Chapter 21: Physical Assessment - Nurselytic

Questions 49

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Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills

Chapter 21 : Physical Assessment Questions

Question 1 of 5

Abnormal sounds that can be auscultated over the lung fields are called

Correct Answer: A,B,C,D,E

Rationale: Abnormal lung sounds include crackles (rattling sounds), wheezes (high-pitched whistling), rhonchi (low-pitched rattling), stridor (high-pitched sound during breathing), and pleural friction rub (grating sound due to pleural inflammation).

Question 2 of 5

You have assessed the patient's pupils by shining a light into both pupils as you learned to assess both pupil reflexes and accommodation response. What acronym would you document that would indicate that all findings were within normal parameters?

Correct Answer: A

Rationale: PERRLA stands for Pupils Equal, Round, Reactive to Light, and Accommodation, indicating normal pupil findings.

Question 3 of 5

During assessment of your patient, you notice that the patient has numbness of the left side of her face. You would use the medical term to document this finding.

Correct Answer: B

Rationale: Hypoesthesia is the medical term for reduced sensation or numbness in a specific area, such as the face.

Question 4 of 5

While assessing the patient's oral mucosa, you detect severely unpleasant sour breath. What is the correct medical terminology for this finding?

Correct Answer: A

Rationale: Halitosis is the medical term for bad breath, including sour or unpleasant odors from the mouth.

Question 5 of 5

During palpation of the patient's abdomen, he flinches and tightens the abdominal muscles where you are palpating. This tightening of abdominal muscles is known as

Correct Answer: A

Rationale: Guarding refers to the involuntary tightening of abdominal muscles in response to pain or palpation, often indicating discomfort or pathology.

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