NURS 1200 TEST 1 STUDY GUIDE COMPLETE
AND ACCURATE.
physical assessment rules
✔✔perform hand hygiene before and after
use 2 client identifiers
use a head-to-toe approach
compare right to left sides of body for symmetry
least invasive to most invasive
assessment techniques
✔✔inspection-look
auscultation-listen
palpation-touch
percussion- tapping (APNs or Docs usually do this)
positions for assessment
✔✔supine- flat on back, head is not elevated
prone- laying on stomach (uncommon, affects respiratory)
dorsal-common in OBGYN/ urinary issues
sims- lay on side R or L with leg up (position for rectal temp)
squatting- common in OB for child birth
sitting- Provides full expansion of lungs and better visualization of
symmetry of upper body parts.
knee to chest- assess rectum, provides maximal exposure of rectal area
standing-
,skin, hair, nails
✔✔physical assessment:
inspection- skin color, nails, hair & scalp
palpation- skin temperature, moisture, turgor
neurological
✔✔physical assessment- overall appearance, alert/awake/ and oriented
x4, language, balance & gait, motor function and coordination
head and neck
✔✔physical assessment- head & face, eyes (PERLA): convergence,
extraocular movement & peripheral vision, ears, nose, neck: trachea,
lymph nodes
thorax and lungs
✔✔physical assessment- inspection, auscultation- zig zag pattern,
adventitious breath sounds
cardiovascular
✔✔physical assessment- inspection: neck vein distention, peripheral
edema, auscultation: blood pressure, heart sounds at land marks,
palpitation- carotid artery, pulses, capillary refill
apical pulse- 5th intercostal space, listen for 1 full minute
capillary refill- 4 or less seconds if blood flow is still good
, abdomen
✔✔physical assessment: inspection, auscultation, palpate
If you do not hear bowel sounds listen for 5minutes and then get a second
opinion before calling the physician
musculoskeletal
✔✔health history
physical assessment
inspection
muscle strength
spinal curve
palpation
strength
Describe QSEN competencies
✔✔Patient-centered care.
Teamwork and collaboration.
Evidence-based practice.
Quality improvement.
Safety.
Informatics.
describe the importance of developing critical thinking skills in providing
safe, effective care of the client
✔✔Essential skill needed for identification of client problems and
AND ACCURATE.
physical assessment rules
✔✔perform hand hygiene before and after
use 2 client identifiers
use a head-to-toe approach
compare right to left sides of body for symmetry
least invasive to most invasive
assessment techniques
✔✔inspection-look
auscultation-listen
palpation-touch
percussion- tapping (APNs or Docs usually do this)
positions for assessment
✔✔supine- flat on back, head is not elevated
prone- laying on stomach (uncommon, affects respiratory)
dorsal-common in OBGYN/ urinary issues
sims- lay on side R or L with leg up (position for rectal temp)
squatting- common in OB for child birth
sitting- Provides full expansion of lungs and better visualization of
symmetry of upper body parts.
knee to chest- assess rectum, provides maximal exposure of rectal area
standing-
,skin, hair, nails
✔✔physical assessment:
inspection- skin color, nails, hair & scalp
palpation- skin temperature, moisture, turgor
neurological
✔✔physical assessment- overall appearance, alert/awake/ and oriented
x4, language, balance & gait, motor function and coordination
head and neck
✔✔physical assessment- head & face, eyes (PERLA): convergence,
extraocular movement & peripheral vision, ears, nose, neck: trachea,
lymph nodes
thorax and lungs
✔✔physical assessment- inspection, auscultation- zig zag pattern,
adventitious breath sounds
cardiovascular
✔✔physical assessment- inspection: neck vein distention, peripheral
edema, auscultation: blood pressure, heart sounds at land marks,
palpitation- carotid artery, pulses, capillary refill
apical pulse- 5th intercostal space, listen for 1 full minute
capillary refill- 4 or less seconds if blood flow is still good
, abdomen
✔✔physical assessment: inspection, auscultation, palpate
If you do not hear bowel sounds listen for 5minutes and then get a second
opinion before calling the physician
musculoskeletal
✔✔health history
physical assessment
inspection
muscle strength
spinal curve
palpation
strength
Describe QSEN competencies
✔✔Patient-centered care.
Teamwork and collaboration.
Evidence-based practice.
Quality improvement.
Safety.
Informatics.
describe the importance of developing critical thinking skills in providing
safe, effective care of the client
✔✔Essential skill needed for identification of client problems and
