XHLT 1402 Health Assessment Final Exam
Quiz by Ayshea Thornton
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- Q1
Which is a normal finding associated with aging?
哪些是与衰老相关的正常现象?
Decline in short term memory 短期记忆衰退
Elder abuse 虐待老年人
Pain 疼痛
Shortness of breath 气短
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When auscultating during a physical assessment, the stethoscope bell is used to hear which sounds?
在进行身体评估的听诊时,听诊器用来听哪些声音?
Harsh sound 强音
High-pitched sounds 高频音
Soft sounds 弱音
Gurgling sounds 咯咯的声音
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Miranda, a practical nurse, works in a heart healthy clinic and is often asked by clients what the numbers mean when she takes their blood pressure. Her best reply would be;
米兰达(Miranda)是一名实践护士,在心脏健康的诊所工作,经常被患者问到如何解读血压的数字。 她最好的答复是
"The top number reflects the pressure on the arteries when the heart contracts, the bottom one when it relaxes.” “最上面的数字反映了心脏收缩时对动脉的压力,最下面的数字反映了心脏舒张时的压力。”
“They both have to do with the stroke volume of the heart.” “它们都与心脏的搏动量有关。”
“Your physician will explain them to you when you go in for your appointment.” “您与您的医生预约见面之后,他会向您解释。”
“The numbers can be difficult to understand, but the top number, the systolic number, is the one to worry about.” “数字可能很难理解,但是最上方的数字,即收缩压数字,是一个最值得上心的数字。”
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What would the practical nurse normally observe when assessing Cranial Nerve VII? 实践护士在评估颅神经VII时通常会观察到什么?
Distinct sounds during speech 说话时突出的声音
Symmetry of facial expressions 面部表情对称
Strength to turn head against resistance 转动头部时抵抗阻力的力量
Symmetry when puffing out the cheeks 脸颊膨出时对称
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What does the information gathered during a general survey provide? 一般检查期间收集的信息提供了什么?
Clues about the overall health of the client 有关患者整体健康状况的线索
A direct link to the client's illness 与病人疾病的直接联系
An indication of the level of anxiety experienced by the client 指示患者所经历的焦虑程度
Indications about normal variations in the status of body systems 有关身体系统状态正常变化的指示
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Which assessment would determine mental status during a physical examination? 进行身体检查时,确定患者精神状态的是哪种评估?
Test cranial nerve function 测试颅神经功能
Ask the family regarding the level of consciousness 向家人询问患者意识水平
Assess for dress and grooming 评估穿着打扮
Listen to quality and organization of speech 根据患者言辞的质量和语言组织能力
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What observation indicates poor oxygenation? 氧合不良有什么临床观察表现?
Slowing of pulse 脉搏缓慢
Distended abdomen 腹胀
Bluish colouring of skin 皮肤发蓝
Complaints of pain 抱怨疼痛
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Match the cranial nerve with its correct function 匹配颅神经与其正确的功能
Cranial Nerve XII: Hypoglossal 颅神经XII:舌下
Chewing 咀嚼
Swallowing 吞咽
Smiling 微笑
Tongue movement 舌头运动
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Match the cranial nerve with its correct function 匹配颅神经与其正确的功能
Cranial Nerve VI: Abducens 颅神经VI:外展神经
Tongue movement 舌头运动
Chewing 咀嚼
Lateral movement of eye 眼球侧向运动
Smiling 微笑
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Match the cranial nerve with its correct function匹配颅神经与其正确的功能
Cranial Nerve IX: Glossopharyngeal 颅神经IX:舌咽
Lateral movement of eye 眼球侧向运动
Swallowing 吞咽
Smiling 微笑
Tongue movement 舌头运动
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Match the cranial nerve with its correct function匹配颅神经与其正确的功能。
Cranial Nerve V: Trigeminal 颅神经V:三叉神经
Smiling 微笑
Tongue movement 舌头运动
Chewing 咀嚼
Lateral movement of eye 眼球侧向运动
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Match the cranial nerve with its correct function匹配颅神经与其正确的功能
Cranial Nerve VII: Facial 颅神经VII:面部
Chewing 咀嚼
Lateral movement of eye 眼球侧向运动
Swallowing 吞咽
Smiling 微笑
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A patient has a normal pupillary light reflex. The practical nurse knows this indicates that 患者的瞳孔光反射正常,实践护士应该知道这表明……
vision in both eyes converges to focus on the light 两只眼睛的视力都集中到光线上
light is reflected at the same spot in both eyes 光线在两只眼睛的同一点反射
dilation of both pupils occurs slowly in response to the light 因为光射两个瞳孔发生缓慢扩张
constriction of both pupils occurs briskly in response to bright light 因为光射两个瞳孔发生急速收缩
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When listening for the bronchial breath sounds of a patient, where should the practical nurse place the stethoscope? 当聆听患者的支气管呼吸音时,实践护士应将听诊器放在哪里?
Over the trachea and larynx 气管和喉
Over the peripheral lung fields 肺部周围
Posterior between the scapulae 肩胛骨后方
Anterior near the upper sternum 前胸骨附近
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When listening to heart sounds, the valve closures that can be heard best at the base of the heart are the
听心音时,最能在心脏根部听到的瓣膜关闭音是
mitral and tricuspid 二尖瓣和三尖瓣
tricuspid and aortic 三尖瓣和主动脉
aortic and pulmonic 主动脉和肺动脉
mitral and pulmonic 二尖瓣和肺动脉
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Normal adult urine output is 一般成年人的每日尿量是?
750 mL per day 750ml/天
1500 mL per day 1500ml/天
400–600 mL per day 400-600ml/天
600–1000 mL per day 600-1000ml/天
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When auscultating a heart, the first step is to 听诊心脏时,第一步是
identify irregular heart sounds 识别不规则的心音
listen for S3 and S4 识别S3和S4
listen for murmurs 听杂音
identify S1 and S2 识别S1和S2
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On auscultation of a client's chest the practical nurse hears vesicular breath sounds. Which of the following describes vesicular breath sounds?
听诊病人的胸部时,实践护士会听到囊泡呼吸音。 以下哪项描述了囊泡呼吸音?
Low pitched, gurgling sound 低音调,咯咯的声音
High-pitched, loud harsh sound 高音调,刺耳的声音
Low pitch, soft amplitude 低音调,振幅低
Moderate pitch, moderate blowing sound 音调适中,吹音适中
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How should the practical nurse assess tactile fremitus on a healthy adult? 实践护士应如何评估健康成年人的触觉性震颤?
Place palms of both hands over the upper thorax with thumbs adjacent to spine and fingers stretched laterally 将两只手的手掌放在上胸部,拇指靠近脊椎,手指向侧面伸展
Place palmar surface of hands on both sides of the chest starting at the apex and ask client to repeat the words "99" as the hands are moved downward 从顶点开始将手掌表面放在胸部的两侧,并要求患者在手向下移动时重复“ 99”一词
Place palmar surface of hands on both sides of the chest starting at the base and ask client to repeat the words "99" as the hands are moved upward 从底部开始,将手掌表面放在胸部的两侧,并要求患者在手向上移动时重复“ 99”一词
Place palms of both hands over the lower thorax with thumbs adjacent to spine and fingers stretched laterally 将双手的手掌放在下胸部,拇指靠近脊椎,手指向侧面伸展
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The practical nurse performs a posterior chest expansion assessment in a young adult. Where does the practical nurse place his/her thumbs? 实践护士对年轻成年人进行胸部后扩评估。 实践护士应该将拇指放在哪里?
T11-T12
T9-T10
L1-L2
C6-C7
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