Download NSG121/ NSG 121 Exam 4: Health Assessment | Review with Questions and Answers and more Exams Nursing in PDF only on Docsity!
NSG121/ NSG 121 Exam 4: (New 2024/ 2025
Update) Health Assessment | Review with
Questions and Verified Answers| 100%
Correct | A Grade - Herzing
QUESTION
What does a grade 3 muscle strength look like? Answer: Active movement against gravity
QUESTION
What is stereognosis? Answer: Place something in the patient's hand and they should identify it
QUESTION
What is graphesthesia? Answer: Draw on number or letter on patient's palm and they should be able to identify it
QUESTION
Normal Babinski sign in adult Answer: Toes curl, big toe dorsiflex
Answer: Answer: Answer: Answer: Answer:
QUESTION
T/F: An urgent situation when reviewing the hospitalized patient would be a new seizure, a change in the pupillary response, and the urine output less than 50 mL in 4 hours True
QUESTION
T/F: Common complications in hospitalized patients include placement of chest tube False
QUESTION
What is included in a general shift assessment? Vital signs, pain assessment, neuro, general survey, abd, resp, lines, tubes, bed alarms
QUESTION
Lab value that tells you if a patient is pregnant hCG
QUESTION
T/F: Nausea is normal in 2nd trimester False, normal in 1st trimester
Pre-eclampsia
QUESTION
T/F: A child should triple their weight by 2 years old Answer: False, by 1 year old should be triple
QUESTION
Autonomy vs shame and doubt is what Erikson stage? Answer: 1.5- 3 years old
QUESTION
Industry vs inferiority is what Erikson stage? Answer: 5 - 12 years old
QUESTION
At age 10 RR slows down, why? Answer: Right number of alveoli now, increased lung volume
QUESTION
Purpose of obstetrical and birth history from mom
Answer: Answer: Answer: Answer: Physical and developmental difficulties
QUESTION
Risk factors of lead poisoning Home built before 1950, remodeled around 1978, friend with lead poisoning
QUESTION
Positioning for sleeping babies Supine
QUESTION
When are well child checkups held? 3 - 5 days after delivery, 2, 4, 6, 9, 12 months
QUESTION
What 5 areas does Apgar assess? Appearance (skin color) Pulse Grimace (reflex irritability) Activity (muscle tone) Respiration Answer:
QUESTION
How would you communicate to a patient who has an injury to Broca's area? Answer: Pictures, whiteboard, allowing them to express their thoughts
QUESTION
Damage to the Wernicke's area will cause what? Answer: Difficultly integrating understanding of spoken and written words
QUESTION
T/F: A client with stupor can respond to a stimulus but will be slow to respond Answer: False, that is drowsiness
QUESTION
Order to assess LOC Answer:
- Alertness (walking into room)
- Voice
- Touch
- Pain
QUESTION
What would you do differently for a routine and focused neuro assessment?
Answer: Answer: Answer: Answer: Routine: LOC, attention, inspect pupillary response, walk, balance, muscle tone Focused: DTR, position sense (finger up or down), 2-point discrimination
QUESTION
What cranial nerves assess oculomotor? What tests would you do? 3, 4, 6 Whisker test, PERRLA, convergence, accommodation
QUESTION
What cranial nerve assesses olfactory? What tests would you do? 1 Have them smell a common scent (cinnamon, peppermint)
QUESTION
What cranial nerve assesses optic? What tests would you do? 2 Snellen chart
QUESTION
What cranial nerve assesses trigeminal? What tests would you do? 5 Chewing, TMJ, temples, cotton on face Answer:
Answer: 11 Shrug shoulders
QUESTION
What cranial nerve assesses hypoglossal? What tests would you do? Answer: 12 Stick out tongue, should be midline
QUESTION
T/F: Important to keep noise level to a minimum when assessing infant Answer: True
QUESTION
T/F: DBP increases in elderly Answer: False
QUESTION
T/F: Elderly have an increased sense of taste Answer: False
Answer: Answer: Answer: Answer: Answer:
QUESTION
T/F: Elderly have limited chest expansion True
QUESTION
When might SBP increase in elderly? Arteriosclerosis
QUESTION
T/F: Typically elderly have a fluid volume excess False, deficit unless they have CHF
QUESTION
T/F: Medical history in an elderly patient should be obtained from the client's medical record False
QUESTION
What might you ask the client to assess nutritional risk factors? What type of food they're eating, sugar and salt intake, red meat consumption
Document findings
QUESTION
Purpose of frontal lobe of brain Answer: Complex cognition (orientation, memory, insight, judgment, arithmetic, and abstraction), language (verbal and written), and voluntary motor function
QUESTION
Purpose of parietal lobe of brain Answer: Recognizes the size, shape, and texture of objects and interprets touch, pressure, and pain.
QUESTION
Purpose of temporal lobe of brain Answer: Registers auditory input and is responsible for hearing, speech, behavior, and memory
QUESTION
Function of the cerebellum Answer: Coordinates voluntary movement, posture, and muscle tone and maintains special orientation and equilibrium
QUESTION
Function of the midbrain
Answer: It relays information to and from the brain through ascending sensory tracts and descending motor pathways
QUESTION
Function of the spinal cord Answer: It carries signals from the brain to the rest of the body
QUESTION
Function of the brainstem Answer: Regulating involuntary actions (temp regulation, respirations, cardiac)
QUESTION
T/F: When there's damage to the spinal column, the brain is not able to send message to initiate voluntary muscle contraction at or below the level of damage Answer: True
QUESTION
T/F: A modifiable risk factor is Type 2 Diabetes Answer: True
