ExamI2:INURS612/INURSI612I(LatestI
2024/I2025IUpdate)IAdvancedIHealthI
AssessmentIGuide|IQsI&IAs|I100%ICorrect|
IGradeIA-IMaryville
Q:IWhichIfindingIsuggestsIaIminorIstructuralIvariationIuponIexamination?
Answer:
PectusIcarinatum
Q:ISkinIlesionsIareItransilluminatedItoIdetermine:
Answer:
Fluid-filledIlesionsIfromIsolidIcystsIorImasses.
Q:ITheImostIcommonIcutaneousIneoplasmIis:
Answer:
BasalIcellIcarcinoma.
Q:IToIfindItheIinfectionIsiteIassociatedIwithIacuteIlymphangitis,ItheIexaminerIshouldIlook:
Answer:
Anterior
,Q:INormalIvsIabnormalIfindingsIofIchestIandIskinIincludingIinspection,Iauscultation,Ipalpati
on?
Answer:
Chest--
>IInspection:InoteIshapeIandIsymmetryIofIchestIanterior/posterior;INormal:IchestIsymmetrical;
IAPIdiameterIlessIthanIhalfItransverseIdiameterIratioI1:2;IBarrelIchestIandIpidgeonIchestIabno
rmalIfindings;IobserveIrespiration-rateIshouldIbeI12-
20IrespirationsIaIminuteI(ratioIofIrespirationsItoIheartbeatI1:4);
IlookIforIretractionsIandIaudibleIadventitiousIsounds.IPalpation--
>IpalpateIforIcrepitus,IthoracicIexpansion,IandItactileIfremitus-
decreasedIorIabsentIfremitusImayIbeIcausedIbyIexcessIairIinIlungsIseenIinIemphysema,Ipleura
lIthickening,Ieffusion,IorIbronchialIobstruction;IPercussion-
IresonanceIshouldIbeIheardIoverIallIareasIofIlungs;IhyperresonanceIisIfromIhyperinflationIandI
mayIindicateIemphysema,Ipneumo,IorIasthma.IDullnessImayIindicateIpneumoniaIorIpleuralIeff
usion;IAuscultation--
>InormalIbsIvesicularI(heardIoverImostIlungIfields),IbronchovesicularI(heardIoverIbronchusIar
eaIandIrightIupperIlungIfield),IandIbronchialI(heardIonlyIoverItrachea);IAdventitiousIareIwhee
zes,Icrackles,IpleuralIfrictionIrub,IandIrhochi.
Skin---
>IInspection:InoteIcolorI(abnormalIjaundice);IlookIforIskinIthickness,Irashes,Iecchymosis,Imol
es;IPalpation--
>Imoisture,Itemperature,Itexture,IandImobility.IMinimalIperspirationIshouldIbeIpresent;IskinIsh
ouldIbeIcoolItoIwarm;ItextureIshouldIbeIsmooth/even.IAssessIturgorIandIforIskinIlesions;
Q:IBronchialIbreathIsounds
Answer:
heardIoverItrachea;IhighIpitch;IloudIandIlongIexpirations;IsometimesIaIbitIlongerIthanIinspirati
on
Q:IVesicularIbreathIsounds
,Answer:
low-pitched,Ilow-intensityIsoundsIheardIoverIhealthyItissue
Q:IBronchovesicularIbreathIsounds
Answer:
typicallyImoderateIinIintensity;IheardIoverItheImajorIbronchi
Q:IWhereIisItheIdiaphragmaticIexcursion?
Answer:
PercussIalongIscapularIlineIuntilIyouIlocateItheIlowerIborder,ItheIpointImarkedIbyIaIchangeIin
InoteIfromIresonanceItoIdullness.IMarkItheIpointIatItheIscapularIlineIwithIaIpen.IAllowIpt.ItoI
breathe,IandIthenIrepeatIonIotherIside.ExcursionIdistanceIusuallyI3-5Icm
Q:IPectusIcarninatum
Answer:
PigeonIchest
Q:IClubbedIfingers
Answer:
enlargementIofIterminalIphalangesIofItheIfingers/toesIassociatedIwithIemphysema,IlungIca,Ithe
IcyanosisIofIcongenitalIheartIdisease,IandIcysticIfibrosis.
Q:IBarrelIchest
, Answer:
WhenItheIAPIdiameterIapproachesIorIequalsItheIlateralIdiameterI(aIratioIofI1.0IorIevenIgreate
r).IResultsIfromIcompromisedIrespirationIasIinIchronicIasthma,IcysticIfibrosis,IorIemphysema.
Q:IRetractions
Answer:
SeenIwhenItheIchestIwallIcavesIinIatItheIsternum,IbetweenItheIribs,IatItheIsuprasternalInotch,I
aboveItheIclavicles,IandIatItheIlowestIpointIinItheIrespiratoryItract.ISuggestiveIofIobstructionIt
oIinspirationIatIanyIpointIinItheIrespiratoryItract.
Q:IWhyIareIlesionsItransluminated?
Answer:
UsedItoIdetermineItheIpresenceIofIfluidIinIcystsIandImasses.
Q:IABCDEIofImelanoma
Answer:
Asymmetry-one-halfIofIaImoleIorIbirthmarkIdoesInotImatchItheIother.
Borders-edgesIareIirregular,Iragged,Inotched,IorIblurred.
Color-colorIisInotItheIsameIallIover
Diameter-IisI>6mmIorIisIgrowingIlarger
Evolution-
IchangesIinIexistingIpigmentedIlesions,IparticularlyIinInonuniform,IasymmetricImanner.
Q:IWhatItypesIofIrashesIhaveIgeneticItransfer?
