Assess the tympanic membrane of an adult

Assess the tympanic membrane of an adult
Which of the following would be most important for a
nurse to do to ensure the accuracy of inspection during
assessment?
a. Compare bilateral body parts
b. Have 20/20 vision
c. Focus on selected body systems
d. Use touch judiciously
3. When palpating body structures, the nurse uses which
sense?
a. Intuition
b. Vision
c. Hearing
d. Touch
4. Percussion over the stomach reveals a loud, drum-like
sound. The nurse would document this finding as
which of the following?
a. Dullness
b. Flatness
c. Tympany
d. Resonance
5. While conducting a physical assessment, the nurse
uses the bell of the stethoscope to hear which type of
sounds?
a. Tympanic sounds
b. Bowel sounds
c. Lung sounds
d. Heart sounds
6. Which technique would a nurse use to assess skin
turgor?
a. Indent area with fingertips
b. Use a special type of lighting
c. Touch the area to detect moisture
d. Lightly pinch a fold of skin
7. A patient’s visual acuity is assessed as 20/40 in both
eyes using the Snellen chart. The nurse interprets this
finding as which of the following?
a. The patient can see twice as well as normal
b. The patient has double vision
c. The patient has less than normal vision
d. The patient has normal vision
Assess the tympanic membrane of an adult
8. When using an otoscope to assess the tympanic mem-
brane of an adult, the nurse straightens the ear canal
by gently pulling the pinna in which direction?
a. Up and back
b. Down and forward
c. Away from the examiner
d. In any direction
Assess the tympanic membrane of an adult
9. Percussion of the thorax reveals a dull sound. The
nurse interprets this to indicate which of the following?
a. An air-filled structure
b. A bony structure
c. Emphysematous tissue
d. Fluid or a solid mass