Question 1

What part of the stethoscope do nurses use to auscultate the chest?

Accepted Answer

A)  Press the bell firmly against the skin to hear sounds and vibrations. 
B)  The bell of the stethoscope is used to hear breath sounds. 
C)  The diaphragm of the stethoscope is used to hear heart sounds. 
D)  Either the bell or the diaphragm is used to auscultate the chest. 
A)  Press the bell firmly against the skin to hear sounds and vibrations. 
B)  The bell of the stethoscope is used to hear breath sounds. 
C)  The diaphragm of the stethoscope is used to hear heart sounds. 
D)  Either the bell or the diaphragm is used to auscultate the chest.

Question 2

A nurse is assessing joint function of a patient with severe rheumatoid arthritis. Which instrument/tool does the nurse use to measure the degree of flexion and extension of the patient's knee joints?

Accepted Answer

A)  Calipers 
B)  Ruler or tape measure 
C)  Goniometer 
D)  Doppler 
A)  Calipers 
B)  Ruler or tape measure 
C)  Goniometer 
D)  Doppler

Question 3

The patient asks about the meaning of his visual assessment of 20/40 using a Snellen visual acuity chart. What is the nurse's appropriate response?

Accepted Answer

A)  "20/40 means your vision is about two times normal." 
B)  "A person with corrected vision can see at 20 feet what you can see at 40 feet." 
C)  "A person with normal vision can see at 20 feet what you can see at 40 feet." 
D)  "A person with normal vision can see at 40 feet what you can see at 20 feet." 
A)  "20/40 means your vision is about two times normal." 
B)  "A person with corrected vision can see at 20 feet what you can see at 40 feet." 
C)  "A person with normal vision can see at 20 feet what you can see at 40 feet." 
D)  "A person with normal vision can see at 40 feet what you can see at 20 feet."

Question 4

To test deep tendon reflexes, the nurse uses which instrument?

Accepted Answer

A)  Goniometer 
B)  Calipers 
C)  Reflex hammer 
D)  Monofilament 
A)  Goniometer 
B)  Calipers 
C)  Reflex hammer 
D)  Monofilament

Question 5

A nurse is using the finger pads to palpate a patient's dorsalis pedis pulses and is unable to feel any pulses. Which action is appropriate for the nurse to perform next?

Accepted Answer

A)  Document that the dorsalis pedis pulses are not palpable. 
B)  Have the patient stand and try again to palpate the pulses. 
C)  Use a Doppler to detect the presence of the pulses. 
D)  Palpate the dorsalis pedis pulses using the ulnar surface of the hand. 
A)  Document that the dorsalis pedis pulses are not palpable. 
B)  Have the patient stand and try again to palpate the pulses. 
C)  Use a Doppler to detect the presence of the pulses. 
D)  Palpate the dorsalis pedis pulses using the ulnar surface of the hand.

Question 6

What are characteristics of an audioscope?

Accepted Answer

A)  Screens for hearing ability 
B)  Allows visualization into the ear canal 
C)  Must be calibrated before use 
D)  Uses vibration to estimate hearing loss 
A)  Screens for hearing ability 
B)  Allows visualization into the ear canal 
C)  Must be calibrated before use 
D)  Uses vibration to estimate hearing loss

Question 7

How do nurses prevent a latex allergy?

Accepted Answer

A)  They use nonlatex gloves for all procedures. 
B)  They protect their hands using oil-based hand lotion applying latex gloves. 
C)  They use a powder-free, low-allergen latex gloves. 
D)  They wash their hands with mild soap and dry thoroughly before applying latex gloves. 
A)  They use nonlatex gloves for all procedures. 
B)  They protect their hands using oil-based hand lotion applying latex gloves. 
C)  They use a powder-free, low-allergen latex gloves. 
D)  They wash their hands with mild soap and dry thoroughly before applying latex gloves.

Question 8

A patient with type 2 diabetes mellitus has an infected lesion on his foot. During the history of his present illness, he reports, "I had a cut on my foot, but I did not even feel it." What equipment does the nurse use to gather more data about his foot?

Accepted Answer

A)  A Wood lamp 
B)  Transilluminator 
C)  Monofilament 
D)  Reflex hammer 
A)  A Wood lamp 
B)  Transilluminator 
C)  Monofilament 
D)  Reflex hammer

Question 9

What assessment data do nurses obtain through striking a hand directly against the flank or costovertebral angle of a patient's body?

Accepted Answer

A)  Fluid in the lungs 
B)  Tenderness over the kidneys 
C)  Air in the abdomen 
D)  Tenderness over the liver 
A)  Fluid in the lungs 
B)  Tenderness over the kidneys 
C)  Air in the abdomen 
D)  Tenderness over the liver

Question 10

When examining a patient, the nurse remembers to follow which principle of Standard Precautions?

