NURS 252: Midterm Final Examination
and Answers Graded A+
What type of situations would affect how much health history data you collect? - Answer 1.
Emergency (anything that requires immediate intervention)
2. Pt is having uncontrolled symptoms (Pain)
3. Pt characteristics (Timing, Emotional state)
Why do we use anatomical position? - Answer -It's universal
-Facilitates accurate comparisons
What is the #1 routine practice precaution? - Answer HAND HYGIENE
T or F: A pt's chief concern is a medical diagnosis? - Answer False. Its the signs and symptoms
their having but not a medical diagnosis.
What is palpation used for? - Answer To identify tactical, vibratory and temperature
Any lumps/ masses
When using finger tips, you are palpating for? - Answer Texture
Swelling
Lumps (characteristics)
When using the dorsal of the hand, you are palpating for? - Answer Temperature
When using the ulnar edge of your palm, you are palpating for? - Answer Vibration
Light Palpation (1cm) is used for? - Answer Used to do a general assessment
Two fingers usually- dependent on surface area
Intermittent as opposed to continuous
What is percussion? - Answer Sounds produced from within the body as a result of tapping
on the body surfaces
,What are the 5 different percussion notes? - Answer Resonance, Hyperresonance, Tympany,
Dull, Flat
What are the qualities of resonance sounds + example - Answer louder, low, hollow, long
sound → Lungs!
What are the qualities of Hyperresonance sounds + example - Answer loudest, lowest,
booming, longer lasting sound → When there is *more air in lungs* (emphysema)
What are the qualities of Tympany sounds + example - Answer loud, high pitched, drum-like,
longest lasting sound → air filled intestines in abdomen
What are the qualities of dull sounds + example - Answer soft, high pitched, thud, short
sound → solid organs (liver, spleen)
What are the qualities of flat sounds + example - Answer very soft, high pitched, instant stop,
very short sound → super dense tissue (muscles)
If you are percussing over a solid mass, what kind of noise would it emit? - Answer Soft,
soprano (high) short =SSS
dull or flat sounds
4 characteristics of percussion? - Answer -Amplitude: how loud
-Pitch: high/ low
-Quality: description (Ex. booming, hollow, drum-like, muffled thud)
-Duration: how long
What are the 2 methods of percussion? - Answer Direct: Striking hand hits the body wall
directly.
Indirect: Involves both hands. The striking hand contacts the stationary hand.
When should the diaphragm of the stethoscope be used? - Answer Best for hearing high
pitched sounds: breath, bowel and normal heart sounds.
When should the bell of the stethoscope be used? - Answer The bell has a deep, hollow
shape which is best for:
, Soft, low pitched sounds such as extra heart sounds or murmurs
What are anthropometric measurements? - Answer height, weight, BMI
Height is measured standing (if pt > 2 yrs)
Can use wing span to estimate if unable to stand
Weight (done at same time each day)
What is considered a normal BMI - Answer 18.5 - 24.9
What is an overweight BMI - Answer 25.0 - 29.9
What does pulse reflect? - Answer stroke volume
What are we assessing for in a pulse? - Answer rate, rhythm, amplitude, and elasticity
60-100
What are we assessing for in respirations? - Answer rate, rhythm, depth, quality and any use
of accessory muscles
12-20
What can cause false BP readings? - Answer A BP cuff that is too large will give falsely low
readings.
An overly small cuff will provide readings that are falsely high.
Define modulation of pain - Answer how much pain is perceived at a certain time
Ex. when you're laughing, you're distracted = pain is still there
Somatic pain? - Answer Originates from skin, muscles, bones and joints.
Cutaneous pain? - Answer Derives from the dermis, epidermis.
Visceral pain? - Answer Originates from the organs and often described as crampy.
and Answers Graded A+
What type of situations would affect how much health history data you collect? - Answer 1.
Emergency (anything that requires immediate intervention)
2. Pt is having uncontrolled symptoms (Pain)
3. Pt characteristics (Timing, Emotional state)
Why do we use anatomical position? - Answer -It's universal
-Facilitates accurate comparisons
What is the #1 routine practice precaution? - Answer HAND HYGIENE
T or F: A pt's chief concern is a medical diagnosis? - Answer False. Its the signs and symptoms
their having but not a medical diagnosis.
What is palpation used for? - Answer To identify tactical, vibratory and temperature
Any lumps/ masses
When using finger tips, you are palpating for? - Answer Texture
Swelling
Lumps (characteristics)
When using the dorsal of the hand, you are palpating for? - Answer Temperature
When using the ulnar edge of your palm, you are palpating for? - Answer Vibration
Light Palpation (1cm) is used for? - Answer Used to do a general assessment
Two fingers usually- dependent on surface area
Intermittent as opposed to continuous
What is percussion? - Answer Sounds produced from within the body as a result of tapping
on the body surfaces
,What are the 5 different percussion notes? - Answer Resonance, Hyperresonance, Tympany,
Dull, Flat
What are the qualities of resonance sounds + example - Answer louder, low, hollow, long
sound → Lungs!
What are the qualities of Hyperresonance sounds + example - Answer loudest, lowest,
booming, longer lasting sound → When there is *more air in lungs* (emphysema)
What are the qualities of Tympany sounds + example - Answer loud, high pitched, drum-like,
longest lasting sound → air filled intestines in abdomen
What are the qualities of dull sounds + example - Answer soft, high pitched, thud, short
sound → solid organs (liver, spleen)
What are the qualities of flat sounds + example - Answer very soft, high pitched, instant stop,
very short sound → super dense tissue (muscles)
If you are percussing over a solid mass, what kind of noise would it emit? - Answer Soft,
soprano (high) short =SSS
dull or flat sounds
4 characteristics of percussion? - Answer -Amplitude: how loud
-Pitch: high/ low
-Quality: description (Ex. booming, hollow, drum-like, muffled thud)
-Duration: how long
What are the 2 methods of percussion? - Answer Direct: Striking hand hits the body wall
directly.
Indirect: Involves both hands. The striking hand contacts the stationary hand.
When should the diaphragm of the stethoscope be used? - Answer Best for hearing high
pitched sounds: breath, bowel and normal heart sounds.
When should the bell of the stethoscope be used? - Answer The bell has a deep, hollow
shape which is best for:
, Soft, low pitched sounds such as extra heart sounds or murmurs
What are anthropometric measurements? - Answer height, weight, BMI
Height is measured standing (if pt > 2 yrs)
Can use wing span to estimate if unable to stand
Weight (done at same time each day)
What is considered a normal BMI - Answer 18.5 - 24.9
What is an overweight BMI - Answer 25.0 - 29.9
What does pulse reflect? - Answer stroke volume
What are we assessing for in a pulse? - Answer rate, rhythm, amplitude, and elasticity
60-100
What are we assessing for in respirations? - Answer rate, rhythm, depth, quality and any use
of accessory muscles
12-20
What can cause false BP readings? - Answer A BP cuff that is too large will give falsely low
readings.
An overly small cuff will provide readings that are falsely high.
Define modulation of pain - Answer how much pain is perceived at a certain time
Ex. when you're laughing, you're distracted = pain is still there
Somatic pain? - Answer Originates from skin, muscles, bones and joints.
Cutaneous pain? - Answer Derives from the dermis, epidermis.
Visceral pain? - Answer Originates from the organs and often described as crampy.
