Health Assessment Quiz for Nursing Students
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Questions and Answers

What is considered a normal pulse rate for adults?

  • 80-120 bpm
  • 40-60 bpm
  • 60-100 bpm (correct)
  • 100-120 bpm

Tachycardia is defined as a heart rate below 60 beats per minute.

False (B)

What is the pulse deficit?

The difference between apical and radial pulse counts.

The normal cardiac output is approximately ____ liters of blood per minute.

<p>5-6</p> Signup and view all the answers

Match the following types of pulses with their respective functions:

<p>Radial Pulse = Convenient and accessible Temporal Pulse = Used in infants Carotid Pulse = Used to assess blood flow to the brain Femoral Pulse = Evaluates circulation to the leg</p> Signup and view all the answers

What percentage of the final grade is assigned to major exams (Midterm & Finals)?

<p>40% (D)</p> Signup and view all the answers

A student can have up to 5 unexcused absences before receiving an FDA.

<p>False (B)</p> Signup and view all the answers

What are the total weeks for this course?

<p>9 weeks</p> Signup and view all the answers

The grading category that consists of recitation and class participation contributes _____ percent to the class standing.

<p>20</p> Signup and view all the answers

Which of the following is NOT part of class standing assessment?

<p>Exams (D)</p> Signup and view all the answers

What is the course credit value for lecture hours?

<p>3 units</p> Signup and view all the answers

All material will be covered in class.

<p>False (B)</p> Signup and view all the answers

What are the four components included in a general status assessment?

<p>General Appearance, Vital Signs, Pain Assessment, Health History</p> Signup and view all the answers

VITAL SIGNS reflect the body's physiologic status and provide information about the person's current ________ or state of health.

<p>condition</p> Signup and view all the answers

Match the following terms with their definitions:

<p>General Appearance = Holistic assessment using all five senses Vital Signs = Measurements of physiological parameters Health History = Detailed review of constitutional symptoms Pain Assessment = Evaluation of the patient's pain levels</p> Signup and view all the answers

Which of the following is NOT included in the general status assessment?

<p>Nutritional Intake (C)</p> Signup and view all the answers

What does 'oriented to time, place, person & event' refer to in patient assessment?

<p>Orientation</p> Signup and view all the answers

Which vital sign is considered the 5th vital sign?

<p>Pain (C)</p> Signup and view all the answers

A fever is defined as a body temperature below the normal range.

<p>False (B)</p> Signup and view all the answers

What is the normal range for body temperature in degrees Celsius?

<p>36.5-37.5</p> Signup and view all the answers

Core temperature is primarily controlled by the ______.

<p>hypothalamus</p> Signup and view all the answers

Match the following medical terms with their corresponding meanings:

<p>Hyperpyrexia = Temperature at 41° C or higher Afebrile = Normal body temperature without fever Fever (Pyrexia) = High body temperature Surface Temperature = Temperature of the skin and subcutaneous tissues</p> Signup and view all the answers

How often should vital signs be assessed for a patient in critical condition?

<p>Every 30 minutes (C)</p> Signup and view all the answers

What is the primary purpose of assessing vital signs?

<p>To obtain baseline data and for diagnostic and therapeutic purposes.</p> Signup and view all the answers

Temperature is highest in the early morning and lowest in the afternoon.

<p>False (B)</p> Signup and view all the answers

What is considered hypothermia?

<p>Body temperature below 35°C (C)</p> Signup and view all the answers

Remittent fever exhibits a constant body temperature above normal.

<p>False (B)</p> Signup and view all the answers

What is the normal oral temperature range in degrees Celsius?

<p>35.9 – 37.5</p> Signup and view all the answers

The process of heat loss through direct contact with a cooler surface is called ______.

<p>conduction</p> Signup and view all the answers

Match the following pulse terms with their definitions:

<p>Bradycardia = Pulse rate below 60 bpm Tachycardia = Pulse rate above 100 bpm Dysrhythmia = Irregular pulse rhythm Apical Pulse = Pulse located in the apex of the heart</p> Signup and view all the answers

Which method of heat loss involves the conversion of liquid to vapor?

<p>Evaporation (B)</p> Signup and view all the answers

The tympanic temperature is typically lower than core body temperature.

<p>False (B)</p> Signup and view all the answers

What does the term 'pulse volume' refer to?

