Answers
The different types of assessment techniques? Inspection
Palpation
Percussion
Auscultation << correct answer >>Which technique should the nurse use initially for each specific
assessment? Inspection << correct answer >>Assessment technique to illicit a diaphragmatic
excursion? Percussion << correct answer >>Technique used to listen to heart sounds?
Auscultation << correct answer >>Technique used to listen to crepitus who sustained a chest
injury? Palpation << correct answer >>What is the technique used to assess distended bladder? Direct
percussion << correct answer >>What is the technique used to assess sinus infection? Direct
Percussion << correct answer >>What is the technique used for percussion of the lungs? Indirect
Percussion << correct answer >>Identify the most common equipment used in the clinical area
Goniometer
Doppler
Wood lamp
Skin fold caliper
Transilluminator
Stabio
Stethoscope
Ophthalmoscope Goniometer: measure the degree of joint extension and flexion
Doppler: Asses non palpable pulses
Wood lamp: presence of fungal infection of skin
Skinfold Caliper: Measure thickness of subcutaneous tissue
Transilluminator: Use to detect blood, solid or fluid or mass in body cavities
,Stabio meter: Height of pt.
Stethoscope, penlight
Ophthalmoscope: red reflex << correct answer >>Grading for pulses 0 : absent
1+: weak thready
2+: normal
3+: brisk
4+: bounding << correct answer >>Location of pulses Popliteal : behind the knees
Femoral: inguinal area << correct answer >>What part of your hand do you use to assess skin
temperature? Dorsal part of hand << correct answer >>What part of your hand do you use to use
percussion? Tip of middle finger << correct answer >>Identify different types of lesions
Annular
Target
Dicerete
Confluent
Linear
Grouped Annular: one circle
Target: concentric circles (more than one circle of color)
Discrete: separated
Confluent: runs together
Linear: form a line
, Grouped: Together << correct answer >>Wheal lesion Lesion caused by insect bite or hive
redden irregular border << correct answer >>Vesicle Elevated lesion round or oval filled with clear
fluid
Smaller vesicle vs bulla << correct answer >>Bulla LesionLarger vesicle
More than 0.5 cm << correct answer >>How do you grade edema 0: no edema
1+: 2mm
2+: 4mm
3+: 6mm
4+: 8mm << correct answer >>Cranial Nerves I: olfactory : 2 senses
II: optic : Snellen Chart
III: oculomotor : PERRLA and Cardinal field of gaze
IV: trochlear: PERRLA and Cardinal field of gaze
V: trigeminal : TMJ
VI: abducens :PERRLA and Cardinal field of gaze
VII: facial : Smile, frown, puff cheeks, raise eyebrows
VIII: vestibulocochlear : Whisper test and Rombergs test
IX: glossopharyngeal: Hold trachea, swallow, tongue depressor
X: vagus: Swallow and repeat phrase
XI: accessory : Move shoulders up and down with and without resistance