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WorksheetsPND1000 Midterm 2024
Total questions: 20
Worksheet time: 6mins
What are the 4 types of assessment?
Inspection, Palpation, Percussion, Auscultation
Temp, Pulse, Resp Rate, BP, SPO2, Pain
Neuro, EENMT, Skin, Respiratory
Subjective Questions, VS, Physical Exam, Document
Which of the following is an example of Subjective Data?
Temp = 37.0oC
Productive cough with yellow sputum
Itchy all over
Red raised areas to lower back
What is the proper technique for assessing symmetry?
Up & down
Side to side
Does not matter
Front to back
When palpating your clients pulse, do you press your fingers below the pinky finger or thumb?
Pinky Finger
Thumb
What is the range for adult tympanic temperature?
35 - 38
36.5 - 38
37.1 - 38.9
35.8-37.3
What is the purpose of having your client complete the Snellen Eye Exam?
Assess for a Prescription
Assess for visual acuity
Assess ocular function
Assess pupillary response
If your client has an injury to their left eye, which eye would you test (Snellen) first?
Right
Left
What does PERRLA stand for?
Pupils Equal Round Reactive to Light & Accommodation
Patients Exhale Respiratory Resources Last with Asthma
Pupils Evaluated Response to Lighting & Assessments
Palpate External Ribs & Reassess Lungs As needed
Are lymph nodes typically palpable?
Yes
No
Which clients are most at risk for skin breakdown?
Elderly
Immobile
Incontinent
All of the above
A pressure injury (PI) that extends to the Subcutaneous (SC) tissue is classified as what stage of PI?
Stage I
Stage II
Stage III
Stage IV
A client has had nausea & vomiting for several days. What assessment can the nurse do to determine if the client is dehydrated?
PERRLA
Mobility & Turgor
Dorsi-Plantar Flexion
Palpate Pedal Pulses
During a neurological assessment, when assessing the clients hand grips and/or dorsi-plantar flexion, do you assess separately or at the same time?
Same time
Separately
When assessing the respiratory system, is best practice to auscultate the anterior thorax or posterior thorax?
Anterior
Posterior
What adventitious lung sounds would you expect in a client who has a build of fluid and/or mucous in their lungs?
Wheezes
Crackles
Stridor
When completing a thorough & focused lung assessment, how many spots total do you auscultate on the posterior thorax?
6
9
12
18
When auscultating the lungs, what pattern does the nurse follow?
Up & down comparing the left lung to right lung
Starting at the bottom, listen from side to side
Side to start in an hour-glass formation starting at the very top
In a Z pattern across the back
What information is important to gather during the inspection phase?
Height & Weight
PERRLA
VS
Non-verbal cues
What is the nurse assessing for when they place their thumbs at T9 or T10 and ask the client to take in a full inspiration and expiration?
Size of rib cage
Symmetry
Barrel Chest
Pulse
While obtaining the clients VS, the nurse notes that the SPO2 is 89% and the RR is 26.
What system will require a focused assessment?
Neuro
Skin
Eyes & Ears
Respiratory
