NUR 120 EXAM 4 QUESTIONS AND ANSWERS | LATEST NUR 120
STUDY GUIDE & PRACTICE TEST 2026/2027
full physical exam - ANS ✔✔Typically done by an MD, NP, or PA. a full evaluation on every system in the
body
head to toe assessment - ANS ✔✔done by the nurse at the bedside, an assessment that looks at the
basic information of a patients body
focused assessment - ANS ✔✔assessment conducted to assess a specific problem; focuses on pertinent
history and body regions
concepts of a head to toe assessment that are addressed simultaneously - ANS ✔✔1. general survey
2. safety
3. psychosocial
4. tissue integrity
what are the components of a general survey? - ANS ✔✔IV access
tubing
use of O2
activity
appearance
orientation
level of consciousness
what are the components of safety? - ANS ✔✔restraints
mobility
sensory deficits
wristbands
environment
tubing
anything out of the ordinary?
what are the components of psychosocial? - ANS ✔✔mood and affect
stress/coping
pain
support system
religious beliefs
what are the components of tissue integrity? - ANS ✔✔intactness of skin
sores
braden scale
incisions
bruises
dressings
, what do we focus on when assessing the head? - ANS ✔✔cognition - level of consciousness
A+O
speech
what do we focus on when assessing intracranial regulation? - ANS ✔✔neuro status
changes in sensation
PERRLA
what do we focus on when assessing tissue perfusion? - ANS ✔✔assess carotid pulse
vital signs
color of mucous membranes
color
apical pulse
is S1-S2 present?
edema (pitting?)
pedal pulse
push/pull on feet: is it equal on both sides?
what do we focus on when assessing fluids and electrolyte balance? - ANS ✔✔are mouth/eyes moist?
what do we focus on when assessing nutrition? - ANS ✔✔state of dentition - dentures?
pain/discomfort when eating?
N/V?
what percentage of meal was eaten?
what is their appetite like?
BMI?
nutritional deficits?
Lab data:
albumin
NA
K
Mg
H+H
what do we focus on when assessing sensory perception and sensation? - ANS ✔✔any hearing or visual
deficits?
what do we focus on when assessing upper extremities? - ANS ✔✔capillary refill (<3 sec)
BP
Pulses (whether you can feel them or not)
what do we focus on when assessing mobility? - ANS ✔✔ROM
restrictions
strength (equal?)
assistive devices
ambulatory?
level of activity
STUDY GUIDE & PRACTICE TEST 2026/2027
full physical exam - ANS ✔✔Typically done by an MD, NP, or PA. a full evaluation on every system in the
body
head to toe assessment - ANS ✔✔done by the nurse at the bedside, an assessment that looks at the
basic information of a patients body
focused assessment - ANS ✔✔assessment conducted to assess a specific problem; focuses on pertinent
history and body regions
concepts of a head to toe assessment that are addressed simultaneously - ANS ✔✔1. general survey
2. safety
3. psychosocial
4. tissue integrity
what are the components of a general survey? - ANS ✔✔IV access
tubing
use of O2
activity
appearance
orientation
level of consciousness
what are the components of safety? - ANS ✔✔restraints
mobility
sensory deficits
wristbands
environment
tubing
anything out of the ordinary?
what are the components of psychosocial? - ANS ✔✔mood and affect
stress/coping
pain
support system
religious beliefs
what are the components of tissue integrity? - ANS ✔✔intactness of skin
sores
braden scale
incisions
bruises
dressings
, what do we focus on when assessing the head? - ANS ✔✔cognition - level of consciousness
A+O
speech
what do we focus on when assessing intracranial regulation? - ANS ✔✔neuro status
changes in sensation
PERRLA
what do we focus on when assessing tissue perfusion? - ANS ✔✔assess carotid pulse
vital signs
color of mucous membranes
color
apical pulse
is S1-S2 present?
edema (pitting?)
pedal pulse
push/pull on feet: is it equal on both sides?
what do we focus on when assessing fluids and electrolyte balance? - ANS ✔✔are mouth/eyes moist?
what do we focus on when assessing nutrition? - ANS ✔✔state of dentition - dentures?
pain/discomfort when eating?
N/V?
what percentage of meal was eaten?
what is their appetite like?
BMI?
nutritional deficits?
Lab data:
albumin
NA
K
Mg
H+H
what do we focus on when assessing sensory perception and sensation? - ANS ✔✔any hearing or visual
deficits?
what do we focus on when assessing upper extremities? - ANS ✔✔capillary refill (<3 sec)
BP
Pulses (whether you can feel them or not)
what do we focus on when assessing mobility? - ANS ✔✔ROM
restrictions
strength (equal?)
assistive devices
ambulatory?
level of activity
