NSG 200- Exam 2 || with Errorless Answers.
Assessment techniques correct answers Inspection
Palpation
Percussion
Ascultation
Palmar Palpation correct answers Position, texture, size, consistency, masses, fluid, crepitus
Ulnar Palpation correct answers Vibration
Dorsal Palpation correct answers Temperature
Light Palpation correct answers 1 cm depth
Assessment of skin, pulsations and tenderness
precedes deep palpation
Deep Palpation correct answers 4 cm depth
one or two hands
determination of organ size and contour
Percussion correct answers Evaluate size, borders, and consistency of internal organs
Detect tenderness
Determine the extent of fluid in a body cavity
Percuss 2-3x per location
Stronger percussion may be necessary in more muscular or obese patients
,Direct percussion technique?
Percussion of sinus?
Percussion of kidney? correct answers -strike finger or hand directly against patient's body
-evaluate adult sinus by directly tapping finger on sinus
-elicit tenderness over kidney by striking CVA (costovertebral angle) directly with fist
Indirect percussion correct answers requires both hands
5 percussion tones correct answers Tympany, resonance, hyperresonance, dullness, flatness
Tympany
Location?
Intensity, Pitch? correct answers Abdomen
Loud, High
Resonance
Location?
Pitch and intensity? correct answers Normal lung tissue
Low, Loud
Hyperresonant
When do you hear it?
Intensity, pitch? correct answers Overinflated lungs, such as in emphysema
Very loud, Very low
Dullness
,Location?
Intensity, Pitch? correct answers Viscera and liver borders
Medium, Medium High
Flatness
Location?
Intensity, Pitch? correct answers Bone and Muscles
Soft, High
Auscultation is used when correct answers Used when evaluating conditions of heart, blood
vessels, lungs and intestines
*Blocks extraneous sounds
Auscultation characteristics correct answers 1. Intensity-loudness on a scale
2. Pitch-high or low (Frequency/number of sound waves)
3. Duration-where in cycle does sound appear (sound vibrations, short, medium, long)
4. Quality-description of sound (hollow, dull, crackle)
Diaphragm of stethoscope correct answers high pitched sounds such as breath sounds, bowel
sounds and normal heart/lung sounds
Bell of stethoscope correct answers soft, low-pitched sounds such as extra heart sounds or
vascular sounds (unexpected-murmurs,bruit)
-should be pressed lightly on skin
Pulse oximetry correct answers estimates arterial oxygen saturation in blood -value < 90%
(book/clinical setting)/95%(class/lecture) considered abnormal
, LED probe emits light waves that reflect off oxygenated and deoxygenated Hgb molecules
-sensor taped to ear, finger or face
-In infants foot, palm of hand or thumb can be used
Inspection correct answers visual examination of body including movement, posture, odors, gait
Dorsal recumbent position correct answers abdominal assessment, head and neck, anterior thorax
and lungs, breast, axilla, heart
lateral recumbent correct answers assessing heart
prone position correct answers assess extension of the hip joint
supine correct answers easy access to pulse sites
lithotomy correct answers female genitalia and urinary tract
Sims position correct answers rectum and vagina
Three types of thermometers correct answers 1. electronic
2. tympanic- widely varying results- sensor beam must point at TM
3. temporal- high level of accuracy
Rosenbaum chart correct answers Chart used for near vision testing and consists of series of
numbers, Es, Xs and Os
E chart correct answers A tool used to test visual acuity, especially useful for patients who cannot
read or speak english
Assessment techniques correct answers Inspection
Palpation
Percussion
Ascultation
Palmar Palpation correct answers Position, texture, size, consistency, masses, fluid, crepitus
Ulnar Palpation correct answers Vibration
Dorsal Palpation correct answers Temperature
Light Palpation correct answers 1 cm depth
Assessment of skin, pulsations and tenderness
precedes deep palpation
Deep Palpation correct answers 4 cm depth
one or two hands
determination of organ size and contour
Percussion correct answers Evaluate size, borders, and consistency of internal organs
Detect tenderness
Determine the extent of fluid in a body cavity
Percuss 2-3x per location
Stronger percussion may be necessary in more muscular or obese patients
,Direct percussion technique?
Percussion of sinus?
Percussion of kidney? correct answers -strike finger or hand directly against patient's body
-evaluate adult sinus by directly tapping finger on sinus
-elicit tenderness over kidney by striking CVA (costovertebral angle) directly with fist
Indirect percussion correct answers requires both hands
5 percussion tones correct answers Tympany, resonance, hyperresonance, dullness, flatness
Tympany
Location?
Intensity, Pitch? correct answers Abdomen
Loud, High
Resonance
Location?
Pitch and intensity? correct answers Normal lung tissue
Low, Loud
Hyperresonant
When do you hear it?
Intensity, pitch? correct answers Overinflated lungs, such as in emphysema
Very loud, Very low
Dullness
,Location?
Intensity, Pitch? correct answers Viscera and liver borders
Medium, Medium High
Flatness
Location?
Intensity, Pitch? correct answers Bone and Muscles
Soft, High
Auscultation is used when correct answers Used when evaluating conditions of heart, blood
vessels, lungs and intestines
*Blocks extraneous sounds
Auscultation characteristics correct answers 1. Intensity-loudness on a scale
2. Pitch-high or low (Frequency/number of sound waves)
3. Duration-where in cycle does sound appear (sound vibrations, short, medium, long)
4. Quality-description of sound (hollow, dull, crackle)
Diaphragm of stethoscope correct answers high pitched sounds such as breath sounds, bowel
sounds and normal heart/lung sounds
Bell of stethoscope correct answers soft, low-pitched sounds such as extra heart sounds or
vascular sounds (unexpected-murmurs,bruit)
-should be pressed lightly on skin
Pulse oximetry correct answers estimates arterial oxygen saturation in blood -value < 90%
(book/clinical setting)/95%(class/lecture) considered abnormal
, LED probe emits light waves that reflect off oxygenated and deoxygenated Hgb molecules
-sensor taped to ear, finger or face
-In infants foot, palm of hand or thumb can be used
Inspection correct answers visual examination of body including movement, posture, odors, gait
Dorsal recumbent position correct answers abdominal assessment, head and neck, anterior thorax
and lungs, breast, axilla, heart
lateral recumbent correct answers assessing heart
prone position correct answers assess extension of the hip joint
supine correct answers easy access to pulse sites
lithotomy correct answers female genitalia and urinary tract
Sims position correct answers rectum and vagina
Three types of thermometers correct answers 1. electronic
2. tympanic- widely varying results- sensor beam must point at TM
3. temporal- high level of accuracy
Rosenbaum chart correct answers Chart used for near vision testing and consists of series of
numbers, Es, Xs and Os
E chart correct answers A tool used to test visual acuity, especially useful for patients who cannot
read or speak english
