QUESTIONS WITH EXPERT SOLUTIONS | 2026 LATEST UPDATED |
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The nurse is examining a patients lower leg and notices a draining ulceration. Which of these
actions is most appropriate in this situation?
a. Wash hands and contact the physician
b. Continue to examine the ulceration and then wash hands
c. Wash hands, put gloves on, and continue with the examination of the ulceration
d. Wash hands, proceed with the rest of the physical examination and then continue with the
examination of the ulceration - (Answer)C
During the examination, it is often appropriate to offer some brief teaching about the patient's
body or the examiner's findings. Which of these statements made by the nurse is most
appropriate?
a) Your atrial dysrhythmias are under control
b. You have pitting edema and midvaricosities
c. Your pulse is 80 bpm. This is within the normal range
d. I am using the stethoscope to listen for any crackles, wheezes, or rubs - (Answer)C
,The nurse keeps in mind that the most important reason to share information and offer brief
teaching while performing the physical examination is to help
a. the examiner feel more comfortable and gain control of the situation
b. build rapport and increase the patients confidence in the examiner
c. the patient understand his or her disease process and treatment modalities
d. the patient identify questions about his or her disease and potential areas of patient education -
(Answer)B
The nurse is examining an infant and prepares to elicit the Mororeflex at which time during the
examination?
a)When the infant is sleeping
b)At the end of the examination
c)Before auscultation of the thorax
d)Halfway through the examination - (Answer)B
When preparing to perform a physical examination on an infant, the nurse should:
a. Have the parent remove all clothing except the diaper on a boy
b. Instruct the parent to feed the infant immediately before exam
c. Encourage the infant to suck on a pacifier during the abdominal exam
, d. Ask the parent to briefly leave the room when assessing the infants vital signs - (Answer)A
A 6-month-old infant has been brought to the well-child clinic for a check-up. She is currently
sleeping. What should the nurse do first when beginning the examination?
a. auscultate the lungs and the heart while the infant is still sleeping
b. examine the infants hips because this procedure is uncomfortable
c. begin with the assessment of the eye and continue with the remainder of the exam in a head-
to-toe approach
d. wake the infant up before beginning any portion of the exam - (Answer)A
A 2-year-old child has been brought to the clinic for a well-child check-up. The best way for the
nurse to begin the assessment is reflected by which statement?
a. ask the parent to place the child on the examining table
b. have the parent remove all of the childs clothing before the examination
c. allow the child to keep a security object such as a toy or blanket during the examination
d. initially focus interactions on the child, essentially "ignoring" the parent, until the child trust
has been obtained. - (Answer)C