NU 136 EXAM 2: FUNDAMENTALS OF NURSING | UPDATED
ACTUAL | COMPLETE EXAM PREPARATION WITH VERIFIED
SOLUTIONS
• Data Collection -✓✓ANSWER: demographic data, history past and present, any
complaints, any medications, food diets, PRIVACY
• Why is an assessment important? -✓✓ANSWER: data collection
• privacy -✓✓ANSWER: only expose the areas of assessment
• what do you do first when assessing your patient? -✓✓ANSWER: observe,
looking
• what is the second thing you do while assessing your patient? -✓✓ANSWER:
palpating with your fingertips, for any tenderness
• what is the third thing you do while assessing patient? -✓✓ANSWER: osculate,
heart sounds, lung sounds
• what is the fourth thing to do for an assessment? -✓✓ANSWER: percussion, for
density
• why do we weigh/measure the patient? -✓✓ANSWER: we want to know if the
patient is losing or gaining weight, measure with no shoes. baby's sound be held
so they do not fall
, • active bowl sounds happen how often -✓✓ANSWER: 5-30 per minute
• hypoactive bowel sounds -✓✓ANSWER: less than 5 per minute
• hyperactive bowel sounds -✓✓ANSWER: more than 30 per minute
• Skin Assessment -✓✓ANSWER: lesions, pustules: puss filled blisters, edema,
ecchymosis
• Neurological Assessment -✓✓ANSWER: -person place time
-apply PERRLA
-sensory reflexes
-strength in U&L extremities
-glascow coma-scale (1-15) 15 being the most oriented
• mitral and tricuspid calve -✓✓ANSWER: S1, LUB
• aortic and pulmonic valves -✓✓ANSWER: S2, DUB
• adventitious -✓✓ANSWER: abnormal breath sounds
• COPD patient is limited to how much oxygen? -✓✓ANSWER: no more than 3
liters
ACTUAL | COMPLETE EXAM PREPARATION WITH VERIFIED
SOLUTIONS
• Data Collection -✓✓ANSWER: demographic data, history past and present, any
complaints, any medications, food diets, PRIVACY
• Why is an assessment important? -✓✓ANSWER: data collection
• privacy -✓✓ANSWER: only expose the areas of assessment
• what do you do first when assessing your patient? -✓✓ANSWER: observe,
looking
• what is the second thing you do while assessing your patient? -✓✓ANSWER:
palpating with your fingertips, for any tenderness
• what is the third thing you do while assessing patient? -✓✓ANSWER: osculate,
heart sounds, lung sounds
• what is the fourth thing to do for an assessment? -✓✓ANSWER: percussion, for
density
• why do we weigh/measure the patient? -✓✓ANSWER: we want to know if the
patient is losing or gaining weight, measure with no shoes. baby's sound be held
so they do not fall
, • active bowl sounds happen how often -✓✓ANSWER: 5-30 per minute
• hypoactive bowel sounds -✓✓ANSWER: less than 5 per minute
• hyperactive bowel sounds -✓✓ANSWER: more than 30 per minute
• Skin Assessment -✓✓ANSWER: lesions, pustules: puss filled blisters, edema,
ecchymosis
• Neurological Assessment -✓✓ANSWER: -person place time
-apply PERRLA
-sensory reflexes
-strength in U&L extremities
-glascow coma-scale (1-15) 15 being the most oriented
• mitral and tricuspid calve -✓✓ANSWER: S1, LUB
• aortic and pulmonic valves -✓✓ANSWER: S2, DUB
• adventitious -✓✓ANSWER: abnormal breath sounds
• COPD patient is limited to how much oxygen? -✓✓ANSWER: no more than 3
liters
