NUR312 Health Assessment Final Exam
Questions With Correct Answers
COLDSPA |- |CORRECT |ANSWER✔✔-C-character
O- |onset
L- |location
D-duration |
S- |severity |
P- |Pattern
A- |Associated |factors
ADPIE |- |CORRECT |ANSWER✔✔-• |Assessment: |1st |step, |subjective |and |objective |data
• |Diagnosis: |analysis, |formulation |of |nursing |diagnosis
• |Planning: |prioritizing |problems, |determining |goals, |plan |of |care
• |Implementation: |nursing |action |(rather |than |medical |action)
• |Evaluating: |comparing |outcomes, |communicate |and |document |findings
shift |report |- |CORRECT |ANSWER✔✔-information |about |patients |passed |from |outgoing |shift |to |
oncoming |shift
Flexion |- |CORRECT |ANSWER✔✔-bending |a |joint
extension |- |CORRECT |ANSWER✔✔-Straightening |of |a |joint
Abduction |- |CORRECT |ANSWER✔✔-Movement |away |from |the |midline |of |the |body
, Adduction |- |CORRECT |ANSWER✔✔-Movement |toward |the |midline |of |the |body
Circumduction |- |CORRECT |ANSWER✔✔-circular |movement |of |a |limb |at |the |far |end
Dorsiflexion |- |CORRECT |ANSWER✔✔-bending |of |the |foot |or |the |toes |upward
plantar |flexion |- |CORRECT |ANSWER✔✔-pointing |toes
Scoliosis |- |CORRECT |ANSWER✔✔-abnormal |lateral |curvature |of |the |spine |(S-shaped |curve)
kyphosis |- |CORRECT |ANSWER✔✔-hunchback
lordosis |- |CORRECT |ANSWER✔✔-abnormal |increase |in |the |forward |curvature |of |the |lumbar |
spine
Muscle |strength |scale |- |CORRECT |ANSWER✔✔-0 |No |detection |of |muscular |contraction
1 |A |barely |detectable |flicker |or |trace |of |contraction |with |observation |or |palpation
2 |Active |movement |of |body |part |with |elimination |of |gravity
3 |Active |movement |against |gravity |only |and |not |against |resistance
4 |Active |movement |against |gravity |and |some |resistance
5 |Active |movement |against |full |resistance |without |evident |fatigue |(normal |muscle |strength)
thorax |- |CORRECT |ANSWER✔✔-pleural |cavity, |chest
apex |- |CORRECT |ANSWER✔✔-the |top |of |the |lungs
Questions With Correct Answers
COLDSPA |- |CORRECT |ANSWER✔✔-C-character
O- |onset
L- |location
D-duration |
S- |severity |
P- |Pattern
A- |Associated |factors
ADPIE |- |CORRECT |ANSWER✔✔-• |Assessment: |1st |step, |subjective |and |objective |data
• |Diagnosis: |analysis, |formulation |of |nursing |diagnosis
• |Planning: |prioritizing |problems, |determining |goals, |plan |of |care
• |Implementation: |nursing |action |(rather |than |medical |action)
• |Evaluating: |comparing |outcomes, |communicate |and |document |findings
shift |report |- |CORRECT |ANSWER✔✔-information |about |patients |passed |from |outgoing |shift |to |
oncoming |shift
Flexion |- |CORRECT |ANSWER✔✔-bending |a |joint
extension |- |CORRECT |ANSWER✔✔-Straightening |of |a |joint
Abduction |- |CORRECT |ANSWER✔✔-Movement |away |from |the |midline |of |the |body
, Adduction |- |CORRECT |ANSWER✔✔-Movement |toward |the |midline |of |the |body
Circumduction |- |CORRECT |ANSWER✔✔-circular |movement |of |a |limb |at |the |far |end
Dorsiflexion |- |CORRECT |ANSWER✔✔-bending |of |the |foot |or |the |toes |upward
plantar |flexion |- |CORRECT |ANSWER✔✔-pointing |toes
Scoliosis |- |CORRECT |ANSWER✔✔-abnormal |lateral |curvature |of |the |spine |(S-shaped |curve)
kyphosis |- |CORRECT |ANSWER✔✔-hunchback
lordosis |- |CORRECT |ANSWER✔✔-abnormal |increase |in |the |forward |curvature |of |the |lumbar |
spine
Muscle |strength |scale |- |CORRECT |ANSWER✔✔-0 |No |detection |of |muscular |contraction
1 |A |barely |detectable |flicker |or |trace |of |contraction |with |observation |or |palpation
2 |Active |movement |of |body |part |with |elimination |of |gravity
3 |Active |movement |against |gravity |only |and |not |against |resistance
4 |Active |movement |against |gravity |and |some |resistance
5 |Active |movement |against |full |resistance |without |evident |fatigue |(normal |muscle |strength)
thorax |- |CORRECT |ANSWER✔✔-pleural |cavity, |chest
apex |- |CORRECT |ANSWER✔✔-the |top |of |the |lungs