NURS 6512 Advanced Health Assessment and Diagnostic Reasoning Week 2 QUIZ With Answers
NURS 6512 Advanced Health Assessment and Diagnostic Reasoning Week 2 QUIZ With Answers
When percussing, a dull tone is expected to be heard over:
most of the abdomen. | ||
emphysemic lungs. | ||
the liver. | ||
healthy lung tissue. | ||
an empty stomach. |
The dorsal surface of the hand is most often used for the assessment of:
crepitus. | ||
thrills. | ||
texture. | ||
vibration. | ||
temperature. |
WE GUARANTEE A DCE SCORE OF ABOVE 95% AND HANDLE THE SOAP NOTE
A patient in the emergency department has a concussion to the head. You suspect the patient may also have a retinal hemorrhage. You are using the ophthalmoscope to examine the retina of this patient. Which aperture of the ophthalmoscope is most appropriate for this patient? NURS 6512 Advanced Health Assessment and Diagnostic Reasoning WK 2 QUIZ with answers.
Strabismoscope | ||
Red-free filter | ||
Slit lamp | ||
Small aperture | ||
Grid |
The use of secondary, tangential lighting is most helpful in the detection of:
variations in skin color. | ||
enlarged tonsils. | ||
foreign objects in the nose or ear. | ||
variations in contour of the body surface. | ||
variations in texture and mobility. |
Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure:
vibratory sensations. | ||
hearing from bone conduction. | ||
hearing range of normal speech. | ||
noise above the threshold level. | ||
peripheral motor nerve damage. |
Which patient is at the highest risk for the development of latex allergy?
The new patient who has no chronic illness and has never been hospitalized | ||
The patient who has had multiple procedures or surgeries | ||
The patient who is allergic to eggs | ||
The patient who is allergic to contrast dye | ||
The patient who is a vegetarian |
A variant of the percussion hammer is the neurologic hammer, which is equipped with which of the following?
Brush and needle | ||
Tuning fork and cotton swab | ||
Penlight and goniometer | ||
Ruler and bell | ||
Transilluminator |
Transillumination functions on the principle that:
infrared radiation is easily detected. | ||
black light causes certain substances to fluoresce. | ||
converging and diverging light brings structures into focus. | ||
tangential light casts shadows that illuminate contours. | ||
air, fluid, and tissue transmit light differentially. |
Which statement is true regarding the relationship of physical characteristics and culture?
Physical characteristics should be used to identify members of cultural groups. | ||
There is a difference between distinguishing cultural characteristics and distinguishing physical characteristics. | ||
To be a member of a specific culture, an individual must have certain identifiable physical characteristics. | ||
Gender and race are the two essential physical characteristics used to identify cultural groups. NURS 6512 Advanced Health Assessment and Diagnostic Reasoning WK 2 QUIZ with answers. | ||
All cultural traits can be viewed as static whereas physical traits are dynamic. |
A scale used to assess patients weight should be calibrated:
when the patient tells you the weight is not correct. | ||
by a qualified technician at regularly scheduled intervals. | ||
each time it is used. | ||
when necessary, with the patient standing on the scale. | ||
only by the manufacturer. |
Which technique is commonly used to elicit tenderness arising from the liver, gallbladder, or kidneys?
Finger percussion | ||
Only indirect percussion techniques are ever used to elicit tenderness. | ||
Fist percussion | ||
Thumb percussion | ||
Palmer percussion |
A rubber or plastic ring should be around the bell end-piece of a stethoscope to:
prevent the transmission of static electricity. | ||
avoid cold metal from touching the patient. | ||
prevent the sharp edge of the stethoscope from damaging the patient s skin. | ||
allow firm pressure to be applied without discomfort. | ||
ensure secure contact with the body surface. |
In terms of cultural communication differences, Americans are more likely to _____ than are other groups of patients.
emphasize attitudes and feelings | ||
maintain eye contact | ||
come quickly to the point | ||
use silence comfortably | ||
speak more softly than other cultures |
For a woman with a small vaginal opening, the examiner should use a _____ speculum.
plastic Graves | ||
Pederson | ||
pediatric | ||
nasal | ||
metal Graves |
During percussion, the downward snap of the striking fingers should originate from the:
wrist. | ||
forearm. | ||
shoulder. | ||
interphalangeal joint. | ||
elbow. |
You are auscultating a patient s chest. The sounds are not clear, and you are having difficulty distinguishing between respirations and heartbeats. What technique can you use to facilitate your assessment? NURS 6512 Advanced Health Assessment and Diagnostic Reasoning WK 2 QUIZ with answers.
