ANSWERS 2026
ADPIE (assessment, diagnosis, planning, implementation, evaluation) - CORRECT
ANSWER The Nursing process
the single most important component to reduce risk of infection - CORRECT
ANSWER hand hygiene is
inspection, palpation, percussion, auscultation, - CORRECT ANSWER steps of
assessment process
physical exams begin with - CORRECT ANSWER inspection
use of hands to feel texture, size, shape, consistency, location of certain parts, and
identify painful tender areas - CORRECT ANSWER palpation
fingertips - CORRECT ANSWER palmar surface of fingers and finger pads are more
sensitive than
texture, size, consistency, masses, fluid, and crepitus - CORRECT ANSWER palmar
surface of finger and finger pads are better to determine
vibration - CORRECT ANSWER ulnar surface of hand to fifth finger is most sensitive
to
,temperature - CORRECT ANSWER dorsal surface is better for assessing
pressing to a depth of approx. 1cm - CORRECT ANSWER light palpation
accomplished by
skin, pulsations, and tenderness - CORRECT ANSWER light palpation used to assess
pressing to a depth of 4cm with one or two hands - CORRECT ANSWER deep
palpation accomplished by
deep palpation used to determine - CORRECT ANSWER organ size and contour
palpation uses both hands, one anterior and one posterior, to entrap an organ or
mass between two fingertips to assess shape and size - CORRECT ANSWER
bimanual technique
deep palpation because deep palpation may cause tenderness or disrupt fluids -
CORRECT ANSWER light palpation should always proceed
eval, size, borders, consistency of internal organs, detect tenderness, determine
extent of fluid in body cavity - CORRECT ANSWER percussion is performed to
strike finger/hand directly against patients body, eval adult sinus by directly
tapping fingers on sinus, elicit tenderness over kidney by striking costovertebral
angle (CVA) directly with fist - CORRECT ANSWER direct percussion
, requires both hands, methods can vary by system being assessed, - CORRECT
ANSWER indirect percussion
tympany, resonance, hyperresonance, dullness, flatness - CORRECT ANSWER 5
percussion tones
is loud, high pitched sounds heard over abdomen - CORRECT ANSWER tympany
heard over normal lung tissue - CORRECT ANSWER resonance
heard over liver - CORRECT ANSWER dullness
heard over bones and muscle - CORRECT ANSWER flatness
listening to sounds within body; commonly use stethoscope - CORRECT ANSWER
auscultation
consists of gauge to measure pressure, a cuff enclosing an inflatable bladder, and
bulb with valve used to inflate and deflate bladder within cuff - CORRECT ANSWER
sphygmomanometer
is an instrument consisting of series of lenses, mirrors, and light apertures to
inspect internal eye structures - CORRECT ANSWER ophthalmoscope