CHAPTER 25 HEALTH ASSESSMENT 143
Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing:d.The texture of the skin varies from smooth
and soft to rough and dry.
9.Which of the following eye characteristics is
tested by assessing the eight cardinal fields of
vision for coordination and alignment?
a.Visual acuity
b.Peripheral vision
c.Extraocular movements
d.Convergence
10.When assessing the ear canal and tympanic
membrane with an otoscope, which of the fol-
lowing findings would be considered normal?
a.The tympanic membrane should be
translucent, shiny, and gray.
b.The ear canal should be rough and pinkish.
c.The tympanic membrane should be reddish.
d.The ear canal should be smooth and white.
11.Mr. Rogers has a large tumor in his left lung.
Which assessment technique would be used
to determine the size of this tumor?
a.Auscultation
b.Palpation
c.Percussion
d.Inspection
12.A rubbing, grating sound that is loudest
on the lower lateral anterior surface of the
thorax and is auscultated during inspiration
is known as which of the following?
a.Wheeze
b.Friction rub
c.Rhonchi
d.Crackles
13.To test the trochlear nerve of a patient, the
nurse should do which of the following?
a.Test pupillary reaction to light and ability
to open and close eyelids.
b.Test vision for acuity and visual fields.
c.Test ocular movements in all directions.
d.Test for downward and inward movement
of the eye.
14.When a nurse asks a patient to raise her eye-
brows, smile and show her teeth, and puff
out her cheeks, he is most likely assessing
which of the following nerves?
a.Facial
b.Vagusc.Hypoglossal
d.Accessory
15.Which of the following is tested to evaluate
the function of specific spinal cord segments?
a.Motor ability
b.Balance and gait
c.Reflexes
d.Sensory abilities
16.Which of the following assessment techniques
would a nurse use to assess the thyroid gland?
a.Palpation
b.Inspection
c.Percussion
d.Auscultation
17.Which of the following is an accurate
description of vesicular breath sounds?
a.They are high-pitched, harsh sounds, with
expiration being longer than inspiration.
b.They are noisy, strenuous respirations.
c.They are high-pitched sounds heard on in-
spiration when there is a narrowing of the
upper airway.
d.They are soft, low-pitched sounds heard best
over the base of the lungs during respira-
tion. Inspiration is longer than expiration.
18.A weak, thready pulse found after the nurse
palpates peripheral pulses may indicate
which of the following conditions?
a.Hypertension and circulatory overload
b.Decreased cardiac output
c.Impaired circulation
d.Inflammation of a veinALTERNATE-FORMAT QUESTIONS
Multiple Response Questions
Circle the letters that correspond to the best
answers for each question.
1.Which of the following statements accurately
describe a common laboratory or diagnostic
procedure? (Select all that apply.)
a.In ultrasonography studies, a computer
provides physiologic information and
detailed views of fluid-filled soft tissues.
b.Endoscopic procedures are studies that use
a machine with electrodes attached to the
body to monitor electric activity.LWBK696-C25_p142-150.qxd 9/2/10 9:35 AM Page 143 Aptara Inc