Unit 3: General Survey, Vital Signs, 60
Second Assessment &
Pain Assessment UPDATED ACTUAL
Questions and CORRECT Answers
Components of the General Survey - CORRECT ANSWER - -Physical Appearance
-Body Structure
-Mobility
-Behavior
-Measurements
-Vital Signs
Physical Appearance - CORRECT ANSWER - -Age
-Gender (sexual development)
-Skin Color
-Facial Features
-Level of consciousness
Level of Consciousness (LOC) - CORRECT ANSWER - - Alert
-Lethargic
-Stupor
-Coma
Level of Consciousness (LOC): Alert - CORRECT ANSWER - -Awake, readily aroused, aware of
stimuli & able to respond appropriately to that stimuli
Level of Consciousness (LOC): Lethargic - CORRECT ANSWER - -not fully alert, look drowsy
or inattentive; thinking seems slow or fuzzy; drift off to sleep but can be aroused when name called
, Level of Consciousness (LOC): Stupor - CORRECT ANSWER - -(semi coma) = respond only to
vigorous shake or painful stimulus; not really verbal but groans or mumbles
Level of Consciousness (LOC): Coma - CORRECT ANSWER - -Coma = completely unconscious;
no response to pain or any other stimulus
Orientation: For the General Survey, assess the clients orientation based on these 4 domains: - CORRECT
ANSWER - -TIME
-PLACE
-PERSON
-SELF
Body Structure - CORRECT ANSWER - Stature, Nutrition, Symmetry, Posture, Position, Body
Build, Contour
Mobility - CORRECT ANSWER - Gait and Range of motion
Behaviour - CORRECT ANSWER - Facial expression, Mood and affect, Speech, Dress,
Personal hygiene
Measurements: Weight - CORRECT ANSWER - -Standardized balance scale or electronic scale
-Shoes and heavy outer clothing should be removed
-Recorded in Kg and Lbs
-When is weight measured?
Measurements: Height - CORRECT ANSWER - -Wall mounted device or measuring pole on
balance scale
-Client is shoeless, standing straight, looking straight ahead
Body Mass Index (BMI) - CORRECT ANSWER - -A practical marker of optimal weight for
height
Second Assessment &
Pain Assessment UPDATED ACTUAL
Questions and CORRECT Answers
Components of the General Survey - CORRECT ANSWER - -Physical Appearance
-Body Structure
-Mobility
-Behavior
-Measurements
-Vital Signs
Physical Appearance - CORRECT ANSWER - -Age
-Gender (sexual development)
-Skin Color
-Facial Features
-Level of consciousness
Level of Consciousness (LOC) - CORRECT ANSWER - - Alert
-Lethargic
-Stupor
-Coma
Level of Consciousness (LOC): Alert - CORRECT ANSWER - -Awake, readily aroused, aware of
stimuli & able to respond appropriately to that stimuli
Level of Consciousness (LOC): Lethargic - CORRECT ANSWER - -not fully alert, look drowsy
or inattentive; thinking seems slow or fuzzy; drift off to sleep but can be aroused when name called
, Level of Consciousness (LOC): Stupor - CORRECT ANSWER - -(semi coma) = respond only to
vigorous shake or painful stimulus; not really verbal but groans or mumbles
Level of Consciousness (LOC): Coma - CORRECT ANSWER - -Coma = completely unconscious;
no response to pain or any other stimulus
Orientation: For the General Survey, assess the clients orientation based on these 4 domains: - CORRECT
ANSWER - -TIME
-PLACE
-PERSON
-SELF
Body Structure - CORRECT ANSWER - Stature, Nutrition, Symmetry, Posture, Position, Body
Build, Contour
Mobility - CORRECT ANSWER - Gait and Range of motion
Behaviour - CORRECT ANSWER - Facial expression, Mood and affect, Speech, Dress,
Personal hygiene
Measurements: Weight - CORRECT ANSWER - -Standardized balance scale or electronic scale
-Shoes and heavy outer clothing should be removed
-Recorded in Kg and Lbs
-When is weight measured?
Measurements: Height - CORRECT ANSWER - -Wall mounted device or measuring pole on
balance scale
-Client is shoeless, standing straight, looking straight ahead
Body Mass Index (BMI) - CORRECT ANSWER - -A practical marker of optimal weight for
height