TERMINOLOGY
ASSESSMENT
HEAD,NECK, EARS & EYES
LUNGS/HEART
MYSTERY CATEGORY
100
Occurs when pupils constrict and converge to focus on objects at close range.
What is accommodation?
100
Used to auscultate low-pitched sounds
What is the bell of the stethoscope?
100
Occipital, submental, submandibular, preauricular
What are lymph nodes?
100
High pitched, discontinuous sounds similar to the sound produced by rubbing your hair between your fingers
What are crackles?
100
Auscultation is performed before palpation when assessing this area of the body.
What is the abdomen?
200
One side is the same as the other in regards to size, shape, and relative position of corresponding parts.
What is symmetry?
200
Correct patient positioning for palpating the abdomen
What is with knees bent?
200
Should be straight, midline, and symmetrical.
What is the trachea?
200
Cardiac auscultation sites
What are aortic, pulmonic, Erb's, tricuspid and mitral?
200
Before documenting the absence of bowel sounds, the nurse must listen for at least ________ in each quadrant.
What is two minutes?
300
Auscultation
What is listening for sounds within the body?
300
The four techniques of physical assessment.
What are inspection, palpation, percussion, and auscultation?
300
Note the rise of the soft palate and uvula
What is asking the patient to open mouth and say "ahh?"
300
The number of locations on the posterior thorax where lung sounds are auscultated.
What is nine?
300
Level of awareness is determined by assessing orientation to _______.
What is person, place, and time?
400
PERRLA
What are pupils, equal, round, reactive to light, accommodation?
400
Includes general appearance, behavior, vital signs, pain, height & weight, and calculating BMI.
What is the general survey?
400
A quick way to assess hearing that does not require specialized equipment.
What is the whisper test?
400
Crackles, rhonchi, and wheezes
What are adventitious breath sounds?
400
Ask patient to smile, raise eyebrows, puff out cheeks, and show teeth.
DAILY DOUBLE
What is assessing cranial nerve VII (facial nerve)?
500
Small, purplish hemorrhagic spots on the skin that do not blanch with pressure.
What are petechiae?
500
Conducted to assess a specific problem or high priority health concern.
What is a focused assessment?
500
This test evaluates the functioning of the six extraocular muscles of the eyes.
What are the cardinal positions?
500
"Lub-dub"
What is the sound of S1 and S2 (first and second heart sound)?
500
Stomach, spleen, left kidney, left adrenal gland, splenic flexure of colon, body of pancreas.
What are the organs in the left upper quadrant of the abdomen?