MARYVILLE NURS 202 EXAM 1 LATEST 2025/26
COMPLETE QUESTION AND ANSWER |HEALTH
ASSESSMENT|GRADED A+ ANSWERED
The nurse is assisting the health care provider during the assessment of a patient. The health
care provider instructs the nurse to attach a short broad speculum to the head of an
otoscope. What is the reason for giving this instruction to the nurse?
1
To view the nares clearly
2
To diagnose internal ear problems
3
To provide illuminated magnification
4
To ensure proper fit of the otoscope in the patient's ear
1
To view the nares clearly
There are five different sized specula available that can be attached to the head of the
otoscope. The short and broad speculum is used in viewing the nares clearly, because it has a
good light source. Internal ear problems cannot be diagnosed using specula of any length.
Specula do not provide any magnification, but the otoscope has a separate lens that is used to
magnify the images. The largest speculum may fit comfortably in the patient's ear.
Which infections can be prevented if the nurse uses alcohol-based hand rubs frequently?
Select all that apply.
1
Hepatitis B virus
2
Mycobacterium tuberculosis
3
Human immunodeficiency virus
4
Vancomycin-resistant Enterococcus (VRE)
5
Methicillin-resistant Staphylococcus aureus (MRSA)
,1
Hepatitis B virus
2
Mycobacterium tuberculosis
3
Human immunodeficiency virus
Alcohol-based hand rubs are used as a part of hand hygiene, because alcohol is highly effective
against both gram-positive and gram-negative bacteria. Alcohol acts as a decontaminating
agent against hepatitis B and C viruses, mycobacterium tuberculosis, HIV, and enteroviruses.
VRE and MRSA are highly resistant hospital-acquired organisms; specific transmission-based
precautions such as contact, droplet, and airborne measures are required to prevent
transmission of these organisms.
What measures should the nurse take while caring for a patient with an infection caused by
Clostridium difficile? Select all that apply.
1
Wear gloves and a gown.
2
Use alcohol hand rubbing.
3
Use appropriate eye protection.
4
Use soap and water for hand washing.
5
Maintain a distance of more than 3 feet from the patient.
1
Wear gloves and a gown.
4
Use soap and water for hand washing.
The nurse should take protective measures to ensure self-safety while caring a patient with
Clostridium difficile. The nurse should wear gloves and a gown, because this prevents physical
contact with the patient. The nurse should also perform regular hand washing with soap and
water, because this minimizes the microorganisms. Hand washing should be with soap and
water because the Clostridium difficile spores are not killed by alcohol. The nurse should use
eye protection only while performing the procedures which are likely to generate splashes of
blood or body fluids. The nurse should maintain a distance of more than 3 feet while caring for
a patient with respiratory disorders.
,Which of the following is the best way for the nurse to organize information related to the
patient's use of hearing aids or glasses, social relationships, managing finances, and self-
concept?
1
Use a review of systems.
2
Use functional health patterns.
3
Document data in the nurse's notes.
4
Diagram a family tree.
Use functional health patterns.
The nurse uses functional health patterns to organize data that relate to the patient's self-care
ability. The review of systems includes a patient's past and present physical health status. The
nurse may want to note the details of patient teaching that helped the nurse to perform better.
The nurse can include this in the nurse's notes. The nurse will use a family tree to understand
family relationships while assessing a child.
Which condition is transmitted genetically?
1
Arthritis
2
Hepatitis A
3
Anorexia nervosa
4
Sexually transmitted diseases
Arthritis
Arthritis is a disease that can be transmitted genetically. Therefore, the nurse needs to ask the
patient about a family history of arthritis during the interview. Hepatitis A is not transmitted
genetically but is an infectious disease caused by hepatitis A virus. Anorexia nervosa is an eating
disorder that does not have a genetic component. Sexually transmitted diseases occur because
of unsafe sexual practices and not because of genetic transmission.
, Before auscultating the lungs of a child, the nurse asks the parent to remove the child's gown.
What could be the reason for such an intervention?
1
To avoid sound artifacts
2
To avoid the chandelier sign
3
To listen to high-pitched sounds
4
To listen to low-pitched sounds
1
To avoid sound artifacts
A stethoscope is used to assess the lung sounds during auscultation. The nurse should not
auscultate through the patient's clothing, because this creates sound artifacts and dampens the
original lung sounds of the patient. Holding the bell endpiece lightly against patient's skin helps
the nurse to listen to low-pitched sounds. Holding the diaphragm firmly against the child's skin
helps the nurse to listen to high-frequency sounds. Warming the end of the stethoscope helps
to avoid chandelier sign.
Which is the major task of infancy according to Erikson's stages of psychosocial development?
1
Developing a sense of trust
2
Developing a sense of industry
3
Developing a sense of initiative
4
Developing a sense of autonomy
1
Developing a sense of trust
An infant is completely dependent on the parent for basic needs. If these needs are met
promptly and consistently, then the infant feels secure and learns to trust others. Thus,
according to Erikson, establishing trust is the major task of an infant during development.
Developing a sense of industry is a major task in a school-age child, because at this age the child
develops basic competency. The preschool child desires to plan and perform tasks
independently. Therefore, developing initiative is a major task for a preschool child. The toddler
displays explorative behavior and desires to be independent. Thus, developing autonomy is a
major task for a toddler.
