Physical Assessment Exam 1 Practice

Where is the radial pulse felt and how?

True or False? If the patient is comatose, primary subjective data is given by the caregiver.

Jehovah's Witness patients will not take a blood transfusion.

Nettie receives chemo for her diagnosis of Acute Myeloid Carcinoma. What level of health promotion is this?

True or False? A nurse should never ask closed-ended questions.

The nurse needs to get an accurate core temperature reading on a 4 year old child. How would she do this?

Which finger is the pulse ox placed on?

James is sweating profusely; he tells the nurse he is burning up. How would the nurse assess the forehead for a fever?

A nurse assesses a patient's pain on a scale of 0-10, with 10 being the worst pain they ever felt in their life.

Select All that Apply. What can throw off a Blood Pressure reading?

Cathy smokes 2 packs of cigarettes a day and has been smoking for 10 years. What is her pack years?

Which answer choice does not provide an example of Subjective data?

When assessing a pt's abdomen, what order would the nurse assess?

A young boy is splinting his rib with his left arm following a bike wreck. How would the nurse palpate the pt's rib?

A client has emphysema, when percussing the nurse hears a drum-like sound over the lungs. What is this known as?

A pt notices they have pasty-white stuff in between their thigh & groin. What tool would the nurse use to assess this?

What do you do in the case that the pulse is irregular?

A pt has coded and the EKG shows a flatline. What tool could be used to assess a pulse before calling it?

An African American nurse is uncomfortable taking care of a client who is a known racist. What should she do?

What tool would the nurse use to inspect a diabetic's foot for feeling?

You can assess a patient's diet by asking them what they consumed the past 24 hours?

What tool would the nurse use to assess a client for the prescence of Hypotension?

When providing care to a client a nurse must first assess their own biases before providing care.

Systolic BP is the pressure exerted on the ventricles when the heart relaxes.

If the patient says their allergic to something, the nurse should ask what the client's reaction consists of?

When assessing a pt's BP, Hayley asks her teacher what is the lub-dub sounds she hears on auscultation. What are these?

In the OLDCARTS acronym, what does the letter D represent?

True or False? Secondary subjective data is given by the family and caregivers.

In which situation would a focused assessment be performed?

Asking a patient why will make them defensive and less liable to cooperate and answer the nurse's questions.

Elena runs a mile each morning bcuz she knows her family has a hx of Diabetes. What level of health promotion is this?

Which is not an example of a Modifiable risk?

The nurse is caring for a non-English speaking pt. The nurse allows the daughter to translate the convo. This is okay.

In what order would you assess a patient's orientation?

A comprehensive assessment would be performed after a patient had a thyroidectomy done.

You should never tell a patient when you are performing a respiration count?

What tool is used to detect the degree of which a joint can extend and flex?

When percussing the abdomen, the nurse hears a loud high-pitched sound. What is this better described as?

How can a patient's respiratory rate be collected? What is it called when it's higher than a normal RR range?

Which oxygen saturation would raise concern for the nurse?

Jessica is getting her yearly pap smear after being diagnosed with PCOS. What form of health promotion is this?

What are two examples that can throw off a O2 Sat Rate?

True or False? A high heart rate is known as Hypertension.

Pick the best example of an open-ended question.

Which vital sign can be affected by pain? Select All That Apply.

Which of the following is true?

A nurse is performing a pap smear. What tool would she use to assess the cervix and perform this exam?