Health Assessment Exam #1 (Ch. 1,3,4,8,9,10,12,18,27,29) Questions And Correct Verified Answers

HEALTH ASSESSMENT EXAM #1 (CH.
1,3,4,8,9,10,12,18,27,29) QUESTIONS AND
CORRECT VERIFIED ANSWERS
WhatA2doesA2theA2healthA2historyA2provide?A2-A2Ans--SubjectiveA2andA2objectiveA2data

WhatA2isA2subjectiveA2data?A2whatA2isA2anA2example?A2-A2Ans--
SDA2isA2whatA2theA2patientA2tellsA2you
Example:A2headache,A2chestA2pain

WhatA2isA2objectiveA2data?A2whatA2isA2anA2example?A2-A2Ans--
ODA2areA2theA2signsA2perceivedA2byA2theA2examinerA2throughA2physicalA2examinationA2du
ringA2assessment
Example:A2rashA2seenA2byA2aA2nurse,A2orA2tempA2takenA2withA2aA2thermometer

InA2whatA2orderA2areA2skillsA2performedA2duringA2aA2typicalA2assessment?A2-A2Ans--
1.A2Inspection
2.A2PalpationA2
3.A2Percussion
4.A2Auscultation

IfA2aA2patientA2hasA2abdomenA2pain,A2whatA2orderA2doA2youA2doA2theA2assessment?
A2Why?A2-A2Ans--1.A2Inspection
2.A2AUSCULTATION
3.A2Palpation
4.A2Percussion

BecauseA2ofA2pain,A2don'tA2touchA2orA2tapA2theA2tenderA2areaA2first.A2StartA2byA2inspecting
A2andA2thenA2listeningA2beforeA2youA2feelA2theA2area.


WhatA2occursA2duringA2inspection,A2theA2firstA2step?A2-A2Ans---
ALWAYSA2COMESA2FIRST
-beginsA2whenA2youA2firstA2meetA2aA2personA2w/A2aA2generalA2survey
-youA2shouldA2startA2assessmentA2ofA2eachA2bodyA2systemA2withA2inspection
-
requires:A2goodA2lighting,A2adequateA2exposure,A2useA2ofA2instrumentsA2includingA2otosc
ope,A2opthalmoscope,A2penlight,A2orA2specula

WhatA2occursA2duringA2palpation,A2theA2secondA2step?A2-A2Ans--
PalpationA2appliesA2senseA2ofA2touchA2toA2assess
CanA2include:
temperature,A2texture,A2moisture,A2organA2locationA2andA2size,A2swelling,A2vibrationA2orA2
pulsation,A2rigidityA2orA2spasticity,A2crepitation,A2presenceA2ofA2lumpsA2orA2masses,A2pres
enceA2ofA2tendernessA2orA2pain

,-useA2fingersA2unlessA2takingA2temperature

HowA2canA2youA2assessA2factorsA2duringA2theA2palpationA2step?A2-A2Ans--
byA2usingA2differentA2partsA2ofA2theA2hands

DuringA2palpation,A2whatA2shouldA2fingertipsA2beA2usedA2toA2feel?A2-A2Ans---
bestA2forA2fineA2tactileA2discriminationA2ofA2skinA2texture,A2swelling,A2pulsation,A2andA2dete
rminingA2presenceA2ofA2lumps

DuringA2palpation,A2whatA2shouldA2fingersA2andA2thumbA2beA2usedA2for?A2-A2Ans---
detectionA2ofA2position,A2shape,A2andA2consistencyA2ofA2anA2organA2orA2mass

DuringA2palpation,A2whatA2shouldA2theA2dorsaA2ofA2handsA2andA2fingersA2beA2usedA2for?
A2-A2Ans---
bestA2forA2determiningA2temperatureA2becauseA2skinA2hereA2isA2thinnerA2thanA2onA2palms

DuringA2palpation,A2whatA2shouldA2theA2baseA2ofA2fingersA2orA2theA2ulnarA2surfaceA2ofA2ha
ndA2beA2usedA2for?A2-A2Ans---bestA2forA2vibration
**-vibrationsA2areA2feltA2onA2theA2ulnarA2sideA2ofA2hand

DuringA2palpation,A2whatA2typeA2ofA2palpationA2shouldA2youA2startA2withA2andA2why?
A2WhatA2stepsA2areA2next?A2-A2Ans--
1.A2startA2withA2LIGHTA2palpationA2toA2detectA2surfaceA2characteristicsA2andA2accustomA2
personA2toA2beingA2touchedA2
-1A2cm
2.A2thenA2deeperA2palpationsA2whenA2needed
-intermittentA2pressureA2betterA2thanA2oneA2longA2continuousA2palpation
-5A2toA28A2cmA2orA22-3A2in

