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NS 1020- Test #2
Chapter 8 Review Questions
| Question | Answer |
|---|---|
| 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 |