NU 136 (Fundamentals) Exam #2 Test
Questions and All Correct Answers.
Adventitious sounds - Answer abnormal lung sounds
Accommodation - Answer the dilation or constriction of the pupil
Auscultation - Answer using your ears to hear GI, Respiratory, and Cardio sounds
Good circulation should include... - Answer capillary refill - blanching < 3 seconds, warm to
touch, pink colored skin. Swelling indicates to late and circulation is bad
Consensual - Answer being equal in response when the eyes dilate/ constrict
Edema - Answer swelling, body responding to an injury or poor circulation. Indention occurs
Kyphosis - Answer formation of the spine (curve over thoracic cavity)
Lordosis - Answer curve in lumbar
Scoliosis - Answer curve in spine alignment
Nystagmus - Answer jerking movement in the eye
Olfaction - Answer sense of smell
P.E. R. R.L.A - Answer People, Equal, Round, Reactive to Light, Accommodation
Vesicular sounds - Answer outer lung tissue
Patients with COPD ... - Answer live with higher level of CO2
Who is responsible for the initial assessment? - Answer RN
O2 needs to be greater or equal to ... - Answer 95%
, The information gathered from the physical assessment can be used for what specific purposes?
- Answer -Patients level of health/physiologic function
-Confirming diagnosis of dysfunction disease
-Monitoring for changes in the body
Who may administer the physical assessment? - Answer -physician
-Nurse
-NP/PA
-Clinician
Explain what is ascertained through palpation - Answer The finding of something through/
by touch
Percussion - Answer Tapping on the body to hear for resulting sounds
How would use the stethoscope to assess heart sounds? - Answer Using it to listen for the
open/close of the heart valves.
- Over trachea, over the upper area of chest, over central chest & back
Broncho vesicular sounds - Answer Heard over chest & back
Vesicular sounds - Answer Soft, rustling sounds heard in the periphery of the lung
What are bowel sounds? - Answer Sounds produced by the contractions of the small & large
intestine
How often are bowel sounds assessed? - Answer Assess on admission & once per shift
RNS HOPE (Physical Assessment) - Answer Rest/ activity
Nutrition, fluids, electrolytes
Safety/ security
Hygiene/ grooming
Oxygenation/ circulation
Psychosocial/ learning
Elimination
Questions and All Correct Answers.
Adventitious sounds - Answer abnormal lung sounds
Accommodation - Answer the dilation or constriction of the pupil
Auscultation - Answer using your ears to hear GI, Respiratory, and Cardio sounds
Good circulation should include... - Answer capillary refill - blanching < 3 seconds, warm to
touch, pink colored skin. Swelling indicates to late and circulation is bad
Consensual - Answer being equal in response when the eyes dilate/ constrict
Edema - Answer swelling, body responding to an injury or poor circulation. Indention occurs
Kyphosis - Answer formation of the spine (curve over thoracic cavity)
Lordosis - Answer curve in lumbar
Scoliosis - Answer curve in spine alignment
Nystagmus - Answer jerking movement in the eye
Olfaction - Answer sense of smell
P.E. R. R.L.A - Answer People, Equal, Round, Reactive to Light, Accommodation
Vesicular sounds - Answer outer lung tissue
Patients with COPD ... - Answer live with higher level of CO2
Who is responsible for the initial assessment? - Answer RN
O2 needs to be greater or equal to ... - Answer 95%
, The information gathered from the physical assessment can be used for what specific purposes?
- Answer -Patients level of health/physiologic function
-Confirming diagnosis of dysfunction disease
-Monitoring for changes in the body
Who may administer the physical assessment? - Answer -physician
-Nurse
-NP/PA
-Clinician
Explain what is ascertained through palpation - Answer The finding of something through/
by touch
Percussion - Answer Tapping on the body to hear for resulting sounds
How would use the stethoscope to assess heart sounds? - Answer Using it to listen for the
open/close of the heart valves.
- Over trachea, over the upper area of chest, over central chest & back
Broncho vesicular sounds - Answer Heard over chest & back
Vesicular sounds - Answer Soft, rustling sounds heard in the periphery of the lung
What are bowel sounds? - Answer Sounds produced by the contractions of the small & large
intestine
How often are bowel sounds assessed? - Answer Assess on admission & once per shift
RNS HOPE (Physical Assessment) - Answer Rest/ activity
Nutrition, fluids, electrolytes
Safety/ security
Hygiene/ grooming
Oxygenation/ circulation
Psychosocial/ learning
Elimination
