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2024 NURS 251 PRACTICE EXAM 3 WITH 100% CORRECT ANSWERS
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2024 NURS 251 PRACTICE EXAM 3 WITH 100% CORRECT ANSWERS
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2024 NURS 251 PRACTICE EXAM 3WITH 100% CORRECT ANSWERS
a nurse in a provider's office is preparing to auscultate and percuss a client's
thorax as part of a comprehensive physical examination. which of the
following findings should the nurse expect?
A. rhonchi
B.crackles
C. resonance
D. tactile fremitus
E. bronchovesicular sounds - CORRECT-ANSWERSC.resonance
D. tactile fremitus
E. bronchovesicular sounds
what are the peripheral pulses and how are they rated - CORRECT-
ANSWERSbrachial, radial, femoral, popiteal, posterial tibial, pedial, 0-4 scale
what and where is apical impulse - CORRECT-ANSWERSpoint of maximal
impulse, light taping, 1-2 cm, at left 5th intercostal space near midclavicular
line, palm to fingertip palpation
epigastric area - CORRECT-ANSWERSaortic pulsation, where aortic
aneurysms occur
places where you osculate - CORRECT-ANSWERSAoritc - 2nd right intercostal
Pulmonic - 2nd left intercostal
Erb's point - 3rd intercostal, left of sternum
Tricuspid - 5th intercostal near sternum
Mitral - 5th intercostal near midclavicular line
S1 - CORRECT-ANSWERSclosing of AV valve, best heard at apex, corresponds
with carotid pulse,
S2 - CORRECT-ANSWERSclosing of semilunar valves, heard at best at the
base of the heart
S3 - CORRECT-ANSWERSventricular diastolic gallops, due to ventricular
filling, early diastole, lup dup phaa, normal in young people, but early sign of
heat disease in older people
,S4 - CORRECT-ANSWERSAtrial diastolic gallop, due to altered ventricular
compliance, best heard at apex during expiration, heard only with bell la-lub
dub
Peripheral arterial disease - CORRECT-ANSWERSinfrequent edema, ulcers at
distal/ toes, cold, hairless dry shiny skin, absent or diminished pulse; sharp
stabbing pain, lower feet to decrease pain
Peripheral venous disease - CORRECT-ANSWERSWarm, tough, leathery,
mottled skin, frequent edema, ulcers around lower leg and ankle (more
proximal) aching cramping pain, elevate feet to decrease pain
Hypertrophy - CORRECT-ANSWERSEnlarged heart
thrill - CORRECT-ANSWERSPalpable murmur, palpated over second and third
intercostal, can be indicative to hypertension
heaves - CORRECT-ANSWERSvisible palpable lifting of chest at left lower
sternal border, can be associated with right ventricular hypertrphy
Abnormal Apical pulse - CORRECT-ANSWERSgreater than 2 cm, forceful
displacement at lower lateral chest
deep venous thrombosis - CORRECT-ANSWERSLeg warm, red, swelling,
measured leg gerth
Murmur - CORRECT-ANSWERSvibration of heart and great vessel due to
turbulent blood flow,
Ischemia - CORRECT-ANSWERSDecreased oxygen to tissue arterial inclusive
disease
Pulsus paradoxus - CORRECT-ANSWERSDecreased amplitude with inspiration
Pulsus alterans - CORRECT-ANSWERSDifferent amplitude at at each heart
beat
regurgitant flow - CORRECT-ANSWERSincompetent valve or septal defect
cardiac tamponade - CORRECT-ANSWERSdistant heart sound that are
abnormal
radiating pain - CORRECT-ANSWERSspreading toward different parts of body;
sign of heart attack
, pinpoint - CORRECT-ANSWERSpain that can be pinpointed to exact location;
not a sign of cardiac arrest
what is another name for optic disc - CORRECT-ANSWERSocular fundus
irregular pattern characterized by alternating periods of deep, rapid
breathing followed by periods of apnea - CORRECT-ANSWERScheyne-stokes
respiration
rapid deep and labored breathing/hypervenilation or diabetics - CORRECT-
ANSWERSkussmaul
increasing difficulty in getting breath out - CORRECT-ANSWERSataxic
hump back - CORRECT-ANSWERSkyphosis
swerved spine 'S' - CORRECT-ANSWERSscoliosis
allen test (cardiac) - CORRECT-ANSWERStest patency of the radial or ulnar
arteries
facial expressions, raise eyebrows, taste what does CN 7 control?
sensitivity, strength of cheek muscles, TMJ what does CN 5 do?
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gag reflex, uvula movement, soft palate, taste what does CN 9 and 10
control?
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strength of trapezius and neck muscles what is CN 11 in control of?
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tongue symmetry what is CN 12 control of?
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pupillary response what is CN 3 control of?
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