EXAM 1 STUDY GUIDE

Question 1

True or False? Pain scale levels are objective data.

Answer 1

True, because this is technically measurable.

Question 2

What are the 3 phases of the interview?

Answer 2

introduction, discussion, summary

Question 3

What happens during the discussion phase of the interview?

Answer 3

data is collected and concerns are addressed

Question 4

what happens during the summary phase of the interview?

Answer 4

data is clarified, understanding is provided, closure

Question 5

what happens during the introduction phase of the interview?

Answer 5

patients are prepared for what to expect

Question 6

primary level of health promotion

Answer 6

disease prevention

Question 7

secondary level of health promotion

Answer 7

disease screening/diagnosis

Question 8

long term disease/injury managment

Answer 8

tertiary

Question 9

5 ethical principles

Answer 9

non maleficence, beneficence, autonomy, justice, confidentiality

Question 10

ISBARR

Answer 10

identify, situation, background, assessment, recommendations, read back

Question 11

What is palpation used to assess?

Answer 11

temperatures of skin, tenderness, size and countour

Question 12

True or False? Light palpation should always go before deep because deep palpation can hurt and/or disrupt fluids.

Answer 12

True

Question 13

What is percussion used to detect?

Answer 13

fluid, tenderness, organ sizes, reflexes

Question 14

How to use percussion?

Answer 14

tapping motion on second knuckle

Question 15

what is the most common type of stethoscope used for auscultation?

Answer 15

acoustic

Question 16

How many times can you rely on hand sanitizer before you must wash your hands?

Answer 16

twice

Question 17

3 primary components of health assessment

Answer 17

history, physical examination, documentation of data

Question 18

nursing process

Answer 18

assessment, analysis, planning, implementation, evaluation

Question 19

4 goals of healthy people 2020

Answer 19

attain longer lives w/o preventable diseases, achieve health equity, create social and physical environments that promote health for all, promote quality of life across all developmental stages

Question 20

uses verbal and nonverbal phrases to
encourage patients to continue talking further

Answer 20

facilitation

Question 21

True or false? every health history is grouped by body systems.

Answer 21

false

Question 22

True or false? 20% of people in the united states speak a language other than english at home

Answer 22

true

Question 23

True or fale? TJC requires that a spiritual history be taken from every patient admitted to the hospital

Answer 23

true

Question 24

what area of the hand is most sensitive to vibration?

Answer 24

ulnar surface of hand to fifth finger

Question 25

How deep is deep palpation?

Answer 25

4 cm

Question 26

When percussing, why should you rebound quickly?

Answer 26

to avoid muffling of vibration

Question 27

Why is stronger percussion needed for obese or very muscular patients?

Answer 27

thickness of tissue can impede vibrations

Question 28

loud, high-pithced sound heard over abdomen

Answer 28

tympany

Question 29

sound heard over normal lung tissue

Answer 29

resonance

Question 30

When do we get hyperresonance ?

Answer 30

when we listen to overinflated lungs

Question 31

dullness is heard over the ___

Answer 31

liver

Question 32

sound heard when we percuss over bones and muscle

Answer 32

flatness

Question 33

true or false : friction of body hair rubbing against diaphragm of stethoscope can be mistaken for abnormal lung sounds (crackles)

Answer 33

true

Question 34

true or false? sitting and supine are most common patient positions for examinations

Answer 34

true

Question 35

tubing longer than ____ inches may distort sounds

Answer 35

18

Question 36

Consists of LED probe emitting light waves that reflect off oxygenated and deoxygenated hemoglobin molecules circulating in blood

Answer 36

pulse oximetry

Question 37

How far is the snellen chart from the patient?

Answer 37

20

Question 38

11 lines of letters decreasing in size

Answer 38

snellen chart

Question 39

rosenbaum and jaeger charts are commonly used to evaluate

Answer 39

near vision

Question 40

how far are Rosenbaum/Jaeger charts held from patients

Answer 40

14 inches

Question 41

what color hemorrhages under ophthalmoscope?

Answer 41

black

Question 42

why is a pneumatic attachment sometimes added to an otoscope?

Answer 42

to produce small puffs of air against the tympanic membrane to evaluate fluctuation of the membrane in children

Question 43

true or false : patient should be warned about clicking and snapping sounds of speculum

Answer 43

true

Question 44

frequency of tones created by audioscope

Answer 44

1000 to 5000 hz

Question 45

what is monofilament used for?

Answer 45

to test lower extremity sensation

Question 46

Used to differentiate characteristics of tissue, fluid, and air in specific body cavity.

Answer 46

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