NUR-120-ALT Exam 2 Questions With
Correct Answers
General health assessment - CORRECT ANSWER✔✔-an assessment of
| | | | | | | |
the physical, mental, spiritual, socioeconomic, and cultural status of an
| | | | | | | | | |
individual, group, or community | | |
Nursing Assessment - CORRECT ANSWER✔✔-Focus on the client's
| | | | | | | |
functional abilities and physical responses to illness and other stressors.
| | | | | | | | |
Purpose of physical exam - CORRECT ANSWER✔✔-Establish baseline
| | | | | | | |
data.
Identify nursing diagnoses, collaborative problems, or wellness
| | | | | | |
diagnoses.
Monitor the status of an identified problem.
| | | | | |
Screen for health problems
| | |
Types of physical exam - CORRECT ANSWER✔✔-Comprehensive-
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Interview plus complete head-to-toe
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Focused- "Focused" on presenting problem
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System specific- one body system
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,Ongoing- Performed as needed. Evaluates client outcomes
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preparing for the physical exam - CORRECT ANSWER✔✔-Theoretical
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Knowledge
Self Knowledge
|
Knowledge about patient| |
Nursing plan of care
| | |
Preparing the environment - CORRECT ANSWER✔✔-Privacy
| | | | |
Noise
Lighting
Temperature
Equipment
Preparing the Client - CORRECT ANSWER✔✔-Develop rapport
| | | | | |
Respect cultural differences
| |
Use proper positioning
| |
Physical exam techniques - CORRECT ANSWER✔✔-Inspection
| | | | |
Palpation (touch)
|
Percussion (tapping producing vibration)
| | | |
, Auscultation (Direct or Indirect) | | |
Olfaction (Smell) |
Physical Exam for Elderly (SPICES) - CORRECT ANSWER✔✔-S leep
| | | | | | | | |
disorders
P roblems with eating or feeding
| | | | |
I ncontinence
|
C onfusion
|
E vidence of Falls
| | |
S kin Breakdown
| |
Structure of skin - CORRECT ANSWER✔✔-epidermis, dermis,
| | | | | | |
subcutaneous
Factors affecting skin - CORRECT ANSWER✔✔-Age
| | | | |
Mobility
Nutrition/hydration
Sensation
Impaired circulation|
Medication
Moisture/fever
Infection
Correct Answers
General health assessment - CORRECT ANSWER✔✔-an assessment of
| | | | | | | |
the physical, mental, spiritual, socioeconomic, and cultural status of an
| | | | | | | | | |
individual, group, or community | | |
Nursing Assessment - CORRECT ANSWER✔✔-Focus on the client's
| | | | | | | |
functional abilities and physical responses to illness and other stressors.
| | | | | | | | |
Purpose of physical exam - CORRECT ANSWER✔✔-Establish baseline
| | | | | | | |
data.
Identify nursing diagnoses, collaborative problems, or wellness
| | | | | | |
diagnoses.
Monitor the status of an identified problem.
| | | | | |
Screen for health problems
| | |
Types of physical exam - CORRECT ANSWER✔✔-Comprehensive-
| | | | | | |
Interview plus complete head-to-toe
| | | |
Focused- "Focused" on presenting problem
| | | |
System specific- one body system
| | | |
,Ongoing- Performed as needed. Evaluates client outcomes
| | | | | |
preparing for the physical exam - CORRECT ANSWER✔✔-Theoretical
| | | | | | | |
Knowledge
Self Knowledge
|
Knowledge about patient| |
Nursing plan of care
| | |
Preparing the environment - CORRECT ANSWER✔✔-Privacy
| | | | |
Noise
Lighting
Temperature
Equipment
Preparing the Client - CORRECT ANSWER✔✔-Develop rapport
| | | | | |
Respect cultural differences
| |
Use proper positioning
| |
Physical exam techniques - CORRECT ANSWER✔✔-Inspection
| | | | |
Palpation (touch)
|
Percussion (tapping producing vibration)
| | | |
, Auscultation (Direct or Indirect) | | |
Olfaction (Smell) |
Physical Exam for Elderly (SPICES) - CORRECT ANSWER✔✔-S leep
| | | | | | | | |
disorders
P roblems with eating or feeding
| | | | |
I ncontinence
|
C onfusion
|
E vidence of Falls
| | |
S kin Breakdown
| |
Structure of skin - CORRECT ANSWER✔✔-epidermis, dermis,
| | | | | | |
subcutaneous
Factors affecting skin - CORRECT ANSWER✔✔-Age
| | | | |
Mobility
Nutrition/hydration
Sensation
Impaired circulation|
Medication
Moisture/fever
Infection
