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NSG121/ NSG 121 Exam 3: (New 2024/ 2025
Update) Health Assessment | Review with
Questions and Verified Answers| 100%
Correct|A Grade - Herzing
QUESTION
Neck and vessel exam Answer: inspect jugular veins and carotid arteries Palpate carotid arteries Auscultate carotid artery for bruits
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S1 location Answer: apex of heart, left sternal border and left mid clavicle line tricuspid and mitral
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S2 location Answer: base, right and left sternal border aortic and pulmonic valve
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Murmur Answer: swishing sound that can be caused by aortic stenosis or mitral insuffi- ciency
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pallor in extremities arterial insufficiency
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small intestine duodenum, jejunum, ileum
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kidneys blood pressure, stimulate red blood cell production, removes waste products
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prostate gland A gland in males that contributes to the seminal fluid.
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Vas Deferns tube that conveys sperm between the epididymis and ejaculatory duct
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testicles
Answer: Answer: Answer: Answer: Answer: Teach patients about hazards to prevent falls because fragile bones break easily.
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cartilage degeneration encourage warm baths and showers prior to activity
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smoking increases risk of developing fractures
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alcohol increased risk of osteoporosis
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atony lack of normal muscle tone
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hypotonicity decrease in muscle tone
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Fasciculation rapid continuous twitching of resting muscle without movement of limb
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5/5 ROM
complete against gravity and full resistance
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4/5 ROM
against gravity and moderate resistance
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3/5 ROM
only against gravity
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1/5 ROM
muscle contraction detectable
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Angina pectoris symptoms temporary heart pain less than 20 mins and aggravated by stress and activity
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GI Disease (esophageal, gastritis and biliary) indigestion, burning, acidic stomach- relieved by antacids
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Pulmonary disease stabbing/grating pain in lungs alleviated by splinting chest and NSAIDs
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Aortic dissection middle/upper abdominal pain, ischemic pain in legs
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pericardial pain stabbing pain that worsens with position changes
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Frequent urination Answer: nocturia- can be from fluid accumulation in legs that shifts when lying down
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Leg pain types Answer: PAD (peripheral artery disease) and DVT (deep vein thrombo- sis)
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peripheral artery disease (PAD) Answer: pain is where vessel is affected, may need drugs for ongoing pain
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DVT
Answer: swelling in lower calf or leg unilaterally. acute pain
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Leg edema Answer: Swelling in legs, feet or hands from a backup of fluid due to a decreased cardiac output. Fluid in veins becomes backed up.
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Answer: pericardial friction rub
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How do you differentiate between pericardial friction rub and pleural fric- tion rub Answer: have patient hold their breath, if its still present that is pericardial
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client outcome goals with cardiovascular problems Answer: normal blood pressure normal urine output adequate circulation status
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healthy habits for cardiovascular health Answer: test for diabetes quit or do not start smoking cholesterol screening exercise regularly
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a nurse hears a new s3 sound, what should the nurse do? Answer: Administer prescribed diuretic because this is a sign of excess fluid
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Allis test Answer:
Answer: Answer: Answer: Answer: Answer: test done on infants to check hip alignment, one knee lower than the other is a positive allis test
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Phalen's test carpal tunnel syndrome
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rhematoid arthritis joint stiffness that gets better with activity
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kyphosis excessive outward curvature of thoracic spine
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herniated disc pain down to foot when leg is flexed
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skin changes that can happen from pregnancy linea nigra, striae, everted umbilicus
Answer: Answer: Answer: Answer: Answer: Answer: venous blood flow regulation regulated by contraction of the muscles and one way valves
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lymphatic system structure organ system that is part of the immune system and contains lymph nodes and vessels
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What supports lymph flow? passive movement, skeletal contraction, heart rate
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Base landmark 2nd intercostal space
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Apex 5th intercostal space
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Women myocardial infraction symptoms
fatigue and SOB over 20 mins
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Men myocardial infraction symptoms Answer: chest pain and discomfort over 20 mins
