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Exam (elaborations)

Health Assessment Exam 1 Nursing Course – Chapters 1 3 4 8 9 Practice Questions

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Covers multiple chapters with exam-style questions for Health Assessment Exam 1. Supports structured revision.

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(Health Assessment Exam #1 (Ch. 1,3,4,8,9,10,12,18,27,29):: 2026-2027 Versions)
Health Assessment Exam #1 (Ch. 1,3,4,8,9,10,12,18,27,29)
Study online at https://quizlet.com/_3m61c1

1. What does the health history Subjective and objective data
provide?

2. What is subjective data? what is SD is what the patient tells you
an example? Example: headache, chest pain

3. What is objective data? what is OD are the signs perceived by the examiner through phys-
an example? ical examination during assessment
Example: rash seen by a nurse, or temp taken with a ther-
mometer

4. In what order are skills per- 1. Inspection
formed during a typical assess- 2. Palpation
ment? 3. Percussion
4. Auscultation

5. If a patient has abdomen pain, 1. Inspection
what order do you do the as- 2. AUSCULTATION
sessment? Why? 3. Palpation
4. Percussion

Because of pain, don't touch or tap the tender area first.
Start by inspecting and then listening before you feel the
area.

6. What occurs during inspection, -ALWAYS COMES FIRST
the first step? -begins when you first meet a person w/ a general survey
-you should start assessment of each body system with
inspection
-requires: good lighting, adequate exposure, use of in-
struments including otoscope, opthalmoscope, penlight, or
specula


4/3/2026, 3:14:23 PM 4/3/2026, 3:14:22 PM 4/3/2026

, (Health Assessment Exam #1 (Ch. 1,3,4,8,9,10,12,18,27,29):: 2026-2027 Versions)
Health Assessment Exam #1 (Ch. 1,3,4,8,9,10,12,18,27,29)
Study online at https://quizlet.com/_3m61c1

7. What occurs during palpation, Palpation applies sense of touch to assess
the second step? Can include:
temperature, texture, moisture, organ location and size,
swelling, vibration or pulsation, rigidity or spasticity, crepi-
tation, presence of lumps or masses, presence of tender-
ness or pain

-use fingers unless taking temperature

8. How can you assess factors dur- by using different parts of the hands
ing the palpation step?

9. During palpation, what should -best for fine tactile discrimination of skin texture, swelling,
fingertips be used to feel? pulsation, and determining presence of lumps

10. During palpation, what should -detection of position, shape, and consistency of an organ
fingers and thumb be used for? or mass

11. During palpation, what should -best for determining temperature because skin here is
the dorsa of hands and fingers thinner than on palms
be used for?

12. During palpation, what should -best for vibration
the base of fingers or the ulnar **-vibrations are felt on the ulnar side of hand
surface of hand be used for?

13. During palpation, what type of 1. start with LIGHT palpation to detect surface characteris-
palpation should you start with tics and accustom person to being touched
and why? What steps are next? -1 cm
2. then deeper palpations when needed
-intermittent pressure better than one long continuous pal-
pation
-5 to 8 cm or 2-3 in


4/3/2026, 3:14:23 PM 4/3/2026, 3:14:22 PM 4/3/2026

, (Health Assessment Exam #1 (Ch. 1,3,4,8,9,10,12,18,27,29):: 2026-2027 Versions)
Health Assessment Exam #1 (Ch. 1,3,4,8,9,10,12,18,27,29)
Study online at https://quizlet.com/_3m61c1

ALSO: bimanual palpation- requires use of both hands to
envelop or capture certain body parts or organs such as
kidneys, uterus or adnexa for precise delimitation

14. What occurs during percussion, -consists of tapping a person's skin with short, sharp strokes
the third step? to assess underlying structures

15. What uses does percussion -mapping location and size of organs
have? -signaling density of a structure by a characteristic note
-detecting a superficial abnormal mass
1. percussion vibrations penetrate about 5 cm
deep
2. deeper mass would give no change in percussion
-eliciting pain if underlying structure is inflamed
-eliciting deep tendon reflex using percussion hammer

16. HOLLOW (AIR-FILLED) ORGANS
SOUND DIFFERENT THAN SOL-
ID ORGANS

17. What are the two methods of 1. Direct, or immediate, which is when the striking hand
percussion? directly contacts body wall
2. Indirect, or mediate, is when you use both hands and
the striking hand contacts stationary hand fixed on person's
skin

18. In regards to percussion, what Resonance is low pitch and it occurs over normal lungs
is resonance and where does it
occur?

19. In regards to percussion, what Hyperresonant is lower pitch and it occurs over child's lungs
is hyperresonant and where
does it occur?

4/3/2026, 3:14:23 PM 4/3/2026, 3:14:22 PM 4/3/2026

, (Health Assessment Exam #1 (Ch. 1,3,4,8,9,10,12,18,27,29):: 2026-2027 Versions)
Health Assessment Exam #1 (Ch. 1,3,4,8,9,10,12,18,27,29)
Study online at https://quizlet.com/_3m61c1

20. In regards to percussion, what Tympany is high pitch and it occurs over air filled organs
is tympany and where does it (stomach, intestines)
occur?

21. In regards to percussion, what Dull is high pitch and it occurs over solid organs (liver,
is dull and where does it occur? spleen)

22. In regards to percussion, what Flat is high pitch and it occurs where no air is present such
is flat and where does it occur? as over muscles/bones or a tumor

23. What occurs during ausculta- Auscultation is when you listen to sounds produced by the
tion, the fourth step? body
-most sounds are soft and must be channeled through a
stethoscope
-once you can recognize normal sounds, you can distin-
guish the abnormal sounds and "extra" or abnormal sounds

24. What is the single most impor- WASH YOUR HANDS
tant step in decreasing microor- -before physical contact with each patient
ganism transmission? -after inadvertent contact with blood, body fluids, secre-
tions, and excretions
-after contact with any equipment contaminated with body
fluids
-after removing gloves

25. What else should you do in WEAR GLOVES
health care in addition to wash- -any time there is contact with body fluids
ing your hands?

26. The nurse is performing an as- 3
sessment of the abdominal re-
gion. What is the appropriate
sequence for the examination?

4/3/2026, 3:14:23 PM 4/3/2026, 3:14:22 PM 4/3/2026

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