NR 302 Health Assessment Final Questions
and Answers | Newest Updated Study Guide
with Accurate Solutions | Grade A+
• All assessments involve collecting two kinds of data: -✓✓Objective and Subjective
• The health history gathers which type of data about the patient? -✓✓Subjective data
• Objective data (signs) -✓✓Are observed during physical examination.
Are verifiable.
Include findings such as a red, swollen arm in a patient.
• Subjective data (symptoms) -✓✓Provided by the patient.
Verified only by the patient.
Include statements such as "My head hurts" or "I have trouble sleeping"
• Review of systems (ROS) -✓✓Ask about each system from head to toe.
Ask if anything bothers them.
Drives physical assessment.
• General survey -✓✓Form your initial impression of the patient
Ex). Signs of acute distress, Pt. appears stated age, Behavior, Visible devices, Level of
consciousness.
• Physical Assessment Techniques -✓✓Inspection
Palpation
Percussion
Auscultation
• Inspection -✓✓Inspect each body system and observe for color, size, location,
movement, texture, symmetry, odors, and sounds
• Palpation -✓✓Light palpation- Assess for texture, temperature, moisture, elasticity,
pulsations, superficial organs, masses, and surface abnormalities. Depress skin 1.5cm -
2cm with finger pads lightly
Deep palpation- Assess internal organs and masses for size, shape, tenderness,
symmetry, and mobility. Depress skin 4cm - 5cm with firm pressure
• Percussion -✓✓Tapping your fingers against pt. body to help located organ borders,
identify organ shape and position, and determine if organ is solid or filled with fluid or
gas
, • Auscultation -✓✓Listening with a stethoscope for various breath, heart, and bowel
sounds
• Sequence for assessing the abdomen -✓✓1. Inspection
2. Auscultation
3. Percussion
4. Palpation
Because palpation and percussion can alter bowel sounds
• Assessment techniques for skin, hair, nails -✓✓Inspection and Palpation
• Skin Assessment -✓✓Color, moisture, temperature, texture, turgor, vascularity,
edema, lesions, rashes
• Colors of the skin -✓✓Cyanosis
Pallor
Erythema
Jaundice
• Detecting color variations in dark skin -✓✓Cyanosis- Conjunctiva, palms, Buccal
mucosa, tongue (dark/dull/bluish color)
Pallor- Sclerae, conjunctiva, buccal mucosa, lips, nail beds (ashen/grayish dots, blue
color)
Erythema- Palpate for redness and warmth
Jaundice- Sclerae and hard palate in natural light
Edema- Decreased color and palpate for tightness
• ABCDE's of malignant melanoma -✓✓Asymmetrical lesion
Border irregular
Color
Diameter greater than 6mm
Elevation or enlarging
• Nail assessment -✓✓Examine for color, shape, thickness, consistency, and contour
(clubbing)
Pink nail color in light-skinned people
Brown nail color in dark-skinned people
• Hair assessment -✓✓Distribution
Thickness/thinness
Texture (fine/course/smooth)
Infections/infestations
Scalp lesions
Note normal changes with aging
and Answers | Newest Updated Study Guide
with Accurate Solutions | Grade A+
• All assessments involve collecting two kinds of data: -✓✓Objective and Subjective
• The health history gathers which type of data about the patient? -✓✓Subjective data
• Objective data (signs) -✓✓Are observed during physical examination.
Are verifiable.
Include findings such as a red, swollen arm in a patient.
• Subjective data (symptoms) -✓✓Provided by the patient.
Verified only by the patient.
Include statements such as "My head hurts" or "I have trouble sleeping"
• Review of systems (ROS) -✓✓Ask about each system from head to toe.
Ask if anything bothers them.
Drives physical assessment.
• General survey -✓✓Form your initial impression of the patient
Ex). Signs of acute distress, Pt. appears stated age, Behavior, Visible devices, Level of
consciousness.
• Physical Assessment Techniques -✓✓Inspection
Palpation
Percussion
Auscultation
• Inspection -✓✓Inspect each body system and observe for color, size, location,
movement, texture, symmetry, odors, and sounds
• Palpation -✓✓Light palpation- Assess for texture, temperature, moisture, elasticity,
pulsations, superficial organs, masses, and surface abnormalities. Depress skin 1.5cm -
2cm with finger pads lightly
Deep palpation- Assess internal organs and masses for size, shape, tenderness,
symmetry, and mobility. Depress skin 4cm - 5cm with firm pressure
• Percussion -✓✓Tapping your fingers against pt. body to help located organ borders,
identify organ shape and position, and determine if organ is solid or filled with fluid or
gas
, • Auscultation -✓✓Listening with a stethoscope for various breath, heart, and bowel
sounds
• Sequence for assessing the abdomen -✓✓1. Inspection
2. Auscultation
3. Percussion
4. Palpation
Because palpation and percussion can alter bowel sounds
• Assessment techniques for skin, hair, nails -✓✓Inspection and Palpation
• Skin Assessment -✓✓Color, moisture, temperature, texture, turgor, vascularity,
edema, lesions, rashes
• Colors of the skin -✓✓Cyanosis
Pallor
Erythema
Jaundice
• Detecting color variations in dark skin -✓✓Cyanosis- Conjunctiva, palms, Buccal
mucosa, tongue (dark/dull/bluish color)
Pallor- Sclerae, conjunctiva, buccal mucosa, lips, nail beds (ashen/grayish dots, blue
color)
Erythema- Palpate for redness and warmth
Jaundice- Sclerae and hard palate in natural light
Edema- Decreased color and palpate for tightness
• ABCDE's of malignant melanoma -✓✓Asymmetrical lesion
Border irregular
Color
Diameter greater than 6mm
Elevation or enlarging
• Nail assessment -✓✓Examine for color, shape, thickness, consistency, and contour
(clubbing)
Pink nail color in light-skinned people
Brown nail color in dark-skinned people
• Hair assessment -✓✓Distribution
Thickness/thinness
Texture (fine/course/smooth)
Infections/infestations
Scalp lesions
Note normal changes with aging
