NUR 431 EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
Collecting 4 types of patient data - Answer-Complete (total health) database- Complete
health history and full physical
Focused or problem-centered database- Concerns one problem/part of the body
Follow-up database- status of the problem. The problem should be evaluated at regular
and appropriate intervals
Is the prob getting worse or better?
Emergency database-Urgent rapid collection of crucial information
Diagnostic reasoning - Answer-the process of analyzing health data and drawing a
conclusion to identify a diagnosis.
environment - Answer-Privacy (private room, closed curtain)
Know when to talk to adolescents vs to their parents
Do assessments with nudity last
Only give the patient a gown right before the physical examination
Sit at equal length with no distraction
Room at a comfortable temperature
Sufficient lighting
Quiet
4-5 feet between client
Blockers for Communication - Answer--not being attentive
-no fiddling
-look professional
-be impartial
-a nod to express interest/ understanding
-limit reaction to patients answers
-sit facing patient at eye level
-patient should be able to trust the provider
-be judgement/bias-free
Functional Assessment - Answer-measures a person's self-care ability in the areas of
general physical health
Assessment Techniques: Inspection - Answer--Concentrated watching, close scrutiny of
each person and each body system.
-Always comes first, right when you meet the person.
, -Requires good lighting, adequate exposure, occasional use of certain instruments to
enlarge your view (otoscope, ophthalmoscope, penlight, nasal or vaginal specula)
-Compare left and right sides of body
Assessment Techniques: Palpation - Answer--Sense of touch to feel texture,
temperature, moisture, organ location and size, and swelling
-Fingertips: best for texture, swelling, pulsation, presence of lumps
-Grasping of fingers/thumbs: for position, shape, consistency
-Backs/Dorsa of hands: best for temperature
-The base of fingers: best for vibration
Assessment Techniques: percussion - Answer--Tapping the person's skin with short,
sharp strokes to assess underlying structures.
-Maps out the location and size of an organ
-Signaling the density of a structure by a characteristic note
-Detecting an abnormal, superficial mass (2+ inches deep)
-Elicit a deep tendon reflex
Assessment techniques Auscultation - Answer--Listen to sounds by the body, like
heart/blood vessels, lungs/abdomen
-Body sounds soft and channeled through a stethoscope
Areas of General Survey (4) - Answer-physical appearance, body structure, mobility,
behavior
Why, when and how do we do a general survey - Answer--General survey studies the
whole person, covering the general health state and any obvious physical
characteristics.
-Begin the general survey once you meet the patient.
-It is an introduction for the physical exam
-Collect data about the patient's physical appearance, body structure, mobility, behavior.
Normal temperature - Answer-Oral temperature range: (96.4 - 99.1 ℉). Rectal
temperature should be 0.7-1 ℉ higher than oral
normal pulse - Answer-60 to 100 beats per minute
Force of the pulse can be rated as 3+ (full bounding), 2+ (normal), 1+ (weak), 0 (absent)
normal respirations - Answer-Adult rate is 10-20 breaths/minute
normal blood Pressure - Answer-Average BP is 120/80
normal pulse Oxygen - Answer-> 95%
Temperature (Oral, Rectal, Tympanic, Temporal) - Answer--Oral: in the sublingual
pocket
COMPLETE SOLUTIONS
Collecting 4 types of patient data - Answer-Complete (total health) database- Complete
health history and full physical
Focused or problem-centered database- Concerns one problem/part of the body
Follow-up database- status of the problem. The problem should be evaluated at regular
and appropriate intervals
Is the prob getting worse or better?
Emergency database-Urgent rapid collection of crucial information
Diagnostic reasoning - Answer-the process of analyzing health data and drawing a
conclusion to identify a diagnosis.
environment - Answer-Privacy (private room, closed curtain)
Know when to talk to adolescents vs to their parents
Do assessments with nudity last
Only give the patient a gown right before the physical examination
Sit at equal length with no distraction
Room at a comfortable temperature
Sufficient lighting
Quiet
4-5 feet between client
Blockers for Communication - Answer--not being attentive
-no fiddling
-look professional
-be impartial
-a nod to express interest/ understanding
-limit reaction to patients answers
-sit facing patient at eye level
-patient should be able to trust the provider
-be judgement/bias-free
Functional Assessment - Answer-measures a person's self-care ability in the areas of
general physical health
Assessment Techniques: Inspection - Answer--Concentrated watching, close scrutiny of
each person and each body system.
-Always comes first, right when you meet the person.
, -Requires good lighting, adequate exposure, occasional use of certain instruments to
enlarge your view (otoscope, ophthalmoscope, penlight, nasal or vaginal specula)
-Compare left and right sides of body
Assessment Techniques: Palpation - Answer--Sense of touch to feel texture,
temperature, moisture, organ location and size, and swelling
-Fingertips: best for texture, swelling, pulsation, presence of lumps
-Grasping of fingers/thumbs: for position, shape, consistency
-Backs/Dorsa of hands: best for temperature
-The base of fingers: best for vibration
Assessment Techniques: percussion - Answer--Tapping the person's skin with short,
sharp strokes to assess underlying structures.
-Maps out the location and size of an organ
-Signaling the density of a structure by a characteristic note
-Detecting an abnormal, superficial mass (2+ inches deep)
-Elicit a deep tendon reflex
Assessment techniques Auscultation - Answer--Listen to sounds by the body, like
heart/blood vessels, lungs/abdomen
-Body sounds soft and channeled through a stethoscope
Areas of General Survey (4) - Answer-physical appearance, body structure, mobility,
behavior
Why, when and how do we do a general survey - Answer--General survey studies the
whole person, covering the general health state and any obvious physical
characteristics.
-Begin the general survey once you meet the patient.
-It is an introduction for the physical exam
-Collect data about the patient's physical appearance, body structure, mobility, behavior.
Normal temperature - Answer-Oral temperature range: (96.4 - 99.1 ℉). Rectal
temperature should be 0.7-1 ℉ higher than oral
normal pulse - Answer-60 to 100 beats per minute
Force of the pulse can be rated as 3+ (full bounding), 2+ (normal), 1+ (weak), 0 (absent)
normal respirations - Answer-Adult rate is 10-20 breaths/minute
normal blood Pressure - Answer-Average BP is 120/80
normal pulse Oxygen - Answer-> 95%
Temperature (Oral, Rectal, Tympanic, Temporal) - Answer--Oral: in the sublingual
