Notes

Front 1

Inspect external ear for position

Back 1

Pina to outercantus of eye

Front 2

Abnormal findings of external ear

Back 2

One ear is smaller or larger by greater than 4 centimeters

Front 3

Low set ears equals

Back 3

Down syndrome

Front 4

Thickening of the helix portion of the ear

Back 4

Darwin tubercles

Front 5

How do you palpate the mastoid process for temperature

Back 5

Use dorsal of hand

Front 6

Where is the mastoid process of the ear

Back 6

Behind the ear

Front 7

How do you inspect auditory canal

Back 7

Insert half inch, fits snuggly, less than 5mm in diameterPull ear up, out, and back

Front 8

Abnormal findings of the auditory canal

Back 8

Otitis media is inflammation of the middle ear

Front 9

When Inspecting the tympanic membrane

Back 9

Locate the umbo

Front 10

Umbo

Back 10

Located near the tympanic membraneHave patient swallow, you should observe movement upwardsInverted elevation, cone shape Shiny, translucent with pearly gray color

Front 11

Umbo location

Back 11

Right ear - prominent at 5 o'clock position Left ear - prominent at 7 o'clock position

Front 12

Abnormal findings in the tympanic membrane

Back 12

Thickening of the tympanic membrane is due to chronic otitis media - inflammation

Front 13

Assessing Gross hearing ability

Back 13

Whispered voice test

Hint 13

Whispered voice test

Front 14

Gross hearing ability

Back 14

Have patient wiggle opposite ear with index fingerWhisper unrelated words and have them repeat, use different words and other ear

Front 15

Lateralization of sound

Back 15

Weber test Strike tuning fork and hold at the center of the head - can you hear me equally ?

Front 16

Comparison of air conduction to bone conduction

Back 16

Rinne test air conduction is twice as long than bone conduction

Sensory hearing loss 8 seconds

Front 17

Romberg test

Back 17

Patient standing with hands to the side, assess equilibriumHave patient close eyes for 20 seconds and see if they maintain balance

Front 18

Financial neglect

Back 18

Failure to use the assets of an elderly to provide services needed by the elderly person

Front 19

Financial abuse

Back 19

Intentional misuse of elderly's financials without informed consent

Front 20

Inspection

Back 20

Concentrated watching, first of the individual as a whole and then each body system

Front 21

Palpation

Back 21

Sense of touch to assess texture, temperature, moisture, organ location and size

Front 22

Percussion

Back 22

Tapping the person skin with short, sharp strokes to assess underlying structures

Front 23

Hyperresonance

Back 23

Abnormal in adult, heard over lungs with increased amount of air, as in emphysema

Lower-pitched, booming sound

Front 24

Resonant

Back 24

Heard over normal lung tissue

Front 25

Tympany

Back 25

Musical and drum like, high and loud, heard over air filled viscous example stomach, the intestines

Front 26

Use a stethoscope

Back 26

The slope of the earpiece should point forward towards your nose, matches the natural slope of your ear canal.

Tubing should be thick with the internal diameter of 4 mm and 14 -18 inches long

Hold the diaphragm firmly in between your index and middle finger against the person skin

Front 27

Cushing syndrome

Back 27

Excessive production of ACTH by the pituitary will stimulate the adrenal cortex to secrete excess cortisol

Characterized by weight gain and edema... Buffalo Hump and moonface

Front 28

Checking turgor on an infant

Back 28

Check over the abdomen

Front 29

Confrontation test

Back 29

Test visual fields; peripheral vision

Front 30

Eustachian tube

Back 30

Opening which connects the middle ear with the nasopharynx and allows passage of air

