Podcast
Questions and Answers
What is the term for pupils of different sizes?
What is the term for pupils of different sizes?
- Dysphasia
- Ptosis
- Anisocoria (correct)
- Consensual reflex
Which term refers to the drooping of the eyelids?
Which term refers to the drooping of the eyelids?
- Ptosis (correct)
- Aphasia
- Anisocoria
- Accommodation response
What does PERLA stand for in the context of eye assessment?
What does PERLA stand for in the context of eye assessment?
- The person knows what he or she wants to say, but cannot say it
- The person has difficulty coordinating and organizing words into sentences
- Pupils equal and reactive to light and accommodation (correct)
- Stimulation of one pupil with light, causing both pupils to constrict rapidly, simultaneously, and equally
What is the term for the stimulation of one pupil with light, causing both pupils to constrict rapidly, simultaneously, and equally?
What is the term for the stimulation of one pupil with light, causing both pupils to constrict rapidly, simultaneously, and equally?
Which term is used when focusing on a distant object, causing both pupils to dilate to allow in more light?
Which term is used when focusing on a distant object, causing both pupils to dilate to allow in more light?
What does dysphasia refer to?
What does dysphasia refer to?
What is included in the head-to-toe sequence for nursing assessment?
What is included in the head-to-toe sequence for nursing assessment?
What is the purpose of assessing the chest during the head-to-toe sequence?
What is the purpose of assessing the chest during the head-to-toe sequence?
What should be assessed when examining the arms during the head-to-toe sequence?
What should be assessed when examining the arms during the head-to-toe sequence?
Why is it important to assess the abdomen during the head-to-toe sequence?
Why is it important to assess the abdomen during the head-to-toe sequence?
What is a key aspect of assessing the perineum during the head-to-toe sequence?
What is a key aspect of assessing the perineum during the head-to-toe sequence?
Why should lower extremities be assessed during the head-to-toe sequence?
Why should lower extremities be assessed during the head-to-toe sequence?
What is a crucial aspect of assessing the back and buttocks during the head-to-toe sequence?
What is a crucial aspect of assessing the back and buttocks during the head-to-toe sequence?
Why is it important to address comfort and needs during the head-to-toe sequence?
Why is it important to address comfort and needs during the head-to-toe sequence?
Why are safety features like bed height and call light accessibility highlighted as important?
Why are safety features like bed height and call light accessibility highlighted as important?
What is the significance of reviewing the steps of each of the skills procedures?
What is the significance of reviewing the steps of each of the skills procedures?
What could happen if safety guidelines like bed low and wheels locked are not followed?
What could happen if safety guidelines like bed low and wheels locked are not followed?
Why is it important to understand why the steps of each skills procedure are important?
Why is it important to understand why the steps of each skills procedure are important?
Which of the following is a component of a basic neurological examination?
Which of the following is a component of a basic neurological examination?
What is a normal respiratory rate?
What is a normal respiratory rate?
Which of the following is an abnormal respiratory pattern characterized by an abnormally deep and rapid rate of breathing?
Which of the following is an abnormal respiratory pattern characterized by an abnormally deep and rapid rate of breathing?
What should be reassessed within at least a 4-hour window, or sooner depending on the severity of the finding?
What should be reassessed within at least a 4-hour window, or sooner depending on the severity of the finding?
Which of the following is a cardiovascular assessment?
Which of the following is a cardiovascular assessment?
What should be assessed as part of gastrointestinal assessments?
What should be assessed as part of gastrointestinal assessments?
Which assessment should include assessment of bladder palpation and last voided time?
Which assessment should include assessment of bladder palpation and last voided time?
What should be assessed as part of integumentary assessments?
What should be assessed as part of integumentary assessments?
What is assessed in musculoskeletal assessments?
What is assessed in musculoskeletal assessments?
What should be assessed during respiratory assessments?
What should be assessed during respiratory assessments?
What is assessed during a basic neurological examination?
What is assessed during a basic neurological examination?
Which of the following techniques involves tapping with the tips of the fingers over specific body parts to elicit sounds that can help locate and determine the size of structures beneath the surface?
Which of the following techniques involves tapping with the tips of the fingers over specific body parts to elicit sounds that can help locate and determine the size of structures beneath the surface?
Which of the following is an example of a symptom?
Which of the following is an example of a symptom?
What is the purpose of auscultation?
What is the purpose of auscultation?
Which assessment finding indicates acute respiratory distress?
Which assessment finding indicates acute respiratory distress?
What type of data is not directly observable or measurable?
What type of data is not directly observable or measurable?
Which system is assessed in an initial head-to-toe shift assessment?
Which system is assessed in an initial head-to-toe shift assessment?
What is detected by olfaction?
What is detected by olfaction?
Which technique involves tapping with the tips of the fingers over specific body parts to detect areas containing air or fluid?
Which technique involves tapping with the tips of the fingers over specific body parts to detect areas containing air or fluid?
What type of data can be obtained from patient history?
What type of data can be obtained from patient history?
What does auscultation help detect?
What does auscultation help detect?
What does percussion help identify?
What does percussion help identify?
What is the term for continuous, melodious, musical, or whistling breath sounds due to constriction of the airway?
What is the term for continuous, melodious, musical, or whistling breath sounds due to constriction of the airway?
When should a nurse perform a physical assessment on a patient?
When should a nurse perform a physical assessment on a patient?
What is the term for a rapid rate of breathing?
What is the term for a rapid rate of breathing?
What type of assessment is performed when time constraints only allow the nurse to check one system or only the systems related to the patient’s disease process?
What type of assessment is performed when time constraints only allow the nurse to check one system or only the systems related to the patient’s disease process?
What eye response does the nurse assess by briefly shining a penlight in one eye of a patient and observing both pupils’ response?
What eye response does the nurse assess by briefly shining a penlight in one eye of a patient and observing both pupils’ response?
What is the term for a normal rate and pattern, with equal depth, of respirations?
What is the term for a normal rate and pattern, with equal depth, of respirations?
Which breath sounds are caused by air moving over secretions or alveoli opening up, and can be fine or coarse and do not clear with coughing?
Which breath sounds are caused by air moving over secretions or alveoli opening up, and can be fine or coarse and do not clear with coughing?
What is the purpose of a physical assessment?
What is the purpose of a physical assessment?
What is used to assess pupil constriction of the eyes and to examine the oral and nasal mucous membranes?
What is used to assess pupil constriction of the eyes and to examine the oral and nasal mucous membranes?
What is used to inspect the lining of the nose, tympanic membranes, and ear canals?
What is used to inspect the lining of the nose, tympanic membranes, and ear canals?
What eye response is assessed by holding a finger in front of the patient’s face and slowly increasing and then decreasing the distance between the finger and the patient’s face while observing for dilation and then constriction of pupils?
What eye response is assessed by holding a finger in front of the patient’s face and slowly increasing and then decreasing the distance between the finger and the patient’s face while observing for dilation and then constriction of pupils?
