NR 509 Week 2 Exam UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
When performing a physical assessment, the first technique the nurse will always use
A. Palpation
B. Inspection
C. Percussion
D. Auscultation - CORRECT ANSWER B. Inspection
The nurse is preparing to perform a physical assessment. Which statement is true about the
physical assessment? The inspection phase:
A. Usually yields little information
B. Takes time and reveals a surprising amount of information
C. May be somewhat uncomfortable for the expert practitioner
D. Requires a quick glance at the patient's body systems before proceeding with palpation -
CORRECT ANSWER B. Takes time and reveals a surprising amount of information
The nurse is assessing a patient's skin during an office visit. What part of the hand and
technique should be used to best assess the patient's skin temperature?
A. Fingertips; they are more sensitive to small changes in temperature
B. Dorsal surface of the hand; the skin is thinner on this surface than on the palms
C. Ulnar portion of the hand, increased blood supply in this area enhances temperature
sensitivity
D. Palmar surface of the hand; this surface is the most sensitive to temperature variations
because of its increased nerve supply in this area. - CORRECT ANSWER B. Dorsal
surface of the hand; the skin is thinner on this surface than on the palms
Which of these techniques uses the sense of touch to assess texture, temperature, moisture,
and swelling when the nurse is assessing a patient?
A. Palpation
B. Inspection
,C. Percussion
D. Auscultation - CORRECT ANSWER A. Palpation
The nurse is preparing to assess a patient's abdomen by palpation. How should the nurse
proceed?
A. Palpation of reportedly tender areas are avoided because palpation in these areas may
cause pain
B. Palpating a tender area is quickly performed to avoid any discomfort that the patient may
experience
C. The assessment begins with deep palpation, while encouraging the patient to relax and to
take deep breaths.
D. The assessment begins with light palpation to detect surface characteristics and to
accustom the patient to being touched. - CORRECT ANSWER D. The assessment
begins with light palpation to detect surface characteristics and to accustom the patient to
being touched.
The nurse would use bimanual palpation technique in which situation?
A. Palpating the thorax of an infant
B. Palpating the kidneys and the uterus
C. Assessing pulsations and vibrations
D. Assessing the presence of tenderness and pain - CORRECT ANSWER B. Palpating
the kidneys and the uterus
The nurse is preparing to percuss the abdomen of a patient. The purpose of the percussion is
to assess the ___________ of the underlying tissue.
A. Turgor
B. Texture
C. Density
D. Consistency - CORRECT ANSWER C. Density
The nurse is reviewing percussion techniques with a newly graduated nurse. Which
technique, if used by the new nurse, indicates that more review is needed?
,A. Percussing once over each area
B. Quickly lifting be striking finger after each stroke
C. Striking with the fingertip, not the finger pad
D. Using the wrist to make the strikes, not the arm - CORRECT ANSWER A.
Percussing once over each area
When percussing over the liver of a patient, the nurse notices a dull sound. The nurse should:
A. Consider this a normal finding
B. Palpate this area for an underlying mass
C. Reposition the hands, and attempt to percuss in this area again
D. Consider this finding abnormal, and refer the patient for additional treatment - CORRECT
ANSWER A. Consider this a normal finding
The nurse is unable to identify any changes in sound when percussing over the abdomen of
an obese patient. What should the nurse do next?
A. Ask the patient to take deep breaths to relax the abdominal musculature
B. Consider this finding as normal and proceed with the abdominal assessment
C. Increase the amount of strength used when attempting to percuss over the abdomen
D. Decrease the amount of strength used when attempting to percuss over the abdomen. -
CORRECT ANSWER C. Increase the amount of strength used when attempting to
percuss over the abdomen
The nurse hears bilateral loud, long and low tones when percussing over the lungs of a 4 year
old child. The nurse should
A. Palpate over the area for increased pain and tenderness
B. Ask the child to take shallow breaths and percuss over the area again
C. Immediately refer the child because of an increased amount of air in the lungs
D. Consider this finding as normal for a child this age and proceed with the examination -
CORRECT ANSWER D. Consider this finding as normal for a child this age and
proceed with the examination
, A patient has suddenly developed shortness of breath and appears to be insignificant
respiratory distress. After calling the position and placing the patient on oxygen, which of
these actions is the best for the nurse to take went further assisting this patient?
