NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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Bank Questions and Answers with Rationale Latest20
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Rasmussen College m m m m
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions a
m m m m m m m m m m m m
nd Answerswith Rationale
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• The nurse will use which technique of assessment to determine the pr
m m m m m m m m m m m
esence of crepitus, swelling, and pulsations?
m m m m m
a. Palpation
b. Inspection
c. Percussion
d. Auscultation
RAT: Palpation applies the sense of touch to assess texture, temperatu
m m m m m m m m m m
re, moisture, organ location and size, as well as any swelling, vibration
m m m m m m m m m m m
m or pulsation, rigidity or spasticity, crepitation, presence of lumps or
m m m m m m m m m m
masses, and the presence of tenderness or pain.
m m m m m m m
• When performing a physical examination, safety must be considered
m m m m m m m m m
to protect the examiner and the patient against the spread of infectio
m m m m m m m m m m m
n. Which of these statements describes the most appropriate action t
m m m m m m m m m m
he nurse should take when performing a physical examination?
m m m m m m m m
a. Washing one’s hands after removing gloves is not necessary, as l
m m m m m m m m m m
ong as the gloves are still intact.
m m m m m m
b. Hands are washed before and after every physical patient encounter.
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c. Hands are washed before the examination of each body syste
m m m m m m m m m
m to prevent the spread of bacteria from one part of the bod
m m m m m m m m m m m m
y to another.
m m
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
m m m m m m m m m
Bank Questions and Answers with Rationale Latest20
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Rasmussen College m m m m
,NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
m m m m m m m m m
Bank Questions and Answers with Rationale Latest20
m m m m m m m
Rasmussen College
m m m m
d. Gloves are worn throughout the entire examination to demonstrate to th
m m m m m m m m m m
e patient
m
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
m m m m m m m m m
Bank Questions and Answers with Rationale Latest20
m m m m m m m
Rasmussen College
m m m m
,NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
m m m m m m m m m
Bank Questions and Answers with Rationale Latest20
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Rasmussen College m m m m
concern regarding the spread of infectious diseases.
m m m m m m
RAT: The nurse should wash his or her hands before and after every
m m m m m m m m m m m m m
physical patient encounter; after contact with blood, body fluids, secre
m m m m m m m m m
tions, and excretions; after contact with any equipment contaminated
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with body fluids; and after removing gloves. Hands should be washed
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after gloves have been removed, even if the gloves appear to be intact.
m m m m m m m m m m m m m
Gloves should be worn when potential contact with any body fluids is
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present.
• The nurse is examining a patient’s lower leg and notices a draining ul
m m m m m m m m m m m m
ceration. Which of these actions is most appropriate in this situation?
m m m m m m m m m m
a. Washing hands, and contacting the physician
m m m m m
b. Continuing to examine the ulceration, and then washing hands
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c. Washing hands, putting on gloves, and continuing with the exami
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nation of the ulcerationm m m
d. Washing hands, proceeding with rest of the physical exami
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nation, and then continuing with the examination of the leg
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ulceration
RAT: The examiner should wear gloves when the potential contact wi
m m m m m m m m m m
th any body fluids is present. In this situation, the nurse should wash
m m m m m m m m m m m m m
his or her hands, put on gloves, and continue examining the ulceratio
m m m m m m m m m m m
n.
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
m m m m m m m m m
Bank Questions and Answers with Rationale Latest20
m m m m m m m
Rasmussen College m m m m
, NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
m m m m m m m m m
Bank Questions and Answers with Rationale Latest20
m m m m m m m
Rasmussen College m m m m
• During the examination, offering some brief teaching about the patie
m m m m m m m m m
nt’s body or the examiner’s findings is often appropriate. Which one
m m m m m m m m m m
m of these statements by the nurse is most appropriate?
m m m m m m m m
a. “Your atrial dysrhythmias are under control.”
m m m m m
b. “You have pitting edema and mild varicosities.”
m m m m m m
c. “Your pulse is 80 beats per minute, which is within the normal range.”
m m m m m m m m m m m m
d. “I’m using my stethoscope to listen for any crackles, wheezes, or rubs.”
m m m m m m m m m m m
RAT: The sharing of some information builds rapport, as long as t
m m m m m m m m m m m
he patient is able to understand the terminology.
m m m m m m m
• The nurse keeps in mind that the most important reason to share info
m m m m m m m m m m m m
rmation and to offer brief teaching while performing the physical exa
m m m m m m m m m m
mination is to help the: m m m m
a. Examiner feel more comfortable and to gain control of the situation.
m m m m m m m m m m
b. Examiner to build rapport and to increase the patient’s confiden
m m m m m m m m m
ce in him or her.
m m m m
c. Patient understand his or her disease process and treatment modalities.
m m m m m m m m m
d. Patient identify questions about his or her disease and the potenti
m m m m m m m m m m
al areas of patient education.
m m m m
RAT: Sharing information builds rapport and increases the patient’s c
m m m m m m m m m
onfidence in the examiner. It also gives the patient a little more contro
m m m m m m m m m m m m
l in a situation during which feeling completely helpless is often present
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.
