1
Where are visual screenings typically conducted? (SB)
In public health settings; Snellen Standard Chart
How many quadrants should the nurse listen when auscultating the abdomen? (KS)
four
Assessing last voiding, bladder distention, incontinence, and the color and clarity of urine helps evaluate this body system. (JR)
What is the genitourinary system?
Which assessment technique includes listening to the sounds produced by the body? (BR)
Auscultation
A nurse is assessing a patient with altered mental status, 92% SpO2, abnormal breath sounds, & an irregular pulse of 108 bpm. These findings may alert you to problems in which two major body systems? (TR)
The respiratory and circulatory systems
When pupils rapidly constrict simultaneously and equally, it is known as: (NL)
Consensual Reflex
Evaluating range of motion, contractures, hand-grip strength, and the ability to turn to the side helps assess this body system (JI)
What is the Musculoskeletal System
These clinical findings such as symmetry of chest excursion, use of accessory muscles, breath sounds, presence of cough or sputum are key components when evaluating this body system. (KB)
What is respiratory system.
This condition refers to an impairment of language ability, often caused by brain injury or stroke that affects speaking, understanding, reading or writing.
-L.W
what is dysphasia
Lower extremities assessment
Which assessment technique includes listening to the sounds produced by the body?
What is Auscultation?
What score on the Glasgow coma scale indicated full alertness? (MV)
15
Interviewing provides this type of patient information, which is gathered by data obtained through inspection, palpation, percussion, or auscultation (LB)
Objective Data
If a patient reports a loss of appetite or has a special tube like gastrostomy, the nurse should document this need.
What are Nutritional and Fluid Need?
JH
Jugular vein distension is a component assessed related to what body system? (CP)
What is cardiovascular.
What is a yellow discoloration of the sclera often seen during head and neck assessment? ..this finding may indicate liver function.
-A.O
What is Jaundice.
Name 3 components the LPN will assess during a neurological assessment.
Feet flexion, hand grip, speech, follow simple commands, facial symmetry, pupillary reaction, orientation, vitals & LOC
RG
This assessment involves an interview and examination regarding a specific body system. WH
What is a focused assessment?
This need is met by assessing for problems like language barriers or a patient being disoriented or paralyzed. WH
What is the ability to communicate?
when doing a chest assessment on a patient and they cough up a frothy or pink - tinged sputum, what can this indicate? (ED)
pulmonary edema
Arms flexed to chest, hands clenched into fists and rotated internally, feet extended: indicates problem is at or above brainstem. This is known as what?
Flexor Posturing
What is the difference between a Otoscope and a Ophthalmoscope.
Otoscope- used to inspect ear canal, tympanic membrane, and lining of the nose.
RG