NURS-210
Exam-2-Practice Questions
Liberty University November/2019
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**All Questions On This Study List Is Followed By The Answers And Are Actual Questions
From Exam 2.
1. what equipment is needed for a proper chest exam
- marking pencil
- centimeter pencil
- stethoscope
2. know anatomical landmarks
- 00:31
- 01:27
- what is normal ap diameter
- 70 to 75 percent
3. if respirations are unequal that could be a sign of
- pneumonia and pneumothorax
4. if you see a superficial venous pattern it could be
- pregnancy or liver issues
5. gibbus
- a forward rounding of the back
6. pectus carinatum
- also called pigeon chest, is a deformity of the chest characterized by a protrusion
of the sternum and ribs.
7. pectus excavatum
- a condition in which the breast bone sinks into the chest
8. sweet and fruity breath is a sign of
- DKA
9. Fishy or ammonia breath is a sign of
- uremia
10. musty fish breath is a sign of
- liver failure
11. foul and feculent breath is a sign of
- GI obstruction flocculant means dirt like
12. foul and putrid breath
- infection URT
13. cinnamon breath is a sign of
- TB
14. halitosis is a sign of
- infection
15. the difference between orthopnea and paroxysmal nocturnal dyspnea
- timing PND have no idea what starts it
16. what are things to note during documentation about respiration
- Rate
- Rhythm
- effort
17. Hyperpnea
- increased depth and rate of breathing
18. cheyne stokes
- fast than slow breathing
19. hypopnea vs bradypnea
- brady is always slow, but hypo is less deep, but may not have a decrease in
respiration rate
20. kussmaul breathing
- deep and labored gasped breathings
21. Boots
- shallow respirations with periods of apnea
22. ataxic breathing
- varying depths of irregular respirations
23. crepitus in lungs is a sign of
- air trapped below the skin
24. Grating
- signs of a pleural friction rub
25. normal lung sounds are
- resonant
26. dull lungs is a sign of
- pneumonia
27. go over
- Rales
- Rhonci
- Wheezes
- friction rub
28. what is bronchophony egophony and whispered pectoriloquy
- bonch: 99
- e: eee
- vispered 123
29. Asthma
- a condition in which you airways narrow and swell and produce extra mucus
30. Atelectasis
- a complete or partial collapse of a lung or lobe of a lung develops
31. Bronchitis
- is the inflammation of the lining of your bronchial tubes which carry air to your
lungs
32. Pleurisy
- pleural membrane becomes inflamed
33. pleural effusion
- a condition in which excess fluid builds around the lungs
34. PCP
- pneumocystis pneumonia
- a pneumonia in aids patients that is produced from fungus in air
35. Influenza
- fever coughing run nose sore throat muscle pain headache coughing and feeling
tired
36. TB
- affects lungs and can also affect symptoms include blood sputum cough night
sweats and weight loss
37. Pneumothorax
- is an abnormal collection of air in the pleural space between the lung and the
chest wall
38. cor pulmonale
- is defined as an alteration in the structure and function of the right ventricle
39. Hemothorax
- is collection of blood in the space between the chest wall and the lung
40. COPD
- any progressive lung disease
41. Emphysema
- is a lung condition that causes shortness of breath when air sacs are damaged
42. tissue paper my assets
- Tricuspid
- Pulmonic
- Mitral
- aortic
43. S1
- closure of the mitral and tricuspid valves
44. S2
- closure of the aortic and pulmonic valves
45. S3
- called ventricular gallop caused by vibration of ventricle walls when filling
46. S4
- called atrial gallop caused vibration of atrial walls from the atrial kick
47. apical thorax
- 5th ICS MCL
48. heart beat should be
- 60 to 100
49. what are some sounds you can hear from the heart
- snaps clicks fiction rubs or murmurs
50. stenosis
- means the abnormal narrowing of a body channel
51. regurgitation
- leaking heart valve
52. mitral valve prolapse
- is a condition in which the two valve flaps of the mitral valves do not close
smoothly or evenly but instead of bulge
53. diastolic valve murmur
- indicates pathological disease
54. for pulse assessment document
- Rate
- Rhythm
- Strength
- symmetry
55. claudication is caused by
- caused by lactic acid
56. the five Ps of circulation
- Pain
- Pallor
- Pulseness
- Parathesis
- paralysis
57. pain in arterial occlusion is known as
- claudication
58. in venous obstructive disease what happens late
- cyanosis
