Podcast
Questions and Answers
What is the primary focus of the examiner's question regarding Mrs. J.'s headaches?
What is the primary focus of the examiner's question regarding Mrs. J.'s headaches?
Which aspect is the examiner likely not focusing on when asking about Mrs. J.'s actions during headaches?
Which aspect is the examiner likely not focusing on when asking about Mrs. J.'s actions during headaches?
In asking Mrs. J. what she does when her headaches occur, the examiner is indirectly assessing which of the following?
In asking Mrs. J. what she does when her headaches occur, the examiner is indirectly assessing which of the following?
What underlying theme could be inferred from the examiner’s inquiry about Mrs. J.'s headaches?
What underlying theme could be inferred from the examiner’s inquiry about Mrs. J.'s headaches?
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Which of the following could be considered a secondary factor in Mrs. J.'s headache management based on the examiner's question?
Which of the following could be considered a secondary factor in Mrs. J.'s headache management based on the examiner's question?
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What response should the nurse expect in the vital signs of a client experiencing pain?
What response should the nurse expect in the vital signs of a client experiencing pain?
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When assessing vital signs for a client with pain, which outcome is least likely to occur?
When assessing vital signs for a client with pain, which outcome is least likely to occur?
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What term describes an excessive curvature of the spine that often results in a hunchback appearance?
What term describes an excessive curvature of the spine that often results in a hunchback appearance?
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In a 50-year-old patient complaining of pain, what physiological change is most commonly observed?
In a 50-year-old patient complaining of pain, what physiological change is most commonly observed?
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Which of the following symptoms would most likely be noted by the nurse in a pain assessment?
Which of the following symptoms would most likely be noted by the nurse in a pain assessment?
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Which condition is characterized by a lateral curvature of the spine?
Which condition is characterized by a lateral curvature of the spine?
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What term is used for an excessive inward curve of the lower back?
What term is used for an excessive inward curve of the lower back?
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Which vital sign change is least expected in a 50-year-old client with pain?
Which vital sign change is least expected in a 50-year-old client with pain?
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Barrel chest is primarily associated with which of the following?
Barrel chest is primarily associated with which of the following?
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Which range of motion (ROM) movements are primarily associated with the knee joint?
Which range of motion (ROM) movements are primarily associated with the knee joint?
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Which instrument is specifically designed to visualize the external auditory canal and tympanic membrane?
Which instrument is specifically designed to visualize the external auditory canal and tympanic membrane?
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What is the primary function of an otoscope in clinical practice?
What is the primary function of an otoscope in clinical practice?
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Which of the following is NOT an appropriate use of a tuning fork?
Which of the following is NOT an appropriate use of a tuning fork?
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What is the initial technique a nurse should utilize when conducting a physical assessment?
What is the initial technique a nurse should utilize when conducting a physical assessment?
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In evaluating a patient’s ear, which instrument would you choose to examine the tympanic membrane specifically?
In evaluating a patient’s ear, which instrument would you choose to examine the tympanic membrane specifically?
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Which instrument is least likely to be used for auditory assessment?
Which instrument is least likely to be used for auditory assessment?
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In what order should a nurse ideally perform assessment techniques during a physical examination?
In what order should a nurse ideally perform assessment techniques during a physical examination?
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Which assessment technique is primarily employed to evaluate sounds produced by organs and tissues?
Which assessment technique is primarily employed to evaluate sounds produced by organs and tissues?
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Which physical assessment technique involves using the hands to feel body structures?
Which physical assessment technique involves using the hands to feel body structures?
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Which of the following techniques is least likely to be performed first in a physical assessment?
Which of the following techniques is least likely to be performed first in a physical assessment?
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Which of the following indicates a condition that warrants a follow-up assessment in a pediatric context?
Which of the following indicates a condition that warrants a follow-up assessment in a pediatric context?
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What is typically considered a normal finding for a child at the age of 5?
What is typically considered a normal finding for a child at the age of 5?
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Which of these findings would most likely suggest the presence of an acute infection?
Which of these findings would most likely suggest the presence of an acute infection?
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When assessing a 5-year-old child, which of the following would classify as an abnormal finding?
When assessing a 5-year-old child, which of the following would classify as an abnormal finding?
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Which of the following scenarios typically requires additional evaluation in a pediatric patient?
Which of the following scenarios typically requires additional evaluation in a pediatric patient?
