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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["C","D","E"]

Explanation

A. Murphy sign: This is used to assess for gallbladder inflammation, not appendicitis.

B. Shifting dullness: This is used to detect ascites, not appendicitis.

C. Obturator test: This test involves flexing the patient's right hip and knee and rotating the leg internally, causing pain if the appendix is inflamed.

D. Blumberg sign: This test for rebound tenderness indicates peritoneal irritation, commonly associated with appendicitis.

E. Iliopsoas muscle test: This test involves extending the right leg against resistance, which can elicit pain in cases of appendicitis.

F. Fluid wave: This is used to assess for ascites, not appendicitis.

A. "We need to determine the areas of tenderness before using percussion and palpation." B. "Auscultation allows the patient more time to relax and therefore be more comfortable with the physical examination." C. "Auscultation prevents distortion of bowel sounds that might occur after percussion and palpation." D. "Auscultation prevents distortion of vascular sounds, such as bruits and hums, that might occur after percussion and palpation."

Correct Answer is C

Explanation

A. Determine areas of tenderness: While identifying tenderness is important, it is not the reason for auscultating first.

B. Allows the patient to relax: Relaxation is helpful but not the primary reason for the sequence.

C. Prevents distortion of bowel sounds: Percussion and palpation can stimulate or suppress bowel sounds, leading to inaccurate findings if performed before auscultation.

D. Prevents distortion of vascular sounds: Vascular sounds (bruits) are less likely to be affected by percussion or palpation.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 suspects that a patient has appendicitis. Which of these procedures are appropriate for use when assessing for appendicitis or a perforated appendix? (Select all that apply)

Correct Answer is ["C","D","E"]

Explanation

The nurse is watching a new graduate nurse perform auscultation of a patient's abdomen. Which statement by the new graduate shows a correct understanding of the reason auscultation precedes percussion and palpation of the abdomen?

Correct Answer is C

Explanation

The nurse is describing how to perform a testicular self-examination to a patient. Which statement is most appropriate?

A nurse is educating a patient regarding arterial insufficiency. The nurse knows the patient has a correct understanding of arterial risk factors by listing the following:

A nurse performs the Weber test on a healthy adult client. The nurse would expect which of the following normal finding?

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

A patient is reporting sharp pain along the costovertebral angles. What does this symptom most often indicate?

When assessing the abdomen most health care providers divide the abdomen into how many sections?

The nurse gave a client an instruction sheet for a colonoscopy. The client held the instructions approximately 18 inches from their face and read the description of the procedure aloud. The nurse recognizes that the client

Which of the following should the nurse perform to assess the arterial function of the lower extremities?