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NU 518 – Advanced Health Assessment,
Physical Examination, Otoscopy,
Ophthalmoscopy & Evidence-Based Practice
The nurse is preparing to use an otoscope for an examination. Which
statement is true
regarding the otoscope? The otoscope:
a Is often used to direct light onto the sinuses.
b Uses a short, broad speculum to help visualize the ear.
c Is used to examine the structures of the internal ear.
d Directs light into the ear canal and onto the tympanic membrane.
.....answer. ... D
An examiner is using an ophthalmoscope to examine a patient’s eyes. The
patient has
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astigmatism and is nearsighted. The use of which of these techniques would
indicate that the
examination is being correctly performed?
A Using the large full circle of light when assessing pupils that are not
dilated
B Rotating the lens selector dial to the black numbers to compensate for
astigmatism
c Using the grid on the lens aperture dial to visualize the external structures
of the
eye
d Rotating the lens selector dial to bring the object into focus .....answer. ....D
The nurse is unable to palpate the right radial pulse on a patient. The best
action would be to:
A Auscultate over the area with a fetoscope.
B Use a goniometer to measure the pulsations.
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C Use a Doppler device to check for pulsations over the area.
D Check for the presence of pulsations with a stethoscope. .....answer. .... C
. The nurse is preparing to perform a physical assessment. The correct action
by the nurse is
reflected by which statement? The nurse:
a Performs the examination from the left side of the bed.
B Examines tender or painful areas first to help relieve the patients anxiety.
C Follows the same examination sequence, regardless of the patients age or
condition.
D Organizes the assessment to ensure that the patient does not change
positions
too often. .....answer ..... D
A man is at the clinic for a physical examination. He states that he is very
anxious about the
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physical examination. What steps can the nurse take to make him more
comfortable?
A Appear unhurried and confident when examining him.
B Stay in the room when he undresses in case he needs assistance.
C Ask him to change into an examining gown and to take off his
undergarments.
D Defer measuring vital signs until the end of the examination, which allows
him
time to become comfortable. .....answer..... A
When performing a physical examination, safety must be considered to
protect the examiner
and the patient against the spread of infection. Which of these statements
describes the most
appropriate action the nurse should take when performing a physical
examination?
SH
A Washing ones hands after removing gloves is not necessary, as long as the
TS
NU 518 – Advanced Health Assessment,
Physical Examination, Otoscopy,
Ophthalmoscopy & Evidence-Based Practice
The nurse is preparing to use an otoscope for an examination. Which
statement is true
regarding the otoscope? The otoscope:
a Is often used to direct light onto the sinuses.
b Uses a short, broad speculum to help visualize the ear.
c Is used to examine the structures of the internal ear.
d Directs light into the ear canal and onto the tympanic membrane.
.....answer. ... D
An examiner is using an ophthalmoscope to examine a patient’s eyes. The
patient has
SH
TS
, 2|Page
astigmatism and is nearsighted. The use of which of these techniques would
indicate that the
examination is being correctly performed?
A Using the large full circle of light when assessing pupils that are not
dilated
B Rotating the lens selector dial to the black numbers to compensate for
astigmatism
c Using the grid on the lens aperture dial to visualize the external structures
of the
eye
d Rotating the lens selector dial to bring the object into focus .....answer. ....D
The nurse is unable to palpate the right radial pulse on a patient. The best
action would be to:
A Auscultate over the area with a fetoscope.
B Use a goniometer to measure the pulsations.
SH
TS
, 3|Page
C Use a Doppler device to check for pulsations over the area.
D Check for the presence of pulsations with a stethoscope. .....answer. .... C
. The nurse is preparing to perform a physical assessment. The correct action
by the nurse is
reflected by which statement? The nurse:
a Performs the examination from the left side of the bed.
B Examines tender or painful areas first to help relieve the patients anxiety.
C Follows the same examination sequence, regardless of the patients age or
condition.
D Organizes the assessment to ensure that the patient does not change
positions
too often. .....answer ..... D
A man is at the clinic for a physical examination. He states that he is very
anxious about the
SH
TS
, 4|Page
physical examination. What steps can the nurse take to make him more
comfortable?
A Appear unhurried and confident when examining him.
B Stay in the room when he undresses in case he needs assistance.
C Ask him to change into an examining gown and to take off his
undergarments.
D Defer measuring vital signs until the end of the examination, which allows
him
time to become comfortable. .....answer..... A
When performing a physical examination, safety must be considered to
protect the examiner
and the patient against the spread of infection. Which of these statements
describes the most
appropriate action the nurse should take when performing a physical
examination?
SH
A Washing ones hands after removing gloves is not necessary, as long as the
TS
