NUR 2092 Health Assessment Exam 2
- If you are doing a cardiovascular assessment and you are hearing a bruit/swooshing sounds
in the patients carotid artery, what does this mean?-
Answer Narrow vessel (Most likely filled with plaque buildup)
- If you are doing a Snellen eye exam from 20 feet away what are you testing?-
Answer Farsided eye sight
- What are 4 things that the skin does?
Answer Prevention of penetration, temperature regulation, absorbs Vitamin D and wound repair (repairs itself)
- What cannot the skin do?
Answer Prevent the loss of fluids
- When you are doing a lung assessment you should listen from what direc- tion to what
direction?
Answer Right to left
- What is the Jaeger card used for?
Answer Testing nearsided eye sight 1 / 3
- If a mole on a patients skin has abnormal pigmentation and is itchy, at what size does the
mole become suspicious?
Answer
- mm
- What are you listening for when listening to bowel sounds?
Answer Gurgling
- If you do not hear any sounds after 1 minute of listening to bowel sounds, what do you do?
Answer Listen for 4 more minutes for a total of 5 minutes.
- What is a hypoactive bowel sound?
Answer A distant bowel sound (Likely constipa- tion. Only hearing gurgles every 1-2 minutes)
- What is an indication if a patient has yellow skin?
Answer Jaundice. A liver problem
- If you are palpating lymph nodes in front of the ear, what lymph nodes are you palpating?
Answer Preoricular
- If you are doing an abdominal assessment and you only heat a few gurgles every 1-2
minutes, what should you suspect is going on with the patient?
Answer
- Constipation
- What should you always ask a patient when doing an abdominal assess- ment?
Answer 2 / 3
When was your last bm (No bm in 3 days indicates constipation)
- What is cyanoisis?
Answer No oxygen exchange
- Which of the following patients would take highest priority
Answer Jaundice yellow skin, Pale skin and vomiting or Cyanotic?
Cyanotic (Patient is not getting proper amounts of oxygen exchange)
- What are some good assessment questions to ask someone that may be having an allergic
reaction?
Answer Have you been using any new soaps, lotions, detergent, etc.
- When assessing radial pulses, what is it important to do?
Answer Assess one side to the other (Should feel both sides at same time to compare)
- What sounds will you hear while doing a lung assessment on a patient with an upper airway
obstruction?
Answer Stridor. This is an upper airway emergency!
- When resulting a TB skin test what would you be looking and feeling for if it was
irregular?
Answer Red, raised bump/wheal. Greater than 5mm is positive, pink patches
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