LPN-- Assessment Test

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First semester LPN school assessment test. Prep cards.

Ruddy

Having a healthy or reddish color.

When should an assessment be done

-Beginning of the each shift
-Weekly or monthly in long term care
-Whenever a change occurs
-Whenever the nurse thinks necessary
-Upon admission

What is a head to toe assessment?

A Physical assessment of each body system that offers objective info about the patient.

Assessment Techniques

Inspection
Palpation
Percussion
Auscultation
Olfaction

Inspect the eyes for:

Size, color, shape, and symmetry

How deep do you palpate?

1/2 in.

Assessment of Skin

-Ask pt. if they have noticed any changes in skin
-Pruritis (itching)
-Bleeding
-A change in a bump or nodule
-A change in sensation (tenderness or pain)
-Is the pt. pink, pale, cyanotic, or ruddy

Assessment of Eyes

-Are pupils clear?
-PERRLA?
-Check pupils with pen light and lights turned down
-Check size prior to checking reflexes with light
-Size 2-9 mm, normal 3-5 mm

Assessing the Mouth

-Any loose teeth
-Edentulous (no teeth)
-Inspect the oral mucosa, look at gums, teeth, tongue, cheek
-look for any lesions
-Is it moist or Dry
-May need to remove Dentures to look
-Want to see Uvula and soft palate rise symmetrically when pt. says 'Ahhh'

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