A. Count the patient's respirations
B. Bilaterally percuss the thorax, noting any differences in percussion tones
C. Call for a chest x-ray study and wait for the results before beginning an assessment
D. Inspect the thorax for any new masses and bleeding associated with respirations -
CORRECT ANSWER B. Bilaterally percuss the thorax, noting any differences in
percussion tones
The nurse is teaching a class on basic assessment skills. Which of these statements is true
regarding the stethoscope and its use?
A. Slope of the earpieces should point posteriorly (toward to occiput)
B. Although the stethoscope does not magnify sound, it does block out extraneous room noise
C. Fit and quality of the stethoscope are not as important as its ability to magnify sound
D. Ideal tubing length should be 22 inches to dampen the distortion of sound - CORRECT
ANSWER B. Although the stethoscope does not magnify sound, it does block out
extraneous room noise
The nurse is preparing to use a stethoscope for auscultation. Which statement is true
regarding the diaphragm of the stethoscope? The diaphragm:
A. Is used to listen for high-pitched sounds
B. Is used to listen for low-pitched sounds
C. Should be lightly held against the persons skin to block out low-pitched sounds
D. Should be lightly held again the person skin to listen for extra heart sounds and murmurs -
CORRECT ANSWER A. Is used to listen for high-pitched sounds
Before auscultating the abdomen for the presence of bowel sounds on a patient, the nurse
should:
A. Warm the endpiece of the stethoscope by placing it in warm water
B. Leave the gown on the patient to ensure that she or he does not get chilled during the
examination
QUESTIONS AND CORRECT ANSWERS
When performing a physical assessment, the first technique the nurse will always use
A. Palpation
B. Inspection
C. Percussion
D. Auscultation - CORRECT ANSWER B. Inspection
The nurse is preparing to perform a physical assessment. Which statement is true about the
physical assessment? The inspection phase:
A. Usually yields little information
B. Takes time and reveals a surprising amount of information
C. May be somewhat uncomfortable for the expert practitioner
D. Requires a quick glance at the patient's body systems before proceeding with palpation -
CORRECT ANSWER B. Takes time and reveals a surprising amount of information
The nurse is assessing a patient's skin during an office visit. What part of the hand and
technique should be used to best assess the patient's skin temperature?
A. Fingertips; they are more sensitive to small changes in temperature
B. Dorsal surface of the hand; the skin is thinner on this surface than on the palms
C. Ulnar portion of the hand, increased blood supply in this area enhances temperature
sensitivity
D. Palmar surface of the hand; this surface is the most sensitive to temperature variations
because of its increased nerve supply in this area. - CORRECT ANSWER B. Dorsal
surface of the hand; the skin is thinner on this surface than on the palms
Which of these techniques uses the sense of touch to assess texture, temperature, moisture,
and swelling when the nurse is assessing a patient?
A. Palpation
B. Inspection
,C. Percussion
D. Auscultation - CORRECT ANSWER A. Palpation
The nurse is preparing to assess a patient's abdomen by palpation. How should the nurse
proceed?
A. Palpation of reportedly tender areas are avoided because palpation in these areas may
cause pain
B. Palpating a tender area is quickly performed to avoid any discomfort that the patient may
experience
C. The assessment begins with deep palpation, while encouraging the patient to relax and to
take deep breaths.
D. The assessment begins with light palpation to detect surface characteristics and to
accustom the patient to being touched. - CORRECT ANSWER D. The assessment
begins with light palpation to detect surface characteristics and to accustom the patient to
being touched.
