Health Assessment Exam 2

Pt with 3 day hx of nausea & vomiting has dry mucosa and deep fissures in the tongue. this is indictative of what

Where do you typically hear Bronchovesicular Breath sounds?

When palpating the head & face, what are you palpating for?

When auscultating the heart, what are you listening for?

Pt. comes in with extreme edema to the legs, ulcers at the ankles, a brown pigment discoloration. Most likely cause?

Which of the following is NOT a risk factor for a traumatic brain injury?

Pt complaining of swelling in the neck, finds a 2 cm lump that is fixed and hard. Why does this require investigation?

Where do you typically hear Bronchial Breath sounds?

Pt. with unilateral absent lung sounds on the right side? What could possibly be the cause?

Pt. comes in with a sudden onset of throbbing pain unilaterally. Leg is pale, pulseless, and cold. Most likely cause?

When palpating, what are you looking for? (select all that apply)

Pt who has received numerous antibiotics, nurse notes his tongue to be black and “hairy.”  What is the best response?

What are the 5 areas to listen to (Cardiac Landmarks)?

S2 is the closure of...

Pt. had pain and cramping in their left leg during activity. It is relieved by rest. The leg is cool, pale and hairless.

What is the Modified Allen Test?

Which of the following are cardiac risk factors?

S1 is the closure of...

Child presents with a new onset of foul-smelling, purulent drainage from the right nare. what is best action next?

During the assessment of an infant, the nurse notes that the fontanels are depressed and sunken. What would you suspect?

What is Jugular Venous Distention (JVD) an indicator for?

Where do you typically hear Vesicular Breath sounds?

If there is edema on a pt's feet & their pulses are not palpable, what do you do?

What is a thrill?

Pt. comes into the ED with intense, sharp pain in the leg. Pts leg is warm, red and swollen. What is most likely cause?

Where do you get the most accurate pulse reading?

What is the Shamroth test testing for?

What is the normal stimulate to breath

Which heart sound is loudest at the apex?

Which force is normal when talking about pulse?

What is our respirsatory system made up of?

What are signs someone is having difficulty breathing? (select all that apply)