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NUR 120 Exam #4 Questions with Correct Answers
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NUR 120 Exam #4 Questions with Correct Answers
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NUR 120 Exam #4 Questions withCorrect Answers
___________________: controls both voluntary and involuntary actions and
movements. It is divided into two branches _________________ &
_________________ - Answer--Nervous system
-Central nervous system
-Peripheral nervous system
____________________: which includes the brain and the spinal cord. - Answer-CNS
____________________: which is comprised of nerves which communicate (send
signals) between the brain / the spinal cord and the rest of your body. - Answer-PNS
Which cranial nerve (CN) does the nurse test on a patient when biting down on a
tongue blade?
a. CN V
b. CN VI
c. CN VII
d. CN VIII - Answer-A
When performing the Romberg test, the nurse instructs the client to:
a. tandem walk.
b. hop on one foot.
c. do a deep knee bend.
d. stand with feet together, eyes open then closed. - Answer-D
What is the Rhomberg test? - Answer-Patient stand with arms straight out to each side
with feet together and instructed to close both eyes while standing in that position.
Observe for steadiness
For a Rhomberg test, what is considered normal? - Answer-A negative test
During the Rhomberg test, if the hands (palms facing up) drifted that would indicate
what? - Answer-A stroke
On the DTR Grading Scale, what is considered normal? - Answer-2+ = normal
Which of the following reflexes would be considered abnormal in an adult?
a. Anal.
b. Biceps.
c. Plantar.
d. Babinski. - Answer-D
,What is a positive Babinski? - Answer-Toes fan out
Is a positive Babinski abnormal or normal? - Answer-Abnormal
What are the functions of the skeletal system? - Answer--Support and protect the body
-Aid in movement
-Store nutrients
-Produce blood cells
What is the muscular system responsible for? - Answer--Body movements
-Stability
-Internal movement of substances within the body
What is abduction? - Answer-Limb away from body
What is adduction? - Answer-Limb towards body
What is circumduction? - Answer-Limb movement in circular motion
What is extension? - Answer-Straighten out limb
What is flexion? - Answer-Bend limb
What is Hyperextension of neck? - Answer-Lift your head and look up at the ceiling
What is external rotation? - Answer-Turn hip join outward
What is internal rotation? - Answer-Turn hip joint inward
What is eversion? - Answer-Hand or foot turn away body
What is inversion? - Answer-Hand or foot turn towards body
What is pronation? - Answer-Palm facing down
What is supination? - Answer-Palm facing up
What is dorsiflexion? - Answer-Bend foot toward knees
What is plantar flexion? - Answer-Point foot toward ground
To determine the degree of joint limitation for a patient with a long history of arthritis
complaining of sensitivity and warmth in the knees, the nurse should assess:
a. Posture.
b. Activity tolerance.
, c. Body mechanics.
d. Range of joint motion (ROM). - Answer-D
On the muscle grading scale what is considered normal? - Answer-5/5
When the school nurse is assessing students for scoliosis, which is the best position?
a. Prone.
b. Supine.
c. Sitting.
d. Bending at waist. - Answer-D
When the nurse assesses a pregnant patient, what is the expected spinal deformity?
a. Lordosis.
b. Kyphosis.
c. Scoliosis.
d. No Change. - Answer-A
A ______ may develop as a result of untreated depp vein thrombosis (DVT) - Answer-
PE (pulmonary embolism)
______________: flexing of the knee and dorsiflexion of the foot - Answer-Homan's
sign
What was the Homan's sign used for? - Answer-It was an inaccurate method for
assessment and diagnosis of DVT. Deemed dangerous as it can possibly dislodge a
blood clot
If a pt has a clot in her leg, which leg should she use for the compression socks. -
Answer-The leg that does not have the clot
What is the drug class for Warfarin? - Answer-Anticoagulant (vitamin k inhibitor)
What is the therapeutic use for Warfarin? - Answer--For pts with chronic AFib or
mechanical heart valve to prevent VTE
-Prevention of DVTs & PE
-Reduction of the risk for recurrent transient ischemic attacks or myocardial infarction
What are the adverse effects of Warfarin? - Answer--Bleeding or hemorrhage
-Hepatitis
-Toxicity
-Pregnancy risk category X
What is the antidote/reversal agent to Warfarin? - Answer-Vitamin K1
If Vitamin K1 is unable to control the bleeding, what can u administer to control the
bleeding? (Warfarin) - Answer-Fresh frozen plasmas or whole blood (high INR)
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