Nsg-316 Final Exam (Latest Update With Solution)

How do you assess the kidneys? {Ans: - Place one hand over the 12th rib at the costovertebral angle on the back - Placing hands together in a "duck-bill" position at person's right/left flank (side); have person take a deep breath and press firmly}What are the four sources of pain? (Provide some examples for each) {Ans: 1. Visceral pain = large interior organs (e.g., appendicitis, gallstones) 2. Deep somatic pain = blood vessels, joints, tendons, muscles, and bone injury (e.g., sprain, broken bone) 3. Cutaneous pain = skin surface and subcutaneous tissues (e.g., paper cut) 4. Referred pain = felt at a particular site but originates from another location (e.g., left arm hurting during an MI although the issue is with the heart)}What lung sounds would present as adventitious? (select all that apply) a. Stridor b. Wheezes c. Bronchi d. Rhonchi e. Rales {Ans: Answer: a, b, d, e}The patient has been experiencing axial skeletal pain for 4 months and reports confusion, forgetfulness, insomnia, and fatigue. The nurse suspects which diagnosis? a. scoliosis b. achilles tenosynovitis c. fibromyalgia syndrome d. herniated nucleus pulposus {Ans: Answer: c * Fibromyalgia may cause psychosocial distress leading to cognitive problems