NUR 2090 EXAM 1 QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS GRADED A++
What are the steps of the nursing assessment?
-Collect data
-Validate data
-Organize data
Why is accurate assessment important?
For providing high-quality nursing care
What does collecting data entail?
Compiling information about the patient
How is data collected from patients?
-Interviewing
-Physical examination
What type of data does interviewing collect?
Subjective
What is subjective data?
-Symptoms
-What the patient feels as expressed through "I" statements
-Patient's chief concern
-Data that cannot be directly observed by the nurse
What are the 8 characteristics of a chief concern?
,-Location
-Quality
-Quantity/severity
-Timing
-Setting
-Aggravating and relieving factors
-Associated factors
-Patient's perception
What is the difference between a primary source and secondary source of data?
-Both subjective
-Primary source is directly from the patient
-Secondary source is from an outside person, such as a family member
What type of data does a physical exam collect?
Objective
What is objective data?
-Signs
-What the nurse observes using the five senses
-Factual and measurable
What are the steps of the physical exam (in order)?
-Inspection
-Palpation
-Percussion
-Auscultation
,What is inspection?
-Visual observation of physical features and behavior
What is palpation?
-Use of touch
-Discriminates position, texture, size, consistency, and density
-Augments inspection process
-Compresses no more than 2cm
What is percussion?
-Striking the body surface to produce a percussive note
-Determines the density (fluid or solid) of the body part
What are the types of percussive notes?
-Tympany
-Hyperresonance
-Resonance
-Dullness
-Flatness
What does tympany sound like? Where is it often observed?
-Musical, drum-like
-High pitch
-Loud noise
-Within air-filled stomach
What does hyperresonance sound like? Where is it often observed?
, -Booming
-Very low pitch
-Very loud noise
-Within emphysematous lung
What does resonance sound like? Where is it often observed?
-Hollow
-Low pitch
-Loud noise
-Normal lung
What does dullness sound like? Where is it often observed?
-Thud-like
-Medium pitch
-Medium noise
-Within the liver and diaphragm
What does flatness sound like? Where is it often observed?
-Extreme dullness
-High pitch
-Soft noise
-Within sternum and thigh
What is auscultation?
-Listening to sounds with a stethoscope
-Bell of stethoscope for quiet sounds
-Diaphragm of stethoscope for loud sounds
COMPLETE SOLUTIONS GRADED A++
What are the steps of the nursing assessment?
-Collect data
-Validate data
-Organize data
Why is accurate assessment important?
For providing high-quality nursing care
What does collecting data entail?
Compiling information about the patient
How is data collected from patients?
-Interviewing
-Physical examination
What type of data does interviewing collect?
Subjective
What is subjective data?
-Symptoms
-What the patient feels as expressed through "I" statements
-Patient's chief concern
-Data that cannot be directly observed by the nurse
What are the 8 characteristics of a chief concern?
,-Location
-Quality
-Quantity/severity
-Timing
-Setting
-Aggravating and relieving factors
-Associated factors
-Patient's perception
What is the difference between a primary source and secondary source of data?
-Both subjective
-Primary source is directly from the patient
-Secondary source is from an outside person, such as a family member
What type of data does a physical exam collect?
Objective
What is objective data?
-Signs
-What the nurse observes using the five senses
-Factual and measurable
What are the steps of the physical exam (in order)?
-Inspection
-Palpation
-Percussion
-Auscultation
,What is inspection?
-Visual observation of physical features and behavior
What is palpation?
-Use of touch
-Discriminates position, texture, size, consistency, and density
-Augments inspection process
-Compresses no more than 2cm
What is percussion?
-Striking the body surface to produce a percussive note
-Determines the density (fluid or solid) of the body part
What are the types of percussive notes?
-Tympany
-Hyperresonance
-Resonance
-Dullness
-Flatness
What does tympany sound like? Where is it often observed?
-Musical, drum-like
-High pitch
-Loud noise
-Within air-filled stomach
What does hyperresonance sound like? Where is it often observed?
, -Booming
-Very low pitch
-Very loud noise
-Within emphysematous lung
What does resonance sound like? Where is it often observed?
-Hollow
-Low pitch
-Loud noise
-Normal lung
What does dullness sound like? Where is it often observed?
-Thud-like
-Medium pitch
-Medium noise
-Within the liver and diaphragm
What does flatness sound like? Where is it often observed?
-Extreme dullness
-High pitch
-Soft noise
-Within sternum and thigh
What is auscultation?
-Listening to sounds with a stethoscope
-Bell of stethoscope for quiet sounds
-Diaphragm of stethoscope for loud sounds
