NUR 310 Health Assessment Final
Questions with Latest Update
The ability to recognize a number or letter drawn on the palm with a blunt instrument is -
Answer-graphesthesia
Parathesia is defined as - Answer-abnormal sensation
Bimanual palpation during the breast exam is - Answer-recommended for examination
of large breasts
Presbyopia refers to - Answer-far-sightedness
Inspection of the oral cavity reveals white, curdlike patches widely distributed over the
oral mucosa. This most likely represents - Answer-candida albicans
Health screening activities that are directed as detecting possible health problems are
classified as - Answer-secondary prevention
A ventilatory pattern in which periods of apnea alternate with hyperventilation is -
Answer-Cheyne-stokes
The nurse is assessing a client who is coughing up greenish-yellow mucus. Based on
the clinical manifestation the nurse would conclude that the client is experience which
respiratory condition? - Answer-Lung infection
During inspection of the abdomen the nurse notes silver, thin, shiny stretch marks. The
nurse would document this findings as which of the following? - Answer-Straie
When assessing a skin lesion, what characteristics are important to assess? Select all
that apply - Answer-Appearance Borders Color Diameter Evolution
To hear low pitched filling sounds of the heart, the examiner should place the client in: -
Answer-left lateral recumbant position and listen with the bell of the stethoscope
what the patient tells you, history, chief complaint, review of systems - Answer-
subjective data
what you see, physical examination, laboratory reports, radiologic findings - Answer-
objective data
OLD CART includes - Answer-onset
location
duration
focuses on improving overall wellness and protecting from disease or disability -
Answer-primary prevention
focuses on early detection and treatment of disease when unable or has few
complications or disabilities - Answer-secondary prevention
focuses on decreasing effects of disease or disability by preventing complications or
loss when defect is permanent - Answer-tertiary prevention
responsive and able to open eyes; answer questions spontaneously and appropriately -
Answer-alert
able to open eyes; drowsy and falls asleep readily - Answer-lethargic
responds to light shaking confused and slow to answer - Answer-obtunded
requires painful stimuli to achieve a brief response may have no verbal response -
Answer-stupors
no response to repeated painful stimuli; abnormal posturing - Answer-comatose
Acute disturbed state of mind that occurs in fever, intoxication, and other disorders and
is characterized by restlessness, illusions, and incoherence of thought and speech -
Answer-delirium
Chronic or persistent disorder of the mental processes caused by brain disease or injury
and marked by memory disorders, personality changes, and impaired reasoning -
Answer-Dementia
what does the abbreviation CAGE stand for - Answer-cut down
annoyed
guilty eye
opener
what is important of typical intake - Answer-times of consumption
patterns of consumption
volume of consumption
what do you assess upon physical examination - Answer-anthropometric
biochemical
clinical
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