Guidelines for Standard Precautions indicate that mask and eye protection or a face mask should be worn while performing
trachea care and suctioning.
Standard Precautions apply to all patients
receiving care in hospitals.
According to the guidelines for Standard Precautions
the caregiver's hands should be washed after touching any body fluids and contaminated items regardless of whether gloves are worn.
Which patient is at the highest risk for the development of latex allergy?
A patient who has had multiple procedures or surgeries
One recommendation to prevent latex allergy is to
wash hands with mild soap after removing gloves and then dry the hands thoroughly.
Which patient position is useful for auscultating heart tones?
Left lateral recumbent
Which technique is used during the history taking and the physical examination process?
Inspection
Which examination technique should be used first?
Inspection
The use of secondary, tangential lighting is most helpful in the detection of
variations in contour of the body surface.
A nonambulatory 80-year-old male patient tells the female nurse that he feels like he is having drainage from his rectum. Which initial nursing action is appropriate?
Drape the patient and observe the rectal area.
You are conducting a head to toe examination as part of a patient's preventive health assessment. The room has adequate lighting, and you have access to both sides of the examining table. What position should you assume while conducting this examination?
To the right side of the patient
Which part of the examiner's hand is best for palpating vibration?
Ulnar surface and base of the fingers
The dorsal surface of the hand is most often used for the assessment of
temperature.
When conducting the abdominal examination, after you inspect, you proceed next to
auscultation.
Expected normal percussion tones include
tympany over an empty stomach.
When percussing, a dull tone is expected to be heard over
the liver.
During percussion, the downward snap of the striking fingers should originate from the
wrist.
Which technique is commonly used to elicit tenderness arising from the liver, gallbladder, or kidneys?
Fist percussion
During auscultation, you can limit your perceptual field best by
closing your eyes.
You are auscultating a patient's chest. The sounds are not clear, and you are having difficulty distinguishing between respirations and heartbeats. What technique can you use to facilitate your assessment?
Isolate each cycle segment.
When examining the abdomen, which technique should be used first?
Inspection
Auscultation should be carried out last except when examining
the abdomen.
Which of the following statements is true regarding tympanic membrane temperature?
It is an accurate measurement of body temperature because the tympanic membrane shares its blood supply with the hypothalamus.
A scale used to assess a patient's weight should be calibrated
each time it is used.
The height-measuring attachment of the standing platform scale should be pulled out
before the patient steps on the scale.
An infant should be placed in which position to have his or her height or length measured?
Supine on a measuring board
The stethoscope's diaphragm is most useful in the assessment of _____ sounds.
high-pitched
A rubber or plastic ring should be around the bell endpiece of a stethoscope to
ensure secure contact with the body surface.
Which technique should be used to stabilize the stethoscope during auscultation?
The endpiece should be held between the second and third fingers.
You are using an ophthalmoscope to examine a patient's inner eye. You rotate the lens selector clockwise and then counterclockwise to compensate for
myopia.
A patient in the emergency department has a concussion to the head. You suspect that the patient may also have a retinal hemorrhage. You are using the ophthalmoscope to examine the retina of this patient. Which aperture of the ophthalmoscope is most appropriate for this patient?
Red-free filter
The Tumbling "E" vision acuity chart would most likely be used for _____ patients.
preschool
The pneumatic attachment for the otoscope is used to evaluate
tympanic membrane movement.
The patient tells you that his ears are "stopped up." An objective assessment of this complaint is achieved by using a(n)
tympanometer.
Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure
hearing range of normal speech
To perform a deep tendon reflex measurement, you should
briskly tap the tendon with the rubber end of the hammer.
A variant of the percussion hammer is a neurologic hammer, which is equipped with which of the following?
Brush and needle
When monitoring serial measurements, such as head circumference or abdominal girth, which procedure is best to ensure that the tape measure is placed in the same position each time?
Mark the borders of the tape at several intervals on the skin with a pen.
Transillumination functions on the principle that
air, fluid, and tissue transmit light differentially.
When performing transillumination of a body cavity, the use of which of the following could be harmful to the patient?
Halogen bulb
For a woman with a small vaginal opening, the examiner should use a _____ speculum.
Pederson
You are performing a vaginal examination on a patient with a history of spina bifida. As you insert the metal speculum, the patient suddenly feels nauseated and is sweating, and her skin turns blotchy. What is your most immediate reaction to this situation?
Remove the speculum.
Guidelines for Standard Precautions indicate that mask and eye protection or a face mask should be used while performing:
trachea care and suctioning.
Standard Precautions apply:
to all patients receiving care in hospitals.
According to the guidelines for Standard Precautions, the caregiver's hands should be washed:
after touching any body fluids or contaminated items, regardless of whether gloves are worn.
Which patient is at the highest risk for developing latex allergy?
