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Physical Assessment exam 1 Questions and Answers 2024 Latest Edition $7.49   Add to cart

Exam (elaborations)

Physical Assessment exam 1 Questions and Answers 2024 Latest Edition

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Physical Assessment exam 1 Questions and Answers 2024 Latest Edition

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  • October 22, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Physical Assessment
  • Physical Assessment
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LecEvey
Physical Assessment exam 1

What are the primary components of a health assessment? - ANSHistory: subjective data ( what patient
tells you)

Physical examination: objective data (what you can observe)

Documentation of data: Paper/ EHR



What are the 5 types of health assessment? - ANS1. Comprehensive assessment

2.Problem based / focused assessment

3. Episodic/ follow up

4. Shift assessment

5. Screening assessment/ examination



What is a comprehensive assessment consist of ? - ANSdetailed history and physical examination



What does a problem based assessment consist of ? - ANShistory and examination limited to a specific
problem of complaint



What does an episodic assessment consist of? - ANSusually done when a patient is following up with a
healthcare provider



What is a screening assessment ? - ANSa short examination focused on disease detection. usually
conducted in health fairs.



What are the 3 phases of an interview? - ANS- introduction: introduces self/ prepare patient for what to
expect/ purpose and process



- Discussion: keep patient centered

,- Summary : main points/ allow clarification/ relay gathered data/ provide closure



What are the components of health history that a nurse is looking for? - ANS- biographic data

-reason for seeking care

-history for present illness

-present health status

-personal & psychosocial history

-review of systems



What is considered the single most important action in reducing the transmition of an infection? -
ANShand hygiene



What is palpitation? - ANSinvolves the using of hands to feel texture, size, shape , consistency, pulsation
and location of certain parts of the patiens body



What is the difference between light and deep palpation? - ANS-light is used to asses skin and
tenderness - 1 cm in depth



-deep is used to determine size and contour of an organ - 4 cm



What is bimanual palpation? - ANSApplication of pressure to a structure with One hand Manipulating
the tissue while the Other hand Supporst the structures on the opposite side (ex. floor of mouth)



Why should light palpation precede deep palpation? - ANSA deep palpation could cause tenderness or
disrupt fluid which could interfere with the collection of data



What is percussion used for? - ANSTo evaluate size, borders and consistency of internal organs - Detect
tenderness - To detect air, fluid or solids in a tissue. Percussion produces a sound that indicates
characteristics of the underlying organ tissue. Deep tendon reflexes are elicited w/ a percussion hammer.



What is the difference between direct and indirect percussion? - ANS-Direct: uses one hand directly
against the patients body- used to evaluate sinus, or tenderness in kidney

, -Indirect: Requires both hands and is prepared by different methods depending on areas of the body
being assessed



What is auscultation? - ANSlistening to body sounds



What should occur first in an assessment auscultation or precautions? - ANSprecautions



What does having the patient in the sitting position allow the nurse to assess ? - ANSThe head, neck,
back, posterior thorax, lungs, anterior thorax, breast. vital signs, upper thorax



What is the supine position? - ANSlying on the back allows for access to pulse sites



What is the dorsal recumbent position? - ANSWhen patients are on their back with knees flexed and
soles of the feet flat on the bed.- used for abdominal assessment



What is the lithotomy position used for? - ANSexamination of the vagina, pelvic, & rectum but feet are
place in stirrups



What is the sims position used for? - ANSexamination of the vagina and rectum, to measure rectal
temperature, for flexible sigmoidoscopy, and enema



What is the prone position? - ANSlying face down



What is the lateral recumbent position used for? - ANSdetecting heart mumurs



What is the Knee-Chest Position used for? - ANSrectum



How does a stethoscope work? - ANSIt blocks out extraneous sounds, NOT a magnifier.



What are the parts of the stethoscope ? - ANSearpiece, binaurals, diaphram, bell, head

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