NURS 190 / NURS190 Final Exam –
Physical Assessment | WCU
(2026/2027 Latest Update) | 100%
Verified Questions & Answers |
Grade A
The different types of assessment techniques?
Inspection
Palpation
Percussion
Auscultation
Which technique should the nurse use initially for each specific assessment?
Inspection
Assessment technique to illicit a diaphragmatic excursion?
Percussion
Technique used to listen to heart sounds?
Auscultation
Technique used to listen to crepitus who sustained a chest injury?
Palpation
What is the technique used to assess distended bladder?
Direct percussion
What is the technique used to assess sinus infection?
Direct Percussion
What is the technique used for percussion of the lungs?
Indirect Percussion
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
Grading for pulses
0 : absent
1+: weak thready
2+: normal
3+: brisk
4+: bounding
Location of pulses
Popliteal : behind the knees
Femoral: inguinal area
What part of your hand do you use to assess skin temperature?
Dorsal part of hand
What part of your hand do you use to use percussion?
Tip of middle finger
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
Wheal lesion
Lesion caused by insect bite or hive
redden irregular border
Vesicle
Elevated lesion round or oval filled with clear fluid
Smaller vesicle vs bulla
Bulla Lesion
Larger vesicle
More than 0.5 cm
How do you grade edema
0: no edema
1+: 2mm
2+: 4mm
3+: 6mm
4+: 8mm
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