The patient who has had multiple procedures or surgeries
One recommendation to prevent latex allergy is to:
wash hands with mild soap after removing gloves and then dry thoroughly.
Mr. Walder is a 56-year-old man who has been complaining of chest palpitations. Which position is useful for auscultating heart sounds?
Left lateral recumbent
Which technique is used during both the history taking and the physical examination process?
Inspection
Ms. Jones is a 31-year-old female patient who presents for a routine physical examination. Which examination technique will be used first?
Inspection
The use of secondary, tangential lighting is most helpful in the detection
variations in contour of the body surface.
You are caring for a nonambulatory 80-year-old male patient and he tells you, a female nurse, that he feels like he is having drainage from his rectum. Which initial nursing action is appropriate?
Drape the patient and observe the rectal area.
Mrs. Smalls is a 42-year-old woman who has presented to the office for a head to toe examination as part of her preventive health care assessment. The room has adequate lighting, and you have access to both sides of the examining table. What position should you assume while conducting this examination?
Either side of the patient
You are planning to palpate the abdomen of your patient. Which part of the examiner's hand is best for palpating vibration?
Ulnar surface
The dorsal surface of the hand is most often used for the assessment of:
temperature.
Mrs. Berger is a 39-year-old woman who presents with a complaint of epigastric abdominal pain. You have completed the inspection of the abdomen. What is your next step in the assessment process?
Auscultation
The degree of percussion tone is determined by the density of the medium through which the sound waves travel. Which statement is true regarding the relationship between density of the medium and percussion tone?
The less dense the medium, the louder is the percussion tone.
Expected normal percussion tones include:
tympany over an empty stomach.
During percussion, a dull tone is expected to be heard over:
the liver.
When using mediate or indirect percussion, which technique is appropriate?
Place the palmar surface of the nondominant hand on the body surface, with the fingers slightly spread apart.
During percussion, the downward snap of the striking fingers should originate from the:
wrist.
During auscultation, you can limit your perceptual field best by:
closing your eyes.
You are auscultating a patient's chest. The sounds are not clear, and you are having difficulty distinguishing between respirations and heartbeats. Which technique can you use to facilitate your assessment?
Isolate each cycle segment.
Auscultation should be carried out last, except when examining the:
abdomen.
Tympanic thermometers measure body temperature when a probe is placed:
in the auditory canal.
A scale used to assess patients' weight should be calibrated:
each time it is used.
The height-measuring attachment of the standing platform scale should be pulled up:
before the patient steps on the scale.
The infant should be placed in which position to have his or her height or length measured?
Supine on a measuring board
Which of the following occurs when firm pressure is used to apply the stethoscope's bell endpiece to the skin?
It functionally converts to a diaphragm endpiece.
A rubber or plastic ring should be around the bell endpiece of a stethoscope to:
ensure secure contact with the body surface.
Weak pulses, fetal heart activity, and vessel patency are all best assessed with which type of stethoscope?
Ultrasonic
You are using an ophthalmoscope to examine a patient's inner eye. You rotate the lens selector clockwise and then counterclockwise to compensate for:
myopia.
A patient in the emergency department has a concussion. You suspect the patient may also have a retinal hemorrhage. You are using the ophthalmoscope to examine the retina of this patient. Which aperture of the ophthalmoscope is most appropriate for this patient?
Red-free filter
Which type of speculum should be used to examine a patient's tympanic membrane?
The largest speculum that will fit comfortably in the ear
The pneumatic attachment for the otoscope is used to evaluate:
tympanic membrane movement.
Mr. Walters, a 32-year-old patient, tells you that his ears are "stopped up." An objective assessment of this complaint is achieved by using the:
tympanometer.
Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure:
hearing range of normal speech.
To perform a deep tendon reflex measurement, you should:
briskly tap the tendon with the rubber end of the hammer.
A variant of the percussion hammer is the neurologic hammer, which is equipped with which of the following?
Brush and needle
When monitoring serial measures, such as head circumference or abdominal girth, which procedure is best to ensure that the tape measure is placed in the same position each time?
Mark the borders of the tape at several intervals on the skin with a pen.
Transillumination functions on the principle that:
air, fluid, and tissue transmit light differentially.
When transillumination of a body cavity is performed, the use of which of the following could be harmful to the patient?
Halogen bulb
The Pederson speculum has blades that:
are narrower and flatter.
Which of the following are causes of hyperreflexia? (Select all that apply.)
Cold stirrups Insertion of a speculum Pressure during bimanual exam
The Snellen E vision acuity chart would most likely be used for __________.
preschool children
The stethoscope's diaphragm is most useful for the assessment of __________ sounds.
high-pitched
For a woman with a small vaginal opening, the examiner should use a __________ speculum.
Pederson