Respiratory & Cardiac Assessments
Clear breath sounds heard over most of the lung fields during inspiration and expiration are called:
What are vesicular breath sounds?
What is the correct order of assessment techniques for the abdomen?
What is inspection, auscultation, percussion (if used), and palpation?
This is the formula used to calculate Body Mass Index (BMI) in adults.
What is weight (kg) ÷ height (m²)?
What is one of the first steps in assessing a client’s mobility?
A: What is observe range of motion, gait, and posture?
This tool is used to visualize the ear canal and tympanic membrane.
What is an otoscope?
This abnormal sound is high-pitched and musical, usually heard during expiration in clients with asthma or COPD.
What is wheezing?
The nurse hears no bowel sounds in any quadrant after listening for 5 minutes. This finding is documented as:
A: What is absent bowel sounds (a medical emergency if not expected)?
Why might older adults be at risk for dehydration?
What is a decreased sense of thirst and reduced kidney function?
Name two sensory factors that increase a client’s risk for falls.
What are impaired hearing or vision?
This chart is used to assess a client’s distance vision.
What is a Snellen chart?
Second pulmonic area, is located to the left of the sternum at the third intercostal space.
What is Erb's point?
Match the incontinence type: A client feels a sudden strong urge to urinate and may not make it to the bathroom in time.
What is urge incontinence?
Which macronutrient is the body's preferred source of energy?
What is carbohydrates?
A nurse and another staff member are required to help a client stand, pivot, and transfer from the bed to a chair. The client can follow instructions but cannot bear weight. What level of assistance is this?
What is maximum assist?
What two tuning fork tests are used to assess types of hearing loss?
What are the Rinne and Weber tests?
What adventitious sound is caused by fluid in the alveoli and may sound like popping, crackling or bubbling?
What are crackles (rales)?
When collecting a 24-hour urine specimen, the nurse should begin by:
What is discarding the first void, then saving all urine for 24 hours?
This water-soluble vitamin is crucial for wound healing and immune function.
What is vitamin C?
The ability to move the eyes up, down, and inward is controlled by this cranial nerve.
What is Cranial Nerve III – Oculomotor?
What is the correct order when performing an ear exam with an otoscope in an adult client?
What is pull the auricle up and back, then insert the otoscope gently?
What is the normal respiratory rate for an adult?
What is 12–20 breaths per minute?
A stool that is black and tarry in appearance may indicate:
What is upper gastrointestinal bleeding?
This mineral is especially important for older adults to prevent osteoporosis.
What is calcium?
This nerve is tested using the Snellen chart or confrontation test.
What is Cranial Nerve II – Optic?
Clouding of the lens that affects vision clarity in older adults is called:
What is a cataract?