NURS 6512 Advanced Health Assessment and Diagnostic Reasoning WK 2 QUIZ with answers

NURS 6512 Advanced Health Assessment and Diagnostic Reasoning WK 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.

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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:
	Response Feedback: Dull tones are expected over more dense areas such as the liver.

• 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:
	Response Feedback: The dorsal surface, or back of the hand, can best feel for warmth.

• Question 3

2 out of 2 points

	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
	Response Feedback: The red-free filter permits recognition of hemorrhages. The grid estimates the size of lesions; the slit lamp examines the anterior eye and assesses the elevation of lesions; and the small aperture is used with small pupils. The strabismoscope is used for detecting strabismus.

• Question 4

2 out of 2 points

	The use of secondary, tangential lighting is most helpful in the detection of:
	Response Feedback: Tangential lighting is used to cast shadows in order to best observe contours and variations in body surfaces. All of the other choices are best observed with direct lighting that does not cast shadows.

• Question 5

2 out of 2 points

	Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure:
	Response Feedback: Normal speech has a range of 300 to 3000 Hz; therefore, the 500- to 1000-Hz fork is most often used because it can estimate hearing loss in the range of normal speech. NURS 6512 Advanced Health Assessment and Diagnostic Reasoning WK 2 QUIZ with answers.

• Question 6

2 out of 2 points

	Which patient is at the highest risk for the development of latex allergy?
	Response Feedback: The patient who has had multiple procedures or surgeries has a higher exposure rate to rubber gloves and to equipment and supplies that contain latex and therefore is at a higher risk for developing an allergic response.

• 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?
	Response Feedback: The neurologic hammer unscrews at the handle to reveal a soft brush and the knob on the head unscrews, to which is attached a sharp needle.

• Question 8

2 out of 2 points

	Transillumination functions on the principle that:
	Response Feedback: Transillumination functions to differentiate between various media in a cavity. It can distinguish between air, fluid, and tissue. It consists of a strong light in the visible spectrum with a narrow beam. NURS 6512 Advanced Health Assessment and Diagnostic Reasoning WK 2 QUIZ with answers.

• Question 9

2 out of 2 points

	Which statement is true regarding the relationship of physical characteristics and culture?
	Response Feedback: Physical characteristics do not symbolize cultural groups; there is a difference between the two, and they are considered separately. Cultures are dynamic in their evolution.

• Question 10

2 out of 2 points

	A scale used to assess patients weight should be calibrated:
	Response Feedback: Obtaining weight begins with a manual calibration of the scale before the patient stands on the scale. Electronic scales are automatically calibrated before each reading.

• Question 11

2 out of 2 points

	Which technique is commonly used to elicit tenderness arising from the liver, gallbladder, or kidneys?
	Response Feedback: The fist percussion is a direct percussion technique used to elicit tenderness over organs such as the liver, gallbladder, or kidneys.

• Question 12

2 out of 2 points

	A rubber or plastic ring should be around the bell end-piece of a stethoscope to:
	Response Feedback: The ring around the bell portion of the stethoscope functions to secure contact with body surfaces when placed lightly on the skin. NURS 6512 Advanced Health Assessment and Diagnostic Reasoning WK 2 QUIZ with answers.

• Question 13

2 out of 2 points

	In terms of cultural communication differences, Americans are more likely to _____ than are other groups of patients.
	Response Feedback: In the United States, individuals are very direct in conversation and come to the point quickly. They also tend to talk more loudly and to worry less about being overheard.

• Question 14

2 out of 2 points

	For a woman with a small vaginal opening, the examiner should use a _____ speculum.
	Response Feedback: The Pederson speculum has blades that are as long as those of the Graves speculum but are both narrower and flatter and therefore more comfortable for women with small vaginal openings. Pediatric or nasal speculums would be too small for adult use. Plastic speculums are similar in uses to the metal counterparts. NURS 6512 Advanced Health Assessment and Diagnostic Reasoning WK 2 QUIZ with answers.

• Question 15

2 out of 2 points

	During percussion, the downward snap of the striking fingers should originate from the:
	Response Feedback: The dominant hand s middle finger strikes the stationary finger with a wrist motion and is lifted quickly off the striking surface.

• 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?
	Response Feedback: If you are hearing everything at once, it is more difficult to distinguish different sounds. Try isolating each segment and listen to that segment intently, then move on to another segment. For example, listen only to breath sounds, then only to inspiratory breath sounds, then only expiratory breath sounds. NURS 6512 Advanced Health Assessment and Diagnostic Reasoning WK 2 QUIZ with answers.

• Question 17

2 out of 2 points

	Expected normal percussion tones include:
	Response Feedback: A normal lung produces resonance percussion tones while an empty stomach is expected to produce tympany. Dull percussion tones are heard over the liver.

• Question 18

2 out of 2 points

	During auscultation, you can limit your perceptual field best by:
	Response Feedback: By closing your eyes, your sense of hearing becomes more acute and it increases your ability to isolate sounds.

• Question 19

2 out of 2 points

	Standard Precautions apply to all patients:
	Response Feedback: Although all of the statements are true, the best answer is 4. Standard Precautions were developed with the intent of application in the care of all hospitalized patients; however, the standard has merit to be applied to all cases of patient care regardless of the environment in which care is delivered. NURS 6512 Advanced Health Assessment and Diagnostic Reasoning WK 2 QUIZ with answers.

• Question 20

2 out of 2 points

	Which of the following describes a physical, not a cultural, differentiator?
	Response Feedback: Race is a physical, not a cultural, differentiator.

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

 

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