<p>Pulse strength</p> Signup and view all the answers

Flashcards

Health Assessment

A course that focuses on understanding and applying techniques for gathering comprehensive patient information, including health history, physical exams, and psychosocial assessments.

Holistic Nursing Assessment

A structured approach to collecting data about a patient’s health and well-being, involving a combination of subjective (patient reports) and objective (physical exam, labs) information.

History Taking

Gathering information about a patient’s health status, past medical history, family history, and current symptoms through direct conversation.

Head-to-Toe Physical Examination

A systematic examination of a patient's body to observe and assess physical signs, including vital signs, appearance, and various systems.

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Psychosocial Assessment

Evaluating a patient’s social, emotional, and psychological well-being, considering factors like family support, coping mechanisms, and mental health.

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Interpreting Laboratory Findings

Interpreting the results of laboratory tests to gain deeper insights into a patient’s condition and guide treatment decisions.

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Nursing Diagnosis

A concise summary of a patient's health status that identifies actual or potential problems based on gathered assessment data.

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Class Attendance

The ability to be present in class regularly and on time, showing respect for the learning environment.

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General Status Assessment

A comprehensive assessment of a patient's overall health status, using all five senses to gather information. It includes observation of the patient's general appearance, vital signs, pain, and a detailed review of their health history.

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Health History

A detailed review of the patient's constitutional symptoms (general symptoms that indicate the patient's overall health status), such as fatigue, weight loss, fever, and pain.

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Orientation

The patient's ability to recognize the current time, location, and other relevant events. It assesses their awareness of their surroundings.

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Vital Signs

A measurement of the patient's body's physiological functions that indicate overall health status. Includes temperature, pulse, respiration, and blood pressure.

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Pain Assessment

A subjective assessment of the patient's discomfort or pain level. It involves understanding the intensity, location, quality, and duration of the pain.

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General Appearance

A complete observation of the patient's physical appearance, considering their mental state, skin color, facial expressions, posture, mobility, speech, and overall appearance.

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Body Habitus

The patient's body build or shape. It can be classified as endomorphic (large build), mesomorphic (average), ectomorphic (slender), or very ectomorphic (very slender).

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Level of Consciousness

A measure of the patient's consciousness, indicating their level of awareness and responsiveness to their surroundings. It ranges from alert to unresponsive.

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Temperature

The degree of hotness or coldness of the body, representing the balance between heat produced and heat lost.

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Pulse rate

The rate at which your heart beats, measured in beats per minute (bpm).

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Respiratory rate

The number of breaths you take per minute while at rest.

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Blood pressure

The force of blood pushing against the walls of your arteries. It's measured in millimeters of mercury (mmHg).

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Normal body temperature

A normal body temperature within the range of 36.5°C to 37.5°C.

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Core temperature

The temperature of the deep tissues of the body, regulated by the hypothalamus.

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Surface temperature

The temperature of the skin, subcutaneous tissues, and fat cells. It fluctuates based on environmental changes.

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Pulse Rhythm

The pattern of your heartbeat and the time between each beat.

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Pulse Volume or Amplitude

The strength or force of your heartbeat, reflecting the amount of blood pumped with each beat.

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Apical Pulse

A measurement taken at the tip of your heart using a stethoscope. It reflects the actual number of times your heart beats per minute.

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Pulse Deficit

The difference between the apical pulse (heart rate) and the radial pulse (wrist rate) measured simultaneously.

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Hypothermia

When your body temperature drops below 35 degrees Celsius (95 degrees Fahrenheit).

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Intermittent Fever

A fever pattern where the temperature alternates between normal and elevated levels.

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Remittent Fever

A fever pattern where the temperature fluctuates above normal throughout the day.

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Relapsing Fever

A fever pattern where a disease returns after a period of improvement.

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Constant Fever

A fever pattern where the body temperature stays consistently above normal, with minimal fluctuations.

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Heat Loss

The process of heat leaving the body.

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Pulse Definition

Pulse is the wave of blood created by the heart's contraction.

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Peripheral Pulse

Pulse located away from the heart.

