WGU D344 COMPREHENSIVE EXAM
QUESTIONS AND CORRECT ANSWERS
GRADED A+
◉ Obejective data
Answer: Observed by the nurse (O)
◉ Assessment Techniques is as follows
Answer: Inspect-Palpation-Percussion-Auscultation
◉ Order of Abdomen Assessment
Answer: Inspect-Auscultation-Percuss-Palapate
◉ Inspection
Answer: *always first*
1. Take time to observe with eyes ear nose
2.Use good lighting
3.Look at color shape symmetry position
4.Observe for odors from skin breath wound
5. Develop and use nursing instincts
6.Inspection is done alone and in combination with other
assessment techniuqes
,◉ Back of hand
Answer: To assess skin temperature use
◉ Deep Palpation
Answer: 5-8cm or (2-3") deep is considered
◉ Light Paplpation
Answer: 1cm deep is considered
◉ Percussion
Answer: sounds produced by striking body surface
sounds are dull resonant flat tympanic
action is performed in the wrist
◉ Ausculation
Answer: listening to sounds produced by the body
◉ Bell
Answer: picks up low pitched sounds such as heart murmurs
◉ General Survey
Answer: is an overall review or first impression a nurse has of
person's well being.
,◉ Appearance
Answer: appears to be reported age
sexual development appropriate
alert and oriented
facial features symmetric
no signs of acute distress
◉ Body Structure/mobilty
Answer: weight and height WNL BMI guidelines
body parts equal bilaterally
stands erect
sits comfortably
gait is coordinated
walk is smooth and well balanced
full mobility of joints
◉ Behavior
Answer: maintains eye contact with appropriate expressions
comfortable and cooperative
speech clear
clothing is correct for climate
looks cleat and fit
, appears clean and well groomed
◉ Comprehensive history
Answer: which includes chief complaint or reason for the visit a
complete review of systems and complete past family and social
history should be obtained on the first encounter with a patient
regardless of setting and by a RN
◉ Family Health Hx
Answer: Are completed across three generations looking
specifically for patterns in genetic issues that negatively impact
quality of life
◉ Health Hx
Answer: gives a picture of patient's current health and
documentation must be completed for each visit and or
assessment
◉ How to measure height less than 2 years of age
Answer: Obtain height by measuring the recumbent length of
children less than 2 years of age and
children between 2 and 3 who cannot stand unassisted. A
measuring board with a stationary headboard and a sliding
vertical foot piece is ideal, but a tape measure can also be used
a) Lay the child flat against the center of the board. The head
should be held against the
QUESTIONS AND CORRECT ANSWERS
GRADED A+
◉ Obejective data
Answer: Observed by the nurse (O)
◉ Assessment Techniques is as follows
Answer: Inspect-Palpation-Percussion-Auscultation
◉ Order of Abdomen Assessment
Answer: Inspect-Auscultation-Percuss-Palapate
◉ Inspection
Answer: *always first*
1. Take time to observe with eyes ear nose
2.Use good lighting
3.Look at color shape symmetry position
4.Observe for odors from skin breath wound
5. Develop and use nursing instincts
6.Inspection is done alone and in combination with other
assessment techniuqes
,◉ Back of hand
Answer: To assess skin temperature use
◉ Deep Palpation
Answer: 5-8cm or (2-3") deep is considered
◉ Light Paplpation
Answer: 1cm deep is considered
◉ Percussion
Answer: sounds produced by striking body surface
sounds are dull resonant flat tympanic
action is performed in the wrist
◉ Ausculation
Answer: listening to sounds produced by the body
◉ Bell
Answer: picks up low pitched sounds such as heart murmurs
◉ General Survey
Answer: is an overall review or first impression a nurse has of
person's well being.
,◉ Appearance
Answer: appears to be reported age
sexual development appropriate
alert and oriented
facial features symmetric
no signs of acute distress
◉ Body Structure/mobilty
Answer: weight and height WNL BMI guidelines
body parts equal bilaterally
stands erect
sits comfortably
gait is coordinated
walk is smooth and well balanced
full mobility of joints
◉ Behavior
Answer: maintains eye contact with appropriate expressions
comfortable and cooperative
speech clear
clothing is correct for climate
looks cleat and fit
, appears clean and well groomed
◉ Comprehensive history
Answer: which includes chief complaint or reason for the visit a
complete review of systems and complete past family and social
history should be obtained on the first encounter with a patient
regardless of setting and by a RN
◉ Family Health Hx
Answer: Are completed across three generations looking
specifically for patterns in genetic issues that negatively impact
quality of life
◉ Health Hx
Answer: gives a picture of patient's current health and
documentation must be completed for each visit and or
assessment
◉ How to measure height less than 2 years of age
Answer: Obtain height by measuring the recumbent length of
children less than 2 years of age and
children between 2 and 3 who cannot stand unassisted. A
measuring board with a stationary headboard and a sliding
vertical foot piece is ideal, but a tape measure can also be used
a) Lay the child flat against the center of the board. The head
should be held against the
