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NR 302 Cumulative Test questions well answered to pass

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NR 302 Cumulative Test questions well answered to pass

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  • August 15, 2024
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  • 2024/2025
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NR 302 Cumulative Test

Assessment Environment - correct answer ✔✔Room should be warm, comfortable, quiet, and private.

It should be a clean and safe environment.

Safety should also be from nosocomial infections and should use standard precautions as well.



Assessment done in this order................except for an abdominal assessment - correct answer
✔✔Inspection - watching

Palpation - touch with fingers

Percussion - tapping

Auscultation - listening



(Abdominal it is auscultation before palpation and percussion)



Palpation can assess - correct answer ✔✔Temperature/ moisture - dorsal side of hand

Texture

Vibration or pulsations

Rigidity/ spasticity

Crepitation or crackles

Swelling/ edema

Organ location

Lumps/ masses

Tenderness/ pain



Indirect Percussion - correct answer ✔✔Is the finger tap thing that doesn't really do anything, but if you
want the what the slide says.

Pleximeter

Non-dominant middle finger

,Makes firm contact with the body (lung, abdomen)



Plexor finger delivers 2 sharp strikes

Use tip of finger, NOT finger pad to delivery the blow.



Tympany - correct answer ✔✔Loud, high-pitched, medium, drum-like

Organ filled with air - intestines, stomach



Resonance - correct answer ✔✔Loud, low-pitched, long

Lungs



Hyperresonance - correct answer ✔✔Loud, low-pitched, longer

Lungs (air trapped - emphysema)



Dullness - correct answer ✔✔High-pitched, soft, short

Solid organs (liver, spleen, tumors)



Flatness - correct answer ✔✔High-pitched, very soft, very short

Solid tissue (muscle, bone)



Direct Percussion - correct answer ✔✔Using your finger tips to tap on the body, like taping on a fish
tank.



Technique to assess

Sinuses of an adult

Thorax of an infant



Blunt Percussion - correct answer ✔✔Used for assessing pain and tenderness

Gallbladder

,Liver

Kidney

Costovertebral angle (CVA) tenderness

Kidney infection



Auscultation Sounds - correct answer ✔✔Intensity

Pitch

High-Pitched (diaPHragm of stethoscope)

Breath sounds, heart sounds, bowel sounds

Low-pitched (beLL of stethoscope)

Abnormal heart sounds, vascular sounds (bruits)

Duration

Quality



BeLL - Light and Low

DiapHragm - Deep and High



OPhthalmoscope - correct answer ✔✔Eyes



OToscope - correct answer ✔✔Ears

Nose



General Survey is... - correct answer ✔✔NO TOUCHING!!!

It is using your senses (the grocery shopping thing)

Vision

Hearing

Smell



General Survery

, LOC, orientation - correct answer ✔✔Alert; Person, place, time, and situation



General Survery

Gait - correct answer ✔✔Steady, smooth, opposing arm swings



General Survery

Posture, position, obvious physical deformities - correct answer ✔✔Erect, w/o physical deformities



General Survery

Facial expression, speech - correct answer ✔✔Appropriate to situation, relaxed, clear, & understandable



General Survery

Hygiene - correct answer ✔✔Clean, no odors



BMI - Body Mass Index - correct answer ✔✔More reliable indicator of healthy weight

19-24 (healthy weight)

25-29 (overweight)

> 30 (obese range)



Weight - correct answer ✔✔Round up Randy.....with the weight measurements.



Instruct the patient to take off:

Shoes

Outer clothing (jacket, sweater, scarf)

Sequence weight: (Same scale)

Same time of day

Same clothing

Record weight in both Kg's & pounds

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