Health Assessment Exam 1 Review

Questions and Answers

What is the correct order for a general cardiovascular assessment?

Inspect, auscultate, palpate (correct)

Palpate, auscultate, inspect

Ausculatate, inspect, palpate

Ausculatate, palpate, inspect

What is one of the 5 As of smoking cessation?

Assess

Advocate

Agree

Ask (correct)

Which symptom is commonly associated with a myocardial infarction (MI)?

Nausea only

High fever

Chest pain or discomfort (correct)

Persistent headache

What should be done if pulses are not easily felt during assessment?

Conduct a manual compression test Signup and view all the answers

Which heart sounds are typically assessed during auscultation?

S1 and S2 heart sounds Signup and view all the answers

Which lifestyle factor is considered a modifiable risk for coronary artery disease (CAD)?

Poor diet Signup and view all the answers

What does the acronym JVP stand for in assessing neck vessels?

Jugular Venous Pressure Signup and view all the answers

Which type of veins are typically assessed during a peripheral vascular assessment?

Superficial and deep veins Signup and view all the answers

Which action by the student indicates proper technique when assessing a client's capillary refill?

Student compresses the client’s nail bed until it blanches Signup and view all the answers

Which of the following is not a sign or symptom of arterial insufficiency?

Edema Signup and view all the answers

What technique should the nurse use first when preparing to assess a client's carotid arteries?

Palpate the carotid pulse first Signup and view all the answers

What is the medical term for temporary heart pain that resolves in less than 20 minutes?

Angina Signup and view all the answers

At which location should the nurse palpate to assess a client's apical impulse?

Fifth intercostal space, left midclavicular line Signup and view all the answers

What is the purpose of the Whisper Test in a sensory assessment?

To determine hearing ability Signup and view all the answers

Which of the following is associated with respiratory assessment in older adults?

Decreased chest expansion Signup and view all the answers

What type of breath sound is characterized by a high-pitched wheezing noise?

Stridor Signup and view all the answers

Which sign/symptom would not typically indicate dyspnea?

Hypertension Signup and view all the answers

In assessing breast health, what does breast palpation primarily aim to evaluate?

Masses and tenderness Signup and view all the answers

Which position is typically NOT used during a breast assessment?

Lying flat on stomach Signup and view all the answers

What type of breath sounds are typically assessed during auscultation?

Bronchial, vesicular, and bronchovesicular Signup and view all the answers

Which finding during an objective assessment of the thorax may indicate abnormal function?

Excessive use of accessory muscles Signup and view all the answers

In breast self-exams, what is a recommended method for palpation?

Circular motion Signup and view all the answers

What does the Rinne test primarily assess?

Hearing air versus bone conduction Signup and view all the answers

What is the primary focus of inspection in assessing arterial insufficiency of the lower extremities?

Color, hair distribution, and lesions Signup and view all the answers

Which of the following factors is considered a modifiable risk factor for arterial insufficiency?

Diabetes Signup and view all the answers

Which symptoms would most likely indicate venous insufficiency?

Edema and varicosities Signup and view all the answers

During palpation of the lower extremities, which of the following assessments is essential?

Assessing temperature and pulses Signup and view all the answers

In the context of older adults, what is a common physiological change associated with peripheral vascular health?

Smaller and fewer lymph nodes Signup and view all the answers

What is the main purpose of conducting an Allen test during a vascular assessment?

To determine collateral blood flow Signup and view all the answers

What might indicate a need for further evaluation in a patient with symptoms of arterial insufficiency?

Presence of swollen/painful nodules Signup and view all the answers

What is an important subjective assessment to consider when evaluating a patient's vascular health?

The patient's experience of pain and skin changes Signup and view all the answers

What is the recommended action if a student wants to ensure they fully understand what a question is asking during the exam?

Read the question carefully Signup and view all the answers

Which measurement is NOT included in the anthropometric measurements during nutritional assessments?

Blood pressure Signup and view all the answers

Which component is essential in assessing altered nutrition and hydration?

BMI Signup and view all the answers

What should be the first step in the physical exam process for nutrition assessment?

