NUR 265 Assessment Practicum UPDATED
ACTUAL Questions and CORRECT Answers
Muscles used in breathing when primary muscles are
Accessory Muscles
insufficient
Precordium Area on the anterior chest wall over the heart
Specific points on the chest for heart sound
Auscultatory Points
auscultation
S1 and S2 Sounds Locations where heart sounds are loudest
Bronchial Sounds Breath sounds heard over the trachea
Vesicular Sounds Breath sounds heard throughout the lung fields
, Increased resonance of voice sounds heard through a
Egophony
stethoscope
Whispered sounds heard clearly through a
Whispered Pectoriloquy
stethoscope
Visual examination of abdomen for contour,
Abdominal Inspection
symmetry, and lesions
Bowel Sounds Normal sounds heard during abdominal auscultation
Listening for vascular sounds at specific abdominal
Renal Artery Auscultation
locations
Method of feeling abdomen for pain, masses, or
Palpation Technique
tenderness
Personal History Individual's past medical experiences and conditions
Allergies Inquiry Asking about known allergic reactions
Ear Inspection Visual examination of ear position and drainage
Ear Palpation Method of feeling ears for tenderness or lesions
Whisper Test Assessment of auditory hearing by whispering words
Evaluation of inner ear equilibrium with eyes closed
Romberg Test
and standing still
Visual examination of external eye structures for
Eye Inspection
abnormalities
Pupils Round, equal in size bilaterally.
Conjunctiva Pink and moist bilaterally.
Sclera White and glistening.
Lenses Clear bilaterally.
Eyelid No drooping or protraction.
Oculomotor III Cranial Nerve responsible for eye movements.
Consensual response Pupil reaction to light in the non-illuminated eye.
Accommodation Eye's ability to focus on near objects.
, Trochlear IV Cranial Nerve controlling superior oblique muscle.
Abducens VI Cranial Nerve controlling lateral rectus muscle.
Peripheral vision Ability to see objects outside the direct line of vision.
Clarity of vision, typically measured using a Snellen
Visual acuity
chart.
Muscle Strength Rating muscle strength on a scale of 0-5, assessing
Assessment both sides for equality.
Muscle Tone Assessment for rigidity or spasticity in muscles.
Testing joint movement, including joints above and
Range of Motion (ROM)
below the affected joint.
Cranial Nerves Evaluation of cranial nerves V, VII, IX, X, XI, XII for
Assessment functionality.
Deep Tendon Reflexes Testing reflexes in upper and lower extremities for
(DTRs) nerve function.
Testing balance through gait, tandem walk, shallow
Balance Assessment
knee bend, or Romberg test.
Coordination Assessment Testing coordination with heel to shin test.
ACTUAL Questions and CORRECT Answers
Muscles used in breathing when primary muscles are
Accessory Muscles
insufficient
Precordium Area on the anterior chest wall over the heart
Specific points on the chest for heart sound
Auscultatory Points
auscultation
S1 and S2 Sounds Locations where heart sounds are loudest
Bronchial Sounds Breath sounds heard over the trachea
Vesicular Sounds Breath sounds heard throughout the lung fields
, Increased resonance of voice sounds heard through a
Egophony
stethoscope
Whispered sounds heard clearly through a
Whispered Pectoriloquy
stethoscope
Visual examination of abdomen for contour,
Abdominal Inspection
symmetry, and lesions
Bowel Sounds Normal sounds heard during abdominal auscultation
Listening for vascular sounds at specific abdominal
Renal Artery Auscultation
locations
Method of feeling abdomen for pain, masses, or
Palpation Technique
tenderness
Personal History Individual's past medical experiences and conditions
Allergies Inquiry Asking about known allergic reactions
Ear Inspection Visual examination of ear position and drainage
Ear Palpation Method of feeling ears for tenderness or lesions
Whisper Test Assessment of auditory hearing by whispering words
Evaluation of inner ear equilibrium with eyes closed
Romberg Test
and standing still
Visual examination of external eye structures for
Eye Inspection
abnormalities
Pupils Round, equal in size bilaterally.
Conjunctiva Pink and moist bilaterally.
Sclera White and glistening.
Lenses Clear bilaterally.
Eyelid No drooping or protraction.
Oculomotor III Cranial Nerve responsible for eye movements.
Consensual response Pupil reaction to light in the non-illuminated eye.
Accommodation Eye's ability to focus on near objects.
, Trochlear IV Cranial Nerve controlling superior oblique muscle.
Abducens VI Cranial Nerve controlling lateral rectus muscle.
Peripheral vision Ability to see objects outside the direct line of vision.
Clarity of vision, typically measured using a Snellen
Visual acuity
chart.
Muscle Strength Rating muscle strength on a scale of 0-5, assessing
Assessment both sides for equality.
Muscle Tone Assessment for rigidity or spasticity in muscles.
Testing joint movement, including joints above and
Range of Motion (ROM)
below the affected joint.
Cranial Nerves Evaluation of cranial nerves V, VII, IX, X, XI, XII for
Assessment functionality.
Deep Tendon Reflexes Testing reflexes in upper and lower extremities for
(DTRs) nerve function.
Testing balance through gait, tandem walk, shallow
Balance Assessment
knee bend, or Romberg test.
Coordination Assessment Testing coordination with heel to shin test.
