Health Assessment and Physical Exam with Verified Answers Graded A+
1. List the five nursing purposes for performing a physical assessment. (5): a.
Gather baseline data about the patient's health status
b. Support or refute subjective data obtained in the nursing history
c. Confirm and identify nursing diagnoses
d. Make clinical judgments about a patient's changing health status and manage-
ment
e. Evaluate the outcomes of care
2. List the principles related to the nurse performing daily physical examina-
tions. (4): a. A head-to-toe assessment is required daily
b. Reassessment is performed when the patient's condition changes as it improves
or worsens
c. The environment, equipment, and patient are properly prepared
d. Safety for confused patients should be a priority
3. Proper preparation for examination should include: (5): a. Infection control
b. Environment
c. Equipment
d. Physical preparation of the patient
e. Psychological preparation of the patient
4. List seven variations in the nurse's individual style that are appropriate
when examining children. (7): a. Gather all or part of the histories of infants and
children from parents
b. Perform the examination in a nonthreatening are and provide time for play
c. Offer support to the parents during the examination and do not pass judgment
d. Call children by their first names and address their parents as Mr. and Mrs.
e. Use open-ended questions to allow parents to share more information
f. Treat adolescents as adults
g. Provide confidentiality for adolescents; speak alone with them
5. List seven variations in the nurse's individual style that are appropriate wen
examining older adults. (7): a. Do not stereotype about aging patients's level of
cognition
b. Be sensitive to sensory or physical limitations (more time)
c. Adequate space is needed
d. use patience, allow for pauses, and observe for details
e. Certain types of information may be stressful to give
f. Perform the examination near bathroom facilities
g. Be alert for signs of increasing fatigue
6. Identify the principles to follow to keep an examination well organized. (7): a.
Compare both sides for symmetry
b. If a patient is ill, first assess the systems of the body part most at risk
, Health Assessment and Physical Exam with Verified Answers Graded A+
c. Offer rest periods if the patient becomes fatigued
d. Perform painful procedures near the end of the examination
e. Record assessments in specific terms in the record
f. Use common and accepted medical terms and abbreviations
g. Record quick notes during the examination to avoid delays
7. Define inspection.: Looking, listening, and smelling to distinguish normal from
abnormal findings
8. Identify the guidelines to achieve the best results during inspection. (6): a.
Adequate lighting is available
b. Use direct light source
c. Inspect each area for size, shape, color, symmetry, position, and abnormality
d. Position and expose body parts as needed, maintaining privacy
e. Check for side-to-side symmetry
f. Validate findings with the patient
9. Define palpation: Using the hands to touch body parts.
10. Light palpation: Pressing inward 1 cm (surperficial)
11. Deep palpation: Depressing the area 4 cm to assess the conditions of organs.
12. Define auscultation: Listening to the internal sounds the body makes.
13. Auscultating sounds: Frequency: Frequency indicates the number of sound
wave cycles generated per second by a vibrating object
14. Auscultating sounds: Amplitude: Loudness, soft to loud
15. Auscultating sounds: Quality: Sounds of similar frequency and loudness
16. Auscultating sounds: Duration: Length of time that sound vibrations last
17. List at least 12 specific observations of the patient's general appearance
and behavior that should be reviewed. (12): a. Gender and race
b. Age
c. Signs of distress
d. Body type
e. Posture
f. Gait
g. Body movements
h. Hygiene and grooming
i. Dress
j. Body odor
k. Affect and mood
l. Speech
18. Identify some signs of patient abuse.: Physical injury or neglect are signs of
possible abuse (evidence of malnutrition or presence of bruising). Also watch for
fear of the spouse or partner, caregiver, or parent.
1. List the five nursing purposes for performing a physical assessment. (5): a.
Gather baseline data about the patient's health status
b. Support or refute subjective data obtained in the nursing history
c. Confirm and identify nursing diagnoses
d. Make clinical judgments about a patient's changing health status and manage-
ment
e. Evaluate the outcomes of care
2. List the principles related to the nurse performing daily physical examina-
tions. (4): a. A head-to-toe assessment is required daily
b. Reassessment is performed when the patient's condition changes as it improves
or worsens
c. The environment, equipment, and patient are properly prepared
d. Safety for confused patients should be a priority
3. Proper preparation for examination should include: (5): a. Infection control
b. Environment
c. Equipment
d. Physical preparation of the patient
e. Psychological preparation of the patient
4. List seven variations in the nurse's individual style that are appropriate
when examining children. (7): a. Gather all or part of the histories of infants and
children from parents
b. Perform the examination in a nonthreatening are and provide time for play
c. Offer support to the parents during the examination and do not pass judgment
d. Call children by their first names and address their parents as Mr. and Mrs.
e. Use open-ended questions to allow parents to share more information
f. Treat adolescents as adults
g. Provide confidentiality for adolescents; speak alone with them
5. List seven variations in the nurse's individual style that are appropriate wen
examining older adults. (7): a. Do not stereotype about aging patients's level of
cognition
b. Be sensitive to sensory or physical limitations (more time)
c. Adequate space is needed
d. use patience, allow for pauses, and observe for details
e. Certain types of information may be stressful to give
f. Perform the examination near bathroom facilities
g. Be alert for signs of increasing fatigue
6. Identify the principles to follow to keep an examination well organized. (7): a.
Compare both sides for symmetry
b. If a patient is ill, first assess the systems of the body part most at risk
, Health Assessment and Physical Exam with Verified Answers Graded A+
c. Offer rest periods if the patient becomes fatigued
d. Perform painful procedures near the end of the examination
e. Record assessments in specific terms in the record
f. Use common and accepted medical terms and abbreviations
g. Record quick notes during the examination to avoid delays
7. Define inspection.: Looking, listening, and smelling to distinguish normal from
abnormal findings
8. Identify the guidelines to achieve the best results during inspection. (6): a.
Adequate lighting is available
b. Use direct light source
c. Inspect each area for size, shape, color, symmetry, position, and abnormality
d. Position and expose body parts as needed, maintaining privacy
e. Check for side-to-side symmetry
f. Validate findings with the patient
9. Define palpation: Using the hands to touch body parts.
10. Light palpation: Pressing inward 1 cm (surperficial)
11. Deep palpation: Depressing the area 4 cm to assess the conditions of organs.
12. Define auscultation: Listening to the internal sounds the body makes.
13. Auscultating sounds: Frequency: Frequency indicates the number of sound
wave cycles generated per second by a vibrating object
14. Auscultating sounds: Amplitude: Loudness, soft to loud
15. Auscultating sounds: Quality: Sounds of similar frequency and loudness
16. Auscultating sounds: Duration: Length of time that sound vibrations last
17. List at least 12 specific observations of the patient's general appearance
and behavior that should be reviewed. (12): a. Gender and race
b. Age
c. Signs of distress
d. Body type
e. Posture
f. Gait
g. Body movements
h. Hygiene and grooming
i. Dress
j. Body odor
k. Affect and mood
l. Speech
18. Identify some signs of patient abuse.: Physical injury or neglect are signs of
possible abuse (evidence of malnutrition or presence of bruising). Also watch for
fear of the spouse or partner, caregiver, or parent.