59. venous obstruction and insufficiency problem
- Thrombosis
- Edema
- varicose veins
60. arterial occlusion
- caused by atherosclerosis
61. venous obstruction symptoms
- sweeping tenderness
- Engorgement
- erythema
62. right and left hypertrophy
- enlargement of an organ or tissue from the increase in size of its cells
63. sick sinus syndrome
- a group of abnormal heart rhythms presumably caused by a malfunction of the
sinus node
64. congestive heart failure
- is condition in which the heart's function as a pump is inadequate to meet body's
needs
65. bacterial endocarditis
- inflammation caused by bacteria on inner lining
66. Pericarditis
- is usually associated with chronic inflammation and may result in fluid around the
heart
67. cardiac tamponade
- blood fills the space between the sac that encases the heart
68. MI
- commonly known as a heart attack occurs when blood flow decreases for stops to
a part of the heart
69. Myocarditis
- inflammation of the heart muscles and can affect electrical system
70. acute rheumatic fever
- strep infection and and causes inflammation
71. Angina
- chest pain
72. Arteritis
- can lead to permanent blindness
73. arterial aneurysm
- occurs when an artery wall weakens and cases an abnormally large bulge
- although aneurysm can occur in any part of the body
74. raynaud's phenomenon
- causes numbness and pain in the fingers
75. arterial embolic disease
- s a sudden interruption of blood flow to an organ or body part due to an embolus
adhering to the wall of an artery blocking the flow of blood,
76. venous thrombosis
- is a clot in a deep vein usually in the leg but sometimes in the arm or the veins
77. delete this one
- delete it now
- go over quality of murmur
78. grades of murmurs
- stethoscope
1. very faint head only after listener has tuned in
2. quiet but heard immediately after placing stethoscope on chest
3. moderately loud
4. loud with palpable thrill
5. very loud
6. heard without stethoscope
79. pulmonary hypertension
- type of hypertension that affects arteries in lungs
80. rheumatic fever causes
- tissues to attack itself
81. what does an a aneurysm cause
- causes turbulent flow
82. cyanosis is caused by
- stasis of blood
83. Spleen
- stores red blood cells and activates betty and tom
84. pou part
- a groin ligament
85. What hernia is the most common hernia for weight lifters to get?
- inguinal hernias
86. hiatal hernia
- above the stomach
87. visceral pain
- organ pain distended or stretched
88. Diverticulitis
- inflammation of pouches
89. Hepatitis
- inflammation of liver
90. Choletheasis
- gallstones a hardened deposit within fluid in gallbladder
91. Gallbladder
- stores but does not make bile. bile is essential for digesting fat
92. pearls of abdomen
- fair fat forty and fertile with right upper quadrant pain are at high risk of gallstone
diagnosis
93. end of child bearing is
- death
94. no one diagnosis for
- appendicitis
95. crohn's disease
- chronic inflammatory bowel disease that affects the lining of the digestive tract
96. ulcerative colitis vs crohn's disease
- ulcerative colitis is continuous inflammation and crhons is partial and ulcerative
causes ulcers
97. tinel's sign
- test median nerve for carpal tunnel tap in order to se
98. bulge sign
- push on patella and look for bulging
99. Goniometer
- measures hinge joint angles
100. boutonniere deformity
- joint is bent towards palm
101. swan neck deformity
- closer to fingertip
102. heberden nodes
- are hard and bony swelling that can develop on the DIP
103. bouchard nodes
- are hard, bony outgrowths or gelatinous cysts on the proximal interphalangeal
joints (the middle joints of fingers or toes.)
104. Gout
- uric acid
105. Gait
- heal strike, foot flat, mid stance, push off
106. moderate strenuous exercise
- increases bone density
107. Pneumonia
- bubbling crackles
108. when auscultating lung how should the patient breath
- ask client to breathe deeply through mouth
109. Leukoplakia
- thickened white patches in mouth
110. Leukoplakia is a what
- cancer in the mouth and you should avoid certain oral substances
111. CYST
- a membranous thing filled with fluid
- bulging and diminished light reflex
- otitis media
112. normal cardiac range is
- 5 to 8 what is this supposed to mean
113. jvd is caused by
- right atrium
114. s2 is best heard at
- base
115. Which characteristic of the first heart sound would the nurse expect to hear in a client
with mitral insufficiency?
