Nsg 211 final review

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Nsg 211 final review
2011-11-18 19:03:46
nsg 211

review for NSG 211 Final draft #1
Show Answers:

  1. What is the order of
    inspection for breast lymph nodes?
    • Central to Lateral to
    • Pectoral to Sub Scapular
  2. Are the testicals and breast perfectly round?
    ) No they are not often oval
  3. What causes gynoclamastia?
    • ) hormonal change of
    • estrogen, common in young boys (check for distention)
  4. What are different positions to examine breast?
    • Hands up, Hands on
    • hips, hands reinforcing each other.
  5. ) What is nocturnal
    • Heart failure causing
    • pt to wake up after two hours of sleep out of breath from being supine.
  6. What is tactile fermitus?
    • a palpable vibration that decreases upon
    • obstructions like pneumothorax and increases with compression or consolidation
    • like lobar pneumonia
  7. What part of stethoscope is used for auscultating the chest?
    The diaphragm
  8. What sac holds the heart?
  9. Blood flow thru heart goes?
    • ) to right atrium to
    • right ventricle to pulmonary artery to lungs to pulmonary vein to left atrium
    • to left ventricle
  10. What are risk factors for heart attack?
    • HTN, Cholesterol, Smoking, Diabetes, Family
    • History,
  11. Where is the Apical pulse?
    5th I.C mid clavicular
  12. Where is herbs point?
    • 3rd I.C.
    • immediate left sternum
  13. When assessing the carotid what side of stethoscope is used?
    ) the bell
  14. What are the pulses in the foot?
    ) Dorsal pedialus and posterial tibius
  15. Infection in the foot would effect what lymph node?
  16. Types of sounds heard with stehoscope?
    • Tymphany over
    • abdomen, Resonance over Lungs, hyper resonance over abnormal lungs, Dullnes
    • over solid organ, Flatness over
    • bone.
  17. ) Organ not located in RUQ?
    • stomach, pancreases, appendix, colon, most of
    • spleen
  18. Order of abdominal
    • inspection,
    • auscultation, percussion, palpation
  19. ) CVA tenderness is a sign
    ) kidney infection
  20. In a end stage alcoholic what can be expected?
  21. What is loridosis
    • ) correction by
    • pregnant woman to counter balance child

  22. Know the anatomy of the joints? TMJ
    Temporal mandibular joint
  23. What does dexiscan do?
    Show if a pt has osteoperosis

  24. What are the number of the strength scale?
    • 1-5 5 is full ROM against resistance and
    • gravity

  25. What are the numbers to a murmur?
    • 1-6 with 6 being
    • heard without stethoscope
  26. What is the reflex arc controlled
    the Spinal cord
  27. What does rapid motion
    • RM test the
    • cerebellum

  28. What are the cranial nerves of the eye?
    II and III and VII controls eye lids

  29. How do you check Cranial nerve XI?
    ) Spinal accessory is checked by shrugging of the shoulder
  30. When to do a full neuro?
    • Head trauma, weakness in one side, altered
    • LOC
  31. What to do when you cant
    get response on DTR’s
    • Reinforcement

  32. The anatomy of the external genitalia?
    • Corona, Corpus
    • cavernosum, corpus spongiosum, Urethra, bulbourethral gland, prostate scrotum ,
    • testis, epididymis, bladder, seminal vesicle, rectum, prostate, vas deferens

  33. What is a Direct Hernia?
    • Direct inguinal behind and through external
    • inguinal ring. Painless and round brought on by heavy lifting , easily reduced
    • when supine

  34. What to ask older male during GI inspection?
    • difficulty peeing, waking up often to pee,
    • pain when peeing, inciontinence

  35. What causes Large Prostate?
    • Hormonal changes
    • (BPH) and cancer

  36. What can you notice on pt’s when performing a valsalva?
    Rectal prolapse or hemroids

  37. ) What organ is located at the end of the vagina?
    ) Cervix

  38. What changes happen during menopause?
    • atrophy of vaginal
    • wall, uterus, an ovaries

  39. What does Grava, Para and Abortion mean?
    • grava is times been pregnant, Para is live
    • births and abortions are normal, therapeutic and spontaneous

  40. When assessing a teenager for Sexual Hx what is it important
    to check for?
  41. What is a irritated white
    discharge from vaginal tract?
    • Yeast infection or
    • cndadyisis
  42. ) What is a major hormone
    made during pregnanacy and what does it do?
    • ) Pregesterone, helps
    • protect uterine wall to carry child

  43. Where is it best to assess daily living of the elderly?
    At their home

  44. Most common sense lost in elderly?
    • A) Sensineural

  45. ) What are individuals with disabilities called?

  46. Best position of pat to examine head and neck?
    When they are sitting?

  47. When do you see plantar flexion of toes?
    bibinski test
  48. How to differentiate
    between rheumatoid arthritis and osteoarthritis?
    • Rheumatoid is
    • inflammation and symmetry of joints, Osteo is calcification of joints
  49. What is eggophony?
    a long EEEE sound, abnormal is long AAA sound

  50. what is whispered Tranquilily?
    • a clear ABC sound is
    • abnormal, normal should be muffeled?
  51. What is Bronchophony?
    • should hear muffeled
    • 99, abnormal is clear 99 sound
  52. ) What is the pace maker of
    the heart?
    • SA node, 60 -100
    • impulses per minutes
  53. What is spinal bifida?
    ) Non closure back spine

  54. What is the hearing nerve and what may cause hearing
    CN VIII and caused by acoustic neuroma

  55. What is Pigeon chest?
    • ) pronounced point of chest called Pectus Carinatum

  56. What are the muscles of the eyes?
    • ) superior rectus,
    • inferior rectus,Lateral rectus, Medial rectus,inferior oblique, superior
    • oblique
  57. What is epispadius?
    • ) Urethra opening on
    • dorsal side of Penis
  58. What is Hypospadius?
    • Urethra opening in
    • ventral side of penius