Exam #1 Study Questions With Verified Answers: Modules 1 & 2 & 3 & 4
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Exam #1 Study Questions With Verified
Answers: Modules 1 & 2 & 3 & 4
Comprehensive Assessment? - answerHealth history and complete physical examination,
usually conducted when a patient first enters a health care setting; provides a baseline for
comparing later assessment
Focused Assessment? -...
Exam #1 Study Questions With Verified
Answers: Modules 1 & 2 & 3 & 4
Comprehensive Assessment? - answer✔Health history and complete physical examination,
usually conducted when a patient first enters a health care setting; provides a baseline for
comparing later assessment
Focused Assessment? - answer✔A type of physical assessment that is typically performed on
patients who have sustained nonsignificant mechanisms of injury or on responsive medical
patients. This type of examination is based on the chief complaint and focuses on one body
system or part.
Ongoing Assessment? - answer✔-Continuing assessment activities that proceed from the initial
nursing assessment.
-The process of repeating the primary assessment and physical exam while continually
monitoring the patient.
Describe how to prepare for a physical examination - answer✔-Head to toe physical assessment
is required daily
-Perform a reassessment when patients conditions worsen or improve
-Include cultural aspects, infection control. preparation of the environment, patient position, age
of the patient, equipment and explanation of assessment proceeds-do not leave patient alone if
combative or confused
Discuss skills used in a physical assessment - answer✔Inspection: what you see/observe (color,
size, shape)
Palpation: The act of feeling with the hand (cold or warm to touch) light palpation (for
tenderness, density)
Percussion (DON'T DO IT): striking a part of the body with quick finger movements to
determine size, shape, and density of body part/ organs, by the sound obtain (fluid)
Auscultation: listening for sounds produced within the body, know hat you are listening too,
knowledge (stereoscope) quietly, loud , quiet
Small part of stethoscope (valve) for hearing low pitch sounds (heart)
Large part (diaphragm) best for high pitch sounds (lungs, vowels)
Purpose of physical exam - answer✔-gather baseline
-confirm or validate what you previously have been told
-what a patient is saying may not coincide with what the physical exam is saying
-determine short & long term goals
-identify nursing concern or diagnosis
-identify change: inpatient/evaluate
-triage for ED
-routine screening to promote health & wellness
-eligibility health insurance, military service, new job
-to admit patient into hospital or long-term facility
Explain normal findings or adaptations for a physical assessment of various age patients -
answer✔Children: show sensitivity and anticipate a child's perception of the examination, focus
on health promotion and illness prevention, focus on growth and development, sensory
screening, dental examination, and behavioral assessment. gather all or part of the history on
infants and children from parents or guardians, gain their trust first
-Adolescents same type of examination as above but treat them as adults, after talking with
parents about historical information, speak alone with adolescents
-Older adults: include physical data, family relationships. religious and occupational pursuits.
and a review of the patients cognitive, affective, and social level, do not stereotype, adequate
space, use patients, locate close bathroom. be alter to signs of increasing fatigue
Discuss how cultural diversity influences a nurse's approach (and findings) for a health
assessment - answer✔-Lays a foundation for a trussing and strong nurse patient relationship
-critical for you to adapt each assessment to the uniqueness of each patient
-be open to new perspective
-show patient respect and understand their individual needs and differences
-at risk for being biased and misinterpreting assessment findings
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