Physical Assessment

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 Physical Assessment
LHUP 3rd nursing exam on physical assessment

  
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  • 1. 
    What kind of data makes up the health history
    • A. 

      Subjective data

    • B. 

      Objective data


  • 2. 
    What kind of data makes up a physical assessment?
    • A. 

      Objective data

    • B. 

      Subjective data


  • 3. 
    Health History + Physical Assessment =  ?

  • 4. 
    The purpose of health history and physical assessment is .....(choose all that apply)
    • A. 

      Gather baseline data

    • B. 

      Develop nursing diagnosis

    • C. 

      Develop care plan

    • D. 

      Evaluate nursing care


  • 5. 
    What techniques are used during a physical assessment? (check all that apply)
    • A. 

      Auscultation

    • B. 

      Inspection

    • C. 

      Palpation

    • D. 

      Precussion

    • E. 

      Olfaction


  • 6. 
    This body part is best used to assess pulsation, texture, shape, size & consistency
    • A. 

      Pads of fingertips

    • B. 

      Back of hand

    • C. 

      Palm of hand


  • 7. 
    This part of the body is good for measuring temperature
    • A. 

      Pads of fingertips

    • B. 

      Back of hand

    • C. 

      Palm of hand


  • 8. 
    This part of the body is more sensative to vibrations
    • A. 

      Pads of fingertips

    • B. 

      Back of hand

    • C. 

      Palm of hand


  • 9. 
    This sound is heard when you percuss your puffed out checks
    • A. 

      Flatness

    • B. 

      Tympany

    • C. 

      Hyperresonance

    • D. 

      Resonance

    • E. 

      Dullness


  • 10. 
    This is the sound of a normal lung
    • A. 

      Hyperresonance

    • B. 

      Flatness

    • C. 

      Dullness

    • D. 

      Resonance

    • E. 

      Tympany


  • 11. 
    The is whta is heard when you percuss the lung of a patient with emphysema
    • A. 

      Resonance

    • B. 

      Flatness

    • C. 

      Hyperresonance

    • D. 

      Tympany

    • E. 

      Dullness


  • 12. 
    This is what is heard when you percuss the liver
    • A. 

      Hyperresonance

    • B. 

      Resonance

    • C. 

      Dullness

    • D. 

      Flatness

    • E. 

      Tympany


  • 13. 
    This is what is heard when you percuss the thigh
    • A. 

      Flatness

    • B. 

      Dullness

    • C. 

      Hyperresonance

    • D. 

      Resonance

    • E. 

      Tympany


  • 14. 
    Check all that can affect a pulse ox reading
    • A. 

      Jaundice

    • B. 

      Hypothermia

    • C. 

      Low blood pressure

    • D. 

      Recent dye injection

    • E. 

      Edema


  • 15. 
    This color can result from blood loss, lack of circulation, anemia, anexity or fear, cold, cigarette smoking
    • A. 

      Cyanosis

    • B. 

      Pallor

    • C. 

      Jaundice

    • D. 

      Erythema


  • 16. 
    This is a yellow color to the skin, indication of liver disease or obstruction of bile flow, results from rising amounts of billirubin in blood white- see in sclera of eye 1st dark skinned- oral cavity and palms of hands and soles of feet
    • A. 

      Pallor

    • B. 

      Cyanosis

    • C. 

      Jaundice

    • D. 

      Erythema


  • 17. 
    The is when you skin is a blue color and indicates that the skin has an increase concentration of deoxygenated blood
    • A. 

      Erythema

    • B. 

      Jaundice

    • C. 

      Pallor

    • D. 

      Cyanosis


  • 18. 
    This is when the skin is red in color and indicates a fever or local inflammation
    • A. 

      Jaundice

    • B. 

      Pallor

    • C. 

      Erythema

    • D. 

      Cyanosis


  • 19. 
    What does PERRLA stand for?

  • 20. 
    Normal breating is known as
    • A. 

      Orthopnea

    • B. 

      Tachypnea

    • C. 

      Eupnea

    • D. 

      Bradypnea

    • E. 

      Apnea


  • 21. 
    Slow breathing less than 12 respir per min
    • A. 

      Eupnea

    • B. 

      Apnea

    • C. 

      Tachypnea

    • D. 

      Bradypnea

    • E. 

      Orthopnea


  • 22. 
    Fast breathing greater than 20 respir per minute
    • A. 

      Eupnea

    • B. 

      Orthopnea

    • C. 

      Apnea

    • D. 

      Bradypnea

    • E. 

      Tachypnea


  • 23. 
    No breathing at all
    • A. 

      Orthopnea

    • B. 

      Bradypnea

    • C. 

      Tachypnea

    • D. 

      Eupnea

    • E. 

      Apnea


  • 24. 
    Must sit up tp breath
    • A. 

      Apnea

    • B. 

      Orthopnea

    • C. 

      Eupnea

    • D. 

      Tachypnea

    • E. 

      Bradypnea


  • 25. 
    This is what you should hear when you percuss a chest hollow sounding
    • A. 

      Resonance

    • B. 

      Hyperresonance

    • C. 

      Dull or flat


  • 26. 
    In a patient with COPD on collapsed lung the sound is loud and hollow
    • A. 

      Resonance

    • B. 

      Hyperresonance

    • C. 

      Dull or flat


  • 27. 
    What you hear in a patient with pneumonia solid tissue or fluid
    • A. 

      Dull or flat

    • B. 

      Hyperresonance

    • C. 

      Resonace


  • 28. 
    High pitched and loud heard best over the trachea
    • A. 

      Bronchovesicular

    • B. 

      Vesicular

    • C. 

      Bronchial


  • 29. 
    Medium in pitch and loudness heard over middle chest over mainstream bronchi
    • A. 

      Vesicular

    • B. 

      Bronchial

    • C. 

      Bronchovesicular


  • 30. 
    Low pitched heard over perphial lung fields soft and breezy
    • A. 

      Vesicular

    • B. 

      Bronchovesicular

    • C. 

      Bronchial


  • 31. 
    Crackling sound due to air moving through airways that contain fluid
    • A. 

      RALES

    • B. 

      Gurgules or rhonchi

    • C. 

      Wheezes

    • D. 

      Friction rub


  • 32. 
    Heard more on expiration loud coarse "junky sound"
    • A. 

      Wheezes

    • B. 

      Rales

    • C. 

      Gurgles or rhonchi

    • D. 

      Friction rub


  • 33. 
    Squeaky musical sound air flowing through narrowed airway
    • A. 

      Gurgles or rhochi

    • B. 

      Wheezes

    • C. 

      Friction rub

    • D. 

      Rales


  • 34. 
    Grating sound made when inflamed pleural surfaces move during respiration
    • A. 

      Rales

    • B. 

      Gurgles or rhochi

    • C. 

      Friction rub

    • D. 

      Wheezes


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