastric hernia = protrusion of the abdominal structures - Incisional hernia = bulge near an old operative scar - Umbilical hernia = protrusion of the intestine in the umbilical ring - Inguinal hernia is seen with discoloration of the umbilicus Which is present on the abdomen of a patient with ascites a. crusts and redness b. everted umbilicus c. bluish periumbilical color d. deeply sunken umbilicus - ANSWER -ANSWER: b Which intervention is used to determine Murphy sign? a. Push both hands together in a "duck-bill" position at the patient's right flank b. Hold the hand perpendicular to the abdomen and push down slowly and deeply