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NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions a
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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, temperatu
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re, moisture, organ location and size, as well as any swelling, vibration
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m or pulsation, rigidity or spasticity, crepitation, presence of lumps or
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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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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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anic membrane that divides the external and middle ear. A short, bro
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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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hese techniques would indicate that the 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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ed
b. Rotating the lens selector dial to the black numbers to compensate for as
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tigmatism
c. Using the grid on the lens aperture dial to visualize the external structur
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es of the eye
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d. Rotating the lens selector dial to bring the object into focus
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RAT: The ophthalmoscope is used to examine the internal eye structur
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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 of light is used to assess dil
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ated pupils. Rotating the lens selector dial brings the object into focus.
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• 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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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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Rasmussen College m m m m
,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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h allows him time to become comfortable.
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RAT: Anxiety can be reduced by an examiner who is confident, self-
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assured, considerate, and unhurried. Familiar and relatively nonthreat
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ening actions, such as measuring the person’s vital signs, will graduall
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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 t
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he nurse should take when performing a physical examination?
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a. Washing one’s hands after removing gloves is not necessary, as l
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ong as the gloves are 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 the spread of bacteria from one part of the bod
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y to another.
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d. Gloves are worn throughout the entire examination to demonstrate to th
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e patient
m
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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concern regarding the spread of infectious diseases.
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RAT: The nurse should wash his or her hands before and after every
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physical patient encounter; after contact with blood, body fluids, secre
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tions, and excretions; after contact with any equipment contaminated
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with body fluids; and after removing gloves. Hands should be washed
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after gloves have been removed, even if the gloves appear to be intact.
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Gloves should be worn when potential contact with any body fluids is
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present.
• The nurse is examining a patient’s lower leg and notices a draining ul
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ceration. Which of these actions is most appropriate in this situation?
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a. Washing hands, and contacting the physician m m m m m
b. Continuing to examine the ulceration, and then washing hands
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c. Washing hands, putting on gloves, and continuing with the exami
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nation of the ulceration m m m
d. Washing hands, proceeding with rest of the physical exami
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nation, and then continuing with the examination of the leg
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ulceration
RAT: The examiner should wear gloves when the potential contact wi
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th any body fluids is present. In this situation, the nurse should wash
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his or her hands, put on gloves, and continue examining the ulceratio
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n.
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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