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NS 1020- Test #2

Chapter 8 Review Questions

QuestionAnswer
To examine a toddler, the nurse should: allow the child to sit on the parent’s lap.
When should deep palpation be used? to identify abdominal contents
When should light palpation be used? to evaluate surface characteristics
Percussion with a reflex hammer is used to: elicit deep tendon reflexes
Percussion is used to: determine the density of a structure
Amplitude is: the intensity (soft or loud) of sound
Duration is: the length of time the note lingers
Pitch is: the number of vibrations per second (high or low)
Quality is: the subjective difference due to a sound’s distinctive overtones
The base of the fingers or ulnar surface of the hand is best for: vibration
The dorsa (back) of hands and fingers are best for: determining temperature because the skin is thinner than on the palms
The grasping action of the fingers and thumb is used to detect: the position, shape, and consistency of an organ or mass
The fingertips are best used for: fine tactile discrimination such as skin texture, swelling, pulsation, and presence of lumps
A funduscopic examination, is an examination of the: internal structures of the eye
What is the otoscope used for? to visualize the ear canal and tympanic membrane
A flashlight or penlight and tongue depressor are used to: examine the pharynx
An otoscope may also be used with a short, broad speculum to view: the nasal turbinates and nares
What should be considered when preparing to examine an older adult: the examination pace should be adjusted to meet the possible slowed pace of the aging person
Use physical touch (if it is not a cultural contraindication) to: offset the disadvantages of diminishing vision and hearing
Be aware that loss is: inevitable and adaptation to loss affects health status
Confusion with a sudden onset may: signify a disease state and is not a normal process of aging
When performing percussion, the examiner: strikes the stationary finger at the distal interphalangeal joint (just behind the nail bed)
At what point in the exam should complete documentation occur? after leaving the examination room
The examiner should only have findings confirmed if: the finding is abnormal and requires confirmation from another examiner
Comparison between subjective and objective data should be completed: throughout the history and physical examination
At the end of the examination the examiner should: summarize the findings and share necessary information with the patient
When should the examiner use hand washing instead of an alcohol-based hand rub? when hands are visibly soiled and when patients are infected with spore-forming organisms (EX: Clostridium difficile or Bacillus anthracis)
Which cleaning method is effective for the examiner if the patient has an infection with Mycobacterium tuberculosis? an alcohol-based hand rub
Which cleaning method is effective for the examiner if the patient has an infection with hepatitis B virus? an alcohol-based hand rub
Which cleaning method can the examiner use if the patient is HIV positive? an alcohol-based hand rub
During an examination, the examiner should do what? take short notes
When performing INDIRECT PERCUSSION, the stationary finger is struck at the distal interphalangeal joint
What is the bell of the stethoscope used for? soft, low-pitched sounds
The ophthalmoscope has 5 apertures. Which aperture would be used to assess the eyes of a patient with undilated pupils? the small aperture
When the practitioner enters the exam room, the infant patient is asleep. The practitioner would best start the exam with heart, lung, and abdomen
The sequence of an exam changes from beginning with the thorax to the head to toe exam at what age of a child? the school-aged child
When inspecting the ear canal, the examiner chooses which speculum for the otoscope? the largest that will fit
A nosocomial infection is one that is acquired in a hospital setting
Created by: ashucard
 

 



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