Assessments

Question 1

Describe skin color

Answer 1

Normal for ethnicity

Question 2

Describe mucous membranes

Answer 2

moist & pink

Question 3

Describe hair distribution

Answer 3

evenly distributed

Question 4

AIDET

Answer 4

Acknowledge patient / introduce yourself / duration / explain / thank

Question 5

What could cause a thready pulse?

Answer 5

Poor circulation, dehydration, and low blood pressure

Question 6

What could cause weeping edema?

Answer 6

Low protein

Question 7

What is the mnemonic device to remember the valves of the heart?

Answer 7

All Patients Take Meds (Aortic, Pulmonic, Tricuspid, Mitral / Apex.)

Question 8

Where would you find the aortic area?

Answer 8

Second intercostal space, right sternal border

Question 9

Where would you find the pulmonic area?

Answer 9

Second intercostal space, left sternal border

Question 10

Where would you find the tricuspid area?

Answer 10

Fourth or fifth intercostal space, left sternal border

Question 11

Where would you find the mitral area or apex?

Answer 11

Fifth intercostal space, left midclavicular line.

Question 12

What does PERRLA stand for?

Answer 12

Pupils Equal Round Reactive Light Accomodation

Question 13

What is considered a normal dilation of the pupil?

Answer 13

2-5mm

Question 14

How would you chart a pupil that does not meet PERRLA?

Answer 14

__ pupil non-reactive (or other problem) @ (pupil size) mm

Question 15

What is the highest and lowest score of the Glasgow Coma Scale?

Answer 15

15 / 3

Question 16

When is a Glasgow Coma Scale indicated?

Answer 16

When pt has neurological problems. Not needed when pt is sitting up and speaking.

Question 17

What is the highest and lowest score of the Mini Cog tool?

Answer 17

5 / 3 - further assessment needed

Question 18

If a patient is ‘obtunded,’ they are ___

Answer 18

Between lethargic (drowsy) and comatose

Question 19

What are the 5 Ps of circulatory assessment?

Answer 19

Pain, pulse, pallor, paresthesia, and paralysis

Question 20

What is the upper limit of oxygen for COPD patients?

Answer 20

4 L - can cause additional problems if you go over.

Question 21

_____ is considered a medication and you must get orders from a doctor once you’ve administered it.

Answer 21

Oxygen