NUR 2092 / NUR2092 Health Assessment Exam 2 | Questions and Answers |

NUR 2092 / NUR2092 Health Assessment Exam 2 | Questions and Answers | Nurses collect objective data when performing patient assessments. What is an example of objective data? - ANSWER It's data that can be collected through assessment. Example: swelling/inflammation, skin temperature, discoloration, brittle hair/nails, etc. The nurse is assessing an adult who has a pulse rate of 180 beats/minute. What is this? - ANSWER Tachycardia; an abnormally high/rapid heart rate Abnormal respiration sounds heard during auscultation characterized by discontinuous bubbling sounds heard over the distal bronchioles and alveoli that contain serous secretions are: - ANSWER Crackles (also known as rales) The period of time within the cardiac cycle in which the ventricles are relaxed and filling with blood: - ANSWER Diastole/diastolic The client has an impairment of cranial nerve II. Specific to this impairment, the nurse would plan to do what to ensure client safety? - ANSWER Speak loudly to the patient, test the temperature of food/water/shower, clear path for ambulation without obstacles The nurse is testing the coordination function of cranial nerves III, IV, and VI. To do this correctly, the nurse would test: - ANSWER eye movement by using the whisker test (having the patient follow an object with their eyes in the shape of whiskers, without moving their head) and pupillary response (looking at the diameter of the pupils in normal lighting and direct bright light) The nurse is planning to test the function of the trigeminal nerve (CN V). The nurse would gather which items to perform this test? - ANSWER A piece of cotton or blunt object to touch the patient's face lightly (to test their sensory function) The nurse is assessing the motor function of an unconscious client. The nurse would plan to use which to test the client's peripheral response to pain? - ANSWER Nail bed pressure