Final

Question 1

Gcs scale

Answer 1

4 eyes
5 verbal
6 motor

Question 2

Fast acronym

Answer 2

For a stroke
Face
Arms
Speech
Time

Question 3

Signs positive in meningitis

Answer 3

Brudzinskis - flexion of hip and knees when neck flexes
Kernigs - resistance to leg extension when hip is flexed

Question 4

Babinski response is normal in a child of what age

Answer 4

Less than 1 yr

Question 5

Newborn reflexes

Answer 5

Rooting- turns toward source, opens mouth and sucks- disappears at 3-4 months

Babinski- toes fan out- 1 yr
Blinking
Moro- 3-4mo disappears
Stepping- move feet as if to walk- 3-4mo
Sucking- 3-4mo
Swimming- 6-7mo
Tonic neck- 2mo

Question 6

Pain

Answer 6

Coldspa- character, onset, location, duration, severity, pattern, associated factors.
What were you doing when pain started

Question 7

If you have thickened nails on R lower digits, dry flaky skin, diminished R tibial pulses what are they at risk for

Answer 7

Altered tissue perfusion

Question 8

What heart sound associated w S1

Answer 8

Asystole
Diastolic

Question 9

If you have a pt with a severe asthma attack you would assess

Answer 9

The oral mucosa

Question 10

If shown a pic with protruding and sunken abdomen where you can see ribs it is called a …

Answer 10

Scaphoid

Question 11

Swooshing sound auscultated in R carotid artery is…

Answer 11

R carotid bruit

Question 12

When listening to heart for mitral stenosis what would you use?

Answer 12

Bell of scope over apex

Question 13

Pt complains of lack of sleep, getting up to urinate, and has cardiac condition- this is…

Answer 13

Heart failure

Question 14

If pr has worst headache ever what to do

Answer 14

Check BP

Question 15

Is subconjunctival hemorrhage painful?

Answer 15

No

Question 16

What is the leading cause of blindness in the world

2nd leading cause

Answer 16

Cataracts
Glaucoma

Question 17

Preload vs afterload

If afterload goes up what else goes up

Answer 17

P- vol of blood at end of doastole
A- resistance left ventricle must overcome to circulate blood

Cardiac workload

Question 18

Observe for jvd at what angle

Answer 18

45 degree and up

Question 19

What is lub and what is dub

Answer 19

Lub- recoil of blood against AV valves
Dub- recoil against semilunar valves

Question 20

Normal vitals for kids

Answer 20

Hr-
90-160 up to 12 mo
80-120 1-2yr
65-100 3-5
58-90 6-11
50-90 12-15

RR
30-53 up to 12 mo
22-37 1-2yr
20-28 3-5 yr
18-25 6-11
12-20 12 and up

Question 21

Peripheral arterial vs peripheral venous

Answer 21

A- claudication, no or weak pulses, black eschar

V- edema, dull achy pain, sores w irregular borders, ruddy skin

Question 22

Cataracts vs glaucoms symptoms

Answer 22

Cataracts affect lens, cloudy vision, faded colors, night vision issues,

Glaucoma- optic nerva damage, peripheral vision loss, blind spots, headaches, nausea

Question 23

Factors affecting BP

Answer 23

Anxiety, pain, stress, smoking, caffeine, alcohol

Question 24

S/s of fluid vol excess

Answer 24

Edema, warm, redness, jvd, visible and firm veins

Question 25

Report lung sounds on sbar

Answer 25

Same

Question 26

What to do if pt is on pain meds but still reports pain of 10/10

Answer 26

Call provider and document

Question 27

S/s of hypoxia

Answer 27

Sob, rapid breathing, elevated hr, confusion, cyanosis, restlessness

Question 28

Abcd of skin

Answer 28

Assymetry Border Color Diameter

Question 29

S/s of hypothyroidism

Answer 29

Obese Thin hair and nails

Question 30

S/s of reflux

Answer 30

Burning chest pain Sour taste Difficulty swallowing Hoarsness Lump in throat

Question 31

what to do if a pt has rectal bleeding

Answer 31

Refer them

Question 32

If ot has low bp ask them...

Answer 32

If they have diziness

Question 33

Cranial nerves

Answer 33

O o o to touch and feel very good velvet, ah heaven Olfactory Optic Occulomotor Trochlear Trigeminal Abduscens Facial Vestibulocochlear Glosspharyngeal Vagas Accessory spinal Hypoglossal

Question 34

Apgar score

Answer 34

Question 35

What to advise pt with low bp

Answer 35

Use fall prevention

Question 36

Stridor, crackles, wheezing

Answer 36

Crackles (Rales) (popping/bubbling) suggest fluid (like pneumonia, heart failure); Wheezing (high-pitched whistle) points to narrowed lower airways (asthma, COPD); and Stridor (loud, harsh inspiratory whistle) signals a serious upper airway obstruction (croup, foreign object, swelling).

Question 37

Hypo bowel sounds

Answer 37

1-2 sounds per min

Question 38

How many bones do we have

Answer 38

206

Question 39

What does lymphatic system do

Answer 39

maintaining healthy fluid levels in the body, removing cellular debris and harmful substances from the tissues, and helping the body absorb certain fats and other molecules.

Question 40

Murphys sign

Answer 40

a clinical test for acute cholecystitis (gallbladder inflammation) where a doctor presses on the upper right abdomen; a positive sign, indicated by sudden pain and a "catch" in breath as the patient inhales, suggests inflammation, often confirmed by ultrasound.

Question 41

Tests for carpal tunnel

Answer 41

Tinels And phalen

Question 42

S/s of asthma

Answer 42

coughing, wheezing (whistling sound when breathing), shortness of breath, and chest tightness or pain Worsens at night or w exercise often

Question 43

S/s of resp distress in infants

Answer 43

fast/shallow breathing, grunting, nasal flaring, chest retractions (skin pulling in), and a bluish tint to skin/lips (cyanosis) Restlessness

Question 44

S/s of hypoxia

Answer 44

shortness of breath, rapid breathing, fast heart rate, confusion, dizziness, blue skin/lips (cyanosis), and restlessness,

Question 45

Has exchange happens in the

Answer 45

Alveolar sac

Question 46

There is a great chance of ____ after a stroke

Answer 46

Aspiration

Question 47

Why are older people colder

Answer 47

Metabolism decreases

Question 48

S/s of rheumatoid arthritis

Answer 48

symmetrical joint pain, swelling, warmth, and stiffness, especially in hands, wrists, and feet, often lasting over an hour in the mornings and improving with movement.