Inspection Signup and view all the answers

What is the purpose of the Braden scale in skin assessment?

To evaluate skin breakdown risk Signup and view all the answers

Which demographic factor can exacerbate nutritional problems according to the content?

Food deserts Signup and view all the answers

Which of the following is a risk factor for altered nutrition?

Medication interactions Signup and view all the answers

What does the ABCDE mnemonic assess in relation to skin lesions?

Characteristics of lesions Signup and view all the answers

What is a common method used to assess distant visual acuity?

Snellen Chart Signup and view all the answers

Which feature is NOT typically assessed during a head and neck evaluation?

Beauty of facial features Signup and view all the answers

Study Notes

Exam Details and Preparation

Exam 1 is scheduled for Week 4 (9/16-9/20) with 50 questions in 60 minutes.
Arrive 15 minutes early; scrap paper will be provided.
Exam covers content from Modules 2, 3, and 4.

Modules Overview

Module 2: Assessing Skin, Hair, and Nails, Nutrition + HEENT (Head, Eyes, Ears, Nose, Throat).
Module 3: Assessing Thorax and Lungs, Breasts, and Lymphatics.
Module 4: Assessing the Heart and Neck Vessels, Peripheral Vascular System.

Study Strategies

Review in-class case studies and homework assignments.
Use textbook for clarifications and work through learning objectives.
Utilize CoursePoint resources for additional study materials.

General Exam Tips

Understand the questions thoroughly before answering.
Eliminate incorrect answer choices to improve chances of correct selection.
Prioritize sleep and self-care during the study period.

Assessing Nutrition (Week 2)

Focus on anthropometric measurements: weight, height, BMI.
Identify altered nutrition and hydration risks, and document objective data.
Utilize scales, metric measuring tapes, and skin fold calipers for measurements.
Assess for food sensitivities, safety issues, and lifestyle factors.

Assessing HEENT (Week 2)

Evaluate head and neck symmetry, movements, and features.
Perform vision assessments using Snellen and Jaeger charts, noting pupillary reaction.
Assess ears for hearing loss and perform Whisper, Weber, and Rinne tests.
Conduct a thorough mouth and throat inspection.

Assessing Thorax and Lungs (Week 3)

Conduct subjective assessments to gather PMH, HPI, and lifestyle practices.
Evaluate respiratory patterns and accessory muscle use during breathing.
Assess lung sounds through auscultation: bronchial, vesicular, and bronchovesicular.
Palpate for fremitus and percussion for proper lung tone.

Assessing Breasts and Lymphatic System (Week 3)

Inspect for size, shape, color, and texture of breasts and nipples.
Palpate for consistency, tenderness, and abnormalities, noting any nipple discharge.
Conduct self-exam instructions focusing on breast health education.

Assessing Heart and Neck Vessels (Module 4)

Identify signs and symptoms including chest pain and shortness of breath (SOB).
Use APETM for auscultation: aortic, pulmonic, erbs, tricuspid, and mitral areas.
Assess for extra heart sounds and murmurs, grading their intensity.

Assessing Peripheral Vascular System (Module 4)

Distinguish between arteries and veins; know major arteries in limbs.
Conduct thorough subjective and objective assessments focusing on skin changes and pulses.
Perform assessments such as Homan's sign and trendelenburg test for vascular issues.

Practice Questions

Understand lifestyle inquiries related to risk factors for skin issues like pressure ulcers.
Recognize proper techniques for capillary refill assessment.
Differentiate symptoms of arterial insufficiency from other conditions.
Know the appropriate positioning for carotid artery assessments and heart-related evaluations.

Additional Notes

Familiarize with changes specific to older adults in assessments (e.g., altered vascular response, breast firmness).
Practice timely assessments, making connections between theory and clinical application for exam readiness.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Prepare for your Health Assessment Exam 1 with this comprehensive review. This quiz covers essential topics from Modules 2, 3, and 4, focusing on skin, hair, nails, nutrition, and assessing thorax, lungs, and lymphatics. Be ready to test your knowledge and feel confident for the exam scheduled in Week 4!