Anticipate the next sounds. | ||
Isolate each cycle segment. | ||
Listen to all sounds together. | ||
Move the stethoscope clockwise. | ||
Ask the patient to whisper his name. |
Expected normal percussion tones include:
dullness over the lungs. | ||
hyperresonance over the lungs. | ||
tympany over an empty stomach. | ||
flatness over an empty stomach. | ||
resonance over the liver. |
During auscultation, you can limit your perceptual field best by:
asking patients to describe their symptoms. | ||
listening through the patient s clothing. | ||
closing your eyes. | ||
performing palpation before percussion. | ||
turning out the lights in the examination room. |
Standard Precautions apply to all patients:
with bloodborne infections. | ||
with infected, draining wounds. | ||
in intensive care units. | ||
receiving care in hospitals. | ||
believed to have an infectious disease. |
Which of the following describes a physical, not a cultural, differentiator?
Ritual | ||
Rite | ||
Race | ||
Norm | ||
Ethos |
Course | NURS-6512N-28,Advanced Health Assessment.2017 Fall Qtr 08/28-11/19-PT27 |
Test | Quiz – Week 2 |
Started | 9/9/17 11:22 AM |
Submitted | 9/9/17 11:53 AM |
Due Date | 9/11/17 1:59 AM |
Status | Completed |
Attempt Score | 40 out of 40 points |
Time Elapsed | 30 minutes out of 30 minutes |
Instructions | Click Begin to begin: Quiz – Week 2. Click Cancel to go back. |
Results Displayed | Feedback |
- Question 1
2 out of 2 points
When percussing, a dull tone is expected to be heard over: | ||||||
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- Question 2
2 out of 2 points NURS 6512 Advanced Health Assessment and Diagnostic Reasoning WK 2 QUIZ with answers
The dorsal surface of the hand is most often used for the assessment of: | ||||||
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- Question 3
2 out of 2 points
- Question 4
2 out of 2 points
The use of secondary, tangential lighting is most helpful in the detection of: | ||||||
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- Question 5
2 out of 2 points
Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure: | ||||||
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- Question 6
WE GUARANTEE A DCE SCORE OF ABOVE 95% AND HANDLE THE SOAP NOTE
2 out of 2 points
Which patient is at the highest risk for the development of latex allergy? | ||||||
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- Question 7
2 out of 2 points
A variant of the percussion hammer is the neurologic hammer, which is equipped with which of the following? | ||||||
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- Question 8
2 out of 2 points
Transillumination functions on the principle that: | ||||||
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- Question 9
2 out of 2 points
Which statement is true regarding the relationship of physical characteristics and culture? | ||||||
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- Question 10
2 out of 2 points
A scale used to assess patients weight should be calibrated: | ||||||
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- Question 11
2 out of 2 points
Which technique is commonly used to elicit tenderness arising from the liver, gallbladder, or kidneys? | ||||||
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- Question 12
2 out of 2 points
A rubber or plastic ring should be around the bell end-piece of a stethoscope to: | ||||||
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- Question 13
2 out of 2 points
In terms of cultural communication differences, Americans are more likely to _____ than are other groups of patients. | ||||||
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- Question 14
2 out of 2 points
For a woman with a small vaginal opening, the examiner should use a _____ speculum. | ||||||
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- Question 15
2 out of 2 points
During percussion, the downward snap of the striking fingers should originate from the: | ||||||
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- Question 16
2 out of 2 points
You are auscultating a patient s chest. The sounds are not clear, and you are having difficulty distinguishing between respirations and heartbeats. What technique can you use to facilitate your assessment? | ||||||
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- Question 17
2 out of 2 points
Expected normal percussion tones include: | ||||||
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- Question 18
2 out of 2 points
During auscultation, you can limit your perceptual field best by: | ||||||
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- Question 19
2 out of 2 points
Standard Precautions apply to all patients: | ||||||
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- Question 20
2 out of 2 points
Which of the following describes a physical, not a cultural, differentiator? | ||||||
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ORDER SHADOW HEALTH ASSESSMENT HELP HERE
Saturday, September 9, 2017 11:53:16 AM EDT
Guidelines for Standard Precautions indicate that mask and eye protection or a face mask should be worn while performing
trachea care and suctioning.
Standard Precautions apply to all patients
receiving care in hospitals.