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Study Notes

Course Information

  • Course Title: Health Assessment
  • Instructor: Prof. Nina Cabalonga, RN, CNN, MSN
  • Course Description: This course covers concepts, principles, and techniques of history taking, physical examination (head-to-toe), psychosocial assessment, and interpreting lab results to arrive at nursing diagnoses. Students learn to perform holistic nursing assessments of individual adult clients.
  • Course Credit: 3 units of lecture (72 hours), 2 units of RLE Skills Lab
  • Total Course Duration: 9 weeks
  • Textbooks: Kozier and Erb's Fundamentals of Nursing (10th Edition), Weber and Kelly's Health Assessment in Nursing (7th Edition)

Grading System

  • Major Exams (Midterm & Finals): 40%
  • Quizzes: 20%
  • Class Standing: 40%
    • Assignments/Activities: 10%
    • Recitation/Class Participation: 10%
    • Attitude/Grooming: 10%
    • Attendance: 10%
  • Incomplete (INC): Grade below 74
  • Officially Dropped (OD):
  • Unofficially Dropped (UD):
  • Failure Due to Absences (FDA)

Course Schedule

  • Day 1: Orientation (Holistic Nursing Assessment, General Status, Vital Signs)
  • Day 2: Holistic Nursing Assessment (Mental Status, Health History)
  • Other specific days have detailed course outline relating to specific health patterns or examinations (listed by date/week) such as Skin, Hair and Nails, Head and Neck, Eyes and Ears, Nose and Sinuses, Thorax and Lungs, Breast and Lymphatic, Heart and Neck Vessel, Musculo-skeletal, Female Genitalia and Rectum, Male Genitalia and Rectum. Midterm and Final Examinations are also listed.

House Rules

  • Syllabus serves as a guide; materials and dates may change.
  • Class attendance is mandatory; 3 unexcused absences = FDA, 3 latenesses = 1 absence.
  • Proper decorum (uniform and grooming) is expected during in-person classes.
  • Students must be present for exams, notify instructor in advance of any absence, and are responsible for prior reading/completion of assignments.
  • Assignments are due on time, with late submissions penalized.
  • Cheating will result in a failing grade, possible expulsion.
  • Communication is important, preferably via email, telegram, or messenger.

General Status Assessment

  • General Appearance: Holistic observation using all 5 senses (mental status, skin color, facial expressions, posture, mobility, speech, overall appearance).
  • Vital Signs: Measurement of patient's core temperature, pulse rate, and respiratory rate. Blood pressure is also a vital sign.
  • Pain Assessment: Evaluation of the patient's pain.
  • Health History: A detailed review of the patient's constitutional symptoms.

Vital Signs

  • Vital signs reflect the body's physiologic status and condition, also referred to as “Cardinal Signs".
  • Includes: Temperature, Pulse Rate, Respiratory Rate, Blood Pressure, and Pain (considered the 5th vital sign).
  • Purpose: Obtaining baseline data; for diagnostic and therapeutic purposes.
  • Frequency of measurement depends on the patient’s condition criticality

Temperature

  • Definitions of terms relevant to temperature: Core temperature, Normal Body Temperature, Surface Temperature, Fever (Pyrexia), Hyperpyrexia, Hypothermia, Afebrile
  • Methods of Heat Loss: Radiation, Conduction, Convection, Evaporation, Elimination
  • Varying temperature measurement types and their usage (oral, axillary, tympanic, rectal)
  • Conversion formula between Fahrenheit and Celsius

Pulse Rate

  • Pulse is a wave of blood created by the contraction of the left ventricle of the heart.
  • Purpose: Establish baseline data, identify normal pulse rate, assess pulse rhythm, compare pulses on each side of the body, monitor client's health status, monitor clients at risk for pulse alterations
  • Pulse is assessed for rate (60-100 bpm), rhythm (regularity or irregularity), volume, and elasticity of arterial wall; uses techniques of palpation and auscultation
  • Normal and abnormal pulse rates, pulse deficit, pulse volume/amplitude parameters

Peripheral Pulses

  • Different types of peripheral pulses (Temporal, Carotid, Brachial, Radial, Femoral, Popliteal, Dorsalis pedis, Posterior Tibial). -Specific guidelines for how to locate pulses (palpation and/or auscultation).
  • Techniques for pulse assessment.
  • When to measure different types of peripheral pulses

Apical Pulse

  • How to measure an apical pulse (location and use of stethoscope).
  • Additional Information (Apical-radial pulse and Pulse deficit)

Other Information (Page 32-33)

  • Images showing different types of peripheral pulses and their locations.

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Description

Test your knowledge on pulse rates, tachycardia, and cardiac output in this Health Assessment Quiz designed for nursing students. You will also review important aspects of course policies and grading systems. Perfect for preparing for your nursing finals!

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