Exam (elaborations)
2024 NR 509-ADULT ASSESSMENT EXAM WITH CORRECT ANSWERS
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2024 NR 509-ADULT ASSESSMENT EXAM WITH CORRECT ANSWERS
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2024 NR 509-ADULT ASSESSMENTEXAM WITH CORRECT ANSWERS
Female Breasts Assessment - CORRECT-ANSWERS1. Inspect for symmetry,
mobility, and dimpling as the woman lifts arms over the head, pushes the
hands on the hips, and leans forward.
2. Inspect supraclavicular and infraclavicular areas
Help the woman to lie supine with head at a flat to 30-degree angle. Stand at
the person's right side. Drape the gown up across shoulders and place an
extra sheet across lower abdomen.
3. Palpate each breast, lifting the same-side arm up over head. Include the
tail of Spence and areola.
4. Palpate each nipple for discharge.
5. Support the person's arm and palpate the axilla and regional lymph nodes.
6. Teach breast self-examination.
Male Breast Assessment - CORRECT-ANSWERS1. Inspect and palpate while
palpating the anterior chest wall.
2. Supporting each arm, palpate the axilla and regional nodes.
Neck Vessels Assessment - CORRECT-ANSWERS1. Inspect each side of neck
for a jugular venous pulse, turning the person's head slightly to the other
side.
2. Estimate jugular venous pressure, if indicated.
Abdominal Assessent - CORRECT-ANSWERSThe person should be supine,
with the bed or table flat; arrange drapes to expose the abdomen from the
chest to the pubis.
1. Inspect: contour, symmetry, skin characteristics, umbilicus, and
pulsations.
2. Auscultate bowel sounds.
, 3. Auscultate for vascular sounds over the aorta, renal arteries, iliac and
femoral arteries.
4. Percuss all quadrants.
5. Percuss height of the liver span in the right midclavicular line
6. Percuss the location of the spleen.
7. Palpate: light palpation in all quadrants, then deep palpation in all
quadrants.
8. Palpate for liver, spleen, and kidneys.
9. Palpate aortic pulsation if indicated.
Inguinal Area - CORRECT-ANSWERS1. Palpate each groin for the femoral
pulse and the inguinal nodes. Lift the drape to expose the legs.
Lower Extremities Assessment - CORRECT-ANSWERS1. Inspect: symmetry,
skin characteristics, and hair distribution.
2. Palpate pulses: popliteal, posterior tibial, dorsalis pedis.
3. Palpate for temperature and pretibial edema.
4. Separate toes and inspect.
5. Test ROM and muscle strength of hips, knees, ankles, and feet
Ask the person to stand with the gown on. Stand close to the person.
6. Inspect legs for varicose veins.
Musculoskeletal Assessment - CORRECT-ANSWERSAsk the person to sit up
and to dangle the legs off the bed or table. Keep the gown on and the drape
over the lap.
1. Note muscle strength as person sits up.
2. Ask the person to walk across the room in his or her regular walk, turn,
and then walk back toward you in heel-to-toe fashion.
3. Ask the person to walk on the toes for a few steps, then to walk on the
heels for a few steps.
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