QUESTION 1
Physical examination technique is which the nurse uses striking of a part of the body with short, sharp taps of the fingers ___________
A) Percussion. |
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B) Palpation. |
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C) Auscultation. |
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D) Inspection. |
0.5 points
QUESTION 2
All these equipment should be used in eye assessment except____________
A) Snellen eye chart |
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B) Otoscope |
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C) Penlight |
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D) Opaque card or occluder |
0.5 points
QUESTION 3
Common clinical features or Associated Factors with pain include all except__________
A) Skin rash, psoriasis. |
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B) Sleep disturbances. |
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C) Affected relationship with others. |
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D) Nausea. |
0.5 points
QUESTION 4
A client who has a body mass index ( BMI ) of 18.5 – 24.9 kg/m2 is ___________
A) Underweight. |
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B) Overweight. |
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C) Obese – class 1. |
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D) Normal. |
0.5 points
QUESTION 5
An example of chief complaint of patient is chest pain for 2 days.
True
False
0.5 points
QUESTION 6
___________ is the first technique used in the performance of a physical assessment
A) Palpation. |
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B) Percussion. |
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C) Inspection. |
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D) Auscultation. |
0.5 points
QUESTION 7
When to take History of Present Illness (HPI) ask patient from the __________
A) Childhood illnesses. |
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B) Communicable diseases. |
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C) Timing (Onset, Duration, Frequency. |
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D) Cause of death of the family. |
0.5 points
QUESTION 8
Subjective Data of mouth and Throat is ______________
A) Sores or lesions |
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B) Discharge |
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C) Epistaxis |
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D) Sinus pain |
0.5 points
QUESTION 9
Palpation technique in physical assessment is being use by sense of touch.
True
False
0.5 points
QUESTION 10
Biographical Data include all except the ___________
A. |
Occupation. |
|
B. |
Full name |
|
C. |
Marital status |
|
D. |
Reason for Hospitalization. |
0.5 points
QUESTION 11
Objective data is a systematic collection of data which being stated by the client.
True
False
0.5 points
QUESTION 12
Symmetry in body structure is___________
A) Body part looks equal bilaterally. |
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B) The height appears within normal range for the age. |
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C) The weight is normal range for height. |
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D) The client stands comfortable erect as appropriate for age. |
0.5 points
QUESTION 13
The color of tonsils should be pink with slight vascularity present.
True
False
0.5 points
QUESTION 14
Calculate the BMI: [weight in kilograms ÷ (height in centimeters)2].
True
False
0.5 points
QUESTION 15
The distance when using Snellen Eye test from the chart ___________
A) 5 meters. |
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B) 6 meters. |
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C) 7 meters. |
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D) 8 meters. |
0.5 points
QUESTION 16
In the confrontation Test Position yourself at the eye level with the client at about 30 centimeters distance.
True
False
0.5 points
QUESTION 17
In nutritional assessment to determine the risk for Malnutrition by inquiring whether the client has any of the following symptoms ___________
A) Diarrhea (> 500 ml x 2 days). |
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B) A and C. |
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C) Reduced intake. |
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D) Pain for five days. |
0.5 points
QUESTION 18
Palpate skin using the backs of your hands to assess temperature.
True
False
0.5 points
QUESTION 19
Use Numeric Rating Scale to measure and assess of pain.
True
False
0.5 points
QUESTION 20
The Rinne test steps include all except the __________
A) Hold the tuning fork by the handle and gently strike. |
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B) The midline of the anterior portion of the frontal bone is used. |
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C) Place the base of the fork on the client's mastoid process. |
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D) Note the number of seconds. |
0.5 points
QUESTION 21
When the nurse inspect the nail condition, including the____________
A) Shape and color. |
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B) If any clubbing. |
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C) Skin turgor. |
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D) A and B. |
0.5 points
QUESTION 22
When the neck is flexed, the spinous process of C10 is most prominent.
