Nursing 1002 Final Marquette University
Questions With Complete Solutions | Accurate
100% | Sure To Pass!!
1. types of health assessment - ANSWER Initial comprehensive,
ongoing or partial, focused or problem oriented, emergency
2. primary assessment - ANSWER structured and systematic;
seen in A-G approach. Crucial in every patient encounter - plans
and prioritises patients. Identifies threats to immediate health
3. secondary assessment - ANSWER focused and in depth.
Systematic, logical and organised. Head to toe. Provides insight
on patient history
4. SAMPLE - ANSWER signs/symptoms, allergies, medication,
pertinent past medical history, last oral intake, events leading to
the illness or injury
5. A-G Assessment - ANSWER airway, breathing, circulation,
disability, exposure, fluids, glucose
6. A-G: Airway - ANSWER airway patency - are they
speaking?
,7. A-G: Breathing - ANSWER measuring respiratory rate,
oxygen saturation and their work of breathing - i.e. Using
accessory muscles
A-G: Circulation - ANSWER palpate pulse rate, measure
manual blood pressure, assess urine output - using fluid balance
chart or catheter bag
A-G: Disability - ANSWER level of consciousness, evaluate
speech, assess for pain. What is causing discomfort?
A-G: Exposure - ANSWER body temperature. Inspect skin
integrity. Inspect and palpate skin for signs of pressure injury.
Observe any wounds, dressings, drains and lines. Assess bowel
movements.
A-G: Fluids - ANSWER input and output. Fluid loss in drains
and tubes. UA, thirst and skin turgor to measure hydration.
A-G: Glucose - ANSWER assess blood glucose levels. Look for
signs of hypoglycemia (sweating, nausea, dizziness). Assess for
diaphoresis
, Neurological System Assessments - ANSWER level of
consciousness, evaluate speech, pupils are equal and reactive to
light, muscle strength
Cardiovascular System Assessments - ANSWER Palpate for
skin colour and temperature. Palpate capillary refill. Palpate
extremities for distal pulses and oedema. Palpate calve for
tenderness. Auscultate heart sounds and apical pulse. Interpret
ECG for abnormal changes.
Respiratory System Assessments - ANSWER Airway patency.
Ability to cough. Evaluate work of breathing. Auscultate lung
sounds - no adventitious sounds
Gastrointestinal System Assessments - ANSWER Inspect
abdomen. Auscultate bowel sounds. Palpate abdomen. Assess
bowel movements.
Nutrition Assessments - ANSWER Inspect oral cavity. Assess
ability to swallow. Estimate amount of meals eaten. Measure
glucose. Measure body weight. Measure BMI.
Renal System Assessments - ANSWER Measure fluid balance.
Measure daily weight. Assess urine output. Palpate bladder.
Perform and interpret UA.
Questions With Complete Solutions | Accurate
100% | Sure To Pass!!
1. types of health assessment - ANSWER Initial comprehensive,
ongoing or partial, focused or problem oriented, emergency
2. primary assessment - ANSWER structured and systematic;
seen in A-G approach. Crucial in every patient encounter - plans
and prioritises patients. Identifies threats to immediate health
3. secondary assessment - ANSWER focused and in depth.
Systematic, logical and organised. Head to toe. Provides insight
on patient history
4. SAMPLE - ANSWER signs/symptoms, allergies, medication,
pertinent past medical history, last oral intake, events leading to
the illness or injury
5. A-G Assessment - ANSWER airway, breathing, circulation,
disability, exposure, fluids, glucose
6. A-G: Airway - ANSWER airway patency - are they
speaking?
,7. A-G: Breathing - ANSWER measuring respiratory rate,
oxygen saturation and their work of breathing - i.e. Using
accessory muscles
A-G: Circulation - ANSWER palpate pulse rate, measure
manual blood pressure, assess urine output - using fluid balance
chart or catheter bag
A-G: Disability - ANSWER level of consciousness, evaluate
speech, assess for pain. What is causing discomfort?
A-G: Exposure - ANSWER body temperature. Inspect skin
integrity. Inspect and palpate skin for signs of pressure injury.
Observe any wounds, dressings, drains and lines. Assess bowel
movements.
A-G: Fluids - ANSWER input and output. Fluid loss in drains
and tubes. UA, thirst and skin turgor to measure hydration.
A-G: Glucose - ANSWER assess blood glucose levels. Look for
signs of hypoglycemia (sweating, nausea, dizziness). Assess for
diaphoresis
, Neurological System Assessments - ANSWER level of
consciousness, evaluate speech, pupils are equal and reactive to
light, muscle strength
Cardiovascular System Assessments - ANSWER Palpate for
skin colour and temperature. Palpate capillary refill. Palpate
extremities for distal pulses and oedema. Palpate calve for
tenderness. Auscultate heart sounds and apical pulse. Interpret
ECG for abnormal changes.
Respiratory System Assessments - ANSWER Airway patency.
Ability to cough. Evaluate work of breathing. Auscultate lung
sounds - no adventitious sounds
Gastrointestinal System Assessments - ANSWER Inspect
abdomen. Auscultate bowel sounds. Palpate abdomen. Assess
bowel movements.
Nutrition Assessments - ANSWER Inspect oral cavity. Assess
ability to swallow. Estimate amount of meals eaten. Measure
glucose. Measure body weight. Measure BMI.
Renal System Assessments - ANSWER Measure fluid balance.
Measure daily weight. Assess urine output. Palpate bladder.
Perform and interpret UA.
