question

Standard Precautions apply to all patients:

answer

receiving care in hospitals.

question

According to the guidelines for Standard Precautions:

answer

the caregiver's hands should be washed after touching any body fluids and contaminated items, regardless of whether gloves are worn.

question

Which patient is at the highest risk for the development of latex allergy?

answer

The patient who is allergic to contrast dye

question

Guidelines for Standard Precautions indicate that mask and eye protection or a face mask should be worn while performing

answer

trachea care and suctioning.

question

One recommendation to prevent latex allergy is to:

answer

wash hands with mild soap after removing gloves and then dry thoroughly.

question

Which lying position is useful for auscultating heart tones?

answer

Left lateral recumbent

question

Which technique is used during both the history taking and the physical examination process?

answer

Inspection

question

Which examination technique should be used first?

answer

Inspection

question

The use of secondary, tangential lighting is most helpful in the detection of:

answer

variations in contour of the body surface

question

A nonambulatory 80-year-old male patient tells the female nurse that he feels like he is having drainage from his rectum. Which initial nursing action is appropriate?

answer

Drape the patient and observe the rectal area.

question

You are conducting a head-to-toe examination as part of a patient's preventive health 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?

answer

To the right side of the patient

question

Which part of the examiner's hand is best for palpating vibration?

answer

Ulnar surface and base of the fingers

question

The dorsal surface of the hand is most often used for the assessment of:

answer

temperature

question

When conducting the abdominal examination, after you inspect you proceed next to:

answer

auscultation

question

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?

answer

The less dense the medium, the louder is the percussion tone

question

Expected normal percussion tones include:

answer

tympany over an empty stomach.

question

When percussing, a dull tone is expected to be heard over:

answer

the liver.

question

When using mediate or indirect percussion, which technique is appropriate?

answer

Place the palmar surface of the nondominant hand on the body surface with the fingers slightly spread apart.

question

During percussion, the downward snap of the striking fingers should originate from the:

answer

wrist

question

Which technique is commonly used to elicit tenderness arising from the liver, gallbladder, or kidneys?

answer

Fist percussion

question

During auscultation, you can limit your perceptual field best by:

answer

closing your eyes.

question

You are auscultating a patient's chest. The sounds are not clear, and you are having difficulty distinguishing between respirations and heartbeats. What technique can you use

answer

Isolate each cycle segment.

question

When examining the abdomen, which technique should be used first?

answer

Inspection

question

Auscultation should be carried out last, except when examining the:

answer

abdomen

question

Observing the rise and fall of the abdomen usually facilitates calculation of respiratory rate in the:

answer

infant

question

Blood pressure is a peripheral measurement of:

answer

cardiovascular function.

question

Underestimation of blood pressure will occur if the blood pressure cuff's bladder:

answer

covers more than two-thirds of the upper arm.

question

If a sufficiently large cuff is unavailable to fit an obese arm, which technique may be used to assess blood pressure?

answer

Wrap a standard cuff around the forearm and place the stethoscope over the radial artery.

question

Axillary measurement of temperature correlates best with core temperatures of:

answer

infants

question

Which of the following statements is true regarding tympanic membrane temperature?

answer

It is an accurate measurement of body temperature because the tympanic membrane shares its blood supply with the hypothalamus.

question

A scale used to assess patients' weight should be calibrated:

answer

each time it is used.

question

The height-measuring attachment of the standing platform scale should be pulled out:

answer

before the patient steps on the scale.

question

The infant should be placed in which position to have his or her height or length measured?

answer

Supine on a measuring board

question

The stethoscope's diaphragm is most useful in the assessment of _____ sounds.

answer

high-pitched

question

Which of the following occurs when firm pressure is used to apply the stethoscope's bell end-piece to the skin?

answer

It functionally converts to a diaphragm end-piece

question

A rubber or plastic ring should be around the bell end-piece of a stethoscope to:

answer

ensure secure contact with the body surface.

question

Which technique should be used to stabilize the stethoscope during auscultation?

answer

The end-piece should be held between the second and third fingers

question

Weak pulses, fetal heart activity, and vessel patency are all best assessed with which type of stethoscope?

answer

Ultrasonic

question

You are using an ophthalmoscope to examine a patient's inner eye. You rotate the lens selector clockwise, then counterclockwise in order to compensate for:

answer

myopia

question

A patient in the emergency department has a concussion to the head. 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?

answer

Red-free filter

question

The Snellen "E" vision acuity chart would most likely be used for _____ patients.

answer

preschool

question

Which type of speculum should be used to examine a patient's tympanic membrane?

answer

The largest speculum that will fit comfortably in the ear

question

The pneumatic attachment for the otoscope is used to evaluate:

answer

tympanic membrane movement.

question

The patient tells you that his ears are "stopped up." An objective assessment of this complaint is achieved by using the:

answer

tympanometer.

question

Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure

answer

hearing range of normal speech.

question

To perform a deep tendon reflex measurement, you should:

answer

briskly tap the tendon with the rubber end of the hammer.

question

A variant of the percussion hammer is the neurologic hammer, which is equipped with which of the following?

answer

Brush and needle

question

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?

answer

Mark the borders of the tape at several intervals on the skin with a pen.

question

Transillumination functions on the principle that:

answer

air, fluid, and tissue transmit light differentially.

question

When performing transillumination of a body cavity, the use of which of the following could be harmful to the patient?

answer

Halogen bulb

question

For a woman with a small vaginal opening, the examiner should use a _____ speculum.

answer

Pederson

question

You are performing a vaginal examination for 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?

answer

Remove the speculum

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