Nursing 226

Question 1

Subjective Data

Answer 1

What patient says

Question 2

Objective Data

Answer 2

What health professional observes

Question 3

Complete (Total Health) Data Base

Answer 3

Complete health history and physical exam. comprehensive overview.

Question 4

Episodic or Problem-Centered Data Base

Answer 4

Based on reason for seeking care.

Focused review

Question 5

Health History Interview

Answer 5

First step in health assessment.

Question 6

Goals of health history interview.

Answer 6

• gather complete and accurate data
• establish trust
• build rapport
• begin teaching

Question 7

Interview: Assisting the narrative

Answer 7

• Facilitate
• Silence
• Reflection
• empathy
• clarification
• confrontation
• interpretation
• explanation
• summary

Question 8

Order for Physical Examination

Answer 8

Inspection, Palpation, Percussion and Auscultation

For abdomen: Inspection, Auscultation, Percussion and Palpation

Question 9

Sounds heard in percussion

Answer 9

Resonance, hyperrresonance, tympany, dullness, flatness

Question 10

Diaphragm, stethoscope

Answer 10

for high pitched sounds. Breath, bowel and normal heart sounds

Question 11

Bell, stethoscope

Answer 11

for soft, low-pitched sounds. Extra heart sounds

Question 12

ABCDE of Moles

Answer 12

Asymmetrical
Border Irregularity
Color Variation
Diameter - greater than 6mm
Elevation and enlargement

Question 13

Edema grades

Answer 13

1+ mild pitting, slight indentation; no perceptible swelling

2+ moderate pitting; indentation subsides rapidly

3+ deep pitting; indentation remains for a short time; let looks swollen

4+ very deep pitting; indentation last a long time; leg is very swollen

Question 14

Resonance

Answer 14

Sound heard in hollow areas like lungs

Question 15

Hyperresonance

Answer 15

Booming Sound. Heard in children and emphysema patients

Question 16

Tympany

Answer 16

Drum like sound. Heard on stomach and intestines

Question 17

Dullness

Answer 17

Muffled Thud. Heard at liver and dense organs

Question 18

Flatness

Answer 18

heard on thigh muscle

Question 19

Direct percussion

Answer 19

one hand

Question 20

Indirect percussion

Answer 20

two hands

Question 21

Villus hair

Answer 21

Fine hair

Question 22

Terminal hair

Answer 22

thick hair

Question 23

Facial expressions are inervated by

Answer 23

CN VII

Question 24

Facial sensations (touch, pain) are inervated by

Answer 24

CN V

Question 25

CN for Acoustics

Answer 25

CN VIII

Question 26

CN for Smell

Answer 26

CN I

Question 27

CN for tongue symmetry

Answer 27

CN XII

Question 28

CN for uvula symmetry

Answer 28

CN X

Question 29

Tonsil grading

Answer 29

1+ visible

2+ halfway between tonsillar pillars and uvula

3+ touching uvula

4+ touching one another

Question 30

CN for Tonsils

Answer 30

CN IX and X

Question 31

Lung Lobes

Answer 31

Left: two lobes
Right: Three lobes