NUR 2092 Health Assessment Exam 2
1. If you are doing a cardiovascular assessment and you are hearing a bruit/swooshing sounds
in the patients carotid artery, what does this mean?-
Answer
Narrow vessel (Most likely filled with plaque buildup)
2. If you are doing a Snellen eye exam from 20 feet away what are you testing?-
Answer
Farsided eye sight
3. What are 4 things that the skin does?
Answer
Prevention of penetration, temperature regulation, absorbs Vitamin D and wound repair
(repairs itself)
4. What cannot the skin do?
Answer
Prevent the loss of fluids
5. When you are doing a lung assessment you should listen from what direc- tion to what
direction?
Answer
Right to left
6. What is the Jaeger card used for?
Answer
Testing nearsided eye sight
,7. If a mole on a patients skin has abnormal pigmentation and is itchy, at what size does the
mole become suspicious?
Answer
6 mm
8. What are you listening for when listening to bowel sounds?
Answer
Gurgling
9. If you do not hear any sounds after 1 minute of listening to bowel sounds, what do you do?
Answer
Listen for 4 more minutes for a total of 5 minutes.
10. What is a hypoactive bowel sound?
Answer
A distant bowel sound (Likely constipa- tion. Only hearing gurgles every 1-2 minutes)
11. What is an indication if a patient has yellow skin?
Answer
Jaundice. A liver problem
12. If you are palpating lymph nodes in front of the ear, what lymph nodes are you palpating?
Answer
Preoricular
13. If you are doing an abdominal assessment and you only heat a few gurgles every 1-2
minutes, what should you suspect is going on with the patient?
Answer
- Constipation
14. What should you always ask a patient when doing an abdominal assess- ment?
Answer
, When was your last bm (No bm in 3 days indicates constipation)
15. What is cyanoisis?
Answer
No oxygen exchange
16. Which of the following patients would take highest priority
Answer
Jaundice yellow skin, Pale skin and vomiting or Cyanotic?
Cyanotic (Patient is not getting proper amounts of oxygen exchange)
17. What are some good assessment questions to ask someone that may be having an allergic
reaction?
Answer
Have you been using any new soaps, lotions, detergent, etc.
18. When assessing radial pulses, what is it important to do?
Answer
Assess one side to the other (Should feel both sides at same time to compare)
19. What sounds will you hear while doing a lung assessment on a patient with an upper airway
obstruction?
Answer
Stridor. This is an upper airway emergency!
20. When resulting a TB skin test what would you be looking and feeling for if it was
irregular?
Answer
Red, raised bump/wheal. Greater than 5mm is positive, pink patches
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