Download NSG121/ NSG 121 Final Exam: (New 2024/ 2025 Update) Health Assessment | Review with Questi and more Exams Health sciences in PDF only on Docsity!
NSG121/ NSG 121 Final Exam: (New 2024/
2025 Update) Health Assessment | Review
with Questions and Verified Answers| 100%
Correct| A Grade - Herzing
QUESTION
What is considered normal weight gain for pregnant women? Answer: 25 - 35lbs
QUESTION
What is APGAR? Answer: appearance, pulse, grimace, activity, respiration
QUESTION
If you have a neonate with an APGAR of 7, 8 or 9 is that normal? What is considered abnormal? Answer: Yes; < ****<3 is useful for clinical screening of birth asphyxia****
QUESTION
How do you assess skin turgor? Answer:
gently pinch up a fold of skin; then release to note the skin's immediate return to original position
QUESTION
What is pallor? Answer: paleness
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What is the most common fracture sustained by newborns? Answer: Clavicle; Heal quickly with usually no interventions.
QUESTION
How do you asses goiter? Answer: Palpate the thyroid; Unilateral bulging indicates goiter.
QUESTION
The snellen test measures. Answer: visual acuity- Measures what a patient can see at 20ft.
QUESTION
How do you take newborn temperatures?
Answer: Answer: Answer: Answer: Answer:
QUESTION
What is circumduction? moving the arm in a circle around the shoulder
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What is tinnitus? ringing or buzzing in the ears
QUESTION
What is air conduction a sign of? Hearing loss.
QUESTION
When examining a patients rectum what is considered alarming? Bleeding of any kind!
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What is ataxia? uncoordinated or unsteady gait
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What lab indicators should you consider when looking at a nutritional assessment? Answer: Albumin and pre albumin are indicators of poor nutrition.
QUESTION
What should a patient be oriented to? Answer: Person, Place, Time, Situation
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What is CAGE? Answer: Alcohol screening. Cut down? Annoyed you? Guilty? Ever had a drink first thing in the morning?
QUESTION
What food are rich in carotene? Answer: Carrots or yellow, orange and green leafy fruits or vegetables.
QUESTION
What is referred pain? Answer:
Answer: Hold a light in your non-dominate hand and a tongue blade in the dominate one. Fully inspect the buccal mucosa noting the pigmentation and color
QUESTION
What is the normal temperature for a newborn? Answer: 97.7-99.5 (36.5-37.5)
QUESTION
What does deep tendon reflex assessment test? Answer: Deep Tendon Reflexes. DTRs tested include biceps, triceps, brachioradialis, patellar, and AchillesThese reflexes are observed for symmetry when tested bilaterally and for briskness of reflex movement
QUESTION
You're conducting an initial assessment on a patient what is the order?? Answer:
- Collect demographics first
- Ask the reason the patient is seeking care (record symptoms, subjective information and objective findings)
- Collect OLDCART (Onset, Location, Duration, Characteristics, Aggravating factors, Radiation, Timing)
- Obtain pain goal
- Past medical history
- Current medications
- Allergies
- Family history
QUESTION
What is the GCS scale used to measure? Answer: LOC
QUESTION
What does GCS evaluate? Answer: eye opening response, verbal response, motor response
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What is stupor? Answer: Patient is unresponsive and can be aroused only briefly by vigorous, repeated stimulation.
QUESTION
When is the best time for women to conduct breast screenings? Answer: 3 - 5 days AFTER period If menopausal same time EVERY month
QUESTION
When should men start performing testicular assessments on themselves? Answer: Monthly after adolescence
Answer: compares patency of the ulnar and radial arteries
QUESTION
What is PMI Answer: Point of maximal impulse usually 5th ICS MCL
QUESTION
When assessing for JVD what are the steps? Answer: Place the patient in supine position Raise the HOB to 30 - 45 degrees Ask the patient to turn their head to the left
QUESTION
What is JVD associated with? Answer: heart failure, tricuspid regurgitation, and fluid volume overload
QUESTION
What does bruit in the abdominal aorta indicate? Answer: Atherosclerosis
QUESTION
When assessing a patient abdominal area what are you looking for? Answer: Hernias Lesions or Wounds Ostomies Scars
QUESTION
What do the following indicate in abdominal findings? Guarding Rigidity Blumberg Sign Murphy Sign Answer: Guarding: Pain Rigidity: Peritoneal inflammation Blumberg: Rebound tenderness - appendicitis Murphys: Gallbladder
QUESTION
What is ROMBERG sign? Answer: Patient closes eyes and cannot keep balance... proprioception is off
QUESTION
What are normal cardiac sounds? Answer: S1- Lub (systole) S2- Dub
SEAL BARKINg
QUESTION
When do you assess sputum? Answer: First thing in the morning
QUESTION
What types of questions do you ask when interviewing a patient? Answer: Open-ended questions.
QUESTION
What information do you need to obtain while completing a patient interview? Answer: Past medical history Medications Head-to-toe assessment
QUESTION
Who can translate for a patient and the nurse? Answer: Interpreter
QUESTION
What should you not do during an assessment with a patient? Answer: Interrupt the patient; make sure you are listening to the patient rather than talking.
QUESTION
If you have a patient that has fallen already what should you assess? Answer: LOC Pain Skin (are there any bruises or injuries) Was the patient using an assistive device?
QUESTION
What do you need to look for with ADLs? Answer: Can the patient perform daily task such as brushing their teeth, get dressed, feed themselves, and can they toilet on their own?
QUESTION
When assessing a persons anus what should you be looking for? Answer: Protruding veins from constipation or straining when using the restroom
QUESTION
What is considered a low BMI and normal BMI? Answer: Low- <18.5 indicates malnutrition
