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Exam (elaborations)

NSG 200 Test 1 Questions and Answers 2025/2026 A+ Graded 100% verified

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NSG 200 Test 1 Questions and Answers 2025/2026 A+ Graded 100% verified

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NSG 200 Test 1 Questions and Answers
2025/2026 A+ Graded 100% verified
The Nursing process - ANS-ADPIE (assessment, diagnosis, planning, implementation,
evaluation)

hand hygiene is - ANS-the single most important component to reduce risk of infection

steps of assessment process - ANS-inspection, palpation, percussion, auscultation,

inspection - ANS-physical exams begin with

palpation - ANS-use of hands to feel texture, size, shape, consistency, location of certain parts,
and identify painful tender areas

palmar surface of fingers and finger pads are more sensitive than - ANS-fingertips

palmar surface of finger and finger pads are better to determine - ANS-texture, size,
consistency, masses, fluid, and crepitus

ulnar surface of hand to fifth finger is most sensitive to - ANS-vibration

dorsal surface is better for assessing - ANS-temperature

light palpation accomplished by - ANS-pressing to a depth of approx. 1cm

light palpation used to assess - ANS-skin, pulsations, and tenderness

deep palpation accomplished by - ANS-pressing to a depth of 4cm with one or two hands

organ size and contour - ANS-deep palpation used to determine

bimanual technique - ANS-palpation uses both hands, one anterior and one posterior, to entrap
an organ or mass between two fingertips to assess shape and size

light palpation should always procede - ANS-deep palpation because deep palpation may
cause tenderness or disrupt fluids

, percussion is performed to - ANS-eval, size, borders, consistency of internal organs, detect
tenderness, determine extent of fluid in body cavity

direct percussion - ANS-strike finger/hand directly against patients body, eval adult sinus by
directly tapping fingers on sinus, elicit tenderness over kidney by striking costovertebral angle
(CVA) directly with fist

indirect percussion - ANS-requires both hands, methods cab vary by system being assessed,

5 percussion tones - ANS-tympany, resonance, hyperresonance, dullnes, flatness

tympany - ANS-is loud, high pitched sounds heard over abdomen

resonance - ANS-heard over normal lung tissue

dullness - ANS-heard over liver

flatness - ANS-heard over bones and muscle

auscultation - ANS-listening to sounds within body; commonly use stethoscope

sphygmomanometer - ANS-consists of gauge to measure pressure, a cuff enclosing an
inflatable bladder, and bulb with valve used to inflate and deflate bladder within cuff

ophthalmoscope - ANS-is an instrument consisting of series of lenses, mirrors, and light
apertures to inspect internal eye structures

otoscope - ANS-consists of magnification lens, light source, and speculum inserted into
auditory canal to inspect canal and tympanic membrane

tuning fork - ANS-has two purposes auditory screening and assessment of vibratory sensation

auditory screening - ANS-high pitched tuning fork with frequency of 500-1000 hertz (Hz) should
be used to estimate hearing loss in range of normal speech

assessment of vibratory sensation - ANS-for neurologic vibratory eval, a pitch between
100-400Hz should be used sharply strike running fork on heel of hand to engange tuning fork

percussion of reflex hammer - ANS-used to test deep tendon reflexes

doppler - ANS-uses ultrasonic waves to detect and amplify difficult to hear vascular sounds
such as fetal heart tones and peripheral pulses, resulting sounds nurses hear is swishing
pulsating sound

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