Acute Care Assessment questions with accurate
answers
Adventitious Breath Sounds: Ans✓✓✓ -Clear
-Wheezes (musical, snoring/moaning sounds)
-Crackles (short popping, bubbling, or moist sounds)
-Absent (none)
-Diminished (quiet)
Cataract Ans✓✓✓ opacity of the normal clear lens which may develop
as a result of aging, metabolic disorders, trauma, or heredity
Consensual reaction to light: Ans✓✓✓ when you shine light on the left
eye, the right pupil also constricts
Cyanosis Ans✓✓✓ blue in color (check for this on nose, nail beds, and
lips)
-indicates lack of O2
DAR Ans✓✓✓ D: Data
(your findings, objective, subjective, assessments, results,
measurements, observation, etc.)
A: Action
, (What you did for the patient, intervention, how you fixed a problem,
actions, teaching)
R: Response
(Outcome, results, what happened becasue of your intervention)
Direct reaction to light: Ans✓✓✓ when you shine light on the left eye,
the left pupil constricts
During a Cardiovascular Assessment, the nurse should auscultate over
which 5 areas? Ans✓✓✓ 1. Aortic area
2. Pulmonic area
3. Erb's Point
4. Tricuspid area
5. Mitral area
During a GI assessment, should you palpate or auscultate first?
Ans✓✓✓ Auscultate (because palpation may enhance bowel sounds)
*use a systematic pattern to cover all areas*
During the cardiovascular assessment, be sure to palpate/pinch the pts
________________, release, and count the # of seconds for pink color to
return Ans✓✓✓ fingernail
answers
Adventitious Breath Sounds: Ans✓✓✓ -Clear
-Wheezes (musical, snoring/moaning sounds)
-Crackles (short popping, bubbling, or moist sounds)
-Absent (none)
-Diminished (quiet)
Cataract Ans✓✓✓ opacity of the normal clear lens which may develop
as a result of aging, metabolic disorders, trauma, or heredity
Consensual reaction to light: Ans✓✓✓ when you shine light on the left
eye, the right pupil also constricts
Cyanosis Ans✓✓✓ blue in color (check for this on nose, nail beds, and
lips)
-indicates lack of O2
DAR Ans✓✓✓ D: Data
(your findings, objective, subjective, assessments, results,
measurements, observation, etc.)
A: Action
, (What you did for the patient, intervention, how you fixed a problem,
actions, teaching)
R: Response
(Outcome, results, what happened becasue of your intervention)
Direct reaction to light: Ans✓✓✓ when you shine light on the left eye,
the left pupil constricts
During a Cardiovascular Assessment, the nurse should auscultate over
which 5 areas? Ans✓✓✓ 1. Aortic area
2. Pulmonic area
3. Erb's Point
4. Tricuspid area
5. Mitral area
During a GI assessment, should you palpate or auscultate first?
Ans✓✓✓ Auscultate (because palpation may enhance bowel sounds)
*use a systematic pattern to cover all areas*
During the cardiovascular assessment, be sure to palpate/pinch the pts
________________, release, and count the # of seconds for pink color to
return Ans✓✓✓ fingernail
