NUR 2092 Health Assessment Exam 2
If you are doing a cardiovascular assessment and you are hearing a bruit/swooshing sounds
in the patients carotid artery, what does this mean? - ANSNarrow vessel (Most likely filled
with plaque buildup)
If you are doing a Snellen eye exam from 20 feet away what are you testing? - ANSFarsided
eye sight
What are 4 things that the skin does? - ANSPrevention of penetration, temperature
regulation, absorbs Vitamin D and wound repair (repairs itself)
What cannot the skin do? - ANSPrevent the loss of fluids
When you are doing a lung assessment you should listen from what direction to what
direction? - ANSRight to left
What is the Jaeger card used for? - ANSTesting nearsided eye sight
If a mole on a patients skin has abnormal pigmentation and is itchy, at what size does the
mole become suspicious? - ANS6 mm
What are you listening for when listening to bowel sounds? - ANSGurgling
If you do not hear any sounds after 1 minute of listening to bowel sounds, what do you do? -
ANSListen for 4 more minutes for a total of 5 minutes.
What is a hypoactive bowel sound? - ANSA distant bowel sound (Likely constipation. Only
hearing gurgles every 1-2 minutes)
What is an indication if a patient has yellow skin? - ANSJaundice. A liver problem
If you are palpating lymph nodes in front of the ear, what lymph nodes are you palpating? -
ANSPreoricular
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? - ANSConstipation
What should you always ask a patient when doing an abdominal assessment? - ANSWhen
was your last bm (No bm in 3 days indicates constipation)
What is cyanoisis? - ANSNo oxygen exchange
, Which of the following patients would take highest priority: Jaundice yellow skin, Pale skin
and vomiting or Cyanotic? - ANSCyanotic (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? - ANSHave you been using any new soaps, lotions, detergent, etc.
When assessing radial pulses, what is it important to do? - ANSAssess 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? - ANSStridor. This is an upper airway emergency!
When resulting a TB skin test what would you be looking and feeling for if it was irregular? -
ANSRed, 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? - ANSWheezes
How long should the skin take to turn back to pink when assessing capillary refill? -
ANSLess 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? -
ANSSluggish or slow
If capillary refill takes less than 2 seconds to turn from white to pink, what is this called? -
ANSBrisk
If doing an assessment you notice that the patient tonsils are touching their uvula, is this an
abnormal or normal finding? - ANSAbnormal (Tonsillitis)
What should you do if you are testing a patients hearing acuity and gross hearing ability? -
ANSHave patient shut their eyes to hear better and so that they cannot see your hands. Rub
your fingers next to their ear to assess. The patient must verbalize that they hear the sound
of your fingers rubbing together.
What order do you assess bowel sounds? - ANSLook, listen, then feel/palpate
Why must you listen to bowel sounds before palpating? - ANSAlways listen before touching
because when you palpate, you can move things around in the abdomen and get a false
assessment if listening right after.
Which heart sound is the loudest? - ANSS1
Where do you hear S1 heart sounds? - ANSOn the right side of the chest, 2nd intercostal
space.
If you are doing a cardiovascular assessment and you are hearing a bruit/swooshing sounds
in the patients carotid artery, what does this mean? - ANSNarrow vessel (Most likely filled
with plaque buildup)
If you are doing a Snellen eye exam from 20 feet away what are you testing? - ANSFarsided
eye sight
What are 4 things that the skin does? - ANSPrevention of penetration, temperature
regulation, absorbs Vitamin D and wound repair (repairs itself)
What cannot the skin do? - ANSPrevent the loss of fluids
When you are doing a lung assessment you should listen from what direction to what
direction? - ANSRight to left
What is the Jaeger card used for? - ANSTesting nearsided eye sight
If a mole on a patients skin has abnormal pigmentation and is itchy, at what size does the
mole become suspicious? - ANS6 mm
What are you listening for when listening to bowel sounds? - ANSGurgling
If you do not hear any sounds after 1 minute of listening to bowel sounds, what do you do? -
ANSListen for 4 more minutes for a total of 5 minutes.
What is a hypoactive bowel sound? - ANSA distant bowel sound (Likely constipation. Only
hearing gurgles every 1-2 minutes)
What is an indication if a patient has yellow skin? - ANSJaundice. A liver problem
If you are palpating lymph nodes in front of the ear, what lymph nodes are you palpating? -
ANSPreoricular
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? - ANSConstipation
What should you always ask a patient when doing an abdominal assessment? - ANSWhen
was your last bm (No bm in 3 days indicates constipation)
What is cyanoisis? - ANSNo oxygen exchange
, Which of the following patients would take highest priority: Jaundice yellow skin, Pale skin
and vomiting or Cyanotic? - ANSCyanotic (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? - ANSHave you been using any new soaps, lotions, detergent, etc.
When assessing radial pulses, what is it important to do? - ANSAssess 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? - ANSStridor. This is an upper airway emergency!
When resulting a TB skin test what would you be looking and feeling for if it was irregular? -
ANSRed, 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? - ANSWheezes
How long should the skin take to turn back to pink when assessing capillary refill? -
ANSLess 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? -
ANSSluggish or slow
If capillary refill takes less than 2 seconds to turn from white to pink, what is this called? -
ANSBrisk
If doing an assessment you notice that the patient tonsils are touching their uvula, is this an
abnormal or normal finding? - ANSAbnormal (Tonsillitis)
What should you do if you are testing a patients hearing acuity and gross hearing ability? -
ANSHave patient shut their eyes to hear better and so that they cannot see your hands. Rub
your fingers next to their ear to assess. The patient must verbalize that they hear the sound
of your fingers rubbing together.
What order do you assess bowel sounds? - ANSLook, listen, then feel/palpate
Why must you listen to bowel sounds before palpating? - ANSAlways listen before touching
because when you palpate, you can move things around in the abdomen and get a false
assessment if listening right after.
Which heart sound is the loudest? - ANSS1
Where do you hear S1 heart sounds? - ANSOn the right side of the chest, 2nd intercostal
space.
