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What are the four techniques used during a physical examination? ✔Correct Answer-Inspection,
palpation, percussion, and auscultation
Define and describe the physical exam technique: Inspection ✔Correct Answer-Close, careful, and
concentrated examination of the patient
Define and describe the physical exam technique: Palpation ✔Correct Answer-Slowly and
systematically using touch to confirm findings of inspection
Define and describe the physical exam technique: Percussion ✔Correct Answer-Tapping the
patients skin to depict underlying structures and organs size, density and location
Define and describe the physical exam technique: Auscultation ✔Correct Answer-Using a
stethoscope to listen to sounds produced by the body
Define the Pitch, Amplitude, Quality, Duration of the following percussion notes: Resonance
✔Correct Answer-Low, medium-loud, clear, and moderate
Define the Pitch, Amplitude, Quality, Duration of the following percussion notes: Hyperresonance
✔Correct Answer-Lower, louder, booming, and longer
Define the Pitch, Amplitude, Quality, Duration of the following percussion notes: Tympany
✔Correct Answer-High, loud, drum-like, sustained longest
Define the Pitch, Amplitude, Quality, Duration of the following percussion notes: Dull ✔Correct
Answer-High, soft, muffled thud, and short
Define the Pitch, Amplitude, Quality, Duration of the following percussion notes: Flat ✔Correct
Answer-High, very soft, dead stop of sound, and very short
How is light palpation used? ✔Correct Answer-To detect surface characteristics and to get the
patient accustom to the physicians touch
How is deep palpation used? ✔Correct Answer-To feel deeper in the body through short,
intermittent pressure
How is bimanual palpation used? ✔Correct Answer-Both hands are used to depict deep organs like
the uterus and kidneys
What are the two end pieces of the stethoscope? ✔Correct Answer-The bell and the diaphragm
What condition is the bell on the stethoscope best suited for? ✔Correct Answer-Soft, low sounds
like extra heart sounds or murmurs
, What condition is the diaphragm on the stethoscope best suited for? ✔Correct Answer-High-
pitched sounds, like the heart beat, breathing, and bowel movement
Describe the environmental conditions to consider in preparing the examination room: ✔Correct
Answer-The room should be a warm comfortable temperature, void of loud sounds, well-lit, and
private
List 4 situations in which you clean your hands promptly and thoroughly ✔Correct Answer-1.
Before and after contact with a patient 2. After coming in contact with blood, body fluids or
excretions, mucous membranes, wound dressings, or non intact skin 3. After touching a patient's skin
4. After touching medical equipment in the vicinity of the patient
How would you prepare to go examine a patient and what do you do during the assessment?
✔Correct Answer-I have preformed hand hygiene and am wearing the proper PPE for this encounter.
I inspect the patient from head to toe, then palpate, use percussion and auscultate as necessary
working from head to toe
What age-specific considerations would you make for the examination of the older adult?
✔Correct Answer-As few position changes as possible, allow for rest periods between position
changes, and use physical touch more
What special considerations would you make for the examination of the acutely ill person?
✔Correct Answer-Adjust the position and adapt the assessment to the patient's comfort level
During the assessment which part of the hand is best for detecting vibration? ✔Correct Answer-
Ulnar surface of the hand
When performing indirect percussion, the stationary finger is struck where? ✔Correct Answer-At
the distal interphalangeal joint
The best description of the pitch of a sound wave obtained by percussion is? ✔Correct Answer-The
number of vibrations per second
The ophthalmoscope has 5 apertures. Which aperture is used to asses the eyes of a patient with
undilated pupils? ✔Correct Answer-The small
At the conclusion of the patient examination, the examiner should... ✔Correct Answer-Summarize
the findings to the patient
For a health assessment, which assessment technique will you use first? ✔Correct Answer-
Inspection
When inspecting the ear canal of a patient, the examiner chooses which speculum for the otoscope?
✔Correct Answer-The largest that will fit
To assess a patient's abdomen by palpation, how should the nurse proceed? ✔Correct Answer-
Start with light palpation to detect surface characteristics and to accustom the patient to being
touched