NUR 2092 Health Assessment Exam 2 with Correct
Answers
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Terms in this set (101)
If you are doing a cardiovascular Narrow vessel (Most likely filled with plaque buildup)
assessment and you are hearing
a bruit/swooshing sounds in the
patients carotid artery, what
does this mean?
If you are doing a Snellen eye Farsided eye sight
exam from 20 feet away what
are you testing?
What are 4 things that the skin Prevention of penetration, temperature regulation, absorbs
does? Vitamin D and wound repair (repairs itself)
What cannot the skin do? Prevent the loss of fluids
When you are doing a lung Right to left
assessment you should listen
from what direction to what
direction?
What is the Jaeger card used Testing nearsided eye sight
for?
If a mole on a patients skin has 6 mm
abnormal pigmentation and is
itchy, at what size does the mole
become suspicious?
What are you listening for when Gurgling
listening to bowel sounds?
If you do not hear any sounds Listen for 4 more minutes for a total of 5 minutes.
after 1 minute of listening to
bowel sounds, what do you do?
What is a hypoactive bowel A distant bowel sound (Likely constipation. Only hearing gurgles
sound? every 1-2 minutes)
What is an indication if a patient Jaundice. A liver problem
has yellow skin?
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If you are palpating lymph Preoricular
nodes in front of the ear, what
lymph nodes are you palpating?
If you are doing an abdominal Constipation
assessment and you only heat a
few gurgles every 1-2 minutes,
what should you suspect is
going on with the patient?
What should you always ask a When was your last bm (No bm in 3 days indicates constipation)
patient when doing an
abdominal assessment?
What is cyanoisis? No oxygen exchange
Which of the following patients Cyanotic (Patient is not getting proper amounts of oxygen
would take highest priority: exchange)
Jaundice yellow skin, Pale skin
and vomiting or Cyanotic?
What are some good Have you been using any new soaps, lotions, detergent, etc.
assessment questions to ask
someone that may be having an
allergic reaction?
When assessing radial pulses, Assess one side to the other (Should feel both sides at same time
what is it important to do? to compare)
What sounds will you hear while Stridor. This is an upper airway emergency!
doing a lung assessment on a
patient with an upper airway
obstruction?
When resulting a TB skin test Red, raised bump/wheal. Greater than 5mm is positive, pink
what would you be looking and patches
feeling for if it was irregular?
What sounds will you hear while Wheezes
doing a lung assessment on a
patient with a lower airway
obstruction?
How long should the skin take to Less than 3 seconds (2 seconds or less)
turn back to pink when assessing
capillary refill?
If capillary refill takes more than Sluggish or slow
2 seconds to turn from pink to
white, what is this called?
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