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NUR 104 Module I health assessment and physical examination questions with correct answers.
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NUR 104 Module I health assessmentand physical examination questions with
correct answers
purpose of physical examinaton - ANSWER -gather baseline information about a patient's health status,
supplement/confirm/refute information learned during the history taking, identify or confirm nursing
diagnoses, make clinical judgements about a patient's current or changing health status and ability to
manage it, evaluate the outcomes of care
cultural sensitivity - ANSWER -culture influences a patient's behavior, consider health benefits, use of
alternative therapies, nutritional habits, relationships with family and person comfort zone, avoid
stereotyping and gender bias
skills of physical assessment - ANSWER -inspection, palpation, percussion, auscultation, olfaction
organization of the examination - ANSWER -assessment of each body system, note subjective behavior,
systematic and organized, head-to-toe approach
assess the skin - ANSWER -nursing history, color, moisture, temperature, texture, turgor or pallor,
vascularity, edema, lesions
condition of nails reflects - ANSWER -general health, state of nutrition, occupation, level of self care
assess the mouth and pharynx - ANSWER -lips, mouth, gums (color, hydration, lesions), teeth
assess the ears - ANSWER -auricles: texture, tenderness, swelling, lesions, color, pain, cerumen
assess the head - ANSWER -inspect position, size, shape, contour, facial symmetry, palpate skull (size,
shape, contour)
, nursing history of the thorax and lungs - ANSWER -persistent cough, productive or non productive,
shortness of breath, orthopnea, dyspnea, tobacco use
assess the heart - ANSWER -inspection and palpation, patient must be relaxed and comfortable, PMI
(point of maximal impulse), S1 and S2 heart sounds, capillary refill time
level of consciousness - ANSWER -awake, alert, drowsy, lethargic, comatose
orientation - ANSWER -person: know their name
place: knows where they are
time: knows date or season
orientation: x3
what does a comprehensive physical examination involve? - ANSWER -inspection, palpation, percussion,
auscultation, and olfaction
inspection - ANSWER -the use of vision to distinguish normal from abnormal findings
what should you inspect each area for during a physical examination? - ANSWER -size, shape, color,
symmetry, position, and abnormalities
palpation - ANSWER -involves the use of hands to touch body parts and make sensitive assessments
what changes during a physical examination when examining the abdomen? - ANSWER -you auscultate
before you palpate unlike everything else
what do you palpate the skin for? - ANSWER -temperature, moisture, texture, turgor, tenderness, and
thickness
what do you palpate the abdomen for? - ANSWER -tenderness, distention, or masses
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