Question

Respiratory &Thoracic Assessments
Identify 2 Chest Shapes & 2 spinal abnormalities:
1
2
3
4
How does shape and abnormalities affect breathing?

Demonstrate by drawing the Procedural Pattern for Assessment of Breath Sounds
(Draw bases on one side only) 3.25 pts

Name 2 important details of the respiratory assessment procedure.
1
2
Describe the 3 locations of Normal breath sounds within the lung fields.
1
2
3
Identify and describe 2 adventious breath sounds .
1
2

Crepitus is the presence of _____________ in the subcutaneous tissues.

Fremitus is the accumulation of _____________in the lung fields.

Cardiac Assessment
Identify 8 Pulse Locations
1
2
3
4
5
6
7
8

Describe 4 “Documented” Pulse Assessment Terminologies:
1
2
3
4
Demonstrate by simple drawing of the Cardiac Assessment using Stethoscope: 3.25pts

Identify & Explain How you will find the exact locations of Cardiac Landmarks:
1. Aortic, Valves are located
2. Pulmonic, Valves are located
3. Erb’s is the sound of
4. What is the sound of S2 and S1?
5. Tricuspid, Valves are located
6. Mitral Valves are located

Describe what the normal Heart sounds like.

Describe what an abnormal heart sounds like.

Name & Identify 2 cardiac sound abnormalities.
1
2
Neurological & Neck Assessment Assessments
*What is meant by Level of Consciousness?
Describe the Terminologies:
1 A&O x3
2 Confused
3 Impaired
4 Comatose
5 Obtunded

Perform Eye Assessment:
What is Icteric Sclera ?
What is Scleral Edema?
What does PERRLA mean?
1 P
2 E
3 R
4 R
5 L
6 A

Performing an Oral Assessment: List 4 things to assess.
1
2
3
4

Performing a Hearing Assessment:
Draw the placement for use of Tuning Fork Basics for Rinne/Weber Tests
Label or Match the type of testing (Conduction or Air for each) 3.25 pts

Jugular Vein Distension Documentation. What does it tell you about the patient?

Trachea: Midline/ Swallow Evaluation: Dysphagia What does it tell you about the patient?

Describe a simple nursing swallow evaluation technique

Gastro-Intestinal & Genito-Urinary Assessments
Draw and label a simple diagram of the Abdominal Quadrants
Number the quadrants 1 to 4 in order of auscultation. 3.25 pts

Write Procedural Order of Assessment of Abdomen.
1
2
3
4

Identify 4 Bowel Sound assessment terminologies:

1
2
3
4

Male / Female Genitalia & Peri-Rectal Area;
Identify and Describe 4 Abnormal Assessment Findings
1
2
3
4
What is a BRUIT? How do you assess a bruit?
What is a Thrill? How do you assess a thrill?

Assess Bowel Elimination:
List 4 terms used to assess stool.
1
2
3

Skeletal-Muscular & Integumentary Assessments
Describe how to Perform One Range of Motion
Describe how to Perform One Deep Tendon Reflex:
Identify & Describe how to perform Two Muscle groups for Strength Testing.
1

2
Lower Extremity / Edema : How do you document edema?

Identify and Define Skin Color Terms ie: “Pink indicates Normal”
1
2
3

Identify and describe 4 basic wound stages.
1
2
3
4
*Bonus* Why is it of utmost importance that a nurse has excellent assessment skills?

Answer 1

on to be Poreathe sound Assesment © Resp. Asesment procedure » while percessing, cover all hing loses intercostas » wew forming clericles, tap fingers aseety Percuss anterior, lekered so posterior chest ③ Location of Normal Breath sounds: - Tracked sound above suproclavicular, notch, over the trechce - Bronchores ticular sound next to sternum cs Scanned between tapele' - CamScanner

- - Bronchied sound just above clerectes on each side of Sternen, over the menubrum' CamScanner

i Clest shapes a I. Barrel Chest 2. Funnel Chest Spinel Abnormalities » Zethered spinal cord s kyphoses, hordosis! 2) Chest wall abnormalities are structural abnormalities of chest ronging from mild to severe. Most of chest abnormalities have ho breathing essies except difficult breathing . during exercise and may be more prone cs Cameo respeicotiny wifestation