Walden University NURS 6512N WEEK 2 QUIZ 5 – Questions and Answers
NURS 6512N WEEK 2 QUIZ 5
NURS 6512N
Walden University NURS 6512N WEEK 2 QUIZ 5
... [Show More] – Questions and Answers (Graded A)
1. You are performing a vaginal examination on a patient with a history of spina bifida. As you insert the metal speculum, the patient suddenly feels nauseated and is sweating, and her skin turns blotchy. What is your most immediate reaction to this situation?
Remove the speculum.
2. Mr. Walder is a 56-year-old man who has been complaining of chest palpitations. Which position is useful for auscultating heart sounds?
Left lateral recumbent
3. Which technique is used during both the history taking and the physical examination process?
Inspection
4. Ms. Jones is a 31-year-old female patient who presents for a routine physical examination. Which examination technique will be used first?
Inspection
5. The use of secondary, tangential lighting is most helpful in the detection
Variations in contour of the body surface.
6. You are caring for a nonambulatory 80-year-old male patient and he tells you, a female nurse, that he feels like he is having drainage from his rectum. Which initial nursing action is appropriate?
Drape the patient and observe the rectal area.
7. Mrs. Smalls is a 42-year-old woman who has presented to the office for a head to toe examination as part of her preventive health care assessment. The room has adequate lighting, and you have access to both sides of the examining table. What position should you assume while conducting this examination?
Either side of the patient
8. You are planning to palpate the abdomen of your patient. Which part of the examiner's hand is best for palpating vibration?
Ulnar surface
9. Mrs. Berger is a 39-year-old woman who presents with a complaint of epigastric abdominal pain. You have completed the inspection of the abdomen. What is your next step in the assessment process?
Auscultation
10. The degree of percussion tone is determined by the density of the medium through which the sound waves travel. Which statement is true regarding the relationship between density of the medium and percussion tone?
The less dense the medium, the louder is the percussion tone.
Expected normal percussion tones include:
Tympany over an empty stomach.
11. During percussion, a dull tone is expected to be heard over:
The liver.
12. When using mediate or indirect percussion, which technique is appropriate?
Place the palmar surface of the nondominant hand on the body surface, with the fingers s lightly spread apart.
13. During percussion, the downward snap of the striking fingers should originate from the:
Wrist.
14. During auscultation, you can limit your perceptual field best by:
Closing your eyes.
15. You are auscultating a patient's chest. The sounds are not clear, and you are having difficulty distinguishing between respirations and heartbeats. Which technique can you use to facilitate your assessment?
Isolate each cycle segment.
16. Auscultation should be carried out last, except when examining the:
Abdomen.
17. Tympanic thermometers measure body temperature when a probe is placed:
In the auditory canal.
18. The height-measuring attachment of the standing platform scale should be pulled up:
Before the patient steps on the scale.
19. Which of the following occurs when firm pressure is used to apply the stethoscope's bell endpiece to the skin?
It functionally converts to a diaphragm endpiece.
20. Weak pulses, fetal heart activity, and vessel patency are all best assessed with which type of stethoscope?
Ultrasonic
21. You are using an ophthalmoscope to examine a patient's inner eye. You rotate the lens selector clockwise and then counterclockwise to compensate for:
Myopia.
22. A patient in the emergency department has a concussion. You suspect the patient may also have a retinal hemorrhage. You are using the ophthalmoscope to examine the retina of this patient. Which aperture of the ophthalmoscope is most appropriate for this patient?
Red-free filter
23. Which type of speculum should be used to examine a patient's tympanic membrane?
The largest speculum that will fit comfortably in the ear
24. The pneumatic attachment for the otoscope is used to evaluate:
tympanic membrane movement.
25. Mr. Walters, a 32-year-old patient, tells you that his ears are "stopped up." An objective assessment of this complaint is achieved by using the:
tympanometer.
26. To perform a deep tendon reflex measurement, you should:
Briskly tap the tendon with the rubber end of the hammer.
27. When monitoring serial measures, such as head circumference or abdominal girth, which procedure is best to ensure that the tape measure is placed in the same position each time?
Mark the borders of the tape at several intervals on the skin with a pen.
28. The Pederson speculum has blades that:
Are narrower and flatter.
29. Which of the following are causes of hyperreflexia? (Select all that apply.)
Cold stirrups
Insertion of a speculum
Pressure during bimanual exam
30. The Snellen E vision acuity chart would most likely be used for __________.
Preschool children
31. The stethoscope's diaphragm is most useful for the assessment of __________ sounds.
High-pitched
32. For a woman with a small vaginal opening, the examiner should use a __________ speculum.
Pederson [Show Less]