Question 1

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?

Accepted Answer

A)   The more dense the medium, the louder the percussion tone.
B)   The less dense the medium, the louder the percussion tone.
C)   The more hollow the area percussed, the quieter the percussion tone.
D)   Percussion over muscle areas produces the loudest percussion tones.

Question 2

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

Accepted Answer

A)   Dorsal surface
B)   Finger pads
C)   Fingertips
D)   Ulnar surface

Question 3

Transillumination functions on the principle that:

Accepted Answer

A)   air, fluid, and tissue transmit light differentially.
B)   black light causes certain substances to fluoresce.
C)   converging and diverging light brings structures into focus.
D)   tangential light casts shadows that illuminate contours. A

Question 4

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?

Accepted Answer

A)   Anticipate the next sounds.
B)   Isolate each cycle segment.
C)   Listen to all sounds together.
D)   Move the stethoscope clockwise.

Question 5

Expected normal percussion tones include:

Accepted Answer

A)   dullness over the lungs.
B)   hyperresonance over the lungs.
C)   tympany over an empty stomach.
D)   flatness over an empty stomach. C

Question 6

You are using an ophthalmoscope to examine a patient's inner eye. You rotate the lens selector clockwise and then counterclockwise to compensate for:

Accepted Answer

A)   amblyopia.
B)   astigmatism.
C)   myopia.
D)   strabismus.

Question 7

A variant of the percussion hammer is the neurologic hammer, which is equipped with which of the following?

Accepted Answer

A)   Brush and needle
B)   Tuning fork and cotton swab
C)   Penlight and goniometer
D)   Ruler and bell

Question 8

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

Accepted Answer

A)   only by the manufacturer.
B)   by a qualified technician at regularly scheduled intervals.
C)   each time it is used.
D)   when necessary, with the patient standing on the scale.

Question 9

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

Accepted Answer

A)   neck area.
B)   heart.
C)   lungs.
D)   abdomen.

Question 10

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

Accepted Answer

A)   Place the palmar surface of the nondominant hand on the body surface, with the fingers held together.
B)   Place the palmar surface of the nondominant hand on the body surface, with the fingers slightly spread apart.
C)   Place the ulnar surface of the nondominant hand on the body surface, with the fingers together.
D)   Place the ulnar surface of the nondominant hand on the body surface, with the fingers slightly spread apart.

Question 11

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

Accepted Answer

A)   crepitus.
B)   temperature.
C)   texture.
D)   vibration.

Question 12

Mr. Walters, a 32-year-old patient, tells you that his ears are "stopped up." An objective assessment of this complaint is achieved by using the:

Accepted Answer

A)   tuning fork.
B)   reflex hammer.
C)   otoscope with pneumatic attachment.
D)   tympanometer.

Question 13

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

Accepted Answer

A)   Finger percussion
B)   Palmar percussion
C)   Fist percussion
D)   Forearm percussion

Question 14

Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure:

Accepted Answer

A)   buzzing or tingling sensations.
B)   buzzing from bone conduction.
C)   hearing range of normal speech.
D)   noise above the threshold level. C

Question 15

To perform a deep tendon reflex measurement, you should:

Accepted Answer

A)   briskly tap the tendon with the rubber end of the hammer.
B)   place the hammer firmly on the tendon for 3 to 5 seconds.
C)   tap the silver end of the hammer on the tendon.
D)   use the needle implement to determine sensory perception.

Question 16

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?

Accepted Answer

A)   Drape the patient and observe the rectal area.
B)   Tell the patient that his doctor will be notified of his problem.
C)   Tell the patient that you will ask the male nurse on the next shift to check on the problem.
D)   Give the patient an ice pack to apply to the area.

Question 17

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

Accepted Answer

A)   The new patient who has no chronic illness and has never been hospitalized
B)   The patient who has had multiple procedures or surgeries
C)   The patient who is a vegetarian
D)   The patient who is allergic to contrast dye

Question 18

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

Accepted Answer

A)   variations in skin color.
B)   enlarged tonsils.
C)   foreign objects in the nose or ear.
D)   variations in contour of the body surface.

Question 19

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

Accepted Answer

A)   Auscultation
B)   Inspection
C)   Palpation
D)   Percussion

Question 20

Tympanic thermometers measure body temperature when a probe is placed:

Accepted Answer

A)   anterior to the ear.
B)   posterior to the ear.
C)   under the ear.
D)   in the auditory canal.

Exam 3: Examination Techniques and Equipment

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?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Transillumination functions on the principle that:

Correct AnswerverifiedA

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?

Correct AnswerverifiedShow Answer

Expected normal percussion tones include:

Correct AnswerverifiedC

You are using an ophthalmoscope to examine a patient's inner eye. You rotate the lens selector clockwise and then counterclockwise to compensate for:

Correct AnswerverifiedShow Answer

A variant of the percussion hammer is the neurologic hammer, which is equipped with which of the following?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Mr. Walters, a 32-year-old patient, tells you that his ears are "stopped up." An objective assessment of this complaint is achieved by using the:

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure:

Correct AnswerverifiedC

To perform a deep tendon reflex measurement, you should:

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Tympanic thermometers measure body temperature when a probe is placed:

Correct AnswerverifiedShow Answer

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A

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C

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C

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