An 85-year-old man has come in for a physical ANS: B
examination, and the nurse notices that he uses a Use of assistive devices would be documented under the mobility section. The
cane. When documenting general appearance, the other responses are all other categories of the general appearance section of
nurse should document this information under the the health history.
section that covers:
a. Posture.
b. Mobility.
c. Mood and affect.
d. Physical deformity.
The nurse is performing a vision examination. Which of ANS: A
these charts is most widely used for vision The Snellen eye chart is most widely used for vision examinations. The other
examinations? options are not tests for vision examinations.
a. Snellen
b. Shetllen
c. Smoollen
d. Schwellon
After the health history has been obtained and before ANS: A
beginning the physical examination, the nurse should Before beginning the examination, the nurse should ask the person to empty
first ask the patient to: the bladder (save the specimen if needed), disrobe except for underpants, put
on a gown, and sit with the legs dangling off side of the bed or table.
a. Empty the bladder.
b. Completely disrobe.
c. Lie on the examination table.
d. Walk around the room.
, During a complete health assessment, how would the ANS: B
nurse test the patients hearing? During the complete health assessment, the nurse should test hearing with the
whispered voice test. The other options are not correct.
a. Observing how the patient participates in normal
conversation
b. Using the whispered voice test
c. Using the Weber and Rinne tests
d. Testing with an audiometer
A patient states, Whenever I open my mouth real wide, ANS: D
I feel this popping sensation in front of my ears. To The nurse should palpate the temporomandibular joint by placing his or her
further examine this, the nurse would: fingers over the joint as the person opens and closes the mouth.
a. Place the stethoscope over the temporomandibular
joint, and listen for bruits.
b. Place the hands over his ears, and ask him to open
his mouth really wide.
c. Place one hand on his forehead and the other on his
jaw, and ask him to try to open his mouth.
d. Place a finger on his temporomandibular joint, and
ask him to open and close his mouth.
The nurse has just completed an examination of a ANS: D
patients extraocular muscles. When documenting the Extraocular muscles are innervated by cranial nerves III, IV, and VI.
findings, the nurse should document the assessment of
which cranial nerves?
a. II, III, and VI
b. II, IV, and V
c. III, IV, and V
d. III, IV, and
examination, and the nurse notices that he uses a Use of assistive devices would be documented under the mobility section. The
cane. When documenting general appearance, the other responses are all other categories of the general appearance section of
nurse should document this information under the the health history.
section that covers:
a. Posture.
b. Mobility.
c. Mood and affect.
d. Physical deformity.
The nurse is performing a vision examination. Which of ANS: A
these charts is most widely used for vision The Snellen eye chart is most widely used for vision examinations. The other
examinations? options are not tests for vision examinations.
a. Snellen
b. Shetllen
c. Smoollen
d. Schwellon
After the health history has been obtained and before ANS: A
beginning the physical examination, the nurse should Before beginning the examination, the nurse should ask the person to empty
first ask the patient to: the bladder (save the specimen if needed), disrobe except for underpants, put
on a gown, and sit with the legs dangling off side of the bed or table.
a. Empty the bladder.
b. Completely disrobe.
c. Lie on the examination table.
d. Walk around the room.
, During a complete health assessment, how would the ANS: B
nurse test the patients hearing? During the complete health assessment, the nurse should test hearing with the
whispered voice test. The other options are not correct.
a. Observing how the patient participates in normal
conversation
b. Using the whispered voice test
c. Using the Weber and Rinne tests
d. Testing with an audiometer
A patient states, Whenever I open my mouth real wide, ANS: D
I feel this popping sensation in front of my ears. To The nurse should palpate the temporomandibular joint by placing his or her
further examine this, the nurse would: fingers over the joint as the person opens and closes the mouth.
a. Place the stethoscope over the temporomandibular
joint, and listen for bruits.
b. Place the hands over his ears, and ask him to open
his mouth really wide.
c. Place one hand on his forehead and the other on his
jaw, and ask him to try to open his mouth.
d. Place a finger on his temporomandibular joint, and
ask him to open and close his mouth.
The nurse has just completed an examination of a ANS: D
patients extraocular muscles. When documenting the Extraocular muscles are innervated by cranial nerves III, IV, and VI.
findings, the nurse should document the assessment of
which cranial nerves?
a. II, III, and VI
b. II, IV, and V
c. III, IV, and V
d. III, IV, and
