NUR 100 LPN-BSN TRANSITION (Ch. 16) All things to know (after
lectures/PP/etc)- Week 4* (test 2 & final)
Assessment- what are the FOUR techniques? - correct answer 1. inspection
2. palpation
3. percussion
4. auscultation
Which data collection uses a body systems approach? - correct answer systematic data
collection
Systematic data collection usually proceeds how? - correct answer head to toe
When preparing the patient for assessment- what is important? - correct answer explain what
you are about to do/why this is important to be done/what they will experience/what is
contraindicated for your pt
Regarding privacy r/t assessment and skin exposure- - correct answer don't expose skin
unnecessarily
Which assessment technique is a visual examination/process of observing? - correct answer
inspection
assessment technique- inspection--> this can be with naked eye OR what? - correct answer
with naked eye or an instrument like a penlight or otoscope, etc.
assessment technique- inspection--> what is important to recognize? - correct answer need to
recognize normal variations from abnormal findings/easier with experience
Principles for inspection- how many are there and what are they? - correct answer SIX
1. adequate lighting
2. position/expose body parts so ALL surfaces can be seen
3. inspect for size, shape, color, symmetry, position, & abnormalities
4. if possible--> compare sides
5. use additional light to inspect body cavities
6. do not hurry- pay attention to details
Which assessment technique uses sense of touch? (AKA feeling) - correct answer palpation
, assessment technique- palpation--> this is used for what? - correct answer to determine
texture, temp, vibrations, position/size/consistency/mobility of organs or
masses/distention/pulsation/presence of pain with pressure
Checking a pulse is which assessment technique? - correct answer palpation
When palpating- nurses' hands should be what? - correct answer warm and fingernails short
palpation- different parts of the hand are used to detect different characteristics--> what are
the names of these areas? - correct answer dorsum
palmer
palm
palpation- different parts of the hand are used to detect different characteristics--> what is
dorsum/what is it good for? - correct answer dorsum = back of the hand
good for checking temperature (skin on back of the hand is thinner)
palpation- different parts of the hand are used to detect different characteristics--> what is
palmer/what is it good for? - correct answer palmer = front surfaces and pads of fingers
used to detect texture, size, consistency of passes as well as pulsations (most sensitive part)
palpation- different parts of the hand are used to detect different characteristics--> what is
palm used for? - correct answer detecting vibrations
assessment technique- percussion--> what is this? - correct answer striking a body surface to
elicit sounds
assessment technique- percussion--> what is this used for? - correct answer used to evaluate
size, borders, consistency of body organs or fluid in cavities
assessment technique- percussion--> how many different types are there listed and what are
they? - correct answer TWO
1. direct percussion
2. indirect percussion
assessment technique- percussion--> what is indirect percussion? - correct answer nurse
strikes area with pads of 2-4 fingers
uses a rapid wrist action
assessment technique- percussion--> what is direct percussion? - correct answer uses 2 hands
fingers of 1 hand placed against the body (firmly)
lectures/PP/etc)- Week 4* (test 2 & final)
Assessment- what are the FOUR techniques? - correct answer 1. inspection
2. palpation
3. percussion
4. auscultation
Which data collection uses a body systems approach? - correct answer systematic data
collection
Systematic data collection usually proceeds how? - correct answer head to toe
When preparing the patient for assessment- what is important? - correct answer explain what
you are about to do/why this is important to be done/what they will experience/what is
contraindicated for your pt
Regarding privacy r/t assessment and skin exposure- - correct answer don't expose skin
unnecessarily
Which assessment technique is a visual examination/process of observing? - correct answer
inspection
assessment technique- inspection--> this can be with naked eye OR what? - correct answer
with naked eye or an instrument like a penlight or otoscope, etc.
assessment technique- inspection--> what is important to recognize? - correct answer need to
recognize normal variations from abnormal findings/easier with experience
Principles for inspection- how many are there and what are they? - correct answer SIX
1. adequate lighting
2. position/expose body parts so ALL surfaces can be seen
3. inspect for size, shape, color, symmetry, position, & abnormalities
4. if possible--> compare sides
5. use additional light to inspect body cavities
6. do not hurry- pay attention to details
Which assessment technique uses sense of touch? (AKA feeling) - correct answer palpation
, assessment technique- palpation--> this is used for what? - correct answer to determine
texture, temp, vibrations, position/size/consistency/mobility of organs or
masses/distention/pulsation/presence of pain with pressure
Checking a pulse is which assessment technique? - correct answer palpation
When palpating- nurses' hands should be what? - correct answer warm and fingernails short
palpation- different parts of the hand are used to detect different characteristics--> what are
the names of these areas? - correct answer dorsum
palmer
palm
palpation- different parts of the hand are used to detect different characteristics--> what is
dorsum/what is it good for? - correct answer dorsum = back of the hand
good for checking temperature (skin on back of the hand is thinner)
palpation- different parts of the hand are used to detect different characteristics--> what is
palmer/what is it good for? - correct answer palmer = front surfaces and pads of fingers
used to detect texture, size, consistency of passes as well as pulsations (most sensitive part)
palpation- different parts of the hand are used to detect different characteristics--> what is
palm used for? - correct answer detecting vibrations
assessment technique- percussion--> what is this? - correct answer striking a body surface to
elicit sounds
assessment technique- percussion--> what is this used for? - correct answer used to evaluate
size, borders, consistency of body organs or fluid in cavities
assessment technique- percussion--> how many different types are there listed and what are
they? - correct answer TWO
1. direct percussion
2. indirect percussion
assessment technique- percussion--> what is indirect percussion? - correct answer nurse
strikes area with pads of 2-4 fingers
uses a rapid wrist action
assessment technique- percussion--> what is direct percussion? - correct answer uses 2 hands
fingers of 1 hand placed against the body (firmly)
