NURS 247 EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS!!
what is subjective vs objective data - (ANSWER)subjective- info that has been collected from patient
such as pain ratings, medical history
objective- info the nurse has gathered such as lab work, temp, EKGs
what are some examples of objective data - (ANSWER)gathered thru physical examination
-inspection (smell, looking)
-palpation (touching)
-auscultation (listening, Steth)
-percussion (doctor's use)
what are some assessment tips - (ANSWER)having a warm, quiet, and well lit room
raising the bed to a working height
HOB 45
know normals and pt normals
having all supplies ready
what is inspection - (ANSWER)begins as soon as you walk in the room you begin to make observations
about the patient
what is palpation - (ANSWER)examination of the body using touch, checking for temp, pain, swelling,
moisture, tenderness, texture, crepitus
what are some tips when palpating the skin - (ANSWER)warm hands, do the tender area last, explain
what you're doing, use dorsal side of hand to feel temps
What is percussion? - (ANSWER)tapping skin to assess underlying structures, only advanced providers do
this
What is ascultation? - (ANSWER)listening to the sounds of the body like heart, lungs, gut
,NURS 247 EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS!!
what does the diaphragm vs the bell of a stethoscope allow - (ANSWER)diaphragm (large flat part)-
allow for high pitch sounds
bell (small flat)- allow for low pitch sounds
what are some tips for when auscultating - (ANSWER)never listen thru a gown, press firmly against chest
hair to prevent crackling noise, clean before and after use
what are the 4 parts to a general survey - (ANSWER)1. Physical appearance
2. Body structure
3. mobility
4. behavior
what does the physical appearance of someone tell you - (ANSWER)age = do they look older or younger
than they actually are
sex = did their body mature properly
LOC = are they alert and oriented
skin = are they yellow or grey, tattoos, bruising, skin tears
facial features = is their face symmetrical
what does the body structure of someone tell you - (ANSWER)stature = thin, fat, muscular
nutrition = malnourished or over nourished
symmetry
posture/position = can they hold themselves up right
physical deformities = any missing limbs, droopy eyes
what do you look for when assessing mobility - (ANSWER)gait = how well do they walk
ROM
MAE = can they move all extremities
, NURS 247 EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS!!
what can someone behavior tell you about them - (ANSWER)expressions
mood
speech = is the slurred or patchy
dress = do their clothes fit them
hygiene = are they smelly, is their hair brushed, have they shaved
what should you do before taking someone's weight - (ANSWER)have them take their shoes off
What are the BMI ranges? - (ANSWER)underweight: <18.5
normal: 18.5-24.9
overweight: 25-29.9
obese: >30
how should you take someone's height - (ANSWER)shoes off, shoulders back, heels and butt against
wall, look straight ahead
how to take someone's waist circumference - (ANSWER)measure around top of iliac crest, make sure
tape is parallel, measure when they expel
what is an abnormal weight circumference and what can that put someone at risk for -
(ANSWER)women: >35
men: >40
increase heart disease, stroke, type 2
what things influence temperature - (ANSWER)circadian rhythm, menstruation cycle, time of day (lower
in AM), exercise, age (lower as we age)
what is a normal and abnormal temp - (ANSWER)normal: 98.6 F or 37 C
what is subjective vs objective data - (ANSWER)subjective- info that has been collected from patient
such as pain ratings, medical history
objective- info the nurse has gathered such as lab work, temp, EKGs
what are some examples of objective data - (ANSWER)gathered thru physical examination
-inspection (smell, looking)
-palpation (touching)
-auscultation (listening, Steth)
-percussion (doctor's use)
what are some assessment tips - (ANSWER)having a warm, quiet, and well lit room
raising the bed to a working height
HOB 45
know normals and pt normals
having all supplies ready
what is inspection - (ANSWER)begins as soon as you walk in the room you begin to make observations
about the patient
what is palpation - (ANSWER)examination of the body using touch, checking for temp, pain, swelling,
moisture, tenderness, texture, crepitus
what are some tips when palpating the skin - (ANSWER)warm hands, do the tender area last, explain
what you're doing, use dorsal side of hand to feel temps
What is percussion? - (ANSWER)tapping skin to assess underlying structures, only advanced providers do
this
What is ascultation? - (ANSWER)listening to the sounds of the body like heart, lungs, gut
,NURS 247 EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS!!
what does the diaphragm vs the bell of a stethoscope allow - (ANSWER)diaphragm (large flat part)-
allow for high pitch sounds
bell (small flat)- allow for low pitch sounds
what are some tips for when auscultating - (ANSWER)never listen thru a gown, press firmly against chest
hair to prevent crackling noise, clean before and after use
what are the 4 parts to a general survey - (ANSWER)1. Physical appearance
2. Body structure
3. mobility
4. behavior
what does the physical appearance of someone tell you - (ANSWER)age = do they look older or younger
than they actually are
sex = did their body mature properly
LOC = are they alert and oriented
skin = are they yellow or grey, tattoos, bruising, skin tears
facial features = is their face symmetrical
what does the body structure of someone tell you - (ANSWER)stature = thin, fat, muscular
nutrition = malnourished or over nourished
symmetry
posture/position = can they hold themselves up right
physical deformities = any missing limbs, droopy eyes
what do you look for when assessing mobility - (ANSWER)gait = how well do they walk
ROM
MAE = can they move all extremities
, NURS 247 EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS!!
what can someone behavior tell you about them - (ANSWER)expressions
mood
speech = is the slurred or patchy
dress = do their clothes fit them
hygiene = are they smelly, is their hair brushed, have they shaved
what should you do before taking someone's weight - (ANSWER)have them take their shoes off
What are the BMI ranges? - (ANSWER)underweight: <18.5
normal: 18.5-24.9
overweight: 25-29.9
obese: >30
how should you take someone's height - (ANSWER)shoes off, shoulders back, heels and butt against
wall, look straight ahead
how to take someone's waist circumference - (ANSWER)measure around top of iliac crest, make sure
tape is parallel, measure when they expel
what is an abnormal weight circumference and what can that put someone at risk for -
(ANSWER)women: >35
men: >40
increase heart disease, stroke, type 2
what things influence temperature - (ANSWER)circadian rhythm, menstruation cycle, time of day (lower
in AM), exercise, age (lower as we age)
what is a normal and abnormal temp - (ANSWER)normal: 98.6 F or 37 C
