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NUR 2092 HEALTH ASSESSMENT FINAL EXAM
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NUR 2092 HEALTH ASSESSMENT FINAL EXAM
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NUR 2092 HEALTH ASSESSMENT FINAL EXAMIf 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)
If you are doing a Snellen eye exam from 20 feet away what are you testing? -
ANSWER: Farsided eye sight
What are 4 things that the skin does? - ANSWER: Prevention of penetration,
temperature regulation, absorbs Vitamin D and wound repair (repairs itself)
What cannot the skin do? - ANSWER: Prevent the loss of fluids
When you are doing a lung assessment you should listen from what direction to
what direction? - ANSWER: Right to left
What is the Jaeger card used for? - ANSWER: Testing nearsided eye sight
If a mole on a patients skin has abnormal pigmentation and is itchy, at what size
does the mole become suspicious? - ANSWER: 6 mm
What are you listening for when listening to bowel sounds? - ANSWER: Gurgling
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.
What is a hypoactive bowel sound? - ANSWER: A distant bowel sound (Likely
constipation. Only hearing gurgles every 1-2 minutes)
What is an indication if a patient has yellow skin? - ANSWER: Jaundice. A liver
problem
If you are palpating lymph nodes in front of the ear, what lymph nodes are you
palpating? - ANSWER: Preoricular
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
What should you always ask a patient when doing an abdominal assessment? -
ANSWER: When was your last bm (No bm in 3 days indicates constipation)
What is cyanoisis? - ANSWER: No oxygen exchange
, Which of the following patients would take highest priority: Jaundice yellow skin,
Pale skin and vomiting or Cyanotic? - ANSWER: Cyanotic (Patient is not getting
proper amounts of oxygen exchange)
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.
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)
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!
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
What sounds will you hear while doing a lung assessment on a patient with a lower
airway obstruction? - ANSWER: Wheezes
How long should the skin take to turn back to pink when assessing capillary refill? -
ANSWER: Less than 3 seconds (2 seconds or less)
If capillary refill takes more than 2 seconds to turn from pink to white, what is this
called? - ANSWER: Sluggish or slow
If capillary refill takes less than 2 seconds to turn from white to pink, what is this
called? - ANSWER: Brisk
If doing an assessment you notice that the patient tonsils are touching their uvula, is
this an abnormal or normal finding? - ANSWER: Abnormal (Tonsillitis)
What should you do if you are testing a patients hearing acuity and gross hearing
ability? - ANSWER: Have patient shut their eyes to hear better and so that they
cannot see your hands. Rub your fingers next to their ear to assess. The patient
must verbalize that they hear the sound of your fingers rubbing together.
What order do you assess bowel sounds? - ANSWER: Look, listen, then feel/palpate
Why must you listen to bowel sounds before palpating? - ANSWER: Always listen
before touching because when you palpate, you can move things around in the
abdomen and get a false assessment if listening right after.
Which heart sound is the loudest? - ANSWER: S1
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