Exam (elaborations) RNSG 1216 Skills Physical Assessment Module Quiz/RNSG 1216 Skills Physical Assessment Module Quiz. Latest 2021

RNSG 1216 Skills Physical Assessment Module Quiz. Latest 2021.QUESTION 1: When performing a head‐to‐toe physical assessment, which of the following would the nurse least likely assess during the general survey? Your Response: Correct Response: Correct! Vision Explanation: The general survey includes assessment about the patient's overall appearance and behavior, including areas such as hygiene, grooming, level of alertness, vital signs, and height and weight. Assessment of the eyes would address vision.  Lynn, Taylor's Clinical Nursing Skills, 4th Edition, p. 87  Taylor, Lillis, and Lynn, Taylor’s Video Guide to Clinical Nursing Skills, 3rd Edition, Physical Assessment: Beginning the Physical Assessment  Lynn, Skill Checklists for Taylor’s Clinical Nursing Skills, 4th Edition, Skill 3‐1: Performing a General Survey QUESTION 2: When assessing the temporal artery, the nurse would palpate the face at which area? Your Response: Correct Response: Correct! Between the top of the ear and the eye. Explanation: The temporal arteries are located on each side of the face, between the top of the ear and the eye. The nurse palpates the mastoid process just below the ear lobe. The sinuses are located on either side of the nose.   Taylor, Lillis, and Lynn, Taylor’s Video Guide to Clinical Nursing Skills, 3rd Edition, Physical Assessment: Assessing the Head QUESTION 3: The nurse uses which of the following to assess the temperature of a patient's hands? Your Response: Correct Response: Correct! Back of the hand. Explanation: When assessing the temperature of a patient's hands, the nurse uses the back side of his or her hand. The pads of the fingers are used to assess the pulse. Capillary refill is assessed by pressing on the patient's nail beds. The ulnar surface of the hand is not used to assess temperature.  Lynn, Taylor's Clinical Nursing Skills, 4th Edition, p. 96  Taylor, Lillis, and Lynn, Taylor’s Video Guide to Clinical Nursing Skills, 3rd Edition, Physical Assessment: Assessing the Arms, Hands, and Fingers QUESTION 4: The nurse asks the patient to say "ahh." Which finding would the nurse identify as normal"? Your Response: Correct Response: Correct! Rising of the uvula. Explanation: When a patient says "ahh," the uvula should rise. Gagging would indicate an intact gag reflex. The tongue should not move to the side or retract when the patient says "ahh."  Lynn, Taylor's Clinical Nursing Skills, 4th Edition, p. 103  Taylor, Lillis, and Lynn, Taylor’s Video Guide to Clinical Nursing Skills, 3rd Edition, Physical Assessment: Assessing the Mouth and Throat  Lynn, Skill Checklists for Taylor’s Clinical Nursing Skills, 4th Edition, Skill 3‐4: Assessing the Head and Neck QUESTION 5: Which of the following would the nurse do first when assessing a patient's ears? Your Response: Correct Response: Correct! Inspect the external ear. Explanation: When assessing a patient's ears, the nurse would first inspect the external ear (the tragus, auricle, and lobule). Next, the nurse would palpate the auricle and then the mastoid process. If necessary, the nurse would perform an otoscopic exam.   Lynn, Taylor's Clinical Nursing Skills, 4th Edition, p. 102  Taylor, Lillis, and Lynn, Taylor’s Video Guide to Clinical Nursing Skills, 3rd Edition, Physical Assessment: Assessing the Ears  Lynn, Skill Checklists for Taylor’s Clinical Nursing Skills, 4th Edition, Skill 3‐4: Assessing the Head and Neck QUESTION 6: When assessing the patient's carotid arteries, the nurse palpates one carotid artery at a time to prevent which of the following?