NUR 2092 Final Exam Health Assessment

NUR 2092 Final Exam Health Assessment

• Whats the first thing you do when you assess a patient the 4

steps: Inspect

• Can’t feel a pulse on the radial what do u

do? Use a Doppler

• If u have a pt that is anxious about the exam what do u

do? Be calm

• Pt with drainage what do u

do? Wear gloves

• To assess a mur mur what part of the stethoscope do u

use? The bell

• Bp stages 120/130 prehypertensions
• What kind of pt do u do rectal

temp, babies and coma pt

• Which ethinicty has high

bp African americans

• Arm span fingertip to fingertip

measure? Their height

• What does the dermis

contain? Sensory receptors

• What cells makes the hairs

grey? Melanocytes

• Ppl who take oral diabetic meds need to

avoid? Direct sunlight

• How do u check inflammation on a dark

person? Edema and warmth

• Pt that has a red rash with a bull’s eye

called? Lyme disease

• Pt who have cirrhosis what would their finger nails look

like? Pinning/thinning

• Pt with acromegaly? Have very course facial features
• If you have a pt with a trachea shift? It will shift away from the tumor
• In pregnancy, a large thyroid gland is normal

• The pupils dilate bc of stimulations of the sympathic branch
• What happens if they can’t see the snellen chart? Move them closer
• Pt vision is 20/80? They can’t see, bad vision
• When ur examining lacrimal apparatus, you should not have drainage
• eustachian tube with air pressure? Equalizes eustachian
• pt has dry flaky stuff in the ear canal? Normal finding
• when pt have otistis externis they can have enlarge cervical nodes
• which gland is located in front of the ear? Paratoid gland
• pt nasal mucous is pale grey and swollen? Allergies
• when u palpate the sinus areas the pt should feel firm pressure
• primary muscles of respiration/ diaprham, intercostal
• how can u listen to the lungs? Side to side
• when u use a Doppler how does it sounds, whooshing sound
• what the disorder hands turn red white and blue ?reynond

• what do bowel sounds means? Stuff is moving around
• who has the highest rate for lactose intolerance? African americans
• assessing a pt headache pain what questions?

What makes it better, how often, qrst, where is it, 1-10 how bad, what makes it better, how often do u get them

• pt is getting older, can’t smell like they use to y? age, allergies, smoking
• Alzheimer, they are going to have difficulty performing easy task, misplace items,

rapid mood swings, getting lost in your own neighborhood,

• how do u pull the ear on an adult, up and back?
• testing pt hearing, what are some of the ways to assess, whisper test, tuning fork
• pt cannot tell between sharp and dull what nerve is that, trigeminal
• cranial nerve 11 accessories, muscles sternomastoid, and trapezius
• what are the 4 most common for lymph nodes to be check? Neck, head, inguinal, arm,

axial

• on the elderly people, they will have more noticeable facial bumps
• headaches, that are more in the front part of the head, relieved by laying down, are

called migraines

• receiver of communications, what are things that can make u misinterpret things, stress,

distraction, grief

• what are things you can miss while taking note taking? Nonverbal communications
• interview process, if u ask the pt I need to ask u questions about ur health?

Opening stage/process

• anytime u are asking question, tell me more about that? Open ended
• u have pt abused by their husband, they say I just can’t seem to leave him, how do u

respond? Sounds as though u are afraid of how ur husband will respond

• u have a pt that was told to quit smoking, and they ask how am I supposed to quit? Would

u lik some information on how to do it.

• Y do u think interview with elderly take so long? Longer story to tell u
• When ur at the end of the interview, always ask the pt is their anything else u would like to

know

• What are some of the most common kid illnesses, cold, chicken pox, ear infections, mumps
• What does the review assistance provide the nurse with? Physical findings of each pt
• The diaphragm is for high pitch sounds
• If u are going to assess a pt abdomen, bc so much is exposed offer blankets bc the room Is

cold

• How often do u wash hands? before and after every pt encounter
• When should u weight a pt? the same time each day