Assessment techniques

Question 1

tools that are needed for inspection will always include

Answer 1

a good light source, and a source to perform proper hand hygiene

Question 2

Inspection

Answer 2

looking carefully and thoroughly at client. (i.e., rashes, bumps, bruising, wounds, smell, shape of chest etc.)

Question 3

penlight

Answer 3

pupil size and reaction

Question 4

tape measure

Answer 4

measure wounds, bruising, or abdominal girth

Question 5

tongue depressor

Answer 5

examine oral mucosa

Question 6

pulse oximeter

Answer 6

determine oxygen saturation

Question 7

stable and precise measurements

Answer 7

stadiometer

Question 7

listening to sounds of the body

Answer 7

auscultation

Question 8

stethoscope has two sides for listening

Answer 8

diaphragm (larger side) and the bell

Question 9

diaphragm of stethoscope

Answer 9

high pitched sounds: breath, bowel, and heart sounds

Question 10

bell side of stethoscope

Answer 10

low-pitched sounds: extra heart sounds or murmurs

Question 11

doppler

Answer 11

ultrasound device that uses waves to provide sounds assists with auscultation

Question 12

examination of body using fingers (not fingertips) and hands to determine texture, location, size, and consistency of organs, masses, or infiltration of parts of the body and feeling the heart or pulse beat, or vibrations in the chest

Answer 12

palpation

Question 12

testing for sensation

Answer 12

soft end (cotton tip) and sharp end (wooden stick)

Question 13

striking or tapping a body part used as a diagnostic technique by listening to the sound produced

Answer 13

percussion

Question 14

how is percussion helpful?

Answer 14

determine the density of the area, whether it is fluid-filled, air-filled, or solid

Question 15

percussion is performed by

Answer 15

an advanced provider

Question 16

Which of the following tools and techniques are used to perform assessment on the chest?

Answer 16

Auscultate, Stethoscope, Inspect

Question 17

Which of the following tools and techniques are used to perform assessment on the abdomen?

Answer 17

palpate, auscultate, stethoscope, inspect, tape measure

Question 18

Which of the following tools and techniques are used to perform assessment on the eyes?

Answer 18

penlight, inspect, palpate

Question 19

Which of the following tools and techniques are used to perform assessment on the feet?

Answer 19

doppler, palpate, and inspect

Question 20

Which of the following techniques is used with palpation?

Answer 20

Use the palmar side of the hands or the pads of the fingers.

Question 20

Which of the following actions by the nurse are examples of infection control? ​​​​​​​Select all that apply.

Answer 20

Hand washing with soap and water for 15 seconds, Using an alcohol-based rub when hands are not visibly soiled,
Using an alcohol pad to wipe the diaphragm of the stethoscope between clients

Question 21

Which of the following are tools used with auscultation?

Answer 21

stethoscope, doppler