A nurse is performing a head-to-toe assessment and is preparing to examine the client's ears. Which equipment would the nurse need to have readily available?

Tuning fork

Stethoscope

Ophthalmoscope

Tongue depressor

Answer and Explanation

The Correct Answer is A

A. Tuning fork: A tuning fork is used in auditory assessments, such as hearing tests, to evaluate hearing loss and bone conduction.

B. Stethoscope: While a stethoscope is essential for auscultation of heart and lung sounds, it is not used for examining the ears.

C. Ophthalmoscope: An ophthalmoscope is used for examining the eyes, not the ears.

D. Tongue depressor: A tongue depressor is used for examining the mouth and throat, not the ears.

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Correct Answer is D

Explanation

A. External Eye Structures: This assessment involves examining the visible parts of the eye and surrounding structures, not the distance vision.

B. Near Vision: Near vision is typically assessed using a reading chart held at a close distance, not a chart mounted on the wall.

C. Peripheral Vision: Peripheral vision assessments involve testing the field of vision to detect loss or abnormalities, rather than focusing on distant vision.

D. Distant Vision: Standing 20 feet from a chart to read letters tests distant vision, as it assesses the ability to see objects clearly at a distance.

A. S2 B. S1 C. S4 D. S3

Correct Answer is B

Explanation

A. S2: This sound, also known as "dub," occurs during diastole when the semilunar valves close.

B. S1: This sound, also known as "lub," occurs during systole when the atrioventricular valves close, marking the beginning of systole.

C. S4: This sound is an abnormal heart sound associated with late diastole, not systole.

D. S3: This sound is associated with early diastole and is typically related to rapid ventricular filling, not systole.

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A nurse is performing a head-to-toe assessment and is preparing to examine the client's ears. Which equipment would the nurse need to have readily available?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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