True
False
0.5 points
QUESTION 23
The Rinne test uses bone conduction to evaluate hearing in a client who hears better in one ear than in the other.
True
False
0.5 points
QUESTION 24
During the percussion of the anterior & posterior thoracic, the normal sound of heard is___________
Crackles. |
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Resonance. |
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Wheezes |
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Stridor |
0.5 points
QUESTION 25
Epistaxis is the Subjective Data of Mouth and Throat.
True
False
0.5 points
QUESTION 26
In the Pupillary Light Reflex Test increase light of the room.
True
False
0.5 points
QUESTION 27
Palpate over the spine and posterior thorax. by using___________
A) Finger pads |
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B) Full hand |
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C) Palmer surface of hand |
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D) None of the above |
0.5 points
QUESTION 28
Tuning forks are used to evaluate visual acuity.
True
False
0.5 points
QUESTION 29
In Whispered Voice Test the nurse standing at the client's side at a distance of ____________
A) 30 to 70 cm |
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B) 30 to 50 cm |
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C) 30 to 60 cm |
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D) 30 to 80 cm |
0.5 points
QUESTION 30
During the percussion of the anterior & posterior thoracic, the normal sound of heard is______
A) Crackles. |
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B) Wheezes. |
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C) Stridor. |
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D) Resonance. |
0.5 points
QUESTION 31
Auscultation of the Posterior Thorax the nurse ask patient to ___________
Inspect the shape and configuration of the thorax. |
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Observe skin color and condition. |
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Breathe deeply through the mouth each time. |
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Lightly palpate the anterior thorax. |
0.5 points
QUESTION 32
In the Whispered Voice Test standing at the client’s side at a distance of 30 to 60 cm from the client’s ear.
True
False
0.5 points
QUESTION 33
When the nurse measure Height to patient nurse should be do all except the __________
Use the measuring pole on the balance scale. |
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Align the extended headpiece with the top of the head. |
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The patient should be shoeless, standing straight, and looking straight ahead. |
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Reduced intake (half of normal intake for > 5 days). |
0.5 points
QUESTION 34
Areas most commonly assessed with a stethoscope are the heart, blood vessels, lungs, and abdomen.
True
False
0.5 points
QUESTION 35
Family History ask about hereditary factors associated with causes of some diseases.
True
False
0.5 points
QUESTION 36
Childhood illnesses is part of taking of history of client for present illness.
True
False
0.5 points
QUESTION 37
Assess for tactile fremitus is done by using the ball of the hands to palpate over the posterior thorax and while the patient says “Ninety-nine”.
True
False
0.5 points
QUESTION 38
If the client uses corrective lenses for distance vision, test first with eyeglasses or contact lenses. Then test without glasses or contact lenses.
True
False
0.5 points
QUESTION 39
Assess thoracic expansion by standing behind the patient, placing both thumbs on either side of the patient’s spine at the level of T13 or T19.
True
False
0.5 points
QUESTION 40
In the corneal Light Reflex test the nurse hold the light about ___________
A) 30 cm. |
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B) 40 cm. |
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C) 50 cm. |
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D) 60 cm. |
Ans) 1) A)Percussion
Explaination:
Percussion is a method of tapping on a surface to determine the underlying structures, and is used in clinical examinations to assess the condition of the thorax or abdomen. It is one of the five methods of clinical examination, together with inspection, palpation, auscultation, and inquiry.
2) B) Otoscope
Explaination:
- An otoscope or auriscope is a medical device which is used to look into the ears. Health care providers use otoscopes to screen for illness during regular check-ups and also to investigate ear symptoms. An otoscope potentially gives a view of the ear canal and tympanic membrane or eardrum.
3) skin psoriasis
Explaination:-
4) D) Normal
Explaination:
- BMI ranges
If your BMI is: below 18.5 – you're in the underweight range.
between 18.5 and 24.9 – you're in the healthy weight range. between
25 and 29.9 – you're in the overweight range
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