NURS 2092 Health Assessment Exam 2 Study Guide
Technical Equipment and Uses:
Stethoscope
1. Parts of the Stethoscope
a. Bell - for low pitch sounds
b. Diaphragm - is used for high pitch sounds
2. What is Bronchophony?
a. Ask the PT to say 99 while you listen with a stethoscope. If abnormal it will sound more
distinct through the stethoscope then normal.
3. What is egophony?
a. Ask PT to pronounce 'ee-ee-ee--ee" sound. If the noise changes, it is abnormal.
Health Assessment:
Skills; inspection, palpation, percussion, auscultation
1. Assessing Abdominal Tenderness
a. 1st inspect, 2nd auscultate, 3rd percuss, 4th palpate
b. What step do you do first in physical exam of the abdominal?
i. Auscultate before percussing or palpating the abdominal
2. Skills in order
a. Inspection, Palpation, Percussion, Auscultation
i. Palpation uses the sense of touch to assess the patient for these factors.
ii. Inspection involves vision
iii. Percussion assesses through the use of palpable vibrations and audible sounds
iv. Auscultation uses the sense of hearing
b. Which of these techniques uses the sense of touch to assess texture, temperature,
moisture, and swelling when the nurse is assessing a patient?
Palpation
c. Where do you palpate the pulses?
temporal
external Carotids
Brachial
Radial
Ulnar
Aortic
Femoral
Popliteal
Dorsalis pedis
Posterior tibial
d. How many steps and names to the steps of Auscultating HEART SOUNDS?
i. Acronym is APETM
1. Aortic - 2nd intercostal space, right of sternal border
2. Pulmonic - 2nd intercostal space left sternal border
New Section 1 Page
Technical Equipment and Uses:
Stethoscope
1. Parts of the Stethoscope
a. Bell - for low pitch sounds
b. Diaphragm - is used for high pitch sounds
2. What is Bronchophony?
a. Ask the PT to say 99 while you listen with a stethoscope. If abnormal it will sound more
distinct through the stethoscope then normal.
3. What is egophony?
a. Ask PT to pronounce 'ee-ee-ee--ee" sound. If the noise changes, it is abnormal.
Health Assessment:
Skills; inspection, palpation, percussion, auscultation
1. Assessing Abdominal Tenderness
a. 1st inspect, 2nd auscultate, 3rd percuss, 4th palpate
b. What step do you do first in physical exam of the abdominal?
i. Auscultate before percussing or palpating the abdominal
2. Skills in order
a. Inspection, Palpation, Percussion, Auscultation
i. Palpation uses the sense of touch to assess the patient for these factors.
ii. Inspection involves vision
iii. Percussion assesses through the use of palpable vibrations and audible sounds
iv. Auscultation uses the sense of hearing
b. Which of these techniques uses the sense of touch to assess texture, temperature,
moisture, and swelling when the nurse is assessing a patient?
Palpation
c. Where do you palpate the pulses?
temporal
external Carotids
Brachial
Radial
Ulnar
Aortic
Femoral
Popliteal
Dorsalis pedis
Posterior tibial
d. How many steps and names to the steps of Auscultating HEART SOUNDS?
i. Acronym is APETM
1. Aortic - 2nd intercostal space, right of sternal border
2. Pulmonic - 2nd intercostal space left sternal border
New Section 1 Page