COMPLETE QUESTION AND ANSWER |HEALTH
ASSESSMENT|GRADED A+ ANSWERED
The nurse is assisting the health care provider during the assessment of a patient. The health
care provider instructs the nurse to attach a short broad speculum to the head of an
otoscope. What is the reason for giving this instruction to the nurse?
1
To view the nares clearly
2
To diagnose internal ear problems
3
To provide illuminated magnification
4
To ensure proper fit of the otoscope in the patient's ear
1
To view the nares clearly
There are five different sized specula available that can be attached to the head of the
otoscope. The short and broad speculum is used in viewing the nares clearly, because it has a
good light source. Internal ear problems cannot be diagnosed using specula of any length.
Specula do not provide any magnification, but the otoscope has a separate lens that is used to
magnify the images. The largest speculum may fit comfortably in the patient's ear.
Which infections can be prevented if the nurse uses alcohol-based hand rubs frequently?
Select all that apply.
1
Hepatitis B virus
2
Mycobacterium tuberculosis
3
Human immunodeficiency virus
4
Vancomycin-resistant Enterococcus (VRE)
5
Methicillin-resistant Staphylococcus aureus (MRSA)
,1
Hepatitis B virus
2
Mycobacterium tuberculosis
3
Human immunodeficiency virus
Alcohol-based hand rubs are used as a part of hand hygiene, because alcohol is highly effective
against both gram-positive and gram-negative bacteria. Alcohol acts as a decontaminating
agent against hepatitis B and C viruses, mycobacterium tuberculosis, HIV, and enteroviruses.
VRE and MRSA are highly resistant hospital-acquired organisms; specific transmission-based
precautions such as contact, droplet, and airborne measures are required to prevent
transmission of these organisms.
What measures should the nurse take while caring for a patient with an infection caused by
Clostridium difficile? Select all that apply.
1
Wear gloves and a gown.
2
Use alcohol hand rubbing.
3
Use appropriate eye protection.
4
Use soap and water for hand washing.
5
Maintain a distance of more than 3 feet from the patient.
1
Wear gloves and a gown.
4
Use soap and water for hand washing.
The nurse should take protective measures to ensure self-safety while caring a patient with
Clostridium difficile. The nurse should wear gloves and a gown, because this prevents physical
contact with the patient. The nurse should also perform regular hand washing with soap and
water, because this minimizes the microorganisms. Hand washing should be with soap and
water because the Clostridium difficile spores are not killed by alcohol. The nurse should use
eye protection only while performing the procedures which are likely to generate splashes of
blood or body fluids. The nurse should maintain a distance of more than 3 feet while caring for
a patient with respiratory disorders.
,Which of the following is the best way for the nurse to organize information related to the
patient's use of hearing aids or glasses, social relationships, managing finances, and self-
concept?
1
Use a review of systems.
2
Use functional health patterns.
3
Document data in the nurse's notes.
4
Diagram a family tree.
Use functional health patterns.
The nurse uses functional health patterns to organize data that relate to the patient's self-care
ability. The review of systems includes a patient's past and present physical health status. The
nurse may want to note the details of patient teaching that helped the nurse to perform better.
The nurse can include this in the nurse's notes. The nurse will use a family tree to understand
family relationships while assessing a child.
Which condition is transmitted genetically?
1
Arthritis
2
Hepatitis A
3
Anorexia nervosa
4
Sexually transmitted diseases
Arthritis
Arthritis is a disease that can be transmitted genetically. Therefore, the nurse needs to ask the
patient about a family history of arthritis during the interview. Hepatitis A is not transmitted
genetically but is an infectious disease caused by hepatitis A virus. Anorexia nervosa is an eating
disorder that does not have a genetic component. Sexually transmitted diseases occur because
of unsafe sexual practices and not because of genetic transmission.
, Before auscultating the lungs of a child, the nurse asks the parent to remove the child's gown.
What could be the reason for such an intervention?
1
To avoid sound artifacts
2
To avoid the chandelier sign
3
To listen to high-pitched sounds
4
To listen to low-pitched sounds
1
To avoid sound artifacts
A stethoscope is used to assess the lung sounds during auscultation. The nurse should not
auscultate through the patient's clothing, because this creates sound artifacts and dampens the
original lung sounds of the patient. Holding the bell endpiece lightly against patient's skin helps
the nurse to listen to low-pitched sounds. Holding the diaphragm firmly against the child's skin
helps the nurse to listen to high-frequency sounds. Warming the end of the stethoscope helps
to avoid chandelier sign.
Which is the major task of infancy according to Erikson's stages of psychosocial development?
1
Developing a sense of trust
2
Developing a sense of industry
3
Developing a sense of initiative
4
Developing a sense of autonomy
1
Developing a sense of trust
An infant is completely dependent on the parent for basic needs. If these needs are met
promptly and consistently, then the infant feels secure and learns to trust others. Thus,
according to Erikson, establishing trust is the major task of an infant during development.
Developing a sense of industry is a major task in a school-age child, because at this age the child
develops basic competency. The preschool child desires to plan and perform tasks
independently. Therefore, developing initiative is a major task for a preschool child. The toddler
displays explorative behavior and desires to be independent. Thus, developing autonomy is a
major task for a toddler.
