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

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

A patient who has had multiple procedures or surgeries

question

One recommendation to prevent latex allergy is to

answer

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

question

Which patient position is useful for auscultating heart tones?

answer

Left lateral recumbent

question

Which technique is used during 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

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

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 to facilitate your assessment?

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

answer

the abdomen.

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 a patient's 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

An 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

A rubber or plastic ring should be around the bell endpiece 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 endpiece should be held between the second and third fingers.

question

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

answer

myopia.

question

A patient in the emergency department has a concussion to the head. You suspect that 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 Tumbling "E" vision acuity chart would most likely be used for _____ patients.

answer

preschool

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 a(n)

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 a neurologic hammer, which is equipped with which of the following?

answer

Brush and needle

question

When monitoring serial measurements, 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 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?

answer

Remove the speculum.

question

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

answer

trachea care and suctioning.

question

Standard Precautions apply:

answer

to all patients receiving care in hospitals.

question

According to the guidelines for Standard Precautions, the caregiver's hands should be washed:

answer

after touching any body fluids or contaminated items, regardless of whether gloves are worn.

question

Which patient is at the highest risk for developing latex allergy?

answer

The patient who has had multiple procedures or surgeries

question

One recommendation to prevent latex allergy is to:

answer

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

question

Mr. Walder is a 56-year-old man who has been complaining of chest palpitations. Which position is useful for auscultating heart sounds?

answer

Left lateral recumbent

question

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

answer

Inspection

question

Ms. Jones is a 31-year-old female patient who presents for a routine physical examination. Which examination technique will be used first?

answer

Inspection

question

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

answer

variations in contour of the body surface.

question

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?

answer

Drape the patient and observe the rectal area.

question

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?

answer

Either side of the patient

question

You are planning to palpate the abdomen of your patient. Which part of the examiner's hand is best for palpating vibration?

answer

Ulnar surface

question

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

answer

temperature.

question

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?

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

During percussion, 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

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. Which technique can you use to facilitate your assessment?

answer

Isolate each cycle segment.

question

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

answer

abdomen.

question

Tympanic thermometers measure body temperature when a probe is placed:

answer

in the auditory canal.

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 up:

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

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

answer

It functionally converts to a diaphragm endpiece.

question

A rubber or plastic ring should be around the bell endpiece of a stethoscope to:

answer

ensure secure contact with the body surface.

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 and then counterclockwise to compensate for:

answer

myopia.

question

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?

answer

Red-free filter

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

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:

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

answer

Halogen bulb

question

The Pederson speculum has blades that:

answer

are narrower and flatter.

question

Which of the following are causes of hyperreflexia? (Select all that apply.)

answer

Cold stirrups Insertion of a speculum Pressure during bimanual exam

question

The Snellen E vision acuity chart would most likely be used for __________.

answer

preschool children

question

The stethoscope's diaphragm is most useful for the assessment of __________ sounds.

answer

high-pitched

question

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

answer

Pederson

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