Mid Term Nur 3000 Questions With Complete Solutions
0 Reflex Response Correct Answer No response
1+ Reflex Response Correct Answer Diminished, low normal,
or occurs only with reinforcement
2+ Reflex Response Correct Answer Average, normal
3+ Reflex Response Correct Answer Brisker than average, may
indicate disease, probably normal
4+ Reflex Response Correct Answer Very brisk, hyperactive
with clonus, indicative of disease
ABCDE Skin Assessment Correct Answer Asymmetry,
Borders (are irregular), Color (variations), Diameter (greater
than 6mm or ¼ in), Evolution (changes over time)
Assessment Example Correct Answer Documentation of a
pressure ulcer including location, stage, size, wound bed
characteristics, exudate, surrounding skin condition, and pain
assessment.
AUDIT Correct Answer Alcohol Use Disorders Identification
Test, a screening tool for alcohol use disorders.
AUDIT - C Correct Answer A shorter version of the AUDIT
for quick screening of alcohol use.
,Bell's Palsy Correct Answer Weakness or paralysis of the
muscles on one side of the face.
Blanchable Correct Answer Refers to skin that turns white
when pressed, indicating no damage to underlying tissue.
Blood Pressure Correct Answer The force exerted by blood
against artery walls during cardiac contraction and relaxation.
Blood Pressure Equipment Correct Answer Sizing the BP cuff:
Cuff width 20% more than upper-arm diameter or 40% of
circumference and two-thirds of arm length.
Blood pressure regulation Correct Answer A function of the
skin that helps maintain blood pressure.
Braden Scale Correct Answer A tool used to assess a patient's
risk for developing pressure ulcers.
Bradycardia Correct Answer Pulse rate less than 60 BPM.
CAGE Questionnaire Correct Answer A screening tool for
identifying potential problems with alcohol use, based on four
questions.
Cardiac Conduction Correct Answer Electrical impulse from
SA node causing ventricles to contract.
Carotene Correct Answer A pigment that contributes to skin
color.
,Cause of Bell's Palsy Correct Answer Inflammation of cranial
nerve VII (facial nerve).
Central Nervous System Correct Answer The part of the
nervous system consisting of the brain and spinal cord.
Clench teeth Correct Answer Sensory: Facial sensation; Motor:
chewing
Clubbing nail angle Correct Answer An abnormal nail angle
that may indicate underlying health issues.
Cotton tipped applicator Correct Answer A tool used to
measure the depth of tunneling in a wound.
Cranial Nerve I: Olfactory Nerve Correct Answer Function:
Sensory: Smell. How to Test: Test smell recognition with eyes
closed, occlude one nostril, non noxious smell. Normal: able to
identify different smell with each nostril separately and with
eyes closed.
Cranial Nerve II: Optic Nerve Correct Answer Function:
Sensory: Vision. How to Test: Snellen Chart, assess peripheral
vision. Normal: Should be able to read with each eye and then
both eyes together.
Cranial Nerve III: Oculomotor Correct Answer Function:
Motor: eye movement, pupil constriction. How to Test: Shine
light in eyes, test eye movement. Normal: Pupils equally round
and reactive to light and accommodation.
, Cranial Nerve IV: Trochlear Correct Answer Function: Motor:
down and inward eye movement. How to Test: Ask patient to
look down and in. Normal: Both eyes are able to move
smoothly.
Cranial Nerve IX: Glossopharyngeal Correct Answer Motor:
swallow; Sensory: taste
Cranial Nerve V: Trigeminal Correct Answer How to Test:
Eyes closed, cotton wisp to forehead, cheeks, and chin. Will ask
patient when they feel it.
