With Updated Solutions
Situation: Mrs. S. is a 69-year-old woman who presents for a physical examination. On inspection of her eyes,
you note that the left upper eyelid droops, covering more of the iris than does the right. This is recorded as:
ANS Ptosis on the left.
The nurse is preparing to examine the ears of an adult patient with an otoscope. The nurse should plan to:
ANS Pull the auricle out, up, and back.
The nurse practitioner notes a grade V systolic murmur while examining a client's precordium. Which
characteristics describe this type of murmur? ANS Heard with the stethoscope partly off the chest
You observe pupillary response as the patient looks at a distant object and then at an object held 10 cm from
the bridge of the nose. You are assessing for: ANS Accommodation.
You are using an ophthalmoscope to examine a patient's inner eye. You rotate the lens selector clockwise, then
counterclockwise in order to compensate for: ANS Myopia.
Which technique is used during both the history taking and the physical examination process? ANS
Inspection.
The S4 heart sound has which of the following characteristics? ANS It is noted in the presence of poorly
controlled hypertension.
To perform the Rinne test, place the tuning fork on the: ANS Mastoid bone.
What is the most common cause of loss of vision in the adult over 45? ANS Presbyopia
During the cardiac examination, the nurse can best hear the S1 heart sound by placing the stethoscope at the
patient's: ANS Apex of the heart.
A palpable rushing vibration over the base of the heart at the second intercostal space is called a: ANS
Thrill.