Nursing 2000 exam 1 Questions and
Correct Answers/ Latest Update / Already
Graded
health assessment
Ans: gathers data about the whole person so yo u can identify
their general state of health
health history
Ans: a questionnaire or interview process that gathers
historical data about the patient's health (family history, social
history, previous hospitalizations, literacy/education)
physical examination
Ans: lay hands, lay eyes on, all present oriented. should be
purposeful. health history helps you decide what 25 -40 skills
you will use out of the 200 you should know how to do
where is the first place a nurse makes a mistake in a bad physical
exam?
Ans: an incomplete health history
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What are the types of physical exams?
Ans: -well, comprehensive intake physical exam
-ill, comprehensive intake physical exam
well comprehensive intake physical exam
Ans: -sports physical or for a job
-this person is in a healthy state
-sample each system (looking for anything gross/obvious)
-if something is found, patient is referred
gross
Ans: obvious
ill comprehensive intake physical exam
Ans: -focus on problem and related areas (admin/transfer)
-then sample the other systems
-once per episode
-looking for subtle, pick up any info no matter how slight
-cc and hpi
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CC
Ans: -chief complaint, always put in the patients words. Thei r
reason for seeking health care and write it in quotes
HPI
* be able to do this well
Ans: -history of present illness
-taking the cc and making it professional in a paragraph
(location, on set, duration, quantity, aggravating/relieving
factors, associated signs and symptoms, actions taken)
-goal is to come up with treatment
What is the most common daily basis physical for RN's?
Ans: - a focus/problem based physical exam
-done in emergencies
Focus/problem based physical exam
Ans: -2-3 minutes
-short, succinct, focused, purposeful
-immediate remedy
1. know what you're doing and why
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2. gather data
3. take action
4. perform communicate it
IPPA
Ans: -inspection
-palpation
-percussion
-auscultation
Inspection
Ans: -eyes- visual data, observable
-can be done in the interview
-will guide what you do
-be honest about inspection, don't be uncomfortable
palpation
Ans: -tactile- gather tactile, somatic sensation
-moisture, texture, vibration, temperature, pain
-always head to toe, proximal to distal
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