NURS 313 EXAM #1 QUESTIONS WITH COMPLETE
SOLUTIONS
Amplitude Correct Answers 0: absent
1+: weak, diminished (easy to obliterate)
2+: normal (obliterate with moderate pressure)
3+: bounding (unable to obliterate or requires firm pressure)
android Correct Answers waist circumference is larger than hip
circumference
bimanual palpation Correct Answers use 2 hands, placing 1 on
each side of the body part being palpated. use 1 hand to apply
pressure and the other hand to feel the structure
-note the size, shape, consistency, and mobility of structure
cardiac output Correct Answers the more blood the heart
pumps, the greater the pressure in the blood vessels
-BP increases during exercise
circulating blood volume Correct Answers An increase in
volume will increase BP.
-A sudden drop in BP may indicate a sudden blood loss, as with
internal bleeding.
Cued or checklist forms Correct Answers -standardized data
collection
-lists(categorizes) information that alerts the nurse to specific
problems or symptoms assessed for each client
-usually includes a comment section after each category to allow
for individualization
, -prevents missed questions
-promotes easy, rapid documentation
-makes documentation somewhat like data entry because it
requires nurse to place checkmarks in boxes instead of writing
narrative
-poses chance that a significant piece of data may be missed
because the checklist does not include the area of concern
deep palpation Correct Answers 1-2 in
place your dominant hand on the skin surface and your non-
dominant hand on top of your dominant hand apply pressure.
this should result in a surface depression between 1-2 in
-very deep organs or structure covered by thick muscle
diastolic Correct Answers ventricle relaxation
dorsal recumbent position Correct Answers client lays on back
with knees bent and legs separated, feet flat on the table
-may be more comfortable than supine if pain in the back or
abdomen
-head, neck, chest, axillae, lungs, heart, extremities, breasts, and
peripheral pulses
-abdomen should NOT be assess; abdominal muscles are
contracted in this position
dullness Correct Answers heard more over solid tissue
(diaphragm, full bladder, liver)
Intensity: medium
Pitch: medium
Length: moderate
Quality: thud-like
SOLUTIONS
Amplitude Correct Answers 0: absent
1+: weak, diminished (easy to obliterate)
2+: normal (obliterate with moderate pressure)
3+: bounding (unable to obliterate or requires firm pressure)
android Correct Answers waist circumference is larger than hip
circumference
bimanual palpation Correct Answers use 2 hands, placing 1 on
each side of the body part being palpated. use 1 hand to apply
pressure and the other hand to feel the structure
-note the size, shape, consistency, and mobility of structure
cardiac output Correct Answers the more blood the heart
pumps, the greater the pressure in the blood vessels
-BP increases during exercise
circulating blood volume Correct Answers An increase in
volume will increase BP.
-A sudden drop in BP may indicate a sudden blood loss, as with
internal bleeding.
Cued or checklist forms Correct Answers -standardized data
collection
-lists(categorizes) information that alerts the nurse to specific
problems or symptoms assessed for each client
-usually includes a comment section after each category to allow
for individualization
, -prevents missed questions
-promotes easy, rapid documentation
-makes documentation somewhat like data entry because it
requires nurse to place checkmarks in boxes instead of writing
narrative
-poses chance that a significant piece of data may be missed
because the checklist does not include the area of concern
deep palpation Correct Answers 1-2 in
place your dominant hand on the skin surface and your non-
dominant hand on top of your dominant hand apply pressure.
this should result in a surface depression between 1-2 in
-very deep organs or structure covered by thick muscle
diastolic Correct Answers ventricle relaxation
dorsal recumbent position Correct Answers client lays on back
with knees bent and legs separated, feet flat on the table
-may be more comfortable than supine if pain in the back or
abdomen
-head, neck, chest, axillae, lungs, heart, extremities, breasts, and
peripheral pulses
-abdomen should NOT be assess; abdominal muscles are
contracted in this position
dullness Correct Answers heard more over solid tissue
(diaphragm, full bladder, liver)
Intensity: medium
Pitch: medium
Length: moderate
Quality: thud-like
