Health Assessment

Question 1

A physical examination is conducted in a _____ and _____ manner

Answer 1

Efficient, systemic

Question 2

During physical examination, _____ the client in undressing and gowning

Answer 2

Assist

Question 3

Empty the _____ before physical examination

Answer 3

Bladder

Question 4

In which areas should be started when conducting a physical examination with children

Answer 4

Least invasive

Question 5

During physical examination, environment should be well _____ and equipment should be _____

Answer 5

Lighted, organized

Question 6

During physical examination, the temperature of the room should be _____

Answer 6

Warm

Question 7

During physical examination, provide _____ and consider the patient’s _____

Answer 7

Privacy, gender

Question 8

During physical examination, areas that are being examined should be _____

Answer 8

Exposed

Question 9

During physical examination, areas that are not being examined should be _____

Answer 9

Covered

Question 10

Method of examination wherein you use your vision, smell, and hearing to assess the patient

Answer 10

Inspection

Question 11

During inspection, _____ must be sufficient

Answer 11

Lighting

Question 12

Method of examination wherein you are required to touch the patient

Answer 12

Palpation

Question 13

Before palpation, make sure your fingernails are _____ and your hands are _____ and _____

Answer 13

Short, clean, warm

Question 14

Wear _____ when palpating mucous membranes or areas in contact with body fluids

Answer 14

Gloves

Question 15

Palpate _____ areas last

Answer 15

Tender

Question 16

The ability to differentiate information through the sense of touch

Answer 16

Tactile discrimination

Question 17

Type of palpation used to feel for surface abnormalities e.g. texture, tenderness, temperature, moisture, elasticity, pulsation, masses

Answer 17

Light palpation

Question 18

During light palpation, you will extend your _____ hand’s fingers parallel to the skin surface and press _____ while moving your hand in a _____

Answer 18

Dominant, gently, circle

Question 19

During light palpation, skin is slightly _____

Answer 19

Depressed

Question 20

During light palpation, the skin is depressed by _____ inch to _____ inch with your _____, using the _____ touch possible

Answer 20

0.25, 0.5, finger pads, lightest

Question 21

Type of palpation used to feel internal organs and masses for size, shape, tenderness, symmetry, mobility

Answer 21

Deep palpation

Question 22

During deep palpation, the skin is depressed by _____ inch/es to _____ inch/es with _____ and _____ pressure

Answer 22

1.5, 2, firm, deep

Question 23

T/F: During deep palpation, it is okay to exert firmer pressure if needed

Answer 23

True

Question 24

There is _____ if pain is felt when hand is placed over the abdomen and light pressure is exerted

Answer 24

Tenderness

Question 25

There is _____ pain is felt when hand is placed over the abdomen and firm pressure is exerted

Answer 25

Direct tenderness

Question 26

There is _____ pain is felt when hand hand is removed after exerting pressure on the abdomen

Answer 26

Rebound tenderness

Question 27

T/F: During deep palpation, avoid using both hands

Answer 27

False

Question 28

During deep palpation, the _____ hand is used to palpate

Answer 28

Dominant

Question 29

During bimanual deep palpation, place the fingers of the _____ hand on the dorsal surface of the _____ of the middle three fingers of the _____ hand

Answer 29

Nondominant, distal interphalangeal joint, dominant

Question 30

During bimanual deep palpation, the _____ hand applies pressure

Answer 30

Dominant or top

Question 31

Deep palpation should be used with _____

Answer 31

Caution

Question 32

During palpation, use the _____ to check for skin temperature

Answer 32

Dorsum of the hand and fingers

Question 33

During palpation, use the _____ to check for vibration

Answer 33

Palmar surface of the hand

Question 34

Start with _____ palpation followed by _____ palpation

Answer 34

Superficial, deep

Question 35

Be _____ to patient's discomfort

Answer 35

Sensitive

Question 36

Method of examination wherein the surface of the body is struck to elicit sound that can be heard or vibrations that can be felt

Answer 36

Percussion

Question 37

Percussion involves tapping your fingers or hands _____ and _____ against parts of the patient's body to help you locate an organ's _____, _____, and _____, and to determine if an organ is solid or filled with fluid or gas

Answer 37

Borders, shape, position

Question 38

Type of percussion wherein the examiner strikes the area to be percussed directly

Answer 38

Direct percussion

Question 39

Direct percussion involves striking an area to be percussed directly with the _____ of _____

Answer 39

Pads of 2-4 fingers or middle finger

Question 40

During direct percussion, ask the patient which areas are _____ and watch his face for signs of _____

Answer 40

Painful, discomfort

Question 41

Type of percussion that is commonly used to assess adult's sinuses

Answer 41

Direct percussion

Question 42

Type of percussion that is used to elicit sound that gives clues to the makeup of an underlying tissue

Answer 42

Indirect percussion

Question 43

During indirect percussion, press the distal part of the middle finger of your _____ hand firmly on the patient's skin, and keep the rest of your hands _____ the body surface _____ the wrist of your _____ hand. Using the _____ finger of your _____ hand, tap _____ and _____ over the point where your other middle finger touches the patient's skin _____ to the sounds produced

Answer 43

Nondominant, off Flex, nondominant Middle, dominant, quickly, directly Listen

Question 44

The middle finger of the nondominant hand that is placed firmly on the patient's skin during indirect percussion

Answer 44

Pleximeter

Question 45

The middle finger of the dominant hand that is used to strike the pleximeter during indirect percussion

Answer 45

Plexor

Question 46

Where do you aim when striking the pleximeter?

Answer 46

At the distal interphalangeal joints

Question 47

Method of examination wherein you listen at various areas such as the lungs, heart, and bowel sounds

Answer 47

Auscultation

Question 48

During auscultation, a _____ is used to listen at various areas such as the lungs, heart, and bowel sounds

Answer 48

Stethoscope

Question 49

[Study stethoscope parts]

Answer 49

[Study stethoscope parts]

Question 50

Provide a _____ environment during auscultation

Answer 50

Quiet

Question 51

Make sure that the area to be auscultated is _____

Answer 51

Exposed

Question 52

Before auscultation, warm the stethoscope's _____ in your _____

Answer 52

Head, hands

Question 53

During auscultation, _____ to help focus your attention

Answer 53

Close your eyes

Question 54

To listen for high pitched sounds such as _____ and _____ heart sounds, use the _____ of the stethoscope during auscultation

Answer 54

Diaphragm, first, second

Question 55

To listen for low pitched sounds such as _____ and _____ heart sounds, use the _____ of the stethoscope during auscultation

Answer 55

Bell, third, fourth

Question 56

During auscultation, hold the diaphragm _____ against the patient's skin, using _____ pressure to leave a slight ring on the skin afterward

Answer 56

Firmly, enough

Question 57

During auscultation, hold the bell _____ against the patient's skin, just hard enough to form a _____ Holding the bell too _____ may obliterate low pitched sounds

Answer 57

Lightly, seal Firmly

Question 58

T/F: Palpate abdomen when patient inhales

Answer 58

False

Question 59

T/F: Palpate the location of the pain last

Answer 59

True