Cranial Nerve VI: Abducens Correct Answer Motor: Lateral
eye movement
Cranial Nerve VII: Facial Correct Answer Motor: Facial
expressions; Sensory: taste
Cranial Nerve VIII: Vestibulocochlear Correct Answer
Sensory: Hearing, Balancing
Cranial Nerve X: Vagus Correct Answer Motor: Voice,
swallowing
Cranial Nerve XI: Spinal Accessory Correct Answer Motor:
Neck and shoulder movement
Cranial Nerve XII: Hypoglossal Correct Answer Motor:
Tongue movement
0 Reflex Response Correct Answer No response
1+ Reflex Response Correct Answer Diminished, low normal,
or occurs only with reinforcement
2+ Reflex Response Correct Answer Average, normal
3+ Reflex Response Correct Answer Brisker than average, may
indicate disease, probably normal
4+ Reflex Response Correct Answer Very brisk, hyperactive
with clonus, indicative of disease
ABCDE Skin Assessment Correct Answer Asymmetry,
Borders (are irregular), Color (variations), Diameter (greater
than 6mm or ¼ in), Evolution (changes over time)
Assessment Example Correct Answer Documentation of a
pressure ulcer including location, stage, size, wound bed
characteristics, exudate, surrounding skin condition, and pain
assessment.
AUDIT Correct Answer Alcohol Use Disorders Identification
Test, a screening tool for alcohol use disorders.
AUDIT - C Correct Answer A shorter version of the AUDIT
for quick screening of alcohol use.
,Bell's Palsy Correct Answer Weakness or paralysis of the
muscles on one side of the face.
Blanchable Correct Answer Refers to skin that turns white
when pressed, indicating no damage to underlying tissue.
Blood Pressure Correct Answer The force exerted by blood
against artery walls during cardiac contraction and relaxation.
Blood Pressure Equipment Correct Answer Sizing the BP cuff:
Cuff width 20% more than upper-arm diameter or 40% of
circumference and two-thirds of arm length.
Blood pressure regulation Correct Answer A function of the
skin that helps maintain blood pressure.
Braden Scale Correct Answer A tool used to assess a patient's
risk for developing pressure ulcers.
Bradycardia Correct Answer Pulse rate less than 60 BPM.
CAGE Questionnaire Correct Answer A screening tool for
identifying potential problems with alcohol use, based on four
questions.
Cardiac Conduction Correct Answer Electrical impulse from
SA node causing ventricles to contract.
Carotene Correct Answer A pigment that contributes to skin
color.
,Cause of Bell's Palsy Correct Answer Inflammation of cranial
nerve VII (facial nerve).
Central Nervous System Correct Answer The part of the
nervous system consisting of the brain and spinal cord.
Clench teeth Correct Answer Sensory: Facial sensation; Motor:
chewing
Clubbing nail angle Correct Answer An abnormal nail angle
that may indicate underlying health issues.
Cotton tipped applicator Correct Answer A tool used to
measure the depth of tunneling in a wound.
Cranial Nerve I: Olfactory Nerve Correct Answer Function:
Sensory: Smell. How to Test: Test smell recognition with eyes
closed, occlude one nostril, non noxious smell. Normal: able to
identify different smell with each nostril separately and with
eyes closed.
Cranial Nerve II: Optic Nerve Correct Answer Function:
Sensory: Vision. How to Test: Snellen Chart, assess peripheral
vision. Normal: Should be able to read with each eye and then
both eyes together.
Cranial Nerve III: Oculomotor Correct Answer Function:
Motor: eye movement, pupil constriction. How to Test: Shine
light in eyes, test eye movement. Normal: Pupils equally round
and reactive to light and accommodation.
, Cranial Nerve IV: Trochlear Correct Answer Function: Motor:
down and inward eye movement. How to Test: Ask patient to
look down and in. Normal: Both eyes are able to move
smoothly.
Cranial Nerve IX: Glossopharyngeal Correct Answer Motor:
swallow; Sensory: taste
Cranial Nerve V: Trigeminal Correct Answer How to Test:
Eyes closed, cotton wisp to forehead, cheeks, and chin. Will ask
patient when they feel it.
Cranial Nerve VI: Abducens Correct Answer Motor: Lateral
eye movement
Cranial Nerve VII: Facial Correct Answer Motor: Facial
expressions; Sensory: taste
Cranial Nerve VIII: Vestibulocochlear Correct Answer
Sensory: Hearing, Balancing
Cranial Nerve X: Vagus Correct Answer Motor: Voice,
swallowing
Cranial Nerve XI: Spinal Accessory Correct Answer Motor:
Neck and shoulder movement
Cranial Nerve XII: Hypoglossal Correct Answer Motor:
Tongue movement
