Health Assessment

Question 1

Brief General Assessment

Answer 1

concise, timely, and realistic head to toe

Question 2

Ongoing/Follow up Assessment

Answer 2

Assessment done at regular intervals

Question 3

Focus Assessment

Answer 3

in-depth assessment of immediate concerns, 1 or more body systems

Question 4

Comprehensive Assessment

Answer 4

provides a holistic information, overall information of whole body and functional ability, emotional status, cultural and spiritual beliefs, psychosocial situation, family and community dynamics

Question 5

Emergency Assessment

Answer 5

focused ABC, mostly acute setting

Question 6

Standing position

Answer 6

not to be used for dizzy/weak people
assessing posture/balance/and gait

Question 7

Supine

Answer 7

• abd relax
• vs/head/neck/ant. thorax/lungs/heart/ breasts/ abdomen/ extremities/peripheral pulses

Question 8

Dorsal recumbant

Answer 8

Supine with knees up
assess head/neck/ant.thorax/heart/breast/periph. pulses
you cannot assess abdominals in this position

Question 9

Lithotomy

Answer 9

dorsal recumbant
ft in stirrups
assess female genitalia

Question 10

Sims position

Answer 10

assess rectum/vagina

Question 11

Sitting

Answer 11

visual of upper body
full lung expansion
assess vital signs/head/neck/ant. thorax/post. thorax/lungs/heart/breasts/arms

Question 12

High Fowler’s

Answer 12

80-90 degrees

Question 13

Fowler’s

Answer 13

45-60 degrees

Question 14

Semi Fowler’s

Answer 14

30-45 degrees

Question 15

Low Fowler’s

Answer 15

15-30 degrees

Question 16

What are best positions to assess the heart

Answer 16

Supine and Fowler’s

Question 17

Trendelenburg

Answer 17

LE higher than the head

Question 18

Reverse

Answer 18

LE lower than the head

Question 19

Modified

Answer 19

LE and Head are above the heart

Question 20

What is the order of abdominal assessment

Answer 20

Inspection, auscultation, palpation, percussion

Question 21

What part of the hand is used for temperature

Answer 21

Dorsal

Question 22

What part of the hand is used for vibration

Answer 22

palm

Question 23

What part of the hand is for pulse, size, and masses

Answer 23

finger pads/palmar surface

Question 24

Resonance is what and where would it be found

Answer 24

low pitch hollow sounds over normal lung tissue

Question 25

Flat is what and where would it be found

Answer 25

extreme dulls sounds normally heard over bones

Question 26

Dull is what and where would it be found

Answer 26

low sounds normally heard over dense areas of the heart and liver

Question 27

Tympanic is what and where is it normally heard

Answer 27

hollow high pitch drum-like heard over stomach
it

Question 28

Where would it be bad to hear tympanic percussion

Answer 28

Chest, indicates excess air in chest (pneumothorax)

Question 29

Erythema is what

Answer 29

redness specifically of the skin

Question 30

Hyperhidrosis

Answer 30

excessive perspiration

Question 31

Bromhidrosis

Answer 31

foul smelling perspiration

Question 32

What is a stage 1 pressure ulcer look like

Answer 32

redness that doesn’t blanch, and heat

Question 33

In what order are bruises from worst to smallest

Answer 33

Hematoma, ecchymosis, purpura, and petechiae

Question 34

Peripheral Artery Disease

Answer 34

1. pale
2. cool
3. hairless
4. no to little edema
5. sensation changes
6. pulses deficit
7. pain when elevating leg worsens

Question 35

Chronic Venous insufficiency

Answer 35

1. bronze-brown
2. warm
3. leg hair may be present
4. edema
5. sensation normal
6. pulses normal
7. pain when elevating leg is improved

Question 36

What are the levels of turgor

Answer 36

Good instant recoil, poor 2 seconds, tenting greater than 2 seconds

Question 37

Edema levels

Answer 37

1 = 2mm
2 = 4 mm
3 = 6mm
4 = 8mm

Question 38

Nonpitting edema could be from what

Answer 38

thyroid issues, lymphedema, swelling from surgery

Question 39

Types of lesions

Answer 39

nodule, wheal, excoriation scratches, macular papule rashes, ulcer, keloid, fissure, vesicles