NUR 2092 Health Assessment | LATEST Final Exam Review
(Questions and verified Answers)
If a mole on a patients skin has abnormal pigmentation and is itchy, at what size does
the mole become suspicious? - 6 mm
What are you listening for when listening to bowel sounds? - Gurgling
If you do not hear any sounds after 1 minute of listening to bowel sounds, what do you
do? - Listen for 4 more minutes for a total of 5 minutes.
What is a hypoactive bowel sound? - A distant bowel sound (Likely constipation. Only
hearing gurgles every 1-2 minutes)
What is an indication if a patient has yellow skin? - Jaundice. A liver problem
If you are palpating lymph nodes in front of the ear, what lymph nodes are you
palpating? - Preoricular
If you are doing an abdominal assessment and you only heat a few gurgles every 1-2
minutes, what should you suspect is going on with the patient? - Constipation
What should you always ask a patient when doing an abdominal assessment? - When
was your last bm (No bm in 3 days indicates constipation)
What is cyanoisis? - No oxygen exchange
Which of the following patients would take highest priority: Jaundice yellow skin, Pale
skin and vomiting or Cyanotic? - Cyanotic (Patient is not getting proper amounts of
oxygen exchange)
What are some good assessment questions to ask someone that may be having an
allergic reaction? - Have you been using any new soaps, lotions, detergent, etc.
When assessing radial pulses, what is it important to do? - Assess one side to the other
(Should feel both sides at same time to compare)
If you are doing a cardiovascular assessment and you are hearing a bruit/swooshing
sounds in the patients carotid artery, what does this mean? - Narrow vessel (Most likely
filled with plaque buildup)
, If you are doing a Snellen eye exam from 20 feet away what are you testing? - Farsided
eye sight
What are 4 things that the skin does? - Prevention of penetration, temperature
regulation, absorbs Vitamin D and wound repair (repairs itself)
What cannot the skin do? - Prevent the loss of fluids
When you are doing a lung assessment you should listen from what direction to what
direction? - Right to left
What is the Jaeger card used for? - Testing nearsided eye sight
What sounds will you hear while doing a lung assessment on a patient with an upper
airway obstruction? - Stridor. This is an upper airway emergency!
When resulting a TB skin test what would you be looking and feeling for if it was
irregular? - Red, raised bump/wheal. Greater than 5mm is positive, pink patches
What sounds will you hear while doing a lung assessment on a patient with a lower
airway obstruction? - Wheezes
How long should the skin take to turn back to pink when assessing capillary refill? -
Less than 3 seconds (2 seconds or less)
If capillary refill takes more than 2 seconds to turn from pink to white, what is this
called? - Sluggish or slow
If capillary refill takes less than 2 seconds to turn from white to pink, what is this called?
- Brisk
If doing an assessment you notice that the patient tonsils are touching their uvula, is this
an abnormal or normal finding? - Abnormal (Tonsillitis)
What should you do if you are testing a patients hearing acuity and gross hearing
ability? - Have patient shut their eyes to hear better and so that they cannot see your
hands. Rub your fingers next to their ear to assess. The patient must verbalize that they
hear the sound of your fingers rubbing together.
What order do you assess bowel sounds? - Look, listen, then feel/palpate
Why must you listen to bowel sounds before palpating? - Always listen before touching
because when you palpate, you can move things around in the abdomen and get a
false assessment if listening right after.
Which heart sound is the loudest? - S1
(Questions and verified Answers)
If a mole on a patients skin has abnormal pigmentation and is itchy, at what size does
the mole become suspicious? - 6 mm
What are you listening for when listening to bowel sounds? - Gurgling
If you do not hear any sounds after 1 minute of listening to bowel sounds, what do you
do? - Listen for 4 more minutes for a total of 5 minutes.
What is a hypoactive bowel sound? - A distant bowel sound (Likely constipation. Only
hearing gurgles every 1-2 minutes)
What is an indication if a patient has yellow skin? - Jaundice. A liver problem
If you are palpating lymph nodes in front of the ear, what lymph nodes are you
palpating? - Preoricular
If you are doing an abdominal assessment and you only heat a few gurgles every 1-2
minutes, what should you suspect is going on with the patient? - Constipation
What should you always ask a patient when doing an abdominal assessment? - When
was your last bm (No bm in 3 days indicates constipation)
What is cyanoisis? - No oxygen exchange
Which of the following patients would take highest priority: Jaundice yellow skin, Pale
skin and vomiting or Cyanotic? - Cyanotic (Patient is not getting proper amounts of
oxygen exchange)
What are some good assessment questions to ask someone that may be having an
allergic reaction? - Have you been using any new soaps, lotions, detergent, etc.
When assessing radial pulses, what is it important to do? - Assess one side to the other
(Should feel both sides at same time to compare)
If you are doing a cardiovascular assessment and you are hearing a bruit/swooshing
sounds in the patients carotid artery, what does this mean? - Narrow vessel (Most likely
filled with plaque buildup)
, If you are doing a Snellen eye exam from 20 feet away what are you testing? - Farsided
eye sight
What are 4 things that the skin does? - Prevention of penetration, temperature
regulation, absorbs Vitamin D and wound repair (repairs itself)
What cannot the skin do? - Prevent the loss of fluids
When you are doing a lung assessment you should listen from what direction to what
direction? - Right to left
What is the Jaeger card used for? - Testing nearsided eye sight
What sounds will you hear while doing a lung assessment on a patient with an upper
airway obstruction? - Stridor. This is an upper airway emergency!
When resulting a TB skin test what would you be looking and feeling for if it was
irregular? - Red, raised bump/wheal. Greater than 5mm is positive, pink patches
What sounds will you hear while doing a lung assessment on a patient with a lower
airway obstruction? - Wheezes
How long should the skin take to turn back to pink when assessing capillary refill? -
Less than 3 seconds (2 seconds or less)
If capillary refill takes more than 2 seconds to turn from pink to white, what is this
called? - Sluggish or slow
If capillary refill takes less than 2 seconds to turn from white to pink, what is this called?
- Brisk
If doing an assessment you notice that the patient tonsils are touching their uvula, is this
an abnormal or normal finding? - Abnormal (Tonsillitis)
What should you do if you are testing a patients hearing acuity and gross hearing
ability? - Have patient shut their eyes to hear better and so that they cannot see your
hands. Rub your fingers next to their ear to assess. The patient must verbalize that they
hear the sound of your fingers rubbing together.
What order do you assess bowel sounds? - Look, listen, then feel/palpate
Why must you listen to bowel sounds before palpating? - Always listen before touching
because when you palpate, you can move things around in the abdomen and get a
false assessment if listening right after.
Which heart sound is the loudest? - S1