- diminished
116. A nurse is assessing a client for possible dehydration. Which of the following should
the nurse do?
- jugular venous pressure
117. A nurse experiences difficulty differentiating S1 from S2 when auscultating a client's
heart sounds. What is an appropriate action by the nurse?
- palpate pulse
118. The nurse is assessing a client with a cardiac condition who complains of fatigue and
nocturia. Does the nurse recognize the implication of this statement?
- the client may be experiencing symptoms of heart failure
119. When auscultating the heart, the nurse is most likely to hear a diastolic murmur after
which heart sounds?
- s2 The "lub" sound of S1 signals the beginning of ventricular systole, whereas the
"dub" sound of S2 signals the end of systole and beginning of diastole. Systole
occurs between S1 and S2, whereas diastole occurs between S2 and the next S1.
Preload is an indicator of how much blood will be forwarded to and ejected from
the ventricles. The heart has to pump against the high blood pressures in the
arteries and arterioles. This pressure in the great vessels is termed afterload.
Preload and afterload are not heart sounds but volume and pressure indicators.
120. A client is experiencing decreased cardiac output. Which vital sign is the priority for
the nurse to monitor frequently?
- blood pressure
121. how to asses temp
- back of fingers
- Phlebitis
- inflammation of veins
122. A nurse auscultates a client's lungs and hears fine crackles. What is an appropriate
action by the nurse?
- cough forcefully
- cleared rhonchi not clear crackles
123. When the client performs straight leg flexion, the client complains of pain that
radiates down his leg. The nurse understands that this may indicate what?
- herniated disc
124. The nurse is performing an assessment of a client's musculoskeletal system. What
would the nurse examine first?
- the gait
125. While reviewing a client's chart before seeing the client for the first time, the nurse
notes that the client has a diagnosis of Dupuytren contracture. The nurse anticipates that
the client will exhibit
- inability to extend the ring and little finger
126. A client presents to the emergency department after falling off a ladder while doing
some outside painting at home. The client's ankle appears swollen, out of alignment, and
is painful to touch. What is the nurse's first action
- check pulse color temp
127. The nurse is assessing a client with a bladder disorder. Where would the nurse expect
the pain to be?
- suprapubic
128. During a Weber test, the client reports lateralization of sound to the good ear. The
nurse interprets this as the following?
- hearing loss
129. The client has unilateral hearing loss
130. The results of a client's Rinne test are as follows: bone conduction > air conduction.
How should the nurse explain these findings to the client
- You Selected:
131. "You have a conductive hearing loss."
132. The nurse's inspection of a client's extremities reveals a deep, circular, painful wound
on the client's great toe. What should the nurse suspect as the etiology of the client's
wound?
- the clients toes is receiving an inadequate supply of blood flow causing a deep
circular ulcer
133. To promote relaxation of the abdominal muscles, which of the following would be
most appropriate for the nurse to do?
- place a pillow under his knees
134. During palpation of the client's abdomen, the nurse feels a prominent, nontender,
pulsating 6-cm mass above the umbilicus. What action should the nurse take?
135. osteoporosis is because of a
- vitamin d and calcium deficiency
136. what to look for upon an inspection of musculoskeletal system
- Alignment
- Symmetry
- Size
- deformity
137. what is a goniometer
- used to measure angles of musculoskeletal system
138. what are you looking for in the skin of the musculoskeletal
- system color
- skin folds
- swelling
- masses
139. what are you palpating for in musculoskeletal system
- tone
- heat
- tenderness
- swelling
- crepitus
140. what is positive tinel's sign
- suggestive of carpal tunnel
141. what is rotation
moving the bone on a central axis
142. when testing the knee for excess fluid what test do you perform
- ballottement
- bulge
143. what test is done to assess a possible lumbar disc herniation
- straight leg raise
144. circumduction
- moving the bone so that the end of it describes a circle and the sides a cone
145. swan neck deformity
- is a deformed position of the finger, in which the joint closest to the fingertip is
permanently bent toward the palm while the nearest joint to the palm is bent away
from it
146. boutonniere deformity
- is a deformed position of the fingers or toes, in which the joint nearest the knuckle
(the proximal interphalangeal joint, or PIP) is permanently bent toward the palm
while the farthest joint (the distal interphalangeal joint, or DIP) is bent back away
(PIP flexion with DIP hyperextension).
