NR-302 Health Assessment I Final
Exam with Illustrations for a
Guaranteed PASS.
All assessments involve Objective and Subjective
collecting two kinds of data:
The health history gathers Subjective data
,which type of data about
the patient?
Objective data (signs)
Are observed during physical
examination.
Are verifiable.
Include findings such as a red,
swollen arm in a patient.
Subjective data (symptoms) Provided by the patient.
Verified only by the patient.
Include statements such as "My head
hurts" or "I have trouble sleeping"
Review of systems (ROS) Ask about each system from head to toe.
Ask if anything bothers them.
Drives physical assessment.
General survey Form your initial impression of the
patient Ex). Signs of acute distress, Pt.
appears stated age, Behavior, Visible
devices, Level of consciousness.
Physical Assessment Inspection
Techniques Palpation
Percussion
Auscultation
Inspection Inspect each body system and
observe for color, size, location,
movement, texture, symmetry,
, odors, and sounds
Palpation Light palpation- Assess for texture, tem-
perature, moisture, elasticity, pulsations,
superficial organs, masses, and surface
abnormalities. Depress skin 1.5cm - 2cm
with finger pads lightly
Deep palpation- Assess internal organs
and masses for size, shape, tenderness,
symmetry, and mobility. Depress skin
4cm - 5cm with firm pressure
Percussion Tapping your fingers against pt. body to
help located organ borders, identify or-
gan shape and position, and determine if
organ is solid or filled with fluid or gas
Listening with a stethoscope for various
Auscultation breath, heart, and bowel sounds
Sequence for assessing the 1. Inspection
, abdomen 2. Auscultation
3. Percussion
4. Palpation
Because palpation and
percussion can alter bowel
sounds
Assessment techniques for skin, Inspection and Palpation
hair, nails
Skin Assessment Color, moisture, temperature,
texture, turgor, vascularity,
edema, lesions, rash- es
Colors of the skin Cyanosis Pallor Erythema Jaundice
Detecting color variations in dark Cyanosis- Conjunctiva, palms, Buccal
skin mucosa, tongue (dark/dull/bluish
color) Pallor- Sclerae, conjunctiva,
buccal mu- cosa, lips, nail beds
(ashen/grayish dots, blue color)
Erythema- Palpate for redness and
warmth
Jaundice- Sclerae and hard palate in
natural light
Edema- Decreased color and palpate
for tightness
ABCDE's of malignant melanoma Asymmetrical
lesion
Border irregular
Color
Diameter greater
than 6mm
Elevation or
enlarging
Nail assessment Examine for color, shape, thickness, consistency,
and contour (clubbing) Pink nail color in light-
skinned people Brown nail color in dark-skinned
people
Exam with Illustrations for a
Guaranteed PASS.
All assessments involve Objective and Subjective
collecting two kinds of data:
The health history gathers Subjective data
,which type of data about
the patient?
Objective data (signs)
Are observed during physical
examination.
Are verifiable.
Include findings such as a red,
swollen arm in a patient.
Subjective data (symptoms) Provided by the patient.
Verified only by the patient.
Include statements such as "My head
hurts" or "I have trouble sleeping"
Review of systems (ROS) Ask about each system from head to toe.
Ask if anything bothers them.
Drives physical assessment.
General survey Form your initial impression of the
patient Ex). Signs of acute distress, Pt.
appears stated age, Behavior, Visible
devices, Level of consciousness.
Physical Assessment Inspection
Techniques Palpation
Percussion
Auscultation
Inspection Inspect each body system and
observe for color, size, location,
movement, texture, symmetry,
, odors, and sounds
Palpation Light palpation- Assess for texture, tem-
perature, moisture, elasticity, pulsations,
superficial organs, masses, and surface
abnormalities. Depress skin 1.5cm - 2cm
with finger pads lightly
Deep palpation- Assess internal organs
and masses for size, shape, tenderness,
symmetry, and mobility. Depress skin
4cm - 5cm with firm pressure
Percussion Tapping your fingers against pt. body to
help located organ borders, identify or-
gan shape and position, and determine if
organ is solid or filled with fluid or gas
Listening with a stethoscope for various
Auscultation breath, heart, and bowel sounds
Sequence for assessing the 1. Inspection
, abdomen 2. Auscultation
3. Percussion
4. Palpation
Because palpation and
percussion can alter bowel
sounds
Assessment techniques for skin, Inspection and Palpation
hair, nails
Skin Assessment Color, moisture, temperature,
texture, turgor, vascularity,
edema, lesions, rash- es
Colors of the skin Cyanosis Pallor Erythema Jaundice
Detecting color variations in dark Cyanosis- Conjunctiva, palms, Buccal
skin mucosa, tongue (dark/dull/bluish
color) Pallor- Sclerae, conjunctiva,
buccal mu- cosa, lips, nail beds
(ashen/grayish dots, blue color)
Erythema- Palpate for redness and
warmth
Jaundice- Sclerae and hard palate in
natural light
Edema- Decreased color and palpate
for tightness
ABCDE's of malignant melanoma Asymmetrical
lesion
Border irregular
Color
Diameter greater
than 6mm
Elevation or
enlarging
Nail assessment Examine for color, shape, thickness, consistency,
and contour (clubbing) Pink nail color in light-
skinned people Brown nail color in dark-skinned
people