ALSO:A2bimanualA2palpation-
A2requiresA2useA2ofA2bothA2handsA2toA2envelopA2orA2captureA2certainA2bodyA2partsA2orA2or
gansA2suchA2asA2kidneys,A2uterusA2orA2adnexaA2forA2preciseA2delimitation

WhatA2occursA2duringA2percussion,A2theA2thirdA2step?A2-A2Ans---
consistsA2ofA2tappingA2aA2person'sA2skinA2withA2short,A2sharpA2strokesA2toA2assessA2under
lyingA2structures

WhatA2usesA2doesA2percussionA2have?A2-A2Ans---
mappingA2locationA2andA2sizeA2ofA2organs
-signalingA2densityA2ofA2aA2structureA2byA2aA2characteristicA2note
-detectingA2aA2superficialA2abnormalA2mass
A21.A2percussionA2vibrationsA2penetrateA2aboutA25A2cmA2
A2deep
A22.A2deeperA2massA2wouldA2giveA2noA2changeA2inA2percussion
-elicitingA2painA2ifA2underlyingA2structureA2isA2inflamed

, -elicitingA2deepA2tendonA2reflexA2usingA2percussionA2hammer

HOLLOWA2(AIR-
FILLED)A2ORGANSA2SOUNDA2DIFFERENTA2THANA2SOLIDA2ORGANSA2-A2Ans--

WhatA2areA2theA2twoA2methodsA2ofA2percussion?A2-A2Ans--
1.A2Direct,A2orA2immediate,A2whichA2isA2whenA2theA2strikingA2handA2directlyA2contactsA2bo
dyA2wall
2.A2Indirect,A2orA2mediate,A2isA2whenA2youA2useA2bothA2handsA2andA2theA2strikingA2handA2
contactsA2stationaryA2handA2fixedA2onA2person'sA2skin

InA2regardsA2toA2percussion,A2whatA2isA2resonanceA2andA2whereA2doesA2itA2occur?A2-
A2Ans--ResonanceA2isA2lowA2pitchA2andA2itA2occursA2overA2normalA2lungs


InA2regardsA2toA2percussion,A2whatA2isA2hyperresonantA2andA2whereA2doesA2itA2occur?A2-
A2Ans--HyperresonantA2isA2lowerA2pitchA2andA2itA2occursA2overA2child'sA2lungs


InA2regardsA2toA2percussion,A2whatA2isA2tympanyA2andA2whereA2doesA2itA2occur?A2-A2Ans--
TympanyA2isA2highA2pitchA2andA2itA2occursA2overA2airA2filledA2organsA2(stomach,A2intestine
s)

InA2regardsA2toA2percussion,A2whatA2isA2dullA2andA2whereA2doesA2itA2occur?A2-A2Ans--
DullA2isA2highA2pitchA2andA2itA2occursA2overA2solidA2organsA2(liver,A2spleen)

InA2regardsA2toA2percussion,A2whatA2isA2flatA2andA2whereA2doesA2itA2occur?A2-A2Ans--
FlatA2isA2highA2pitchA2andA2itA2occursA2whereA2noA2airA2isA2presentA2suchA2asA2overA2muscl
es/bonesA2orA2aA2tumor

WhatA2occursA2duringA2auscultation,A2theA2fourthA2step?A2-A2Ans--
AuscultationA2isA2whenA2youA2listenA2toA2soundsA2producedA2byA2theA2bodyA2
-mostA2soundsA2areA2softA2andA2mustA2beA2channeledA2throughA2aA2stethoscopeA2
-
onceA2youA2canA2recognizeA2normalA2sounds,A2youA2canA2distinguishA2theA2abnormalA2so
undsA2andA2"extra"A2orA2abnormalA2sounds

WhatA2isA2theA2singleA2mostA2importantA2stepA2inA2decreasingA2microorganismA2transmiss
ion?A2-A2Ans--WASHA2YOURA2HANDS
-beforeA2physicalA2contactA2withA2eachA2patient
-afterA2inadvertentA2contactA2withA2blood,A2bodyA2fluids,A2secretions,A2andA2excretions
-afterA2contactA2withA2anyA2equipmentA2contaminatedA2withA2bodyA2fluids
-afterA2removingA2gloves

WhatA2elseA2shouldA2youA2doA2inA2healthA2careA2inA2additionA2toA2washingA2yourA2hands?
A2-A2Ans--WEARA2GLOVES
-anyA2timeA2thereA2isA2contactA2withA2bodyA2fluids