NUR 2092 HEALTH ASSESSMENT REVISION
HANDBOOK 2026 HEAD TO TOE ASSESSMENT
AND SYSTEMS REVIEW
◉ 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
HANDBOOK 2026 HEAD TO TOE ASSESSMENT
AND SYSTEMS REVIEW
◉ 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
