Week 1 & 2 Quiz 1. What is the most important nursing action to reduce transmission of microorganisms during a physical assessment? A Clean the bell and diaphragm of the stethoscope between patients. B Perform hand hygiene. C Wear gloves when anticipating exposure to body fluids. Wear eye protection when anticipating spatter of body fluids. What part of the stethoscope do nurses use to auscultate the chest? D Press the bell firmly against the skin to hear sounds and vibrations. E The bell of the stethoscope is used to hear breath sounds. F The diaphragm of the stethoscope is used to hear heart sounds. Either the bell or the diaphragm is used to auscultate the chest. 15. Where does the nurse attach the sensor probe of the pulse oximeter to measure a patient’s oxygen saturation? G The chest over the patient’s heart H Over the patient’s abdominal aorta I Over the patient’s radial pulse Around the patient’s index finger nail Which body system does the nurse assess primarily by inspection? J Respiratory K Gastrointestinal L Skin Cardiovascular 6. The nurse suspects an irregularity in the rhythm of the patient’s radial pulse. What is the most appropriate action for this nurse to take at this time? M Document this rhythm as normal for the patient. N Use a Doppler to check the brachial pulse. O Count the patient’s apical pulse for a full minute. Count the radial pulse again for 15 seconds and multiply by 4. According to research findings, which site is preferred for measuring blood pressure when the nurse is unable to use the patient’s upper arms? P Ankle Q Thigh R Calf Wrist Which action by the nurse results in the patients blood pressure measurement being falsely high? Select all that apply. S Using a blood pressure cuff that is too narrow for the patients upper arm T Deflating the blood pressure cuff too rapidly U Wrapping the blood pressure cuff too loosely V Reinflating the blood pressure cuff before it completely deflates Positioning the patients arm above the level of the heart