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Physical Examination and History Taking 13thEdition Test Bank
CHAPTER1 Foundations for Clinical
MULTIPLE CHOICE
1. The nurse is examining a patients lower leg and notices a draining
ulceration. Which of these actions is most appropriate in this situation?
a Washing hands, and contacting the physician
.
b Continuing to examine the ulceration, and then washing hands
.
c Washing hands, putting on gloves, and continuing with the
. examination of the ulceration
d Washing hands, proceeding with rest of the physical
. examination, and then continuing with the examination of the
leg ulceration
ANS: C
The examiner should wear gloves when the potential contact with any body
fluids is present. In this situation, the nurse should wash his or her hands, put
on gloves, and continue examining the ulceration.
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 120
MSC: Client Needs: Safe and Effective Care Environment: Safety and Infection
FNP 509 CHAMBERLAIN COLLEGE EXAM
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,FNP 509 CHAMBERLAIN COLLEGE EXAM
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Control
2. During the examination, offering some brief teaching about the patients
body or the examiners findings is often appropriate. Which one of these
statements by the nurse is most appropriate?
a Your atrial dysrhythmias are under control.
.
b You have pitting edema and mild varicosities.
.
c Your pulse is 80 beats per minute, which is within the normal range.
.
d Im using my stethoscope to listen for any crackles, wheezes, or rubs.
.
ANS: C
The sharing of some information builds rapport, as long as the patient is able to
understand the
terminology.
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 122
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. The nurse keeps in mind that the most important reason to share
information and to offer brief teaching while performing the physical
examination is to help the:
FNP 509 CHAMBERLAIN COLLEGE EXAM
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,FNP 509 CHAMBERLAIN COLLEGE EXAM
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a Examiner feel more comfortable and to gain control of the situation.
.
b Examiner to build rapport and to increase the patients confidence in
. him or her.
c Patient understand his or her disease process and treatment
. modalities.
d Patient identify questions about his or her disease and the
. potential areas of patient education.
ANS: B
Sharing information builds rapport and increases the patients confidence in the
examiner. It also gives the patient a little more control in a situation during
which feeling completely helpless is often present.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 122
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. The nurse is examining an infant and prepares to elicit the Moro reflex at
which time during the examination?
a When the infant is sleeping
.
b At the end of the examination
FNP 509 CHAMBERLAIN COLLEGE EXAM
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.
c Before auscultation of the thorax
.
d Halfway through the examination
.
ANS: B
The Moro or startle reflex is elicited at the end of the examination because
it may cause the infant to cry.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 123
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. When preparing to perform a physical examination on an infant, the nurse
should:
a Have the parent remove all clothing except the diaper on a boy.
.
b Instruct the parent to feed the infant immediately before the
. examination.
c Encourage the infant to suck on a pacifier during the abdominal
. examination.
d Ask the parent to leave the room briefly when assessing the infants
vital signs.
FNP 509 CHAMBERLAIN COLLEGE EXAM
QUESTIONS AND ANSWERS NEWLY UPDATED 2022
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