Mod. 2 physical assessment Flashcards
What is the high Fowler’s position?
A) Head of the bed raised to 90 degrees, patient sitting upright
B) Patient lying flat on their back
C) Patient lying on their stomach
D) Head of the bed raised to 30 degrees
A) Head of the bed raised to 90 degrees, patient sitting upright
What is the Fowler’s position?
A) Head of the bed raised to 45-60 degrees
B) Patient lying flat on their back
C) Patient lying on their side
D) Head of the bed raised to 90 degrees
A) Head of the bed raised to 45-60 degrees
What is the semi-Fowler’s position?
A) Head of the bed raised to 90 degrees
B) Head of the bed raised to 30-45 degrees
C) Patient lying flat on their back
D) Patient lying on their stomach
B) Head of the bed raised to 30-45 degrees
What is the supine position?
A) Patient lies on their stomach
B) Patient lies flat on their back
C) Patient lies on their left side
D) Patient sits upright
B) Patient lies flat on their back
What is the dorsal recumbent position?
A) Patient lying on their stomach
B) Patient lies flat on their back with knees flexed
C) Patient lies on their side
D) Patient sits upright
D) Patient sits upright
What is the lithotomy position?
A) Patient lies flat on their back with knees flexed and hips externally rotated
B) Patient lies on their left side
C) Patient sits upright
D) Head of the bed raised to 90 degrees
A) Patient lies flat on their back with knees flexed and hips externally rotated
What is the prone position?
A) Patient lies on their side
B) Patient lies flat on their back
C) Patient lies flat on their stomach
D) Patient sits upright
C) Patient lies flat on their stomach
What is the lateral recumbent position?
A) Patient lies on their left side
B) Patient lies flat on their back
C) Patient sits upright
D) Patient lies on their stomach
A) Patient lies on their left side
When performing a physical assessment on a child, what is the most important consideration?
A) Use simple language and engage them in play or conversation
B) Perform the assessment without explaining it
C) Assess all vital signs first
D) Focus only on their physical appearance
A) Use simple language and engage them in play or conversation
When assessing an adolescent, which is crucial?
A) Respect their privacy and involve them in the decision-making
B) Treat them like children for easier compliance
C) Only focus on physical health
D) Involve their family in all aspects of care
A) Respect their privacy and involve them in the decision-making
What should be considered when assessing older adults?
A) They may have altered sensory perceptions or mobility limitations
B) They do not need to be involved in their care decisions
C) They require the same assessments as children
D) Assessments should be brief and not personalized
A) They may have altered sensory perceptions or mobility limitations
What is a focused assessment?
A) A thorough full-body exam
B) A targeted assessment based on the patient’s chief complaint
C) A routine check-up
D) A detailed interview process
B) A targeted assessment based on the patient’s chief complaint
What is the purpose of preventative screenings?
A) To identify and prevent future health problems
B) To treat existing medical conditions
C) To perform emergency procedures
D) To only examine the patient’s vital signs
A) To identify and prevent future health problems
In the inspection phase of the physical exam, which of the following actions is performed?
A) Touching the skin to feel for abnormalities
B) Looking, listening, and smelling for abnormalities
C) Percussing the abdomen
D) Checking blood pressure
B) Looking, listening, and smelling for abnormalities
During palpation, how should the nurse assess tenderness or pain?
A) Palpate the painful area first
B) Palpate the tender area last
C) Palpate the area closest to the head first
D) Avoid palpation on areas of discomfort
B) Palpate the tender area last
What is the difference between light palpation and deep palpation?
A) Light palpation is used to assess organ size; deep palpation is used to detect masses
B) Light palpation is superficial, and deep palpation involves more pressure
C) Light palpation is used for painful areas, and deep palpation is used for healthy tissue
D) There is no difference between light and deep palpation
B) Light palpation is superficial, and deep palpation involves more pressure
What is auscultation?
A) Listening to heart and lung sounds with a stethoscope
B) Palpating the abdomen to check for abnormalities
C) Percussing to assess resonance of the lungs
D) Observing the patient’s gait
A) Listening to heart and lung sounds with a stethoscope
What is observed during a general survey?
A) Appearance and behavior, including posture, hygiene, and distress levels
B) Only vital signs
C) Only the patient’s psychological state
D) Only their medical history
A) Appearance and behavior, including posture, hygiene, and distress levels
Which of the following are considered vital signs?
A) Temperature, pulse, respiration rate, blood pressure, and oxygen saturation
B) Height and weight
C) Blood glucose levels
D) Respiratory rate and reflexes
A) Temperature, pulse, respiration rate, blood pressure, and oxygen saturation
Why is it important to measure a patient’s height and weight during an assessment?
A) To calculate body mass index (BMI) and assess nutritional status
B) To determine their level of consciousness
C) To track their vital signs over time
D) To assess their psychological health
A) To calculate body mass index (BMI) and assess nutritional status
Which of the following is the correct abbreviation for “twice a day”?
A) BID
B) TID
C) QD
D) QID
A) BID
What does the abbreviation PRN stand for?
A) As needed
B) By mouth
C) Every night
D) Every day
A) As needed
Which of the following abbreviations should NOT be used in medical documentation?
A) BID
B) U
C) PRN
D) AID
B) U
What does the abbreviation PO stand for?
A) By mouth
B) By injection
C) As needed
D) By rectum
A) By mouth
What does the abbreviation PRN stand for?
A) As needed
B) By mouth
C) Every night
D) By rectum
A) As needed
What does the abbreviation TID stand for?
A) Three times a day
B) Every other day
C) Twice a day
D) Once a day
A) Three times a day
What does the abbreviation AC stand for?
A) Before meals
B) After meals
C) As needed
D) At night
A) Before meals
What does the abbreviation QID stand for?
A) Four times a day
B) Every day
C) Once a day
D) As needed
A) Four times a day
What does the abbreviation PC stand for?
A) After meals
B) Before meals
C) Every other day
D) Twice a day
A) After meals
Why should the abbreviation U (for units) be avoided in medical documentation?
A) It can be confused with “0” or “4,” leading to dosing errors.
B) It’s used too frequently in medical records.
C) It’s only used in pediatrics.
D) It can be confused with “P” for “pediatric.”
A) It can be confused with “0” or “4,” leading to dosing errors.
Why should the abbreviation IU (for international units) be avoided?
A) It can be mistaken for “IV,” leading to confusion.
B) It is not a standard abbreviation.
C) It can be confused with “intravenous.”
D) It is often used for incorrect dosages.
A) It can be mistaken for “IV,” leading to confusion
Why should the abbreviation QD (for “every day”) be avoided?
A) It can be misread as “QID” (four times a day).
B) It’s not widely recognized.
C) It is used only in pediatrics.
D) It is an outdated abbreviation.
A) It can be misread as “QID” (four times a day).
Why should the abbreviation HS (for “at bedtime”) be avoided?
A) It can be confused with “half-strength.”
B) It is only used in palliative care.
C) It is used for specific time schedules.
D) It is considered redundant.
A) It can be confused with “half-strength.”
Why should the abbreviation MS or MSO4 (for morphine sulfate) be avoided?
A) It can be confused with magnesium sulfate.
B) It is rarely used in clinical practice.
C) It is too complex to write out.
D) It’s outdated and no longer recognized.
A) It can be confused with magnesium sulfate.
