UAMS CON Exam 1 UPDATED ACTUAL
Questions and CORRECT Answers
When should you practice hand hygiene ? - CORRECT ANSWER - -when visibly soiled
or if exposed to C-diff
- Before and after physical contact with the patient
-if moving from contaminated body site to clean body site during patient care
- after contact with secretions and blood
-after contact with inanimate objects
-after removing gloves
-before and after entering the patient's room and procedures
When to preform physical assessment? - CORRECT ANSWER - -on admission
-on an ongoing basis
-when accepting responsibility for a patient
-when patient's status changes
-when evaluating effectiveness of therapy/nursing interventions
What are objective and subjective signs - CORRECT ANSWER - objective is what you
see and subjective is what the patient tells you
Skills for examination IPPA - CORRECT ANSWER - Inspection
palpation
percussion
auscultation
How is IPPA different for the abdomen and why? - CORRECT ANSWER - IAPP
Inspection, auscultation, percussion, palpation. Because if you palpate before auscultating you'll
move things and hear unnecessary things.
,What does inspection begin with? - CORRECT ANSWER - general survey
What is the general condition of the body with reference to soundness and vigor (good health)? -
CORRECT ANSWER - Health
What is a plan of care that identifies the specific needs of a person and how those needs will be
addressed by the healthcare system or skilled nursing facility? - CORRECT ANSWER -
Health Assessment Plan
Explain the components of a History Health Assessment. - CORRECT ANSWER - 1.
Provides subjective data about health status.
2. Provides demographic information.
3. Provides source of history.
4. Provides Chief Concern.
5. Provides history of of present illness.
6. Provides past health care history and current health status
7. Provides family history
8. Provides Psychosocial history
9. Provides health promotion behaviors
Explain the components of a Physical Health Assessment. - CORRECT ANSWER - 1. An
extensive review of systems (H2T)
2. IPALPERA
What is different in IPALPERA for the abdomen and why? - CORRECT ANSWER -
Order is IAPERPAL
Because you don't want to palpate before auscultate and shake things up and listen.
,What comes always comes first in physical Assessment? ( PER, A, I, PAL?) - CORRECT
ANSWER - Inspection always comes first.
What is concentrated watching that begins at the first interaction, continues throughout the
examinations, and uses the senses of vision, smell, and hearing to observe and detect any
expected or unexpected findings? - CORRECT ANSWER - Inspection
ALSO:
Validate findings with client.
Compare sides.
What is use of touch to determine the size, consistency, texture, temperature, location, and
tenderness of the skin, underlying tissues, an organ, or a body part? - CORRECT
ANSWER - Palpation
What should you palpate last? - CORRECT ANSWER - Tender areas
For most body surfaces, what type of palpation should you use? - CORRECT ANSWER -
Light palpations.
Less than 1 cm or 0.4in
To evaluate abdominal organs or masses, what type of palpation should you use? - CORRECT
ANSWER - Deep palpations.
4cm or 1.6in
What part of the hand is most sensitive to temperature? - CORRECT ANSWER - Dorsal
Surface
What part of the hands is most sensitive to vibration? - CORRECT ANSWER - Palmar
surface and base of fingers
, What part of the hands is sensitive to pulsation, position, texture, tumor, size, and consistency? -
CORRECT ANSWER - Fingertips
What part of the hands is useful for grasping an organ or mass? - CORRECT ANSWER -
Fingers and thumb
What involves tapping body parts with fingers, fists, or small instruments to vibrate underlying
tissues and evaluate size, location, tenderness, and presence or abnormalities? - CORRECT
ANSWER - Percussion
ALSO: The denser the tissue, the quieter the sound.
What kind of percussion is striking the body to elicit sounds? - CORRECT ANSWER -
Direct Percussion
What kind of percussion is placing your hand flatly on the body as a striking surface for sound
production? - CORRECT ANSWER - Indirect Percussion
What kind of percussion helps identify tenderness over the kidneys, liver, gallbladder? -
CORRECT ANSWER - Fist Percussion
What is the process of listening to sounds the body produces to identify unexpected findings? -
CORRECT ANSWER - Auscultation
What does the diaphragm listen for? - CORRECT ANSWER - High pitched, breath,
bowel, normal heart sounds.
ALSO: held firmly, leave a slight ring.
What does the bell listen for? - CORRECT ANSWER - Soft low pitched sounds, extra
heart sounds, murmurs.
