The nurse is performing an otoscopic examination on an adult. Which of these actions is correct?

Using the smallest speculum to decrease the amount of discomfort

Once the speculum is in the ear, releasing the traction

Tilting the person's head forward during the examination

Pulling the pinna up and back before inserting the speculum

Answer and Explanation

The Correct Answer is D

A. Smallest speculum: The smallest speculum may not provide the best view of the ear canal and tympanic membrane, especially in adults. The correct size should be chosen for adequate visualization.

B. Releasing the traction: Traction should be maintained to stabilize the ear and allow a better view of the ear canal.

C. Tilting the person's head forward: This is not the ideal positioning for the ear examination. The head should be tilted slightly away to straighten the ear canal.

D. Pulling the pinna up and back: This helps straighten the ear canal, especially in adults, providing better visualization during the otoscopic examination.

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Correct Answer is B

Explanation

A. Pupillary dilation when looking at a far object: While dilation occurs with distance, the question specifically refers to near vision.

B. Pupillary constriction when looking at a near object: Accommodation is the process by which the eyes adjust to focus on near objects, which includes pupillary constriction and lens thickening.

C. Changes in peripheral vision: This describes visual field testing, not accommodation.

D. Involuntary blinking in bright light: This describes the corneal reflex, not accommodation.

A. 1 minute B. 2 minutes each quadrant C. 5 minutes D. 10 minutes

Correct Answer is B

Explanation

A. 1 minute: This is not the correct duration for assessing bowel sounds.

B. 2 minutes each quadrant: Bowel sounds should be auscultated for at least 2 minutes per quadrant before determining that they are absent.

C. 5 minutes: Listening for 5 minutes is excessive and typically unnecessary unless there is concern about a complete absence of bowel sounds.

D. 10 minutes: 10 minutes is also too long for auscultation unless specifically indicated by clinical findings, like suspected paralytic ileus.

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The nurse is performing an otoscopic examination on an adult. Which of these actions is correct?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is testing a patient's visual accommodation, which refers to which action?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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