Nursing 202 O.S.C.E. preparation Questions and answers latest update

Nursing 202 O.S.C.E. preparation
if someone says they have a cough, what are some follow-up questions to ask them? -
CORRECT ANSWER--how long have you had it?
-when did you contract it
-what are the qualities of the cough
-is it productive
-is it painful
-what precipitates the cough
-have you taken anything to help the cough

if someone says they feel short of breath sometimes, what are some follow-up
questions to ask them? - CORRECT ANSWER--what causes the shortness
-what helps the shortness

if someone says they have chest pain when breathing, what are some follow-up
questions to ask them? - CORRECT ANSWER--where is the chest pain located
-what does it feel like
-on a scale from 0-10 how painful is it
-what makes it better
-what makes it worse
-does it radiate

how is a person positioned when auscultating on respiratory assessment - CORRECT
ANSWER-sitting upright, leaning forward

how do you instruct a patient to breathe when auscultating on respiratory assessment? -
CORRECT ANSWER-through their mouth

how many auscultations do you do on the anterior chest wall? on the posterior chest
wall? - CORRECT ANSWER-5 on anterior
9 on posterior

What are the subjective questions to ask in a Respiratory Assessment? - CORRECT
ANSWER--do you have a cough?
-do you have shortness of breath?
-do you have shortness of breath when lying down?
-do you have any chest pain with breathing?
-do you have a history of respiratory infections?
-have you ever smoked or been exposed to smoke?
-have you ever been exposed to any environmental factors that would affect your
respiratory health?

, -do you do regular exercise to keep your lungs healthy?
-are you on any medications?

What is the first step in an objective respiratory assessment? - CORRECT ANSWER-
check the radial pulse and respiratory rate

What do you inspect for in a respiratory assessment? - CORRECT ANSWER--LOC
-facial expression
-shape and configuration of chest wall
-skin colour and condition
-quality of respirations
-use of accessory muscles
-symmetrical chest expansion

what do you palpate for in a respiratory assessment? - CORRECT ANSWER--anterior
at xiphoid process to examine symmetrical chest expansion
-posterior at T9 or T10 to examine symmetrical chest expansion
-tenderness
-superficial lumps or masses
-skin temp, moisture, turgor



what are the subjective questions to ask a patient in a cardiovascular assessment? -
CORRECT ANSWER--do you have any chest pain?
-do you have any shortness of breath?
-do you have shortness of breath when lying down?
-do you have a cough?
-do you ever feel fatigued?
-have you noticed a blue or white tinge to your skin at all?
-do you have any swelling?
-do you find you are frequently urinating during the night
-do you have a past history of any heart problems?
-does your family have a history of heart problems?
-are you on any medications?
-do you smoke/ever smoked/been exposed to smoke
-do you maintain a balanced diet?
-do you exercise regularly?
-are you hypertensive?

What are the subjective questions to ask a patient in a peripheral vascular assessment?
- CORRECT ANSWER--do you have any pains or cramps in your limbs?
-do you have a history of vascular problems?
-do you have diabetes?
-are you pregnant
-have you smoked/been exposed to smoke