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Rasmussen Health Assessment
final exam updated 2024
How to test for visual acuity - ANS>> Snellin eye chart
(Stand 20 feet away from the chart)
how to test for hearing - ANS>> Use the Rinne test
Do a physical exam
Bruit - ANS>> abnormal blowing or swishing sound heard during auscultation of an
artery or organ
How to auscultate lungs - ANS>> side to side (zig-zag movement, have pt. take a full
breath while you are listening - start C7 to T10 COMPARING )
How to auscultate abdomen - ANS>> perform auscultation prior to palpation or
percussion. Listen in a clockwise manner starting in the lower right quadrant, listen for 5
minutes in each quadrent
normal bowel sounds - ANS>> 5-30 per minute, high pitched
hypoactive bowel sounds - ANS>> follow abdominal surgery or with inflammation of
the peritoneum, 5-15 per minute, could be bowel obstruction
hyperactive bowel sounds - ANS>> loud, high-pitched, rushing, tinkling sounds that
signal increased motility (diarrhea, laxative use, gurgling)
ABCDEs of melanoma - ANS>> asymmetry, border, color, diameter, evolution
Skin assessment on dark skinned patient - ANS>> Pallor: yellowish brown, ashen gray
Erythema: purplish tinge difficult to see
Cyanosis: dull and lifeless
Jaundice: check for yellowness of palms of hands
bronchial breath sounds - ANS>> higher pitch, louder, inspiration and expiration are
equal and there is a pause between inspiration and expiration. (heard in the front)
bronchovescicular breath sounds - ANS>> moderate, high pitched,
( inspiration = to expiration)
vesicular breath sounds - ANS>> low pitched, soft, expiration, alveoli
