NUR 2092 / NUR2092
Health Assessment Exam
QUESTIONS AND
ANSWERS WITH
DETAILED
RATIONALES GRADED
A+2 TEST BANK |
Questions and Answers with Rationale
, The nurse will use which technique of assessment to determine the
presence of crepitus,swelling, and pulsations?
a. Palpation
b. Inspection
c. Percussion
d. Auscultation
RAT: Palpation applies the sense of touch to assess texture,
temperature, moisture, organlocation and size, as well as any swelling,
vibration or pulsation, rigidity or spasticity, crepitation, presence of
lumps or masses, and the presence of tenderness or pain.
The nurse is preparing to use an otoscope for an examination. Which
statement is true
regarding the otoscope? The otoscope:
a. Is often used to direct light onto the sinuses.
b. Uses a short, broad speculum to help visualize the ear.
c. Is used to examine the structures of the internal ear.
d. Directs light into the ear canal and onto the tympanic membrane.
RAT: The otoscope directs light into the ear canal and onto the
tympanic membrane thatdivides the external and middle ear. A short,
broad speculum is used to visualize the nares.
, An examiner is using an ophthalmoscope to examine a patient‘s eyes.
The patient has astigmatism and is nearsighted. The use of which of
these techniques would indicate thatthe examination is being correctly
performed?
a. Using the large full circle of light when assessing pupils that are not
dilated
b. Rotating the lens selector dial to the black numbers to compensate for
astigmatism
c. Using the grid on the lens aperture dial to visualize the external structures
of the eye
d. Rotating the lens selector dial to bring the object into focus
RAT: The ophthalmoscope is used to examine the internal eye
structures. It can compensate for nearsightedness or farsightedness, but
it will not correct for astigmatism. The grid is used to assess size and
location of lesions on the fundus. The large full spot oflight is used to
assess dilated pupils. Rotating the lens selector dial brings the object
into focus.
A man is at the clinic for a physical examination. He states that he
is ―very anxious‖about the physical examination. What steps can
the nurse take to make him more comfortable?
a. Appear unhurried and confident when examining him.
b. Stay in the room when he undresses in case he needs assistance.
c. Ask him to change into an examining gown and to take off his
undergarments.
, d. Defer measuring vital signs until the end of the examination, which
allows him timeto become comfortable.
RAT: Anxiety can be reduced by an examiner who is confident, self-
assured, considerate,and unhurried. Familiar and relatively
nonthreatening actions, such as measuring the person‘s vital signs, will
gradually accustom the person to the examination.
When performing a physical examination, safety must be considered
to protect the examiner and the patient against the spread of infection.
Which of these statements describes the most appropriate action the
nurse should take when performing a physicalexamination?
a. Washing one‘s hands after removing gloves is not necessary, as
long as the glovesare still intact.
b. Hands are washed before and after every physical patient encounter.
c. Hands are washed before the examination of each body
system to prevent thespread of bacteria from one part of the
body to another.
d. Gloves are worn throughout the entire examination to demonstrate to the
patient
Health Assessment Exam
QUESTIONS AND
ANSWERS WITH
DETAILED
RATIONALES GRADED
A+2 TEST BANK |
Questions and Answers with Rationale
, The nurse will use which technique of assessment to determine the
presence of crepitus,swelling, and pulsations?
a. Palpation
b. Inspection
c. Percussion
d. Auscultation
RAT: Palpation applies the sense of touch to assess texture,
temperature, moisture, organlocation and size, as well as any swelling,
vibration or pulsation, rigidity or spasticity, crepitation, presence of
lumps or masses, and the presence of tenderness or pain.
The nurse is preparing to use an otoscope for an examination. Which
statement is true
regarding the otoscope? The otoscope:
a. Is often used to direct light onto the sinuses.
b. Uses a short, broad speculum to help visualize the ear.
c. Is used to examine the structures of the internal ear.
d. Directs light into the ear canal and onto the tympanic membrane.
RAT: The otoscope directs light into the ear canal and onto the
tympanic membrane thatdivides the external and middle ear. A short,
broad speculum is used to visualize the nares.
, An examiner is using an ophthalmoscope to examine a patient‘s eyes.
The patient has astigmatism and is nearsighted. The use of which of
these techniques would indicate thatthe examination is being correctly
performed?
a. Using the large full circle of light when assessing pupils that are not
dilated
b. Rotating the lens selector dial to the black numbers to compensate for
astigmatism
c. Using the grid on the lens aperture dial to visualize the external structures
of the eye
d. Rotating the lens selector dial to bring the object into focus
RAT: The ophthalmoscope is used to examine the internal eye
structures. It can compensate for nearsightedness or farsightedness, but
it will not correct for astigmatism. The grid is used to assess size and
location of lesions on the fundus. The large full spot oflight is used to
assess dilated pupils. Rotating the lens selector dial brings the object
into focus.
A man is at the clinic for a physical examination. He states that he
is ―very anxious‖about the physical examination. What steps can
the nurse take to make him more comfortable?
a. Appear unhurried and confident when examining him.
b. Stay in the room when he undresses in case he needs assistance.
c. Ask him to change into an examining gown and to take off his
undergarments.
, d. Defer measuring vital signs until the end of the examination, which
allows him timeto become comfortable.
RAT: Anxiety can be reduced by an examiner who is confident, self-
assured, considerate,and unhurried. Familiar and relatively
nonthreatening actions, such as measuring the person‘s vital signs, will
gradually accustom the person to the examination.
When performing a physical examination, safety must be considered
to protect the examiner and the patient against the spread of infection.
Which of these statements describes the most appropriate action the
nurse should take when performing a physicalexamination?
a. Washing one‘s hands after removing gloves is not necessary, as
long as the glovesare still intact.
b. Hands are washed before and after every physical patient encounter.
c. Hands are washed before the examination of each body
system to prevent thespread of bacteria from one part of the
body to another.
d. Gloves are worn throughout the entire examination to demonstrate to the
patient
