Examination Techniques And Equipment

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Question 1

Free

Multiple Choice

According to the guidelines for Standard Precautions, the caregiver's hands should be washed:

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only after touching body fluids with ungloved hands and between patient contacts.

only after touching blood products with ungloved hands and after caring for infectious patients.

only after working with patients who are thought to be infectious.

after touching any body fluids or contaminated items, regardless of whether gloves are worn.

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Question 2

Free

Multiple Choice

Which patient is at the highest risk for developing latex allergy?

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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 a vegetarian

The patient who is allergic to contrast dye

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Question 3

Free

Multiple Choice

Which technique is used during both the history taking and the physical examination process?

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Auscultation

Inspection

Palpation

Percussion

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Question 4

Free

Multiple Choice

The use of secondary, tangential lighting is most helpful in the detection of:

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variations in skin color.

enlarged tonsils.

foreign objects in the nose or ear.

variations in contour of the body surface.

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Question 5

Free

Multiple Choice

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?

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Drape the patient and observe the rectal area.

Tell the patient that his doctor will be notified of his problem.

Tell the patient that you will ask the male nurse on the next shift to check on the problem.

Give the patient an ice pack to apply to the area.

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Question 6

Multiple Choice

You are planning to palpate the abdomen of your patient. Which part of the examiner's hand is best for palpating vibration?

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Dorsal surface

Finger pads

Fingertips

Ulnar surface

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Question 7

Multiple Choice

The dorsal surface of the hand is most often used for the assessment of:

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crepitus.

temperature.

texture.

vibration.

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Question 8

Multiple Choice

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?

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Light palpation

Deep palpation

Percussion

Auscultation

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Question 9

Multiple Choice

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?

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The more dense the medium, the louder the percussion tone.

The less dense the medium, the louder the percussion tone.

The more hollow the area percussed, the quieter the percussion tone.

Percussion over muscle areas produces the loudest percussion tones.

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Question 10

Multiple Choice

Expected normal percussion tones include:

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dullness over the lungs.

hyperresonance over the lungs.

tympany over an empty stomach.

flatness over an empty stomach.

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Question 11

Multiple Choice

During percussion, a dull tone is expected to be heard over:

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healthy lung tissue.

emphysemic lungs.

the liver.

most of the abdomen.

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Question 12

Multiple Choice

When using mediate or indirect percussion, which technique is appropriate?

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Place the palmar surface of the nondominant hand on the body surface, with the fingers held together.

Place the palmar surface of the nondominant hand on the body surface, with the fingers slightly spread apart.

Place the ulnar surface of the nondominant hand on the body surface, with the fingers together.

Place the ulnar surface of the nondominant hand on the body surface, with the fingers slightly spread apart.

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Question 13

Multiple Choice

During percussion, the downward snap of the striking fingers should originate from the:

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shoulder.

forearm.

wrist.

interphalangeal joint.

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Question 14

Multiple Choice

Which technique is commonly used to elicit tenderness arising from the liver, gallbladder, or kidneys?

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Finger percussion

Palmar percussion

Fist percussion

Forearm percussion

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Question 15

Multiple Choice

During auscultation, you can limit your perceptual field best by:

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asking patients to describe their symptoms.

closing your eyes.

performing auscultation before percussion.

using an aneroid manometer.

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Question 16

Multiple Choice

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?

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Anticipate the next sounds.

Isolate each cycle segment.

Listen to all sounds together.

Move the stethoscope clockwise.

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Question 17

Multiple Choice

Auscultation should be carried out last, except when examining the:

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neck area.

heart.

lungs.

abdomen.

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Question 18

Multiple Choice

Tympanic thermometers measure body temperature when a probe is placed:

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anterior to the ear.

posterior to the ear.

under the ear.

in the auditory canal.

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Question 19

Multiple Choice

A scale used to assess patients' weight should be calibrated:

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only by the manufacturer.

by a qualified technician at regularly scheduled intervals.

each time it is used.

when necessary, with the patient standing on the scale.

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Question 20

Multiple Choice

The height-measuring attachment of the standing platform scale should be pulled up:

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before the patient steps on the scale.

before the scale is balanced.

after the patient steps on the scale.

only after weight has been assessed.

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