According to the guidelines for Standard Precautions
the caregiver’s hands should be washed after touching any body fluids and contaminated items regardless of whether gloves are worn.
One recommendation to prevent latex allergy is to
wash hands with mild soap after removing gloves and then dry the hands thoroughly.
Which patient position is useful for auscultating heart tones?
Left lateral recumbent
Which technique is used during the history taking and the physical examination process?
Inspection
Which examination technique should be used first?
Inspection
The use of secondary, tangential lighting is most helpful in the detection of
variations in contour of the body surface. NURS 6512 Advanced Health Assessment and Diagnostic Reasoning WK 2 QUIZ with answers.
A nonambulatory 80-year-old male patient tells the female nurse that he feels like he is having drainage from his rectum. Which initial nursing action is appropriate?
Drape the patient and observe the rectal area.
You are conducting a head to toe examination as part of a patient’s preventive health assessment. The room has adequate lighting, and you have access to both sides of the examining table. What position should you assume while conducting this examination?
To the right side of the patient
Which part of the examiner’s hand is best for palpating vibration?
Ulnar surface and base of the fingers
The dorsal surface of the hand is most often used for the assessment of
temperature.
When conducting the abdominal examination, after you inspect, you proceed next to
auscultation.
Expected normal percussion tones include
tympany over an empty stomach.
When percussing, a dull tone is expected to be heard over
the liver.
During percussion, the downward snap of the striking fingers should originate from the
wrist. NURS 6512 Advanced Health Assessment and Diagnostic Reasoning WK 2 QUIZ with answers.
Which technique is commonly used to elicit tenderness arising from the liver, gallbladder, or kidneys?
Fist percussion
During auscultation, you can limit your perceptual field best by
closing your eyes.
You are auscultating a patient’s chest. The sounds are not clear, and you are having difficulty distinguishing between respirations and heartbeats. What technique can you use to facilitate your assessment?
Isolate each cycle segment.
When examining the abdomen, which technique should be used first?
Inspection
Auscultation should be carried out last except when examining
the abdomen.
Which of the following statements is true regarding tympanic membrane temperature?
It is an accurate measurement of body temperature because the tympanic membrane shares its blood supply with the hypothalamus. NURS 6512 Advanced Health Assessment and Diagnostic Reasoning WK 2 QUIZ with answers.
A scale used to assess a patient’s weight should be calibrated
each time it is used.
The height-measuring attachment of the standing platform scale should be pulled out
before the patient steps on the scale.
An infant should be placed in which position to have his or her height or length measured?
Supine on a measuring board
The stethoscope’s diaphragm is most useful in the assessment of _____ sounds.
high-pitched
A rubber or plastic ring should be around the bell endpiece of a stethoscope to
ensure secure contact with the body surface.
Which technique should be used to stabilize the stethoscope during auscultation?
The endpiece should be held between the second and third fingers.
A patient in the emergency department has a concussion to the head. You suspect that the patient may also have a retinal hemorrhage. You are using the ophthalmoscope to examine the retina of this patient. Which aperture of the ophthalmoscope is most appropriate for this patient?
Red-free filter
The Tumbling “E” vision acuity chart would most likely be used for _____ patients.
preschool
The pneumatic attachment for the otoscope is used to evaluate
tympanic membrane movement.
The patient tells you that his ears are “stopped up.” An objective assessment of this complaint is achieved by using a(n)
tympanometer. NURS 6512 Advanced Health Assessment and Diagnostic Reasoning WK 2 QUIZ with answers.
Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure
hearing range of normal speech
To perform a deep tendon reflex measurement, you should
briskly tap the tendon with the rubber end of the hammer.
A variant of the percussion hammer is a neurologic hammer, which is equipped with which of the following?
Brush and needle
When monitoring serial measurements, such as head circumference or abdominal girth, which procedure is best to ensure that the tape measure is placed in the same position each time?
Mark the borders of the tape at several intervals on the skin with a pen.
Transillumination functions on the principle that
air, fluid, and tissue transmit light differentially.
When performing transillumination of a body cavity, the use of which of the following could be harmful to the patient?
Halogen bulb
DON’T STRESS YOURSELF, JUST CHAT US AT THE RIGHT CORNER BELOW.
For a woman with a small vaginal opening, the examiner should use a _____ speculum.
Pederson
You are performing a vaginal examination on a patient with a history of spina bifida. As you insert the metal speculum, the patient suddenly feels nauseated and is sweating, and her skin turns blotchy. What is your most immediate reaction to this situation? NURS 6512 Advanced Health Assessment and Diagnostic Reasoning WK 2 QUIZ with answers.
