NURS 222 QUIZ #4 QUESTIONS AND ANSWERS | COMPLETE NURS 222 QUIZ 4
STUDY GUIDE 2026/2027
Goal of Physical Exam: Come up with a system that will work for you! - correct answer ✔✔Complete
(Want to make sure that it covers all systems in order to identify any pathology)
Be reproducible (Want to organize your exam so that you will perform the exam the same way all the
time / Allows you to be complete and not forget any pertinent assessment data to be gathered)
Link together sections/system (eg. integrate eye exam with the Head and Neck exam, as it involves the
same region of the body)
Efficient (Be able to perform the exam with an economy of movement)
Talk to your patients - correct answer ✔✔Talk to your patient during each step of the exam to decrease
patient anxiety
Be sure to be dressed for clinical per BSN handbook: - correct answer ✔✔White uniform & white leather
shoes
Official name badge with picture
USF SONHP patch attached to uniform
Clean and well-groomed with short fingernails and hair pulled back from face
Equipment: - correct answer ✔✔Stethoscope
Pen Light
Pen/Paper (to take notes)
Hand Sanitizer
Alcohol Wipes
Gloves
Introduction: - correct answer ✔✔Assemble Equipment - Before meeting with patient
Knock on door
Provide Privacy
Hand Hygiene
Safety Inspection
Introduce Self
Describe Procedure
Set up & organize equipment
Knock on door and provide privacy
Perform hand hygiene
Safety scan
General survey - correct answer ✔✔Assess for signs of acute distress or discomfort
E.g. diaphoresis (sweating), clutching chest, dyspnea, pain indicated by facial grimace or holding body
part
No signs of distress or pain, if there is do further assessment and describe the pain
Introduce yourself & describe procedure - correct answer ✔✔Alert, how they feel, and speech
Identify patient: armband/name and DOB (oriented to person)
, Note what is different (reorient them)
Assessments: - correct answer ✔✔Cognition (where you are / what is the day/date today?) (oriented to
place and time)
Neurologic Exam
Mouth
Skin
Lungs
Heart
Abdomen
Bowel & Urinary Function
Peripheral Vascular
Assess cognition: orientation
Assess neurologic: pupils (round, equal, PERRL)
Inspect oral cavity (mouth) - correct answer ✔✔Inspect:
Lips
Teeth
Tongue
Inspect skin: - correct answer ✔✔Color/tone
Integrity
Lesions
Boney prominences
Palpate skin:
Temperature (warm bilaterally, feet/hands can be cooler)
Moisture
Texture
Thickness (older adults: thinner)
Boney prominences
Assess skin turgor (older adult: some tenting)
Assess lungs - correct answer ✔✔History of cough
Auscultate breath sounds
Anteriorly and posteriorly
Ask about: cough
Auscultate breath sounds (clear breath sounds bilaterally)
Where is it different?
Assess heart - correct answer ✔✔Auscultate heart sounds
S1, S2
Rhythm
Proceed in a systematic flow
Aortic
Pulmonic
Tricuspid
Mitral
Use diaphragm of stethoscope
STUDY GUIDE 2026/2027
Goal of Physical Exam: Come up with a system that will work for you! - correct answer ✔✔Complete
(Want to make sure that it covers all systems in order to identify any pathology)
Be reproducible (Want to organize your exam so that you will perform the exam the same way all the
time / Allows you to be complete and not forget any pertinent assessment data to be gathered)
Link together sections/system (eg. integrate eye exam with the Head and Neck exam, as it involves the
same region of the body)
Efficient (Be able to perform the exam with an economy of movement)
Talk to your patients - correct answer ✔✔Talk to your patient during each step of the exam to decrease
patient anxiety
Be sure to be dressed for clinical per BSN handbook: - correct answer ✔✔White uniform & white leather
shoes
Official name badge with picture
USF SONHP patch attached to uniform
Clean and well-groomed with short fingernails and hair pulled back from face
Equipment: - correct answer ✔✔Stethoscope
Pen Light
Pen/Paper (to take notes)
Hand Sanitizer
Alcohol Wipes
Gloves
Introduction: - correct answer ✔✔Assemble Equipment - Before meeting with patient
Knock on door
Provide Privacy
Hand Hygiene
Safety Inspection
Introduce Self
Describe Procedure
Set up & organize equipment
Knock on door and provide privacy
Perform hand hygiene
Safety scan
General survey - correct answer ✔✔Assess for signs of acute distress or discomfort
E.g. diaphoresis (sweating), clutching chest, dyspnea, pain indicated by facial grimace or holding body
part
No signs of distress or pain, if there is do further assessment and describe the pain
Introduce yourself & describe procedure - correct answer ✔✔Alert, how they feel, and speech
Identify patient: armband/name and DOB (oriented to person)
, Note what is different (reorient them)
Assessments: - correct answer ✔✔Cognition (where you are / what is the day/date today?) (oriented to
place and time)
Neurologic Exam
Mouth
Skin
Lungs
Heart
Abdomen
Bowel & Urinary Function
Peripheral Vascular
Assess cognition: orientation
Assess neurologic: pupils (round, equal, PERRL)
Inspect oral cavity (mouth) - correct answer ✔✔Inspect:
Lips
Teeth
Tongue
Inspect skin: - correct answer ✔✔Color/tone
Integrity
Lesions
Boney prominences
Palpate skin:
Temperature (warm bilaterally, feet/hands can be cooler)
Moisture
Texture
Thickness (older adults: thinner)
Boney prominences
Assess skin turgor (older adult: some tenting)
Assess lungs - correct answer ✔✔History of cough
Auscultate breath sounds
Anteriorly and posteriorly
Ask about: cough
Auscultate breath sounds (clear breath sounds bilaterally)
Where is it different?
Assess heart - correct answer ✔✔Auscultate heart sounds
S1, S2
Rhythm
Proceed in a systematic flow
Aortic
Pulmonic
Tricuspid
Mitral
Use diaphragm of stethoscope
