cerebellar function is tested by:
performance of rapid alternating movements
the extrapyramidal system is located in the:
basal ganglia
During assessment of extreocular movements, two back-and-forth- ascillations of the eyes in the extreme lateral gaze occurs. the response indicates:
an expected movement of the eyes during this procedure
what term is used to describe involuntary muscle movements?
athetosis
the ______coordinates movements, maintain equilibrium, and helps maintain posture
cerebellum
automatic associated movements of the body are under the control and regulation of:
the basal ganglia
an abnormal sensation of burning or tingling is best described as:
parethesia
clonus that may be seen when testing deep tendon reflexes is characterized by an:
set of rapid, rhythmic contractions of the same muscle
the ___ reflex is an example of an ___ reflex.
abdominal; superficial
the presence of primitive reflexes in a newborn infants is indicative of:
immaturity of the nervous system
an area of the body that is supplied mainly from one spinal segment through a particular spinal nerve is identified as a:
dermatome
testing the deep tendon reflexes gives the examiner information regarding the intactness of the :
reflex arc at specific levels in the spinal cord
the nurse observes that a patient's gait is unsteady and assesses a positive romberg sign. which are of the brain is most likely affected?
cerebellum
The nurse is assessing a patient's risk of developing osteoporosis. Which patient is considered at high risk for osteoporosis?
A 55-year-old woman who has had right knee replacement surgery
when assessing for the presence of a herniated nucleus pulposus, the examiner would:
raise each of the patient's legs straight while keeping the knee extended
when testing for muscle strenght, the examiner should:
apply an opposing force when the individual puts a joint in flexion or extension
a patient has severe bilateral lower extremithe ty edema. the most likely cause is:
heart failure
which of the following ethnic groups has the lowest incidence of osteoporosis?
african americans
the nurse is assessing a patient's abdomen and notices a thrill in the right upper quadrant. the nurse should suspect which of the following?
possible abdominal aortic aneurysm
the nurse supects appendicitis. how should the nurse proceed with the assessment of the patient's abdomen?
the nurse should palpate last and note rebound tenderness at Mcburney's point.
lymphedema
swellin og an extremity caused by an obstructed lymph channel.
palpable inguinal lymph nodes are
normal if small, movable, and nontender
the nurse is assessing a patient's risk for developing a deep vein thrombosis. the patient considered at the highest risk is a 60 year old patient who
has been on bed rest for 3 days
The nurse knows that the proper technique for assessing a patient's carotid arteries is to:
auscultate with the bell of the stethoscope on the side of the neck, listen for bruits, and palpate for thrills.
when auscultating the heart of a newborn within 24 hours after birth, the examiner hears a continuous sound that mimics the sound of a machine. this finding most likely indicates:
an expected sound caused by nonclosure of the ductus arteriosus
increased tactile fremitus would be evident in an individual who has which of the following conditions?
pneumonia
When you percuss the abdomen, what is the predominant (aka normal) sound?
tympany
If bowel sounds are silent what must you do
listen for 5 mins before you decide bowel sounds are completely absent
the nurse is reviewing anatomy and physiology of the heart. which statements best describes what is meant by atrial kick?
the atria contract toward the end of diastole and push the remaining blood into the ventricles.
when listening to heart sounds, the nurse knows that the valve closures that can be heard best at the best of the heart are:
aortic and pulmonic
the findings from an assessment of a 70-years-old patient with swelling in his ankles include jugular venous pulsations 5cm above the sternal angle when the head of his bed elvated 45 degrees. the nurse knows that the finding indicates:
elevated pressure related to heart failure
A 25-year-old woman in her fifth month of pregnancy has a blood pressure of 100/70 mm Hg. in reviewing her previous exam, the nurse notes that her blood pressure in her second month was 124/80 mm Hg. in evaluation this change, what does the nurse know to
This is a result of peripheral vasodilatation and is an expected change
when listening to heart sounds, the nurse knows that S1:
coincides with the carotid artery pulse
which of these findings would the nurse expects to notice during a cardiac assessment on a 4-year-old-child?
murmur at second left intercostal space when supine
the nurse is performing a cardiac assessment on a 65-year-old patient 3 days after her myocardial infarction. heart sounds are normal when she is supine, but when she is sitting and leaning forward, the nurse hears a high-pitched, scratchy sound with the
inflammation of the precordium
during a cardiovascular assessment, the nurse knows that a "thrill" is:
a vibration that is palpable
In assessing the carotid arteries of an older patient with cardiovascular disease, the nurse would:
listen with the bell of the stethoscope to assess for bruits
The direction of blood flow through the heart is best described by which of these:
Right atrium--> Right ventricles--> pulmonary artery--> lungs--> pulmonary vein--> left atrium--> left ventricle
patient's abdomen is bulging and stretch in appearance the nurse should describe this as what:
proturbent
during assessment the nurse notices that the patient's left arm is swollen from her shoulder down to her finger with non pitting edema. the right arm is normal .the patient had a mastectomy a year ago on left arm. nurse suspect which problem:
lymphadema
the nurses is assessing the pulses of patient who has been admitted for untreated hyperthyroidism. the nurse should expect to find:
bounding
which statement is true regarding the arterial system:
high pressure system
a patient has been diagnosed with venous stasis, which of this findings will the nurse most likely observe:
brownish discoloration
the nurse is reviewing in assessment of patient's peripheral pulse and noticed that the documentation stays that the radial pulse are 2+. the nurses recognized that this is:
normal
the patient is complaining of a sharp pain along the controvertible angle. the nurse is aware that this symptoms is most often in:
kidney inflammation
young adult patient comes to the ID complaining of difficulty breathing. the patient appears cyanotic and is using accessories net muscle. the nurse hears audible wheezing, there is decreased tactile fremitus with hyper resident sound on precussion, norma
asthma
the physicians comments that a patient has abdominal borborygmus. the nurse knows that this term refers to:
hyper active bowel sounds
the nurse is watching a new graduate nurse performing auscultation on a patient's abdomen. which statements by the new graduate choose the correct understanding of the reason auscultation presides percussion and palpitation of the abdomen:
auscultation prevents distortion of bowel sounds that might occurs after percussion and palpitations
the nurse is listening to bowel sounds. which of this statements is true about bowel sounds?
high pitch gurgling and regular sounds
the left lung consist of what:
2 lobes
symptoms of congestive heart failure
extrafluid on the heart, pulmonary edema. pitting edema on extremety