N224 Health Assessment Exam 1 Questions with Correct Answers
(Grade A+)
Question 1: Objective Data
Answer: - what you as the nurse can say for sure is happening/true
- examples: vital signs, description of a wound, lab values
Question 2: Subjective Data
Answer: - what the patients tell you
- pain, mood, symptoms
Question 3: Steps to assessment
Answer: 1. Inspection
2. Palpation
3. Percussion
4. Auscultation
Question 4: Inspection
Answer: - what do you see?
- concentrated looking, noninvasive
- compare one side to other
- ensure adequate lighting
Question 5: Palpation
Answer: - what do you fell
- using index and middle finger together to palpate
- temp of skin, edema, tenderness, masses, texture/turgor of skin
- skin turgor: tenting indicates dehydration
Question 6: Percussion
Answer: - provides clues about underlying organs including, location size, density and condition
- Resonant sound, tympanic sound, dull sound, flat sound
Question 7: Resonant Sound
Answer: normal in air-filled structures like the lungs
Page 1
, Question 8: Tympanic sound
Answer: high pitched drum like sound normal in the intestines
Question 9: Dull sound
Answer: normal in dense organs like the liver
Question 10: Flat sound
Answer: normal in solid structures like bone or muscle
Question 11: Auscultation
Answer: - what do you hear
- use diaphragm for high pitch sounds like normal breath, heat, and bowel sounds and hold firmly
- Use bell for soft low pitch sounds like extra heart sounds or murmurs
Question 12: Safety Techniques
Answer: - standard precautions with all patients
- wash hands before and after interaction with every patient and when hands become soiled
- clean stethoscope between each patient
- tip: its highly unlikely that the answer advises not sanitizing your hands
Question 13: Components of General survey
Answer: Physical appearance, body structure, mobility, behavior
Question 14: Physical Appearance
Answer: - age
- sex
- skin tone
- LOC
- overall appearance
Question 15: Body Structure
Answer: - weight appropriate to height
- BMI
- posture
- position
- right and left symmetrical
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(Grade A+)
Question 1: Objective Data
Answer: - what you as the nurse can say for sure is happening/true
- examples: vital signs, description of a wound, lab values
Question 2: Subjective Data
Answer: - what the patients tell you
- pain, mood, symptoms
Question 3: Steps to assessment
Answer: 1. Inspection
2. Palpation
3. Percussion
4. Auscultation
Question 4: Inspection
Answer: - what do you see?
- concentrated looking, noninvasive
- compare one side to other
- ensure adequate lighting
Question 5: Palpation
Answer: - what do you fell
- using index and middle finger together to palpate
- temp of skin, edema, tenderness, masses, texture/turgor of skin
- skin turgor: tenting indicates dehydration
Question 6: Percussion
Answer: - provides clues about underlying organs including, location size, density and condition
- Resonant sound, tympanic sound, dull sound, flat sound
Question 7: Resonant Sound
Answer: normal in air-filled structures like the lungs
Page 1
, Question 8: Tympanic sound
Answer: high pitched drum like sound normal in the intestines
Question 9: Dull sound
Answer: normal in dense organs like the liver
Question 10: Flat sound
Answer: normal in solid structures like bone or muscle
Question 11: Auscultation
Answer: - what do you hear
- use diaphragm for high pitch sounds like normal breath, heat, and bowel sounds and hold firmly
- Use bell for soft low pitch sounds like extra heart sounds or murmurs
Question 12: Safety Techniques
Answer: - standard precautions with all patients
- wash hands before and after interaction with every patient and when hands become soiled
- clean stethoscope between each patient
- tip: its highly unlikely that the answer advises not sanitizing your hands
Question 13: Components of General survey
Answer: Physical appearance, body structure, mobility, behavior
Question 14: Physical Appearance
Answer: - age
- sex
- skin tone
- LOC
- overall appearance
Question 15: Body Structure
Answer: - weight appropriate to height
- BMI
- posture
- position
- right and left symmetrical
Page 2
