Health Assessment Which Assignment Help: How to Answer This Question

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Key Explanation

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Original Question

HEALTH ASSESSMENT which is the correct answer 1. Which of the following statements is true about pain in infants? * Infants can report pain Infant’s pain may be assessed by using the Wong-baker scale Infants do not remember pain Infants do feel pain 2. Rectal examination is done with a client in what position? * lithotomy supine sims position dorsal recumbent 3. John Joseph was scheduled for a physical assessment. When percussing the client’s chest, the nurse would expect to find which assessment data as a normal sign over his lungs? * Resonance Tympany Dullness Hyperresonance 4. A bimanual technique of breast examination may be preferred for a woman * Who is having the first breast examination by a healthcare provider Who is pregnant Who has felt a change in the breast during self-examination With pendulous breast 5. In a medical record, the tonsils are graded as 3+. This indicates that the tonsils are: * Touching the uvula Touching each other Halfway between the tonsilar pillars Visible 6. Left upper quadrant tenderness may indicate involvement of which of the following organs; * Gallbladder Pancreas liver ascending colon 7. What is the very first thing a nurse should look at while assessing a client’s eyes. * color of the iris’s of the eye the pupils reactivity to light eyes internal structures eyes external structures 8. The term that describes the stationary finger during percussion; * Plexor Fingertips fingerpads pleximeter 9. Palpating for skin temperature is best done by using; * fingertips Palm of the hands fat pads of the hands Dorsum of the hands 10. When teaching a female patient on breast-examination, which of the following is the best time to perform the procedure * After menstruation On the first day of menstruation Just before the menstrual period On the 14th day of the menstrual cycle 11. The diaphragm of the stethoscope is used for which of the following sounds? * loud sounds soft sounds High-pitched sounds Low-pitched sounds 12. Which of the following measurements is the best indicator of the patient’s nutritional status? * Weight intake and output Height vital signs 13. Which of the following is the normal color of the tympanic membrane? * Deep pink pearly white deep purple Pearly gray 14. Newly hired nurse Liza is excited to perform her very first physical assessment with a 19-year-old client. Which assessment examination requires Liza to wear gloves? * Breast Integumentary Ophthalmic Oral 15. The most common site of the breast tumor * lower outer quadrant Upper outer quadrant lower inner quadrant Upper inner quadrant 16. The sound heard during BP-taking are called * Pectoriloquy Rhonchi korotkoff Borborigmi 17. All of the following are appropriate nursing actions when measuring a patient’s weight EXCEPT; * Weigh an infant on a platform type balance scale Weigh the patient at approximately same time of the day Weigh the patient with flat shoes on Use the same weighing scale 18. A nurse doing an examination proceeds to palpate the frontal and maxillary sinuses of a patient. What should she be on the lookout for? * Lesions Tenderness tactile signs of cancer Swelling 19. Bronchovesicular breath sounds is described as; * High pitched, of longer duration on inspiration than expiration Rustling sound. Like the wind in the trees Low pitched, inspiration greater than expiration Moderate pitch, inspiration equal to expiration 20. The normal angle between the nail base and the nail is: * 120 degrees 90 degrees 180 degress 160 degrees 21. Physical assessment is being performed to Peter by Nurse Gel. During the abdominal examination, Tine should perform the four physical examination techniques in which sequence? * Inspection and then palpation, percussion, and auscultation Palpation of tender areas first and then inspection, percussion, and auscultation Auscultation immediately after inspection and then percussion and palpation Percussion, followed by inspection, auscultation, and palpation 22. A Nurse asks his client to grin, scowl, wrinkle his forehead, puff his cheeks, lift his eyebrows, and close his eye lids as part of his head-to-toe assessment. Which cranial nerve is being assessed? * cranial nerve 4 cranial nerve 5 cranial nerve 3 cranial nerve 7 23. To assess the location of the pain, which of the following questions should be asked by the nurse? * Where is your pain? What makes your pain better? When did your pain start? How much pain do you have now? 24. To assess deep tendon reflexes, which physical examination technique is used; * auscultation Palpation percussion Inspection 25. Myopia means; * double vision Far sigthedness Near sightedness blurred vision 26. Which of the following statements is true about general survey? * It involves use of instruments It is done after physical examination It is a study of the whole person It focuses on a particular body system 27. When performing indirect percussion, which of the following nursing actions is incorrect; * 28. Strike the stationary finger at the distal interphalangeal joint (just behind the nailbed Place the distal portion of the middle finger of the nondominant hand against the patient’s skin Use the finger pad to strike the stationary finger Use the middle finger of the dominant hand to strike the stationary finger 29. At the conclusion of the examination, the nurse should; * Summarize findings to the patient Compare subjective findings with objective findings for accuracy Have the findings confirmed by another nurse Document findings before leaving the examination room 30. The capillary beds should refill after being depressed in * less than 1 minute More than 2 seconds Less than 1 second 1-2 seconds 31. Which of the following is a normal breath sounds? * Rhonchi wheezes Crackles vesicular 32. Instrument used for listening to body sounds; * Sphygmomanometer Otoscope Opthalmoscope stethoscope 33. To listen in the pulmonic valve area, the stethoscope should be placed at the * 2nd right ICS Second left ICS left lower sterna border 5th ICS, left mid clavicular line 34. When the popliteal pulse cannot be palpated, which of the following is an appropriate nursing action? * Recheck it after 10 minutes Check the BP in that leg Report this findings to the physician Proceed with the examination. It is often impossible to palpate it 35. Skin turgor is checked to assess presence of which of the following? * Dehydration aging process Edema pallor 36. What is the first thing a nurse will look for while performing a head-to-toe examination? * general appearance Head Eyes ears 37. The part of the hand used for assessment of vibration is: * Fingertips Back of the hand and fingers index finger and thumb in position ulnar surface of the hands 38. What would a nurse doing an assessment on a client’s head do first? * inspect and palpate scalp inspect and palpate hair look at patient’s prior medical history inspect and palpate sinuses to control spread of germs 39. When otoscopy is done, the patient’s head should be * Tilted toward the examiner Tilted down Vertical as possible Tilted away from the examiner 40. The maxillary sinuses are palpated on which of the following sites? * Supraorbital areas on the cheeks temporal areas Medial aspects of the eye

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