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Quiz 2 (NCM 101- Health Assessment)

Total questions: 15

Worksheet time: 13mins

Name
Class
Date
1.

You are a student nurse in an Emergency Department, your patient Mrs. Leslie verbalize "Masakit ang tiyan ko at pakiramdam ko ay nilalagnat na ako."

Your handsome Clinical Instructor Mr. King Fhadz asked you, what type of data that only the patient can elicited and verified?

(a)  

2.

You are a student nurse in the Surgical Ward, your patient Mr. Lancelot verbalize "Masakit ang tiyan ko at pakiramdam ko ay nilalagnat na ako."

Upon assessment, the patient vital signs are T: 38'C, Respiratory Rate: 18 br/min, Pulse Rate: 90 b/min and BP: 128/87 mmhg. Base on the scenario above, what data can be included in the Objective Cues?

a)

"Masakit ang tiyan ko at pakiramdam ko ay nilalagnat na ako."

b)

Pulse Rate: 90 b/min

c)

BP: 130/90 mmhg

d)

All Choices are correct

3.

You are a student nurse in the Surgical Ward, your patient Mr. Lancelot verbalize "Masakit ang tiyan ko at pakiramdam ko ay nilalagnat na ako."

Upon assessment, the patient vital signs are T: 38'C, Respiratory Rate: 18 br/min, Pulse Rate: 90 b/min and BP: 128/87 mmhg. Base on the scenario above, below are the objective cues, except.

a)

Pulse Rate: 90 b/min

b)

BP: 128/87 mmhg

c)

T: 38'C

d)

"Masakit ang tiyan ko at pakiramdam ko ay nilalagnat na ako."

4.

Data that are base on the observations and physical assessment findings of the nurse or other health care professionals. Documentation of assessments made in client record.

(a)  

5.

You are a student nurse in the Surgical Ward, your patient Mr. Lancelot verbalize "Masakit ang tiyan ko at pakiramdam ko ay nilalagnat na ako."

Upon assessment, the patient vital signs are T: 38'C, Respiratory Rate: 18 br/min, Pulse Rate: 90 b/min and BP: 128/87 mmhg. Base on the scenario above, what is the subjective cue?

a)

Masakit and tiyan

b)

Nilalagnat ako

c)

Masama ang pakiramdam ko

d)

None from the choices given

6.

Subjective data are sensations or

symptoms (e.g., pain, hunger), perceptions, desires, preferences, beliefs, ideas, , and personal information that can be elicited and verified only by the client. Which from the choices below can be included as a subjective cue?

a)

feelings

b)

perceptions

c)

values

d)

All choices

7.

As a student nurse, you are assigned by your handsome Clinical Instructor Mr. Fhadz to do a Physical Assessment to your patient Mrs. Guinevier. You recalled that there are 4 techniques in the physical assessment and these are listed below, except.

a)

Introduction

b)

Palpation

c)

Auscultation

d)

None from the choices

8.

This technique is used from the moment that you meet the client and continues throughout the examination.

(a)  

9.

Physical assessment technique that consists of using parts of the hand to touch and feel for the following characteristics: Texture (rough/smooth), Temperature (warm/cold), Moisture (dry/wet), Mobility (fixed/movable/still/vibrating),etc.

(a)  

10.

On the first day of your hospital duty at the Emergency Room of Dr. Strange Hospital. You perform a physical assessment and used the palpation technique. You've palpated the patient pulse and during the palpation there is only a very little depression (less than 1cm). What type of palpation that you have used?

a)

Light Palpation

b)

Moderate Palpation

c)

Deep Palpation

d)

Bimanual Palpation

11.

On the second day of your hospital duty at the Emergency Room of Dr. Strange Hospital. You perform a physical assessment and used the palpation technique. With your dominant hand, you use a circular motion to feel for easily palpable body organs, masses and depress the skin surface 1 to 2 cm. What type of palpation that you have used?

a)

Light Palpation

b)

Moderate Palpation

c)

Deep Palpation

d)

Bimanual Palpation

12.

You perform a physical assessment to your patient. You used a technique that involves tapping body parts of your patient to produce sound waves. These

sound waves or vibrations enable you to assess underlying structures.

(a)  

13.

What technique of physical assessment where you need to use a stethoscope to listen for heart sounds, movement of blood through the cardiovascular

system, movement of the bowel, and movement of air through the respiratory

tract?

(a)  

14.

It is a type of palpation where you place your dominant hand on the skin surface and your non dominant hand on top of your dominant hand to apply pressure. The surface depression is between 2.5 and 5 cm (1 and 2 inches). This allows you to feel very deep organs or structures that are covered by thick muscle.

a)

Light Palpation

b)

Moderate Palpation

c)

Deep Palpation

d)

Bimanual Palpation

15.

What type of palpation is used in this picture where you use two hands, placing one on each side of the body part being palpated and use one hand to apply pressure and the other hand to feel the structure?

a)

Light Palpation

b)

Moderate Palpation

c)

Deep Palpation

d)

Bimanual Palpation