CARDIOVASCULAR DOCUMENTATION
EXAMINATION TEST COMPLETE
QUESTIONS AND SOLUTIONS
●● What is a focused assessment?
Answer: An assessment concentrating on a specific body system, usually
the system that is injured or involved.
●● What is an initial head-to-toe shift assessment?
Answer: A quick overall assessment that establishes a baseline so the
nurse can recognize changes in the patient's condition during the shift.
●● What systems are included in the head-to-toe assessment?
Answer: General appearance, vital signs, neuro, head/neck,
cardiovascular, respiratory, GI, GU, musculoskeletal, and integumentary.
●● What is subjective data?
Answer: Information obtained from the patient through questions/verbal
exchange, such as 'My stomach hurts.'
●● What is objective data?
Answer: Information the nurse observes or measures using assessment
techniques, such as BP 150/90, skin pale, or wheezing heard.
, ●● What techniques collect objective data?
Answer: Inspection/observation, palpation, percussion, olfaction, and
auscultation.
●● What is inspection?
Answer: Using vision, smell, and hearing to identify expected or
unexpected findings, looking for size, shape, color, symmetry, and
position.
●● What is palpation?
Answer: Using touch to assess size, consistency, texture, temperature,
location, and tenderness.
●● When should a tender area be palpated?
Answer: Last.
●● Which part of the hand assesses temperature?
Answer: Dorsal surface (back of hand).
●● Which part of the hand assesses vibration?
Answer: Palmar surface and base of fingers.
EXAMINATION TEST COMPLETE
QUESTIONS AND SOLUTIONS
●● What is a focused assessment?
Answer: An assessment concentrating on a specific body system, usually
the system that is injured or involved.
●● What is an initial head-to-toe shift assessment?
Answer: A quick overall assessment that establishes a baseline so the
nurse can recognize changes in the patient's condition during the shift.
●● What systems are included in the head-to-toe assessment?
Answer: General appearance, vital signs, neuro, head/neck,
cardiovascular, respiratory, GI, GU, musculoskeletal, and integumentary.
●● What is subjective data?
Answer: Information obtained from the patient through questions/verbal
exchange, such as 'My stomach hurts.'
●● What is objective data?
Answer: Information the nurse observes or measures using assessment
techniques, such as BP 150/90, skin pale, or wheezing heard.
, ●● What techniques collect objective data?
Answer: Inspection/observation, palpation, percussion, olfaction, and
auscultation.
●● What is inspection?
Answer: Using vision, smell, and hearing to identify expected or
unexpected findings, looking for size, shape, color, symmetry, and
position.
●● What is palpation?
Answer: Using touch to assess size, consistency, texture, temperature,
location, and tenderness.
●● When should a tender area be palpated?
Answer: Last.
●● Which part of the hand assesses temperature?
Answer: Dorsal surface (back of hand).
●● Which part of the hand assesses vibration?
Answer: Palmar surface and base of fingers.