Accepted Answer

A)  Wear gloves throughout the entire examination of the patient. 
B)  Wear gloves when in contact with the patient's mucous membranes. 
C)  Wear gloves to reduce the need for handwashing. 
D)  Wear eye protection and a gown during the examination of the patient. 
A)  Wear gloves throughout the entire examination of the patient. 
B)  Wear gloves when in contact with the patient's mucous membranes. 
C)  Wear gloves to reduce the need for handwashing. 
D)  Wear eye protection and a gown during the examination of the patient.

Question 11

A nurse is preparing to take a patient's blood pressure. The blood pressure cuff is 5 inches wide and the patient's upper arm circumference is 20 inches. How accurate will this patient's blood pressure be using this blood pressure cuff?

Accepted Answer

A)  Accurate, the actual value 
B)  Higher than the actual value 
C)  Lower than the actual value 
D)  Unable to determine accuracy with available data 
A)  Accurate, the actual value 
B)  Higher than the actual value 
C)  Lower than the actual value 
D)  Unable to determine accuracy with available data

What part of the stethoscope do nurses use to auscultate the chest?

A nurse is assessing joint function of a patient with severe rheumatoid arthritis. Which instrument/tool does the nurse use to measure the degree of flexion and extension of the patient's knee joints?

The patient asks about the meaning of his visual assessment of 20/40 using a Snellen visual acuity chart. What is the nurse's appropriate response?

To test deep tendon reflexes, the nurse uses which instrument?

A nurse is using the finger pads to palpate a patient's dorsalis pedis pulses and is unable to feel any pulses. Which action is appropriate for the nurse to perform next?

What are characteristics of an audioscope?

How do nurses prevent a latex allergy?

A patient with type 2 diabetes mellitus has an infected lesion on his foot. During the history of his present illness, he reports, "I had a cut on my foot, but I did not even feel it." What equipment does the nurse use to gather more data about his foot?

What assessment data do nurses obtain through striking a hand directly against the flank or costovertebral angle of a patient's body?

When examining a patient, the nurse remembers to follow which principle of Standard Precautions?

A nurse is preparing to take a patient's blood pressure. The blood pressure cuff is 5 inches wide and the patient's upper arm circumference is 20 inches. How accurate will this patient's blood pressure be using this blood pressure cuff?

Introduction to Health Assessment

Obtaining a Health History

General Inspection and Measurement of Vital Signs

Cultural Assessment

Pain Assessment

Mental Health Assessment

Nutritional Assessment

Skin, Hair, and Nails

Head, Eyes, Ears, Nose, and Throat

Lungs and Respiratory System

Heart and Peripheral Vascular System

Abdomen and Gastrointestinal System

Musculoskeletal System

Neurologic System

Breasts and Axillae

Reproductive System and the Perineum

Developmental Assessment Throughout the Life Span

Assessment of the Infant, Child, and Adolescent

Assessment of the Pregnant Patient

Assessment of the Older Adult

Conducting a Head-to-Toe Examination

Documenting the Comprehensive Health Assessment

Adapting Health Assessment to the Hospitalized Patient

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Exam 3: Techniques and Equipment for Physical Assessment

What part of the stethoscope do nurses use to auscultate the chest?

A nurse is assessing joint function of a patient with severe rheumatoid arthritis. Which instrument/tool does the nurse use to measure the degree of flexion and extension of the patient's knee joints?

The patient asks about the meaning of his visual assessment of 20/40 using a Snellen visual acuity chart. What is the nurse's appropriate response?

To test deep tendon reflexes, the nurse uses which instrument?

A nurse is using the finger pads to palpate a patient's dorsalis pedis pulses and is unable to feel any pulses. Which action is appropriate for the nurse to perform next?

What are characteristics of an audioscope?

How do nurses prevent a latex allergy?

A patient with type 2 diabetes mellitus has an infected lesion on his foot. During the history of his present illness, he reports, "I had a cut on my foot, but I did not even feel it." What equipment does the nurse use to gather more data about his foot?

What assessment data do nurses obtain through striking a hand directly against the flank or costovertebral angle of a patient's body?

When examining a patient, the nurse remembers to follow which principle of Standard Precautions?

A nurse is preparing to take a patient's blood pressure. The blood pressure cuff is 5 inches wide and the patient's upper arm circumference is 20 inches. How accurate will this patient's blood pressure be using this blood pressure cuff?

Introduction to Health Assessment

Obtaining a Health History

General Inspection and Measurement of Vital Signs

Cultural Assessment

Pain Assessment

Mental Health Assessment

Nutritional Assessment

Skin, Hair, and Nails

Head, Eyes, Ears, Nose, and Throat

Lungs and Respiratory System

Heart and Peripheral Vascular System

Abdomen and Gastrointestinal System

Musculoskeletal System

Neurologic System

Breasts and Axillae

Reproductive System and the Perineum

Developmental Assessment Throughout the Life Span

Assessment of the Infant, Child, and Adolescent

Assessment of the Pregnant Patient

Assessment of the Older Adult

Conducting a Head-to-Toe Examination

Documenting the Comprehensive Health Assessment

Adapting Health Assessment to the Hospitalized Patient

Filters