WGU D028 AJM3 ADVANCED HEALTH
ASSESSMENTS COMPLETE STUDY GUIDE WITH
SOLVED QUESTIONS
◉ Obejective data.
Answer: Observed by the nurse (O)
◉ Assessment Techniques is as follows.
Answer: Inspect-Palpation-Percussion-Auscultation
◉ Order of Abdomen Assessment.
Answer: Inspect-Auscultation-Percuss-Palapate
◉ Inspection.
Answer: *always first*
1. Take time to observe with eyes ear nose
2.Use good lighting
3.Look at color shape symmetry position
4.Observe for odors from skin breath wound
5. Develop and use nursing instincts
,6.Inspection is done alone and in combination with other
assessment techniuqes
◉ Back of hand.
Answer: To assess skin temperature use
◉ Deep Palpation.
Answer: 5-8cm or (2-3") deep is considered
◉ Light Paplpation.
Answer: 1cm deep is considered
◉ Percussion.
Answer: sounds produced by striking body surface
sounds are dull resonant flat tympanic
action is performed in the wrist
◉ Ausculation.
Answer: listening to sounds produced by the body
◉ Bell.
Answer: picks up low pitched sounds such as heart murmurs
,◉ General Survey.
Answer: is an overall review or first impression a nurse has of
person's well being.
◉ Appearance.
Answer: appears to be reported age
sexual development appropriate
alert and oriented
facial features symmetric
no signs of acute distress
◉ Body Structure/mobilty.
Answer: weight and height WNL BMI guidelines
body parts equal bilaterally
stands erect
sits comfortably
gait is coordinated
walk is smooth and well balanced
full mobility of joints
◉ Behavior.
, Answer: maintains eye contact with appropriate expressions
comfortable and cooperative
speech clear
clothing is correct for climate
looks cleat and fit
appears clean and well groomed
◉ Comprehensive history.
Answer: which includes chief complaint or reason for the visit a
complete review of systems and complete past family and social
history should be obtained on the first encounter with a patient
regardless of setting and by a RN
◉ Family Health Hx.
Answer: Are completed across three generations looking specifically
for patterns in genetic issues that negatively impact quality of life
◉ Health Hx.
Answer: gives a picture of patient's current health and
documentation must be completed for each visit and or assessment
◉ How to measure height less than 2 years of age.
ASSESSMENTS COMPLETE STUDY GUIDE WITH
SOLVED QUESTIONS
◉ Obejective data.
Answer: Observed by the nurse (O)
◉ Assessment Techniques is as follows.
Answer: Inspect-Palpation-Percussion-Auscultation
◉ Order of Abdomen Assessment.
Answer: Inspect-Auscultation-Percuss-Palapate
◉ Inspection.
Answer: *always first*
1. Take time to observe with eyes ear nose
2.Use good lighting
3.Look at color shape symmetry position
4.Observe for odors from skin breath wound
5. Develop and use nursing instincts
,6.Inspection is done alone and in combination with other
assessment techniuqes
◉ Back of hand.
Answer: To assess skin temperature use
◉ Deep Palpation.
Answer: 5-8cm or (2-3") deep is considered
◉ Light Paplpation.
Answer: 1cm deep is considered
◉ Percussion.
Answer: sounds produced by striking body surface
sounds are dull resonant flat tympanic
action is performed in the wrist
◉ Ausculation.
Answer: listening to sounds produced by the body
◉ Bell.
Answer: picks up low pitched sounds such as heart murmurs
,◉ General Survey.
Answer: is an overall review or first impression a nurse has of
person's well being.
◉ Appearance.
Answer: appears to be reported age
sexual development appropriate
alert and oriented
facial features symmetric
no signs of acute distress
◉ Body Structure/mobilty.
Answer: weight and height WNL BMI guidelines
body parts equal bilaterally
stands erect
sits comfortably
gait is coordinated
walk is smooth and well balanced
full mobility of joints
◉ Behavior.
, Answer: maintains eye contact with appropriate expressions
comfortable and cooperative
speech clear
clothing is correct for climate
looks cleat and fit
appears clean and well groomed
◉ Comprehensive history.
Answer: which includes chief complaint or reason for the visit a
complete review of systems and complete past family and social
history should be obtained on the first encounter with a patient
regardless of setting and by a RN
◉ Family Health Hx.
Answer: Are completed across three generations looking specifically
for patterns in genetic issues that negatively impact quality of life
◉ Health Hx.
Answer: gives a picture of patient's current health and
documentation must be completed for each visit and or assessment
◉ How to measure height less than 2 years of age.
