Chapter 8

Question 1

To examine a toddler, the nurse should:

Answer 1

allow the child to sit on the parent’s lap.

Question 2

Deep palpation is used to:

Answer 2

identify abdominal contents.

Question 3

Amplitude is:

Answer 3

the intensity (soft or loud) of sound

Question 4

The dorsa of the hands are used to determine

Answer 4

temperature.

Question 5

Fine tactile discrimination is best achieved with the

Answer 5

fingertips.

Question 6

A funduscopic examination is an examination of the:

Answer 6

internal structures of the eye.

Question 7

Which of the following is considered when preparing to examine an older adult?

Answer 7

Base the pace of the examination on the patient’s needs and abilities.

Question 8

When performing percussion, the examiner:

Answer 8

strikes the stationary finger at the distal interphalangeal joint.

Question 9

At the end of the examination, the examiner should:

Answer 9

review the findings with the patient.

Question 10

The examiner should use handwashing instead of an alcohol-based hand rub

Answer 10

if the patient has an infection with Clostridium difficile

Question 11

Amplitude

Answer 11

(or intensity) how loud or soft sound is

Question 12

Duration

Answer 12

the length of time a note lingers

Question 13

opthalmoscope

Answer 13

an instrument that illuminates the internal eye structures, enabling the examiner to look through the pupil at the funds (backgroud) of the eye

Question 14

otoscope

Answer 14

an instrument that illuminates the ear canal, enabling the examiner to look at the ear canal and tympanic membrane

Question 15

pitch

Answer 15

(or frequency) the number of vibrations (or cycles) per second of a note

Question 16

quality

Answer 16

(or timbre) a subjective difference in a sound as a result of the sounds distinctive overtones

Question 17

During the assessment which part of the hand is best for detecting vibration

Answer 17

ulnar surface

Question 18

when performing indirect percussion the stationary finger is struck

Answer 18

at the distal interphalangeal joint

Question 19

the best description of the pitch of a sound wave obtained by percussion is

Answer 19

the overtones of the note

Question 20

the bell of the stethoscope is used

Answer 20

to hold firmly against the skin

Question 21

The ophthalmoscope has 5 apertures. Which aperture is used to assess the eyes of a patient with undilated pupils

Answer 21

small

Question 22

at the conclusion of the patient exam the examiner should

Answer 22

summarize findings to the patient

Question 23

the sequence of an examination changes from beginning with the thorax to that of head to toe when the patient is in what age category

Answer 23

the infant

Question 24

when inspecting the ear canal of a patient the examiner chooses which speculum for the otoscope

Answer 24

the narrowest for a child

Question 25

for a health assessment which assessment technique will you use first

Answer 25

palpation

Question 26

to assess a patients abdomen by palpation how should the nurse proceed

Answer 26

start with light palpation to detect surface characteristics and to accustom the patient to being touched