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NURS 505: Theory for Practice Review Questions and Correct Answers

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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

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NURS 505: Theory for Practice Review
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

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