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
m m m m m m m m m
Bank Questions and Answers with Rationale Latest20
m m m m m m m
Rasmussen College m m m m
m m m m m m m m m
Bank Questions and Answers with Rationale Latest20
m m m m m m m
Rasmussen College m m m m
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions a
m m m m m m m m m m m m
nd Answerswith Rationale
m m m
• The nurse will use which technique of assessment to determine the pr
m m m m m m m m m m m
esence of crepitus, swelling, and pulsations?
m m m m m
a. Palpation
b. Inspection
c. Percussion
d. Auscultation
RAT: Palpation applies the sense of touch to assess texture, temperatu
m m m m m m m m m m
re, moisture, organ location and size, as well as any swelling, vibration
m m m m m m m m m m m
m or pulsation, rigidity or spasticity, crepitation, presence of lumps or
m m m m m m m m m m
masses, and the presence of tenderness or pain.
m m m m m m m
• When performing a physical examination, safety must be considered
m m m m m m m m m
to protect the examiner and the patient against the spread of infectio
m m m m m m m m m m m
n. Which of these statements describes the most appropriate action t
m m m m m m m m m m
he nurse should take when performing a physical examination?
m m m m m m m m
a. Washing one’s hands after removing gloves is not necessary, as l
m m m m m m m m m m
ong as the gloves are still intact.
m m m m m m
b. Hands are washed before and after every physical patient encounter.
m m m m m m m m m
c. Hands are washed before the examination of each body syste
m m m m m m m m m
m to prevent the spread of bacteria from one part of the bod
m m m m m m m m m m m m
y to another.
m m
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
m m m m m m m m m
Bank Questions and Answers with Rationale Latest20
m m m m m m m
Rasmussen College m m m m
,NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
m m m m m m m m m
Bank Questions and Answers with Rationale Latest20
m m m m m m m
Rasmussen College
m m m m
d. Gloves are worn throughout the entire examination to demonstrate to th
m m m m m m m m m m
e patient
m
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
m m m m m m m m m
Bank Questions and Answers with Rationale Latest20
m m m m m m m
Rasmussen College
m m m m
,NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
m m m m m m m m m
Bank Questions and Answers with Rationale Latest20
m m m m m m m
Rasmussen College m m m m
concern regarding the spread of infectious diseases.
m m m m m m
RAT: The nurse should wash his or her hands before and after every
m m m m m m m m m m m m m
physical patient encounter; after contact with blood, body fluids, secre
m m m m m m m m m
tions, and excretions; after contact with any equipment contaminated
m m m m m m m m m
with body fluids; and after removing gloves. Hands should be washed
m m m m m m m m m m m
after gloves have been removed, even if the gloves appear to be intact.
m m m m m m m m m m m m m
Gloves should be worn when potential contact with any body fluids is
m m m m m m m m m m m m
present.
• The nurse is examining a patient’s lower leg and notices a draining ul
m m m m m m m m m m m m
ceration. Which of these actions is most appropriate in this situation?
m m m m m m m m m m
a. Washing hands, and contacting the physician
m m m m m
b. Continuing to examine the ulceration, and then washing hands
m m m m m m m m
c. Washing hands, putting on gloves, and continuing with the exami
m m m m m m m m m
nation of the ulcerationm m m
d. Washing hands, proceeding with rest of the physical exami
m m m m m m m m
nation, and then continuing with the examination of the leg
m m m m m m m m m m
ulceration
RAT: The examiner should wear gloves when the potential contact wi
m m m m m m m m m m
th any body fluids is present. In this situation, the nurse should wash
m m m m m m m m m m m m m
his or her hands, put on gloves, and continue examining the ulceratio
m m m m m m m m m m m
n.
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
m m m m m m m m m
Bank Questions and Answers with Rationale Latest20
m m m m m m m
Rasmussen College m m m m
, NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
m m m m m m m m m
Bank Questions and Answers with Rationale Latest20
m m m m m m m
Rasmussen College m m m m
• During the examination, offering some brief teaching about the patie
m m m m m m m m m
nt’s body or the examiner’s findings is often appropriate. Which one
m m m m m m m m m m
m of these statements by the nurse is most appropriate?
m m m m m m m m
a. “Your atrial dysrhythmias are under control.”
m m m m m
b. “You have pitting edema and mild varicosities.”
m m m m m m
c. “Your pulse is 80 beats per minute, which is within the normal range.”
m m m m m m m m m m m m
d. “I’m using my stethoscope to listen for any crackles, wheezes, or rubs.”
m m m m m m m m m m m
RAT: The sharing of some information builds rapport, as long as t
m m m m m m m m m m m
he patient is able to understand the terminology.
m m m m m m m
• The nurse keeps in mind that the most important reason to share info
m m m m m m m m m m m m
rmation and to offer brief teaching while performing the physical exa
m m m m m m m m m m
mination is to help the: m m m m
a. Examiner feel more comfortable and to gain control of the situation.
m m m m m m m m m m
b. Examiner to build rapport and to increase the patient’s confiden
m m m m m m m m m
ce in him or her.
m m m m
c. Patient understand his or her disease process and treatment modalities.
m m m m m m m m m
d. Patient identify questions about his or her disease and the potenti
m m m m m m m m m m
al areas of patient education.
m m m m
RAT: Sharing information builds rapport and increases the patient’s c
m m m m m m m m m
onfidence in the examiner. It also gives the patient a little more contro
m m m m m m m m m m m m
l in a situation during which feeling completely helpless is often present
m m m m m m m m m m m
.
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
m m m m m m m m m
Bank Questions and Answers with Rationale Latest20
m m m m m m m
Rasmussen College m m m m
