NUR 2092 Health Assessment
If you are doing a cardiovascular assessment and you are hearing a bruit/swooshing sound in the
patient's carotid artery, what does this mean?
Narrow vessel (Most likely filled with plaque buildup)
If you are doing a Snellen eye exam from 20 feet away what are you testing?
Farsided eyesight
What are the 4 things that the skin does?
Prevention of penetration, temperature regulation, absorbs Vitamin D, and wound repair (repairs itself)
What cannot the skin do?
Prevent the loss of fluids
When you are doing a lung assessment you should listen from what direction to what direction?
Right to left
What is the Jaeger card used for?
Testing nearsided eye sight
If a mole on a patients skin has abnormal pigmentation and is itchy, at what size does the mole become
suspicious?
6 mm
,What are you listening for when listening to bowel sounds?
Gurgling
If you do not hear any sounds after 1 minute of listening to bowel sounds, what do you do?
Listen for 4 more minutes for a total of 5 minutes.
What is a hypoactive bowel sound?
A distant bowel sound (Likely constipation. Only hearing gurgles every 1-2 minutes)
What is an indication if a patient has yellow skin?
Jaundice. A liver problem
If you are palpating lymph nodes in front of the ear, what lymph nodes are you palpating?
Preoricular
If you are doing an abdominal assessment and you only heat a few gurgles every 1-2 minutes, what
should you suspect is going on with the patient?
Constipation
What should you always ask a patient when doing an abdominal assessment?
When was your last bm (No bm in 3 days indicates constipation)
, What is cyanoisis?
No oxygen exchange
Which of the following patients would take highest priority: Jaundice yellow skin, Pale skin and vomiting
or Cyanotic?
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?
Have you been using any new soaps, lotions, detergent, etc.
When assessing radial pulses, what is it important to do?
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?
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?
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?
Wheezes
If you are doing a cardiovascular assessment and you are hearing a bruit/swooshing sound in the
patient's carotid artery, what does this mean?
Narrow vessel (Most likely filled with plaque buildup)
If you are doing a Snellen eye exam from 20 feet away what are you testing?
Farsided eyesight
What are the 4 things that the skin does?
Prevention of penetration, temperature regulation, absorbs Vitamin D, and wound repair (repairs itself)
What cannot the skin do?
Prevent the loss of fluids
When you are doing a lung assessment you should listen from what direction to what direction?
Right to left
What is the Jaeger card used for?
Testing nearsided eye sight
If a mole on a patients skin has abnormal pigmentation and is itchy, at what size does the mole become
suspicious?
6 mm
,What are you listening for when listening to bowel sounds?
Gurgling
If you do not hear any sounds after 1 minute of listening to bowel sounds, what do you do?
Listen for 4 more minutes for a total of 5 minutes.
What is a hypoactive bowel sound?
A distant bowel sound (Likely constipation. Only hearing gurgles every 1-2 minutes)
What is an indication if a patient has yellow skin?
Jaundice. A liver problem
If you are palpating lymph nodes in front of the ear, what lymph nodes are you palpating?
Preoricular
If you are doing an abdominal assessment and you only heat a few gurgles every 1-2 minutes, what
should you suspect is going on with the patient?
Constipation
What should you always ask a patient when doing an abdominal assessment?
When was your last bm (No bm in 3 days indicates constipation)
, What is cyanoisis?
No oxygen exchange
Which of the following patients would take highest priority: Jaundice yellow skin, Pale skin and vomiting
or Cyanotic?
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?
Have you been using any new soaps, lotions, detergent, etc.
When assessing radial pulses, what is it important to do?
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?
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?
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?
Wheezes
