HEALTH ASSESSMENT

• Fluorosis - It is a condition that in the early stage there with be brown mottling that is most marked on upper central incisors.
• Recoil that occurs in less than 2 seconds - In an older client's skin loses its turgor because of a decrease in elasticity and collagen fiber. Decreased turgor is seen as dehydration. What is the indication that an adultis experiencing moderate dehydration?
• Fibrocytic Breasts - A female client tells the nurse that her breasts become lumpy and sore before menstruatior but get better at the end of the menstrual cycle. The nurse should explain to the client that these symptoms are often associated with:
• The nurse is obseryes dimpling in an adult female client's breasts. The nurse should explain to the client that dimpling of the breast may indicate a - Tumor
• The lymph nodes that are responsible for the drainage from the arms are the - Lateral Lymph Nodes
• The nurse is preparing to assess the lymph nodes of an adult client. The nurse should instruct the client to - Sit in an upright position
• The straight movements of the eye are controlled by the: - Rectus Muscle
• The photoreceptors of the eye are located in the eye's - Retina
• White spots on the nails can be cause a deficiency of zinc. This condition is called - Leukonychia
• 1. Caruncle
  2. Channel
  3. Protector
  4. Filter

  Answer: Protector
• Disease and disorders of the skin, hair, and nails may be local or caused by an underlying systemic condition. To perform a complete and accurate assessment, it is important for a nurse to ask - All of the above except IV
• An eye disease that damages the optic nurse, often cause by abnormally high pressure Intra Ocular Pressure (IOP) - Galucoma
• Using an Opthalmoscope. How will the nurse assess the internal eye. - Hold the opthalmoscope in your right hand, to the right eye
• An adult client visits the clinic and complains of tinnitus. The nurse should ask the cllent if she has been - Taking antibiotics
• An adult client visits the clinic and tells the nurse that he has been "spitting up rust- colored sputum". The nurse should refer the client to the physician for possible. - Tuberculosis
• The nurse is assessing the. idult client and observes that the clients breathing pattem is very labored and noisy. with occasional coughing. The nurse should refer the cline to the physician for possible - Chronic Bronchitis
• During the cardiac examination, the nurse can best hear the S1 heart sound by placing the stethoscope at the client's - Apex of the heart
• What are the steps to assess the abdomen.

  Answer: Bonus / A. Introduce self, ask patient's name, history taking, observation, ausculitation, palpation.
• The nurse is preparing to inspect the nose of an adult client with an otoscope. The nurse plans to - Position the otoscope to one side
• Heard over most of the lung fields, vesicular breath sounds are soft, low-pitched sounds heard during inspiration that are longer than expiration. - A. Normal breath sound
• What is the sound of a patient having a crackles? - A. Discontinue, interrupted or explosive sound
• The lymph node that are responsible fof drainage from the arms are the - Lateral Lymph Nodes
• It is an advance lesion seen in HIV clients - D. Kaposi sarcoma
• What is the purpose of respiration? - Maintain adequate oxygen level in the blood to support cellular life
• It is a kind of thoracic deformity which the thorax has depression in lower sternum that can be seen with congenital conditions that can cause murmur or compress the heart and vessels. - Funnel Chest
• How to assess a barrel chest. Select all that applies - B

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• This is the lateral S-shape curve of the spine - Scoliosis
• Which breast quadrant is highly a quarry for breast cancer? - B. Upper outer quadrant