Questions and Correct Answers
The internal structures of the eye can be visualised using much of the following
instruments ✅Ophthalmoscope
To make accurate assessments during inspection, the examiner must: ✅Compare
bilateral body parts
Palpation is a physical assessment technique that uses the sense of: ✅Touch
When percussing over the stomach, the examiner notes a loud, drum-like sound. The
term to document this percussion tone is: ✅Tympany
The eye of the stethoscope is used to hear: ✅Heart sounds
Skin turgor may be assessed by which of the following techniques ✅Lightly pinching a
skin fold
Visual acuity may be assessed by using the snellen chart. If a person has acuity of 6/12
in both eyes, this means: ✅The person has less than normal visions
When using an otoscope to assess the tympanic membrane of an adult, the ear canal is
straightened by gently pulling the pinna: ✅Up and back
When percussing the thorax and lungs, a dull sound indicates: ✅Fluid or a solid mass
When auscultating the thorax and lungs, coarse gurgling sounds are heard on
expiration. These sounds can be broadly labelled as: ✅Adventitious breath sounds
Heart sounds are the result of ✅Entire breast tissue
When palpating the breast, the assessment should be conducted by which division or
areas ✅Quadrants
When assessing the abdomen, which assessment technique should be conducted after
inspection? ✅Auscultation
Which of the following assessments of mental status is not an assessment of
orientation? ✅Consciousness
, As part of the assessment of the cranial nerves, the examiner asks the person to raise
the eyebrows, smile and show teeth. These actions provide information about which
cranial nerve ✅Facial
The smallest infectious agents capable of causing an infection are: ✅Viruses
A person has developed a low-grade fever and states she has felt very tired lately. This
phase of an infection is known as the: ✅Prodromal stage
A person develops a urinary tract infection after an indwelling urinary catheter has been
inserted. This would most accurately be termed: ✅An iatrogenic infection
The nurse has opened the sterile supplies and put on two sterile gloves to complete a
sterile dressing change. Maintaining surgical asepsis requires the nurse to: ✅Consider
the outer 3 cm of the aseptic field as contaminated
The NHMRC standard precautions, recommendations apply to: ✅All people receiving
care in hospitals
In addition to standard precautions, the nurse caring for a person with rebulla would
plan to implement: ✅Droplet precautions
Standards for cleaning, disinfection and sterilising reusable medical equipment can be
found in: ✅State or territory governing-body documents
The recommended sequence for removing soiled personal protective equipment when
the nurse prepares to leave a patients room is to remove: ✅Gown, gloves, hand rub,
remove eye wear, eye protection and mask
Effective hand hygiene between patients requires: ✅Use of an alcoholic chlorhexidine
hand rub
Which hospitalised person is the most at risk of developing an HAI? ✅Mr, L 65-year-
old who has an indwelling catheter in place
The nurse teaches a person at home to use a clean technique when changing a wound
dressing. This is: ✅Safe for the home setting
You are asked to remove a drain tube. What personal protective equipment would you
consider using? ✅Gloves, apron/gown and eye protection
What is the main mechanism by which infections are spread in hospital? ✅Hands
Standard precautions: ✅Apply to the handling of blood and body fluids