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Question 11 pts

 

Which of these statements is true regarding the use of Standard Precautions in the health care setting?

Group of answer choices

Standard Precautions apply to all body fluids, including sweat.

 

Alcohol-based hand rub should be used if hands are visibly dirty.

 

Standard Precautions are intended for use with all patients, regardless of their risk or presumed infection status.

 

Standard Precautions are to be used only when nonintact skin, excretions containing visible blood, or expected contact with mucous membranes is present.

 

 

Flag question: Question 2Question 21 pts

 

Which of these techniques uses the sense of touch to assess texture, temperature, moisture, and swelling when the nurse is assessing a patient?

Group of answer choices

Palpation

 

Inspection

 

Percussion

 

Auscultation

 

 

Flag question: Question 3Question 31 pts

 

The nurse hears bilateral loud, long, and low tones when percussing over the lungs of a 4-year-old child. How should the nurse proceed?

Group of answer choices

Palpate over the area for increased pain and tenderness.

 

Ask the child to take shallow breaths, and percuss over the area again.

 

Refer the child to a specialist because of an increased amount of air in the lungs.

 

Consider this finding as normal for a child this age, and proceed with the examination.

 

 

Flag question: Question 4Question 41 pts

 

A 2-year-old child has been brought to the clinic for a well-child checkup. What is the best way for the nurse to begin the assessment?

Group of answer choices

Ask the parent to place the child on the examining table.

 

Have the parent remove all of the child’s clothing before the examination.

 

Allow the child to keep a security object such as a toy or blanket during the examination.

 

Initially focus the interactions on the child, essentially ignoring the parent until the child’s trust has been obtained.

 

 

Flag question: Question 5Question 51 pts

 

During an examination of a patient’s abdomen, the nurse notes that the abdomen is rounded and firm to the touch. During percussion, the nurse notes a drum-like quality of the sounds across the quadrants. How should the nurse interpret this type of sound?

Group of answer choices

Constipation

 

Air-filled areas

 

Presence of a tumor

 

Presence of dense organs

 

 

Flag question: Question 6Question 61 pts

 

The nurse is preparing to auscultate the abdomen. How should the nurse proceed?

Group of answer choices

Warm the endpiece of the stethoscope by placing it in warm water.

 

Leave the gown on the patient to ensure that he or she does not get chilled during the examination.

 

Ensure that the bell side of the stethoscope is turned to the “on” position.

 

Check the temperature of the room and offer blankets to the patient if he or she feels cold.

 

 

Flag question: Question 7Question 71 pts

 

The nurse is preparing to use an otoscope for an examination. Which statement is true regarding the otoscope?

Group of answer choices

Often used to direct light onto the sinuses

 

Used to examine the structures of the internal ear

 

Uses a short, broad speculum to help visualize the ear

 

Directs light into the ear canal and onto the tympanic membrane

 

 

Flag question: Question 8Question 81 pts

 

The nurse will use which technique of assessment to determine the presence of crepitus, swelling, and pulsations?

Group of answer choices

Palpation

 

Inspection

 

Percussion

 

Auscultation

 

 

Flag question: Question 9Question 91 pts

 

The nurse would use bimanual palpation technique in which situation?

Group of answer choices

Palpating the thorax of an infant

 

Palpating the kidneys and uterus

 

Assessing pulsations and vibrations

 

Assessing the presence of tenderness and pain

 

 

Flag question: Question 10Question 101 pts

 

A 6-month-old infant has been brought to the well-child clinic for a checkup. She is currently sleeping. What should the nurse do first when beginning the examination?

Group of answer choices

Wake the infant before beginning the examination.

 

Examine the infant’s hips before the infant wakes up.

 

Auscultate the lungs and heart while the infant is still sleeping.

 

Begin with the assessment of the eye and continue with the remainder of the examination in a head-to-toe approach.

 

 

SCIENCE
HEALTH SCIENCE
NURSING
NURS 330

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