NUR 3066C: HEALTH ASSESSMENT
CHAPTER 3: TECHNIQUES, SAFETY,
AND INFECTION CONTROL
A client with scabies visits the health care facility for a follow-up appointment. Which
preparation by the nurse is of greatest priority for the physical examination of this
client? - ANSWER-Adequate lighting is most important for the physical examination
of the client with scabies. Sunlight (when available) would be preferable; however,
even a portable lamp or a good overhead light is sufficient for illuminating the skin
and for viewing shadows and contours. A warm and comfortable room, a quiet area
free of disturbance, and a firm examination bed or table are subsequent preparations
to the physical setting for the examination.
The nurse observes a student nurse performing a focused assessment on a client
with a suspected heart murmur. The nurse determines accurate assessment
technique is used when which of the following is observed? - ANSWER-auscultation
of the heart with the stethoscope bel
The student nurse is caring for a client with emphysema. What sound would the
student nurse expect to hear when percussing the client's lungs? - ANSWER-A
hyperresonant lung sound is very loud, low in pitch, long in duration, and booming in
quality. This is the sound heard from emphysematous lung
During a comprehensive assessment of the lungs of an adult client with a diagnosis
of emphysema, the nurse anticipates that during percussion the client will exhibit -
ANSWER-hyperresonance
Which illustrates the nurse using the technique of inspection - ANSWER-he nurse
detects a fruity odor of the client's breath.
In which order should a nurse implement the four physical assessment techniques
when initiating a health assessment? - ANSWER-Inspection, palpation, percussion,
auscultation
The nurse is using a Wood's light for a client who has complaints of itching, burning,
and peeling of the skin between his toes. The nurse is assessing for what etiology of
the client's symptoms? - ANSWER-Fungal infection
Light palpation is most appropriate to assess the - ANSWER-inflamed areas of skin
During palpation of a client's organs, the nurse palpates the spleen by applying
pressure between 2.5 and 5 cm. The nurse is performing - ANSWER-deep palpation
A nurse needs to obtain a pulse on a client. Which physical assessment technique
should the nurse use? - ANSWER-A nurse needs to obtain a pulse on a client.
Which physical assessment technique should the nurse use?
CHAPTER 3: TECHNIQUES, SAFETY,
AND INFECTION CONTROL
A client with scabies visits the health care facility for a follow-up appointment. Which
preparation by the nurse is of greatest priority for the physical examination of this
client? - ANSWER-Adequate lighting is most important for the physical examination
of the client with scabies. Sunlight (when available) would be preferable; however,
even a portable lamp or a good overhead light is sufficient for illuminating the skin
and for viewing shadows and contours. A warm and comfortable room, a quiet area
free of disturbance, and a firm examination bed or table are subsequent preparations
to the physical setting for the examination.
The nurse observes a student nurse performing a focused assessment on a client
with a suspected heart murmur. The nurse determines accurate assessment
technique is used when which of the following is observed? - ANSWER-auscultation
of the heart with the stethoscope bel
The student nurse is caring for a client with emphysema. What sound would the
student nurse expect to hear when percussing the client's lungs? - ANSWER-A
hyperresonant lung sound is very loud, low in pitch, long in duration, and booming in
quality. This is the sound heard from emphysematous lung
During a comprehensive assessment of the lungs of an adult client with a diagnosis
of emphysema, the nurse anticipates that during percussion the client will exhibit -
ANSWER-hyperresonance
Which illustrates the nurse using the technique of inspection - ANSWER-he nurse
detects a fruity odor of the client's breath.
In which order should a nurse implement the four physical assessment techniques
when initiating a health assessment? - ANSWER-Inspection, palpation, percussion,
auscultation
The nurse is using a Wood's light for a client who has complaints of itching, burning,
and peeling of the skin between his toes. The nurse is assessing for what etiology of
the client's symptoms? - ANSWER-Fungal infection
Light palpation is most appropriate to assess the - ANSWER-inflamed areas of skin
During palpation of a client's organs, the nurse palpates the spleen by applying
pressure between 2.5 and 5 cm. The nurse is performing - ANSWER-deep palpation
A nurse needs to obtain a pulse on a client. Which physical assessment technique
should the nurse use? - ANSWER-A nurse needs to obtain a pulse on a client.
Which physical assessment technique should the nurse use?