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Study Notes
Week 1
- 5 questions cover: interviewing, health history, communication, and documentation.
Week 2
- 10 questions cover: general survey, vital signs, symptom and pain assessment, and assessment techniques.
Week 3
- 7 questions cover: thorax and lungs.
Week 4
- 8 questions cover: heart and neck vessels (PV).
Week 5
- 5 questions cover: head, face, neck, regional lymphatic system, eyes, ears, nose, mouth, and throat.
Week 6
- 2 questions cover: musculoskeletal system (MSK).
Objective Data
- Example of objective data: A 2.5 cm scar on the right lower forearm.
Reliable Pain Indicator
- The client's description of pain is the most reliable indicator of pain.
Review of Systems
- The review of systems section in a health history provides objective findings related to each body system.
Subjective Skin Data
- Skin appears dry is an example of subjective data about the client's skin.
Assessment Sequence
- The correct sequence for a physical assessment includes: introducing oneself, hand washing, explaining the procedure, then putting on gloves, and performing the inspection first, followed by auscultation.
Communication Framework (Patient Status Change)
- The SBAR framework (Situation, Background, Assessment, Recommendation) is used for communicating a change in patient status to another healthcare provider.
Reason for Seeking Care
- "Reason for seeking care" is a more comprehensive term now taking the place of "chief complaint".
- This implies a change in diagnostic approach.
Medical Record Notation Example
- "I have had a cold for about a week, and now I am having difficulty breathing." This is an example of a reason for seeking care.
Interview Question Example
- "Mrs. J., tell me what you do when your headaches occur," targets information about the patient's perception of the problem and the triggers for the headaches.
Genogram Usage
- A genogram is specifically used for family history.
Review of Systems
- A review of systems is the evaluation of the past and present health state of each body system.
Assessing an 87-Year-Old Client
- If a nurse finds a 126 bpm pulse rate in an 87-year-old client, taking a full set of vital signs for a complete assessment is best practice.
Pulse Rate Assessment
- Assessing pulse rate involves noting rate, rhythm, force, and strength.
Sudden Postural Change
- A person who stands up quickly after lying down for a longer period of time could experience orthostatic hypotension.
- This is a possibility for an elderly client.
Blood Pressure (BP) Category
- Patient whose BP has ranged from 124/84 to 130/82 mmHg for two months is considered to have normal BP.
Difficulty Breathing Positions
- When a client with COPD is having difficulty breathing, they may assume a tripod position- leaning forward to support their breathing.
Assessment Techniques
- Auscultation uses listening to sounds, percussion involves using tapping to differentiate tissue types, and inspection involves using sight.
- Palpation involves using touch.
Breath Sounds
- High-pitched, inspiratory crowing sounds are likely stridor.
- Documenting breath sounds that have high-pitch musical notes as "stridor" is correct.
Normal Lymph Node
- Normal lymph nodes are movable, soft, and non-tender.
Tonsils in Children
- Normal findings in a 5 year-old child are pink tonsils that are slightly rough-surfaced and have indentations rated between 1 and 3.
Mouth Assessment
- Healthy mouth includes pink moist gingivae, with localized edema.
Ocular Assessment
- Bright pink membrane for the tympanic membrane is considered normal.
Visual Acuity Testing
- In order to assess visual acuity, the client should stand 20 feet from the Snellen chart.
Visual Accommodation
- Pupillary constriction when looking at a near object is a normal visual accommodation finding.
Visual Accommodation Problems
- Changes in peripheral vision in response to light signals a potential visual accommodation problem.
Hearing assessment
- air conduction is the assessment of hearing through sound waves.
Vertebral Column Examination
- The client should be placed in a prone position to inspect the vertebral column.
Abnormal Curvatures (Spine)
- An S-shaped curvature of the thoracic and lumbar spine is considered scoliosis.
Knee Movement
- The knee's typical movements are flexion (bending) and extension (straightening).
Assessing Crepitus
- Using percussion is how crepitus, a crackling sensation, is best assessed.
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Description
This quiz covers vital topics in nursing assessment across six weeks, focusing on areas such as interviewing, health history, vital signs, and physical examinations. With a variety of question counts each week, this quiz offers a comprehensive overview of essential assessment techniques and subjective/objective data interpretation. Test your knowledge and skills vital for nursing practice.
