NUR 2092 Exam 2 Health Assessment
What are the eyes rectus muscles Superior Inferior Medial Lateral
What are the obique muscles Superior Inferior
5 Parts of the eye examination Visual acuity Ocular motility Visual fields by confrontation
External structures (conjunctive& sclera) Visualizing the Fundus including the optic disc, retina and
retinal vessels
How to test for Visual acuity Use the Snellin eye chart Stand 20 feet away from the chart
Test one eye at a time anything less than 20/40 should be referred for correction
how to test for Ocularmoitlity
Corneal light reflex, six positions of gaze
How to test Visual feilds
Stand face to face, about 2 feet apart, cover opposite eyes, bring your finger into at least 8 feilds of vision
and ask the patient when the finger comes into view.
What do you check the Pupils for?
PERRLA
What 5 areas do you test with the ophtalmoscope Red reflex Optic disk vessels Retina Macula/
fovea
What do you look for in the ear exam
Lesions, redness and Wax
What do you try to locate on the tympanic membrane
Cone of light
What is the gross hearing test?
Whisper test
What does the weber test do?
Checks bone conduction
checks for equal laterlization
Rinne test Hit the tuning fork and place it on the mastoid process when the patient can no longer hear
the vibrations then move it in front of the ear
Air conduction should be greater than bone conduction.
What does Wheezing sound like?
Musical sounding
, What do you palpate the lungs for?
vibrations as the patient speaks in 4 areas on the front and 5 areas on the back
How do you percuss the lungs
Strike using the tip of your tapping finger, use the lightest percussion that produces a clear note,
percussion helps est whether the underlying tissue are air filled, fluid filled or solid
What do you note when percussing the lungs Flatness Dullness Resonance Hyperresonace
Tympany
How do you access for Transmitted Voice Sounds
Listent to areas over the chest wall and have the patient say 99 then ee then have the patient whisper 99
When do you hear S1
with closure of the AV valves and thus signals the beginning of systole
When do you hear S2
Occurs with the closure of the semilunar valves and signals the end of systole
Where do you hear the S1
Over all the percordium, but usually it is loudest at the apex
Where do you hear the S2
Loudest at the base
Where does the right ventricle pump blood
into the pulmonary arteries
Where does the left Ventricle pump blood?
into the aorta
What are murmurs attributed to ?
Turbulent blood flow
What are the chest landmarks?
Midsternal, Midclavicular, anterior axillary and midaxillary
What goes into the physical exam of the heart? BP Pulses Exam the face Vessels of the neck
heart Inspection of extremities
What is systolic bp Pressure generated by the left ventricle when the LV ejects blood into the aorta and
arterial tree
What are the eyes rectus muscles Superior Inferior Medial Lateral
What are the obique muscles Superior Inferior
5 Parts of the eye examination Visual acuity Ocular motility Visual fields by confrontation
External structures (conjunctive& sclera) Visualizing the Fundus including the optic disc, retina and
retinal vessels
How to test for Visual acuity Use the Snellin eye chart Stand 20 feet away from the chart
Test one eye at a time anything less than 20/40 should be referred for correction
how to test for Ocularmoitlity
Corneal light reflex, six positions of gaze
How to test Visual feilds
Stand face to face, about 2 feet apart, cover opposite eyes, bring your finger into at least 8 feilds of vision
and ask the patient when the finger comes into view.
What do you check the Pupils for?
PERRLA
What 5 areas do you test with the ophtalmoscope Red reflex Optic disk vessels Retina Macula/
fovea
What do you look for in the ear exam
Lesions, redness and Wax
What do you try to locate on the tympanic membrane
Cone of light
What is the gross hearing test?
Whisper test
What does the weber test do?
Checks bone conduction
checks for equal laterlization
Rinne test Hit the tuning fork and place it on the mastoid process when the patient can no longer hear
the vibrations then move it in front of the ear
Air conduction should be greater than bone conduction.
What does Wheezing sound like?
Musical sounding
, What do you palpate the lungs for?
vibrations as the patient speaks in 4 areas on the front and 5 areas on the back
How do you percuss the lungs
Strike using the tip of your tapping finger, use the lightest percussion that produces a clear note,
percussion helps est whether the underlying tissue are air filled, fluid filled or solid
What do you note when percussing the lungs Flatness Dullness Resonance Hyperresonace
Tympany
How do you access for Transmitted Voice Sounds
Listent to areas over the chest wall and have the patient say 99 then ee then have the patient whisper 99
When do you hear S1
with closure of the AV valves and thus signals the beginning of systole
When do you hear S2
Occurs with the closure of the semilunar valves and signals the end of systole
Where do you hear the S1
Over all the percordium, but usually it is loudest at the apex
Where do you hear the S2
Loudest at the base
Where does the right ventricle pump blood
into the pulmonary arteries
Where does the left Ventricle pump blood?
into the aorta
What are murmurs attributed to ?
Turbulent blood flow
What are the chest landmarks?
Midsternal, Midclavicular, anterior axillary and midaxillary
What goes into the physical exam of the heart? BP Pulses Exam the face Vessels of the neck
heart Inspection of extremities
What is systolic bp Pressure generated by the left ventricle when the LV ejects blood into the aorta and
arterial tree