ALSO: held lightly just make a seal on skin
Questions and CORRECT Answers
When should you practice hand hygiene ? - CORRECT ANSWER - -when visibly soiled
or if exposed to C-diff
- Before and after physical contact with the patient
-if moving from contaminated body site to clean body site during patient care
- after contact with secretions and blood
-after contact with inanimate objects
-after removing gloves
-before and after entering the patient's room and procedures
When to preform physical assessment? - CORRECT ANSWER - -on admission
-on an ongoing basis
-when accepting responsibility for a patient
-when patient's status changes
-when evaluating effectiveness of therapy/nursing interventions
What are objective and subjective signs - CORRECT ANSWER - objective is what you
see and subjective is what the patient tells you
Skills for examination IPPA - CORRECT ANSWER - Inspection
palpation
percussion
auscultation
How is IPPA different for the abdomen and why? - CORRECT ANSWER - IAPP
Inspection, auscultation, percussion, palpation. Because if you palpate before auscultating you'll
move things and hear unnecessary things.
,What does inspection begin with? - CORRECT ANSWER - general survey
What is the general condition of the body with reference to soundness and vigor (good health)? -
CORRECT ANSWER - Health
What is a plan of care that identifies the specific needs of a person and how those needs will be
addressed by the healthcare system or skilled nursing facility? - CORRECT ANSWER -
Health Assessment Plan
Explain the components of a History Health Assessment. - CORRECT ANSWER - 1.
Provides subjective data about health status.
2. Provides demographic information.
3. Provides source of history.
4. Provides Chief Concern.
5. Provides history of of present illness.
6. Provides past health care history and current health status
7. Provides family history
8. Provides Psychosocial history
9. Provides health promotion behaviors
Explain the components of a Physical Health Assessment. - CORRECT ANSWER - 1. An
extensive review of systems (H2T)
2. IPALPERA
What is different in IPALPERA for the abdomen and why? - CORRECT ANSWER -
Order is IAPERPAL
Because you don't want to palpate before auscultate and shake things up and listen.
,What comes always comes first in physical Assessment? ( PER, A, I, PAL?) - CORRECT
ANSWER - Inspection always comes first.
What is concentrated watching that begins at the first interaction, continues throughout the
examinations, and uses the senses of vision, smell, and hearing to observe and detect any
expected or unexpected findings? - CORRECT ANSWER - Inspection
ALSO:
Validate findings with client.
Compare sides.
What is use of touch to determine the size, consistency, texture, temperature, location, and
tenderness of the skin, underlying tissues, an organ, or a body part? - CORRECT
ANSWER - Palpation
What should you palpate last? - CORRECT ANSWER - Tender areas
For most body surfaces, what type of palpation should you use? - CORRECT ANSWER -
Light palpations.
Less than 1 cm or 0.4in
To evaluate abdominal organs or masses, what type of palpation should you use? - CORRECT
ANSWER - Deep palpations.
4cm or 1.6in
What part of the hand is most sensitive to temperature? - CORRECT ANSWER - Dorsal
Surface
What part of the hands is most sensitive to vibration? - CORRECT ANSWER - Palmar
surface and base of fingers
, What part of the hands is sensitive to pulsation, position, texture, tumor, size, and consistency? -
CORRECT ANSWER - Fingertips
What part of the hands is useful for grasping an organ or mass? - CORRECT ANSWER -
Fingers and thumb
What involves tapping body parts with fingers, fists, or small instruments to vibrate underlying
tissues and evaluate size, location, tenderness, and presence or abnormalities? - CORRECT
ANSWER - Percussion
ALSO: The denser the tissue, the quieter the sound.
What kind of percussion is striking the body to elicit sounds? - CORRECT ANSWER -
Direct Percussion
What kind of percussion is placing your hand flatly on the body as a striking surface for sound
production? - CORRECT ANSWER - Indirect Percussion
What kind of percussion helps identify tenderness over the kidneys, liver, gallbladder? -
CORRECT ANSWER - Fist Percussion
What is the process of listening to sounds the body produces to identify unexpected findings? -
CORRECT ANSWER - Auscultation
What does the diaphragm listen for? - CORRECT ANSWER - High pitched, breath,
bowel, normal heart sounds.
ALSO: held firmly, leave a slight ring.
What does the bell listen for? - CORRECT ANSWER - Soft low pitched sounds, extra
heart sounds, murmurs.
ALSO: held lightly just make a seal on skin
