https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
NUR 2092 / NUR2092 Health
Assessment Exam 2 Questions
Bank
The nurse will use which technique of assessment to determine the
presence of crepitus, swelling, and pulsations?
a. Palpation
b. Inspection
c. Percussion
d. Auscultation
RAT: Palpation applies the sense of touch to assess texture, temperature,
moisture, organ location and size, as well as any swelling, vibration or
pulsation, rigidity or spasticity, crepitation, presence of lumps or masses,
and the presence of tenderness or pain.
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.
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
,https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
d. Directs light into the ear canal and onto the tympanic membrane.
RAT: The otoscope directs light into the ear canal and onto the tympanic
membrane that divides the external and middle ear. A short, broad
speculum is used to visualize the nares.
An examiner is using an ophthalmoscope to examine a patient’s eyes. The
patient has 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
RAT: The ophthalmoscope is used to examine the internal eye structures. It
can compensate for nearsightedness or farsightedness, but it will not correct
for astigmatism. The grid is used to assess size and location of lesions on the
fundus. The large full spot of light is used to assess dilated pupils. Rotating
the lens selector dial brings the object into focus.
The nurse is unable to palpate the right radial pulse on a patient. The best action
would be
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
,https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
to:
a. Auscultate over the area with a fetoscope.
b. Use a goniometer to measure the pulsations.
c. Use a Doppler device to check for pulsations over the area.
d. Check for the presence of pulsations with a stethoscope.
RAT: Doppler devices are used to augment pulse or blood pressure
measurements. Goniometers measure joint range of motion. A fetoscope is
used to auscultate fetal heart tones. Stethoscopes are used to auscultate
breath, bowel, and heart sounds.
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 patient’s anxiety.
c. Follows the same examination sequence, regardless of the
patient’s age or condition.
d. Organizes the assessment to ensure that the patient does not change
positions too often.
RAT: The steps of the assessment should be organized to ensure that the
patient does not change positions too often. The sequence of the steps of the
assessment may differ, depending on the age of the person and the
examiner’s preference. Tender or painful areas should be assessed last.
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
, https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
A man is at the clinic for a physical examination. He states that he is
“very anxious” about the 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.
RAT: Anxiety can be reduced by an examiner who is confident, self-
assured, considerate, and unhurried. Familiar and relatively nonthreatening
actions, such as measuring the person’s vital signs, will gradually accustom
the person to the examination.
When preparing to perform a physical examination on an infant, the nurse should:
a. Have the parent remove all clothing except the diaper on a boy.
b. Instruct the parent to feed the infant immediately before the examination.
c. Encourage the infant to suck on a pacifier during the abdominal examination.
d. Ask the parent to leave the room briefly when assessing the infant’s vital
signs.
RAT: The parent should always be present to increase the child’s feeling of
security and to understand normal growth and development. The timing of
the examination should be 1 to 2 hours after feeding when the baby is
neither too drowsy nor too hungry. Infants do not object to being nude;
clothing should be removed, but a diaper should be left on a boy.
A 6-month-old infant has been brought to the well-child clinic for a
check-up. She is currently sleeping. What should the nurse do first when
beginning the examination?
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
NUR 2092 / NUR2092 Health
Assessment Exam 2 Questions
Bank
The nurse will use which technique of assessment to determine the
presence of crepitus, swelling, and pulsations?
a. Palpation
b. Inspection
c. Percussion
d. Auscultation
RAT: Palpation applies the sense of touch to assess texture, temperature,
moisture, organ location and size, as well as any swelling, vibration or
pulsation, rigidity or spasticity, crepitation, presence of lumps or masses,
and the presence of tenderness or pain.
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.
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
,https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
d. Directs light into the ear canal and onto the tympanic membrane.
RAT: The otoscope directs light into the ear canal and onto the tympanic
membrane that divides the external and middle ear. A short, broad
speculum is used to visualize the nares.
An examiner is using an ophthalmoscope to examine a patient’s eyes. The
patient has 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
RAT: The ophthalmoscope is used to examine the internal eye structures. It
can compensate for nearsightedness or farsightedness, but it will not correct
for astigmatism. The grid is used to assess size and location of lesions on the
fundus. The large full spot of light is used to assess dilated pupils. Rotating
the lens selector dial brings the object into focus.
The nurse is unable to palpate the right radial pulse on a patient. The best action
would be
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
,https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
to:
a. Auscultate over the area with a fetoscope.
b. Use a goniometer to measure the pulsations.
c. Use a Doppler device to check for pulsations over the area.
d. Check for the presence of pulsations with a stethoscope.
RAT: Doppler devices are used to augment pulse or blood pressure
measurements. Goniometers measure joint range of motion. A fetoscope is
used to auscultate fetal heart tones. Stethoscopes are used to auscultate
breath, bowel, and heart sounds.
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 patient’s anxiety.
c. Follows the same examination sequence, regardless of the
patient’s age or condition.
d. Organizes the assessment to ensure that the patient does not change
positions too often.
RAT: The steps of the assessment should be organized to ensure that the
patient does not change positions too often. The sequence of the steps of the
assessment may differ, depending on the age of the person and the
examiner’s preference. Tender or painful areas should be assessed last.
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
, https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
A man is at the clinic for a physical examination. He states that he is
“very anxious” about the 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.
RAT: Anxiety can be reduced by an examiner who is confident, self-
assured, considerate, and unhurried. Familiar and relatively nonthreatening
actions, such as measuring the person’s vital signs, will gradually accustom
the person to the examination.
When preparing to perform a physical examination on an infant, the nurse should:
a. Have the parent remove all clothing except the diaper on a boy.
b. Instruct the parent to feed the infant immediately before the examination.
c. Encourage the infant to suck on a pacifier during the abdominal examination.
d. Ask the parent to leave the room briefly when assessing the infant’s vital
signs.
RAT: The parent should always be present to increase the child’s feeling of
security and to understand normal growth and development. The timing of
the examination should be 1 to 2 hours after feeding when the baby is
neither too drowsy nor too hungry. Infants do not object to being nude;
clothing should be removed, but a diaper should be left on a boy.
A 6-month-old infant has been brought to the well-child clinic for a
check-up. She is currently sleeping. What should the nurse do first when
beginning the examination?
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
