©BRIGHTSTARS EXAM SOLUTIONS
11/14/2024 12:19 PM
RNSG 1413 Exam 1 Questions With Verified
Answers
Physical assessment - answer✔vital signs, skin color and condition, consciousness, motor and
sensory nerve function, nutrition, sleep, elimination
Social assessment - answer✔family and support, occupation, mood and emotional tone, health
beliefs, and religion or spiritual views
Comprehensive assessment - answer✔An assessment that includes a complete health history
and physical assessment, only done on admission
Ongoing assessment - answer✔once per shift so you can identify changes in patient's condition
Focused assessment - answer✔evaluate specific problem
Emergency assessment - answer✔Life-threatening situations-ABC, suicidal thoughts, social
conflict leading to violent acts
Purpose of the health assessment - answer✔obtain baseline info about health status,
comparison to previous data, evaluate outcomes of nursing care, identify and confirm nursing
diagnosis
Health History - answer✔chief concern or reason for seeking healthcare
demographic information
history of present health concern
family history
psychosocial and lifestyle history
spiritual health
review of systems (ROS)
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, ©BRIGHTSTARS EXAM SOLUTIONS
11/14/2024 12:19 PM
History of present health concern - answer✔medical history, meds, allergies, effect of illness on
lifestyle or activities of daily living
Psychosocial and lifestyle history - answer✔support network, coping mechanisms, smoking,
drinking, nutrition, sleep habits, exercise, mental health
Techniques of physical exam - answer✔inspection, auscultation, percussion, palpation
What equipment is needed for a physical exam? - answer✔stethoscope, pen light, tongue blade
Characteristics to be assessed during palpation of the skin - answer✔temperature, moisture,
texture, tenderness, masses, and edema
Characteristics to be assessed during inspection of the skin - answer✔color (pallor, cyanosis,
jaundice, erythema)
turgor, lesions, surgical or IV sites
Characteristics of common skin disruptions - answer✔general description: color, size, location
Shape: linear, oval, round, target, annular
Distribution: local, generalized, scattered, at pressure points
Examination of the head - answer✔Inspect:
Head: location, shape, size, skin characteristics, hair distribution
Facial structures: size, symmetry, movement, skin characteristics, facial expressions
External eye exam - answer✔inspect:
symmetry or ptosis?
drainage
sclera
Ask: do you wear glasses or contacts?
PERRLA
Visual acuity - answer✔the ability to see fine detail
Peripheral vision - answer✔ability to see objects as they come into the outer edges of the visual
field
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, ©BRIGHTSTARS EXAM SOLUTIONS
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PERRLA - answer✔pupils equal, round, reactive to light and accommodation
Ear Exam - answer✔inspect: symmetry, size, shape, position (level with corner of eye), lesions,
drainage, hearing deficits
Ask: hearing aids?
Mouth and pharynx exam - answer✔inspect using tongue blade and penlight
lips: symmetry and color
oral mucosa: color and lesions
teeth and gums: caries, dentures, missing teeth, bleeding gums
tongue: white or red patches, swelling
tonsils: present, enlarged, drainage
Inspection of thorax and lungs - answer✔-Shape and configuration of chest wall
-Spinous processes
-Anteroposterior diameter should be LESS THAN transverse diameter
-Neck muscles and trapezius
-Position person takes to breath
-Trouble breathing while talking
-Symmetric Expansion
-Facial expression
-Level of consciousness
-Respiratory rate, depth, pattern
-Nasal flaring
-Pursed lip breathing
percussion of the thorax resulting in dullness is - answer✔masses, fluid, solid organs
percussion of the thorax resulting in resonance is - answer✔air filled space, hollow organs
percussion of the thorax resulting in tympany is - answer✔heard over area with great deal of air
or fluid
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