Normally closed but it opens with swallowing or yawning

Front 31

Assessing ear of a child under 3

Back 31

Pull pinna straight down

Front 32

Effect to mouth while taking tetracycline

Back 32

Stomatitis

Yellow-brown with infants

Front 33

Effect of antibiotics and corticosteroids to mouth

Back 33

Candidiasis: white, cheesy, curdlike patch on the buccal mucosa and tongue

Front 34

What is the toughest skin part of the body

Back 34

Palms and soles of feet

Front 35

Self breast examination

Back 35

Right after the menstrual period or 4th through 7th day of menstrual cycle

Front 36

Taticle fremitus

Back 36

Palpable vibrations using the palm base (the ball) of the fingers or ulnar edge of one hand

Front 37

Erbs point

Back 37

3rd left intercostal space

Front 38

Assessing for sinus infection

Back 38

Direct percussion

Front 39

Cranial IX

Back 39

Glossopharyngeal : swallowing, gag reflex

Front 40

Clonus

Back 40

A set of rapid, rhythmic contactions of the same muscle

Reflex are hyperactive.. tested on the feet

Front 41

Patient complains of RLQ pain

Back 41

Do not palpate

Front 42

Patient complains of coughing at night; suspect?

Back 42

Heart failure

Front 43

Assessing PMI: point of maximal impulse

Back 43

5th intercostal space

Front 44

Alcoholism vitamin deficiency

Back 44

Vitamin B (B12)

Front 45

When assessing cranial nerves XI & X, what would the nurse consider normal finding

Back 45

Uvula and soft palate rising bilaterally

Front 46

The nurse is preparing to assess balance in an older adult patient. Test you would possibly omit from the exam

Back 46

Hop on 1 foot

Front 47

Nurse is preparing to assess the cranial nerves of a patient. The nurse is about to test CN 1. The nurse would

Back 47

Ask the patient to identify scents

Front 48

Which of the following would lead the nurse to suspect meningeal irritation

Back 48

Pain and flexion of the hips and knees with neck flexion

Front 49

The nurse is assessing a 14 y/o boy who has reached puberty. What glands would nurse know have become active

Back 49

Apocrine

Front 50

Wheezing

Back 50

Low-pitched (sonorous rhonchi)= bronchitis

High-pitched (stidor) = croup

Front 51

Cheyne-Stokes

Back 51

Regular pattern breathing, increasing in rate and depth and then decreasing

Breathing. Last 30 to 45 seconds, with periods of apnea alternating the cycle

Front 52

Diet for injured athlete

Back 52

Increase protein

Front 53

Where do you assess for jaundice

Back 53

Sclera of the eyes

Front 54

Rhematoid arthritis

Back 54

Worst in the morning

Limited movement with ulnar deviation

Chronic swelling or thickening of joint

Front 55

Bouchard 's nodes

Back 55

Nodes in middle joint of finger; sign of osteoarthritis

Front 56

Herbenrden nodes

Back 56

Joint closes to nail = osteoarthritis

Front 57

Percussion of liver

Back 57

Right mid-clavicular line (dull)

Normal liver span: 6-12cm

Mid-sternal line

Normal liver span: 4-8cm

Front 58

Patient has dry and crackled lips; result of

Back 58

Inadequate hydration

Front 59

Screening for a retraction in breast

Back 59

Retraction signs are due to fibrous in the breast tissue caused by growing neoplasms; note dimpling or a pucker

Front 60

As you dorsiflex patients hands and you observe tremors; sign of?

Back 60

Asterixis (classic sign for hepatic coma)

Front 61

If you hear bruits upon auscultation of abdomen

Back 61

Do not palpate

Front 62

Scoliosis

Back 62

Lateral curvature of spine; unable to bend forward all the way

Front 63

Lordosis

Back 63

Exaggerating of Lumbar spine (hump back)

Front 64

Ankylosing spondylitis

Back 64

Flat back

Front 65

Cranial nerves

Back 65

Front 66

Cover/uncover test

Back 66

Test abnormal eye movement post positive corneal light reflex

Front 67

Abdominal assessment

Back 67

Inspection, ausultation, percussion, palpation