NUR 2092 HEALTH ASSESSMENT EXAM 2 QUESTIONS WITH COMPLETE SOLUTIONS

NUR 2092 HEALTH ASSESSMENT EXAM
2 QUESTIONS WITH COMPLETE
SOLUTIONS.

If you are doing a cardiovascular assessment and you are hearing a
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mmbruit/swooshing sounds in the patients carotid artery, what does this mean? -
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mmANSWER: Narrow vessel (Most likely filled with plaque buildup)
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If you are doing a Snellen eye exam from 20 feet away what are you testing? -
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mmANSWER: Farsided eye sight mm mm mm




What are 4 things that the skin does? - ANSWER: Prevention of penetration,
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temperature regulation, absorbs Vitamin D and wound repair (repairs itself)
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What cannot the skin do? - ANSWER: Prevent the loss of fluids
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When you are doing a lung assessment you should listen from what direction to
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what direction? - ANSWER: Right to left
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What is the Jaeger card used for? - ANSWER: Testing nearsided eye sight
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If a mole on a patients skin has abnormal pigmentation and is itchy, at what size
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mmdoes the mole become suspicious? - ANSWER: 6 mm
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What are you listening for when listening to bowel sounds? - ANSWER: Gurgling
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If you do not hear any sounds after 1 minute of listening to bowel sounds, what
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mmdo you do? - ANSWER: Listen for 4 more minutes for a total of 5 minutes.
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What is a hypoactive bowel sound? - ANSWER: A distant bowel sound (Likely
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constipation. Only hearing gurgles every 1-2 minutes)
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What is an indication if a patient has yellow skin? - ANSWER: Jaundice. A liver
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problem
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If you are palpating lymph nodes in front of the ear, what lymph nodes are you
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mmpalpating? - ANSWER: Preoricular
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, If you are doing an abdominal assessment and you only heat a few gurgles every
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mm1-2 minutes, what should you suspect is going on with the patient? - ANSWER:
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mmConstipation

What should you always ask a patient when doing an abdominal assessment? -
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ANSWER: When was your last bm (No bm in 3 days indicates constipation)
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What is cyanoisis? - ANSWER: No oxygen exchange
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Which of the following patients would take highest priority: Jaundice yellow skin,
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Pale skin and vomiting or Cyanotic? - ANSWER: Cyanotic (Patient is not getting
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proper amounts of oxygen exchange)
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What are some good assessment questions to ask someone that may be having
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an allergic reaction? - ANSWER: Have you been using any new soaps, lotions,
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detergent, etc.
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When assessing radial pulses, what is it important to do? - ANSWER: Assess one
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side to the other (Should feel both sides at same time to compare)
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What sounds will you hear while doing a lung assessment on a patient with an
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upper airway obstruction? - ANSWER: Stridor. This is an upper airway
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emergency!
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When resulting a TB skin test what would you be looking and feeling for if it was
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irregular? - ANSWER: Red, raised bump/wheal. Greater than 5mm is positive,
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pink patches
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What sounds will you hear while doing a lung assessment on a patient with a
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lower airway obstruction? - ANSWER: Wheezes
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How long should the skin take to turn back to pink when assessing capillary refill?
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- ANSWER: Less than 3 seconds (2 seconds or less)
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If capillary refill takes more than 2 seconds to turn from pink to white, what is this
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mmcalled? - ANSWER: Sluggish or slow
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If capillary refill takes less than 2 seconds to turn from white to pink, what is this
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mmcalled? - ANSWER: Brisk mm mm mm




If doing an assessment you notice that the patient tonsils are touching their uvula,
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mmis this an abnormal or normal finding? - ANSWER: Abnormal (Tonsillitis)
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What should you do if you are testing a patients hearing acuity and gross hearing
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ability? - ANSWER: Have patient shut their eyes to hear better and so that they
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