147. heberden's nodes
- are hard bony swellings that can develop in the DIP
148. bouchard's nodes
- are hard, bony outgrowths or gelatinous cysts on the proximal interphalangeal
joints (the middle joints of fingers or toes.)
- They are seen in osteoarthritis, where they are caused by formation of calcific
spurs of the articular (joint) cartilage.
149. gout
- big toe filled with uric acid
150. ankylosing spondylitis
- inflammation stiffens joints
151. the atria provides
20 percent of cardiac output
152. cardiac output is
- heart rate times stroke volume
153. what is the s2 sound
- when aortic and pulmonic valves close
154. what two valves close in systole or s1
- tricuspid and mitral
155. what is usually silent in heart sounds
- the opening of valves
156. find out the difference between thrills and lifts
157. what are some of the causes of murmurs
- stenosis
- regurgitation
- prolapse of heart valves
158. spams heart murmurs
- stenosis
- partial obstruction
- aneurysm
- mitral regurgitation
- septal defect
159. two types of murmurs in systole
- crescendo
- and
- descendo
160. what do you want to test all joints for
- active and passive motion
- and for strength symmetry and equality
161. what are the semilunar valves
- the semilunar valves are the pulmonic and aortic
162. what other organs should you check to assess the cardiac system
- skin color
- Fingernails
- Extremities
- JVD
163. what should you inspect the ears for
- size shape symmetry
- color position
164. auricular sinus
- a nodule dimple or fistule located anywhere adjacent to the auricle
165. darwin's tubercle
- thickening of the helix
166. cauliflower ear
- deformity of ear that occurs after trauma
167. Tophi
- build up of uric acid that goes to the ear
168. sebaceous cyst
- a cyst in the sebaceous glands
169. preauricular skin tag
- epithelial mounds or pedunculated skin that arise near the front of the ear around
the tragus
170. the tympanic membrane should be able to
- move
171. otitis media
- an infection of the air-filled space behind the eardrum
172. meniere's disease
- An inner ear disorder that causes episodes of vertigo (spinning).
173. labyrinthitis
- inflammation of the inner ear or the nerves that connect the inner ear to the brain.
174. sinusitis
- A condition in which the cavities around the nasal passages become inflamed.
175. cheilitis
- chapped lips causing inflammation
176. oral kaposi sarcoma
- purple lesions
177. overly smooth tongue is due to
- fungus
- hairy tongue
- caused by a fungus
178. tonsils grading
1) tonsils are visible
2) tonsils are between the tonsillar pillars and the uvula
3) tonsils are touching uvula
4) tonsils are touching each other
179. Dyspnea
- is air hunger it is non painful and signifies a need for more air
180. wheezes
- are musical respiratory sounds that may be audible in the patient. this signifies
partial obstruction of lower airways
181. retractions
- intercostal
- subcostal
- suprasternal
- substernal
- subclavicular
182. median nerve innervate
- thumb pointer finger middle finger lateral aspect of fourth digit
183. fluid in base of lung is
- alveoli
184. The nurse is assessing a client diagnosed with mitral stenosis. Which technique
should the nurse use to listen to this condition?
- place bell of stethoscope at apex
185. When auscultating a client diagnosed with aortic stenosis, the nurse should place the
stethoscope at what location on the client's chest?
- 2nd right sternal border
186. A client presents to an ambulatory clinic with purulent, bloody drainage of the ear.
What would the nurse assess first?
- inspect clients external ear
187. loss of b12
- causes shiny red tongue
188. During the abdominal examination a nurse supports the client's right knee and ankle.
The nurse flexes the client's hip and rotates the leg externally and internally. At this point,
the client reports pain in the right lower quadrant. This test is positive for which sign?
- obturator
189. Which joint movement is a nurse testing when asking a client to move an extremity
towards the body?
- adduction
190. A nurse is unable to palpate a client's radial and ulnar pulses. What is the most
appropriate nursing action?
- palpate the brachial pulse
191. When unable to palpate a peripheral pulse, the pulse area immediately proximal to it
should be palpated. In this case, the brachial pulse is indicated.
- Inability to palpate the client's pulses suggests arterial insufficiency.
- The nurse should not abandon this component of assessment.
- Referral is not always necessary, and further data is needed.
