AHA Finals PDF

AHA FINALS 1. How to check neuromuscular status of a limb a. -Skin pale and cool 2. Spasticity and flaccidity are used reference to what aspect of muscle health? -Tone 3. Nurse examine early bowel obstruction - Absent peristalsis (Krishna- hypo active) 4. What should be...

AHA FINALS 1. How to check neuromuscular status of a limb a. -Skin pale and cool 2. Spasticity and flaccidity are used reference to what aspect of muscle health? -Tone 3. Nurse examine early bowel obstruction - Absent peristalsis (Krishna- hypo active) 4. What should be reported to supervisor -Urine less than 30 ml per hour 5. When you are not able to measure the left dorsals pedis. What pulse should be measured? -Popliteal 6. nurse notes that over the posterior lower lobes low pitched soft breath sound are heard with inspiration being longer than expiration nurse aware about - vesicular breath sound and area normal in that location 7. When assessing the abdomen why should you chose to palpate at the end? -Palpation increases peristalsis 8. Glascoma scale for coma patient -6 9. Checking Consensual light in right eye - shine light on left eye and check right eye. 10. Upper motor function test - ask patient to pick of pain /Squeeze both hands 11. Patient pupil dilated and fixed what to do a. -Report it promptly 12. Patient responding to Assessment of pain -Recognize Sharp or dull bilaterally 13. How to checks for triceps? -Try to extent his forearm while the practical nurse should keep it flexed 14. (The SPN is working with a patient who has asthma. The primary nurse tells the student that wheezes can be heard on auscultation. Which of the following should the student expect to hear - high pitched musical sounds) 15. During assessment of a 90-year-old patient, the nurse documents an exaggeration of the posterior curvature of the thoracic supine as which of the following a. Kyphosis. 16. Wait how long for the bowel sounds then conclude absent - 5 minutes 17. Which is not Balance test - heel to shin 18. Patient with post knee op - check pedal pulse - hip replacement (Krishna Pt. has hip replacement, pulse to palpate- dorsal 19. Which of the following is the most appropriate intro when doing full body assessment-? -Self- introduction and explanation of procedure 20. When a person is standing with feet together, arm on sides he got sway and foot apart how you document—-Positive Romberg test 21. How to ask health history to assess male genital -Option A- do you awake at night to urinate 22. How to document difficulty in initiating urination - hesitancy 23. Difficulty swallowing - dysphagia (B) 24. A person is got difficulty in breathing and sit and breath how you document - orthopnea 25. Which is beyond the practical nurse? -Deep abdominal palpation 26. What you include in general survey - skin color 27. Mental health - cognition, behaviour, appearance 28. Abdominal scar how you document. - Draw the line, mention the measurement and location. 29. Test for alcohol for pregnant women - CAGE 30. Elderly patient is forgetting and telling same story- a. -MMSE (option A) 31. Dorsal pedis one leg is +1, another leg (+4) - document the finding/ checking capillary refill 32. What to access when checking alignment of posterior aspect of chest - The spinous process 33. Describe weak and Thready pulse - hard to palpate, may fade in and out, easily obliterated by pressure. 34. Patient is complaining that it is hard for her to bring her hand to mouth - flexion 35. Nurse checking capable of Knee range of motion - flexion and extension 36. Complaining of headache -Depression relation to headache and if it is safe, I will ask questions (option D) 37. Complaining of bowel elimination from one month what to assess a. -Write the medication/ asking pt. about elimination pattern and stool character. 38. Minimal rom, slight contracture - 1 39. checking skin mobility and turgor - Nurse pinch fold under clavicle- 40. Which of the following statement is true recording of data from health history and physical examination -record the data after general survey and physical examination? 41. Nurse is documenting regarding a patient using cane  a. -mobility 42. the nurse notes that a patient has wound on one of the toes on the lateral angle - atrial insufficiency 43. patient tells the nurse some time I wake up in night I have real trouble sleeping. i have wake up to get good breath. How to document? - paraxial nocturia dyspnea 44. Doing neurological assessment of healthy 35 years patient nurse ask to relax his muscles completely nurse than notes extremities to know full range of motion? a. -Mild, even resistant to 45. Glasgow coma scale - eye opening, motor response, verbal response 46. Tenderness in right lower quadrant - appendix 47. To access dorsal pedis - lateral to the extension tendon of the big toes 48. location of apical pulse - fifth intercostal space left midclavicular line 49. older patient carotid artery - listen with the bell stethoscope to listen bruit 50. during auscultation of the lungs the nurse is aware that decrease breath sound because - when the bronchial tree is obstructed 51. bronchovesicular breath sounds are heard - expected near the major airways (bronchi) 52. While auscultating for breath sound - listening to at least one full respiration in each location. 53. Typical color of oral mucosa - pink and moist. 54. Full muscle strength score - 5 55. Checking for skin temperature - using back of your hand and comparing bilaterally 56. Skin turgor - last word is 3sec recoil 57. Which of the following is the (Auscultations)? Adventitious breath sound? 58. Wheezing Obstruction of airway