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B A S I C CO N C E P T S I N H E A L T H AS S E S S M EN T

1. The internal structures of the eye can be visualized using which of the following instruments? a. An Otoscope b. An ophthalmoscope c. A stethoscope d. A turning fork 2. To make accurate assessments during inspection, the nurse must? a. Compare bilateral body parts b. Have 20/20 vision c. Focus on selected body systems d. Use touch judiciously 3. Palpation is a physical assessment technique that uses the sense of? a. Intuition b. Vision c. Hearing d. Touch 4. When percussing over the stomach, the nurse note the finding of a loud, drumlike sound. The term to document this percussion tone is? a. Dullness b. Flatness

If a patient has acuity of 20/40 in both eyes. Tympanic sounds b. The patient has less than normal vision d. this means? a. The patient has normal vision 8. Reasonace 5. Bowel sounds c. The patient can see twice as well as normal b. Visual acuity may be assessed by using Snellen’s chart. The bell of the stethoscope is used to hear a? a. Lightly pinching a skin fold 6. Skin turgor may be assessed by which of the following techniques? a. Lung sounds d. When using an otoscope to assess the tympanic membrane of an adult. Up and back . Heart sounds 7. Touching to detect moisture d. the ear canal is straightened by gently pulling the pinna? a. Using special lighting c. Tympany d.c. Indenting with the fingertips b. The patient has double vision c.

Bronchovesicular sounds d. Quadrants . the assessment should be conducted by which division of areas? a. coarse gurling sounds are heard on expiration. When percussing the thorax and lungs. Bronchial sounds 11. Heart sounds are the result of ? a. a dull sound indicates? a. Awat from the examiner c. Vesicular breath sounds c. Movement of blood into the heart from the aorta c. These sounds can be broadly labeled as? a. Closure of the heart valve d. Fluid or a solid mass 10. Contraction of the cardiac muscle 12. Blood flow to the heart b. When palpating the breast. An air-filled structure b. Down and forward d.b. A bony structure c. Emphysematous tissue d. When auscultating the thorax and lungs. Adventitious breath sounds b. In any direction 9.

Facial d. Olfactory b. Consciousness 15. As a part of the assessment of cranial nerves. Percussion b. Bilateral comparison 13. Place c. Optic c. Which of the following assessments of mental status is not an assessment of orientation? a. Entire breast tissue d. Vagus . smile. Auscultation d. Sequence does not matter 14. These actions provide information about which cranial nerve? a. and show the teeth. Palpation c. When assessing the abdomen. Person d. which assessment techniques should be conducted after inspection? a. Times b. Halves c. the nurse asks the patient to raise the eyebrows.b.

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