Remove the speculum.
Mr. Walder is a 56-year-old man who has been complaining of chest palpitations. Which position is useful for auscultating heart sounds?
Left lateral recumbent
Which technique is used during both the history taking and the physical examination process?
Inspection
Ms. Jones is a 31-year-old female patient who presents for a routine physical examination. Which examination technique will be used first?
Inspection
The use of secondary, tangential lighting is most helpful in the detection
variations in contour of the body surface.
You are caring for a nonambulatory 80-year-old male patient and he tells you, a female nurse, that he feels like he is having drainage from his rectum. Which initial nursing action is appropriate?
Drape the patient and observe the rectal area.
Mrs. Smalls is a 42-year-old woman who has presented to the office for a head to toe examination as part of her preventive health care assessment. The room has adequate lighting, and you have access to both sides of the examining table. What position should you assume while conducting this examination? NURS 6512 Advanced Health Assessment and Diagnostic Reasoning WK 2 QUIZ with answers.
Either side of the patient
You are planning to palpate the abdomen of your patient. Which part of the examiner’s hand is best for palpating vibration?
Ulnar surface
Mrs. Berger is a 39-year-old woman who presents with a complaint of epigastric abdominal pain. You have completed the inspection of the abdomen. What is your next step in the assessment process?
Auscultation
The degree of percussion tone is determined by the density of the medium through which the sound waves travel. Which statement is true regarding the relationship between density of the medium and percussion tone?
The less dense the medium, the louder is the percussion tone.
Expected normal percussion tones include:
tympany over an empty stomach.
During percussion, a dull tone is expected to be heard over:
the liver.
When using mediate or indirect percussion, which technique is appropriate?
Place the palmar surface of the nondominant hand on the body surface, with the fingers slightly spread apart.
During percussion, the downward snap of the striking fingers should originate from the:
wrist.
During auscultation, you can limit your perceptual field best by:
closing your eyes.
You are auscultating a patient’s chest. The sounds are not clear, and you are having difficulty distinguishing between respirations and heartbeats. Which technique can you use to facilitate your assessment?
Isolate each cycle segment.
Auscultation should be carried out last, except when examining the:
abdomen.
Tympanic thermometers measure body temperature when a probe is placed:
in the auditory canal.
The height-measuring attachment of the standing platform scale should be pulled up:
before the patient steps on the scale.
Which of the following occurs when firm pressure is used to apply the stethoscope’s bell endpiece to the skin?
It functionally converts to a diaphragm endpiece.
Weak pulses, fetal heart activity, and vessel patency are all best assessed with which type of stethoscope? Ultrasonic
You are using an ophthalmoscope to examine a patient’s inner eye. You rotate the lens selector clockwise and then counterclockwise to compensate for: NURS 6512 Advanced Health Assessment and Diagnostic Reasoning WK 2 QUIZ with answers.
myopia.
A patient in the emergency department has a concussion. You suspect the patient may also have a retinal hemorrhage. You are using the ophthalmoscope to examine the retina of this patient. Which aperture of the ophthalmoscope is most appropriate for this patient?
Red-free filter
Which type of speculum should be used to examine a patient’s tympanic membrane?
The largest speculum that will fit comfortably in the ear
The pneumatic attachment for the otoscope is used to evaluate:
tympanic membrane movement.
Mr. Walters, a 32-year-old patient, tells you that his ears are “stopped up.” An objective assessment of this complaint is achieved by using the:
tympanometer.
To perform a deep tendon reflex measurement, you should:
briskly tap the tendon with the rubber end of the hammer.
When monitoring serial measures, such as head circumference or abdominal girth, which procedure is best to ensure that the tape measure is placed in the same position each time?
Mark the borders of the tape at several intervals on the skin with a pen.
The Pederson speculum has blades that:
are narrower and flatter.
Which of the following are causes of hyperreflexia? (Select all that apply.)
Cold stirrups
Insertion of a speculum
Pressure during bimanual exam
The Snellen E vision acuity chart would most likely be used for __________.
preschool children
The stethoscope’s diaphragm is most useful for the assessment of __________ sounds.
high-pitched
For a woman with a small vaginal opening, the examiner should use a __________ speculum.
Pederson NURS 6512 Advanced Health Assessment and Diagnostic Reasoning WK 2 QUIZ with answers