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NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions
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a nd Answerswith Rationale
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• The nurse will use which technique of assessment to determine the pr
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esence of crepitus, swelling, and pulsations?
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a. Palpation
b. Inspection
c. Percussion
d. Auscultation
RAT: Palpation applies the sense of touch to assess texture, temperat
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u re, moisture, organlocation and size, as well as any swelling, vibrati
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on or pulsation, rigidity or spasticity, crepitation, presence of lumps
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or masses, and the presence of tenderness or pain.
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• The nurse is preparing to use an otoscope for an examination. Which stateme
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m nt is true
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regarding the otoscope? The otoscope:
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a. Is often used to direct light onto the sinuses.
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b. Uses a short, broad speculum to help visualize the ear.
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c. Is used to examine the structures of the internal ear.
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d. Directs light into the ear canal and onto the tympanic membrane.
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RAT: The otoscope directs light into the ear canal and onto the tymp
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m anic membrane thatdivides the external and middle ear. A short, b
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ro
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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Rasmussen College m m m m
,NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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ad speculum is used to visualize the nares.
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• An examiner is using an ophthalmoscope to examine a patient’s eyes.
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The patient has astigmatism and is nearsighted. The use of which of t
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m hese techniques would indicate thatthe examination is being correctly
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performed?
a. Using the large full circle of light when assessing pupils that are not dilat
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m ed
b. Rotating the lens selector dial to the black numbers to compensate for as
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m tigmatism
c. Using the grid on the lens aperture dial to visualize the external structur
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m es of the eye
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d. Rotating mthemlensmselectormdialmtombring mthemobjectminto mfocus
RAT: The ophthalmoscope is used to examine the internal eye structur
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m es. It can compensate for nearsightedness or farsightedness, but it will
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not correct for astigmatism. The grid is used to assess size and location
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m of lesions on the fundus. The large full spot oflight is used to assess dil
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m ated pupils. Rotating the lens selector dial brings the object into focu
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s.
• A man is at the clinic for a physical examination. He states that he
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m is “very anxious”about the physical examination. What steps can
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the nurse take to make him more comfortable?
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a. Appear unhurried and confident when examining him.
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b. Stay in the room when he undresses in case he needs assistance.
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NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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,NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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c. Ask him to change into an examining gown and to take off his undergar
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NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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, NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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ments.
d. Defer measuring vital signs until the end of the examination, whic
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m h allows him timeto become comfortable.
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RAT: Anxiety can be reduced by an examiner who is confident, self-
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m assured, considerate, and unhurried. Familiar and relatively nonthrea
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t ening actions, such as measuring the person’s vital signs, will gradua
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ll y accustom the person to the examination.
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• When performing a physical examination, safety must be considered
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to protect the examiner and the patient against the spread of infectio
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n. Which of these statements describes the most appropriate action
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t he nurse should take when performing a physicalexamination?
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a.
Washing one’s hands after removing gloves is not necessar
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y, as l ong as the glovesare still intact.
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b. Hands are washed before and after every physical patient encounter.
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c. Hands are washed before the examination of each body syste
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m to prevent thespread of bacteria from one part of the bo
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d y to another.
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d. Gloves are worn throughout the entire examination to demonstrate to th
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m e patient
m
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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