NURSING 620 ADVANCE PHYSICAL ASSESSMENT FINALS

NURSING 620 ADVANCE PHYSICAL ASSESSMENT FINALS 1 What step of the nursing process includes data collection by heath history, physical examination, and interview? a Planning b Diagnosis c Evaluation d Assessment1/7 q 16 2 The nurse is performing a physical assessment on newly admitted patient. An example of objective information obtained during the physical assessment includes: a Patient’s history of allergies b Patients use of medication at home c Last menstrual period 1 month ago. d 2x5 cm scar on the right lower forearm.1/7 q 21 3 A 42-year old patient of Asian descent is being seen at the clinic for an initial examination. The nurse knows that including cultural information in his health assessment is important to: a Identify the cause of his illness. b Make accurate disease diagnoses. c Provide cultural health rights for the individual. d Provide culturally sensitive and appropriate care.1/9 q 26 4 In the health promotion model, the focus of the health professional includes: a Changing the patient’s perception of disease. b Identifying biomedical model interventions. c Identifying negative health acts of the consumer. d Helping the consumer choose a healthier lifestyle. 1/9 q 27 5 The nursing process is a sequential method of problem solving that nurses use and includes which steps. a Assessment, treatment, planning, evaluation, discharge, and follow up b Admission, assessment, diagnosis, treatment, and discharge planning. c Admission, diagnosis, treatment, evaluation, and discharge planning. d Assessment, diagnosis, outcome identification, planning, implementation, and evaluation.1/4 q 12 6 The nurse is preparing to conduct a health history. Which of this statements best describes the purpose of health history? a To provide an opportunity for interaction between the patient and the nurse. b To provide a form for obtaining the patients biographic information c To document the normal and abnormal findings of a physical assessment. d To provide a database of subjective information about the patients past and current health.4/1 q 1 7 A patient tell the nurse that he is allergic to penicillin. What would be the nurse’s best response to this information? a “Are you allergic to any other drugs?” b “How often have you received penicillin?” c “I’ll write your allergy on your chart so you won’t receive any penicillin.” d “Describe what happen to you when you take penicillin”4/3 q 8 8 The nurse is asking a patient for his reason for seeking care and ask a about the signs and symptoms he is experiencing. Which of this is an example of a symptoms? a Chest pain 4/10 q 27 b Clammy skin c Serum potassium level at 4.2 mEq/L d Body temperature of 100 deg F 9 When performing a physical assessment, the first technique the nurse will always use is: a Palpation b Inspection 8/1 q 1 c Percussion d Auscultation 10 The nurse is assessing a patient’s skin during an office visit. What part of the hand and technique should be used to best assess the patients skin temperature? a Fingertips; they are more sensitive to small changes in temperature. b Dorsal surface of the hand; the skin is thinner on this surface than on the palm 8/2 q 3. c Ulnar portion of the hand; increased blood supply in this area enhances temperature sensitivity. d Palmar surface of the hand; this surface is the most sensitive to temperature variations because of it’s increased nerve supply in this area. 11 Which of this techniques uses the sense of touch to assess texture, temperature, moisture, and swelling when the nurse is assessing a patient? a Palpation 8/2 q 4 b Auscultation c Inspection d Percussion 12 The nurse is preparing to assess a patients abdomen by palpitation. How should the nurse proceed? a Palpation of reportedly “tender” areas are avoided because palpation in these areas may cause pain. b Palpating a tender area is quickly performed to avoid any discomfort that the patient may experience. c The assessment begins with deep palpation, while encouraging the patient to relax and to take deep breaths. d The assessment begins with light palpation to detect surface characteristics and to accustom the patient to being touched.8/2 q 5 13 The nurse would use bimanual palpation technique in which situation? a Palpating the thorax of an infant. b Palpating the kidneys and uterus 8/2 q 6 c Assessing pulsations and vibrations d Assessing the presence of tenderness and pain.4444 14 The nurse is preparing to percuss the abdomen of a patient. The purpose of the percussion is to assess the of the underlying tissue. a Turgor b Texture c Density 8/3 q 7 d Consistency 15 The nurse is preparing to use stethoscope for auscultation. Which statement is true regarding the diaphragm of the stethoscope? The diaphragm: a Is used to listen for high-pitched sounds8/5 q 14 b Is use listen for low- pitched sounds c Should be lightly held against the person’s skin to block out low pitch-sounds d Should be lightly held against the person’s skin to listen for extra heart sounds and murmurs. 16 The nurse is preparing to use 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 use to examine the structure of the internal ear. d Directs light into the ear canal and onto the tympanic membrane.8/6 q 17 17 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 structure of the eye d Rotating the lens selector to bring the object into focus.8/7 q 18 18 The nurse is preparing to perform a physical assessment. The correct action by the nurse is reflected by which statement? The nurse: a Performed the examination from the left side of the bed. b Examines tender or painful areas first to help to relieve the patient’s anxiety. c Follows the same examination sequence, regardless of the patient’s age or condition