NUR 2204 MIDTERM EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED
How do you establish rapport?
introduce self, shake hands, eye contact, open-ended questions! NO complex medical
JARGON/SLANG
What is a COMPLETE HHx + physical?
Assess the entire body head to toe and ask more general questions. Asks about PMH
such as immunizations and Family Hx too! May also assess lifestyle.
What is a Focused HHx + Physical?
Assess a SPECFIC part of the body based on the CHEIF COMPLAINT. Will still ask Hx
questions, but more focused on the problem at hand.
What is a Interval HHx + Physical?
The visits that follow the initial collection of data. Can update on ANY or ALL parts of
Complete HHx.
How do you know if a patient is a good historian for subjective data?
AAOx3!! Can recall events, give a coherent explanation, seem well-dressed and
groomed/not disheveled. If any of these are observed, not they may not be a reliable
source.
When investigating a symptom, you should remember to do a comprehensive
description using COLDSPA. What is COLDSPA?
,C = character
O = onset
L = location
D = duration
S = severity
P = pattern/percipitating factors
A = associated factors
What is IPPA?
Inspection
Palpation
Percussion
Auscultation
When doing a physical exam, what is an example of when you should not do it in
IPPA order?
ABDOMEN!!!
What order should you perform IPPA in an abdomen physical exam?
IAPP!!
HOW do you examine a pulse?
At the radial location with your middle and pointer finger. PALPATING on the area until
you can feel the pulse and begin counting.
When examining a child, what should you do?
DEMONSTRATE what you are going to do so they feel more comfortable!
What area should you palpate last?
, The most painful area!
How do you examine ear in adult vs. child?
Adult = pull pinna UP and back
Child = pull pinna DOWN and back
Should you perform an ear exam towards the end of an exam?
Yes!
When should you use the BELL of the stethescope instead of the diagragm?
When listening to LOW/SOFT sounds such as with BRUITS!! Think B(ell) + B(ruit)
What are all the categories of a comprehensive HHx?
- Demographic Data
- Reason for seeking healthcare/CHIEF COMPLAINT
- History of PRESENT health
- Personal/Past/Surgical Health History
- FAMILY Hx
- Lifestyle and Health Practices!
- Developmental level
How do you write out a patients chief complaint?
In QUOTES!! or say "patient reports..."
Where would you include information about alcohol or tobacco use?
In the lifestyle and health practices!
Where would you include patient's usual routine and daily function belong?
In the lifestyle and health practices!
Where does a GENOGRAM belong?
WITH COMPLETE SOLUTIONS VERIFIED
How do you establish rapport?
introduce self, shake hands, eye contact, open-ended questions! NO complex medical
JARGON/SLANG
What is a COMPLETE HHx + physical?
Assess the entire body head to toe and ask more general questions. Asks about PMH
such as immunizations and Family Hx too! May also assess lifestyle.
What is a Focused HHx + Physical?
Assess a SPECFIC part of the body based on the CHEIF COMPLAINT. Will still ask Hx
questions, but more focused on the problem at hand.
What is a Interval HHx + Physical?
The visits that follow the initial collection of data. Can update on ANY or ALL parts of
Complete HHx.
How do you know if a patient is a good historian for subjective data?
AAOx3!! Can recall events, give a coherent explanation, seem well-dressed and
groomed/not disheveled. If any of these are observed, not they may not be a reliable
source.
When investigating a symptom, you should remember to do a comprehensive
description using COLDSPA. What is COLDSPA?
,C = character
O = onset
L = location
D = duration
S = severity
P = pattern/percipitating factors
A = associated factors
What is IPPA?
Inspection
Palpation
Percussion
Auscultation
When doing a physical exam, what is an example of when you should not do it in
IPPA order?
ABDOMEN!!!
What order should you perform IPPA in an abdomen physical exam?
IAPP!!
HOW do you examine a pulse?
At the radial location with your middle and pointer finger. PALPATING on the area until
you can feel the pulse and begin counting.
When examining a child, what should you do?
DEMONSTRATE what you are going to do so they feel more comfortable!
What area should you palpate last?
, The most painful area!
How do you examine ear in adult vs. child?
Adult = pull pinna UP and back
Child = pull pinna DOWN and back
Should you perform an ear exam towards the end of an exam?
Yes!
When should you use the BELL of the stethescope instead of the diagragm?
When listening to LOW/SOFT sounds such as with BRUITS!! Think B(ell) + B(ruit)
What are all the categories of a comprehensive HHx?
- Demographic Data
- Reason for seeking healthcare/CHIEF COMPLAINT
- History of PRESENT health
- Personal/Past/Surgical Health History
- FAMILY Hx
- Lifestyle and Health Practices!
- Developmental level
How do you write out a patients chief complaint?
In QUOTES!! or say "patient reports..."
Where would you include information about alcohol or tobacco use?
In the lifestyle and health practices!
Where would you include patient's usual routine and daily function belong?
In the lifestyle and health practices!
Where does a GENOGRAM belong?