The nurse would use bimanual palpation technique in which situation?
A. Palpating the thorax of an infant
B. Palpating the kidneys and the uterus
C. Assessing pulsations and vibrations
D. Assessing the presence of tenderness and pain - CORRECT ANSWER B. Palpating
the kidneys and the uterus
The nurse is preparing to percuss the abdomen of a patient. The purpose of the percussion is
to assess the ___________ of the underlying tissue.
A. Turgor
B. Texture
C. Density
D. Consistency - CORRECT ANSWER C. Density
The nurse is reviewing percussion techniques with a newly graduated nurse. Which
technique, if used by the new nurse, indicates that more review is needed?
,A. Percussing once over each area
B. Quickly lifting be striking finger after each stroke
C. Striking with the fingertip, not the finger pad
D. Using the wrist to make the strikes, not the arm - CORRECT ANSWER A.
Percussing once over each area
When percussing over the liver of a patient, the nurse notices a dull sound. The nurse should:
A. Consider this a normal finding
B. Palpate this area for an underlying mass
C. Reposition the hands, and attempt to percuss in this area again
D. Consider this finding abnormal, and refer the patient for additional treatment - CORRECT
ANSWER A. Consider this a normal finding
The nurse is unable to identify any changes in sound when percussing over the abdomen of
an obese patient. What should the nurse do next?
A. Ask the patient to take deep breaths to relax the abdominal musculature
B. Consider this finding as normal and proceed with the abdominal assessment
C. Increase the amount of strength used when attempting to percuss over the abdomen
D. Decrease the amount of strength used when attempting to percuss over the abdomen. -
CORRECT ANSWER C. Increase the amount of strength used when attempting to
percuss over the abdomen
The nurse hears bilateral loud, long and low tones when percussing over the lungs of a 4 year
old child. The nurse should
A. Palpate over the area for increased pain and tenderness
B. Ask the child to take shallow breaths and percuss over the area again
C. Immediately refer the child because of an increased amount of air in the lungs
D. Consider this finding as normal for a child this age and proceed with the examination -
CORRECT ANSWER D. Consider this finding as normal for a child this age and
proceed with the examination
, A patient has suddenly developed shortness of breath and appears to be insignificant
respiratory distress. After calling the position and placing the patient on oxygen, which of
these actions is the best for the nurse to take went further assisting this patient?
A. Count the patient's respirations
B. Bilaterally percuss the thorax, noting any differences in percussion tones
C. Call for a chest x-ray study and wait for the results before beginning an assessment
D. Inspect the thorax for any new masses and bleeding associated with respirations -
CORRECT ANSWER B. Bilaterally percuss the thorax, noting any differences in
percussion tones
The nurse is teaching a class on basic assessment skills. Which of these statements is true
regarding the stethoscope and its use?
A. Slope of the earpieces should point posteriorly (toward to occiput)
B. Although the stethoscope does not magnify sound, it does block out extraneous room noise
C. Fit and quality of the stethoscope are not as important as its ability to magnify sound
D. Ideal tubing length should be 22 inches to dampen the distortion of sound - CORRECT
ANSWER B. Although the stethoscope does not magnify sound, it does block out
extraneous room noise
The nurse is preparing to use a stethoscope for auscultation. Which statement is true
regarding the diaphragm of the stethoscope? The diaphragm:
A. Is used to listen for high-pitched sounds
B. Is used to listen for low-pitched sounds
C. Should be lightly held against the persons skin to block out low-pitched sounds
D. Should be lightly held again the person skin to listen for extra heart sounds and murmurs -
CORRECT ANSWER A. Is used to listen for high-pitched sounds
Before auscultating the abdomen for the presence of bowel sounds on a patient, the nurse
should:
A. Warm the endpiece of the stethoscope by placing it in warm water
B. Leave the gown on the patient to ensure that she or he does not get chilled during the
examination
