Answers (Grade A+)
Name 3 things the Nurse can inspect during the general survey ? -
correct answer ✅1) Physical appearance
2) Body structure & Mobility
3) Behavior
Vibration can be palpated best by which part of the hand ? -
correct answer ✅Base of Fingers (metacarpophalangeal joints)
The dorsal part of the hand is best for what type of assessment ? -
correct answer ✅Temperature
A grasping action of the finger and thumb is best for assessing
what? -
correct answer ✅Detecting the position, shape, and consistency of
an organ.
Demonstrate direct and indirect percussion and give one example
of each ? -
correct answer ✅Direct: striking hand contacts the body wall
directly
Example: used for percussing infants thorax or adults sinus.
,PNR 218 Test 1 Exam Questions &
Answers (Grade A+)
Indirect: the striking hand contacts the stationary hand which is
fixed on the pt body.
Example: Yields a sounds a subtle vibration
What percussion note is heard over a healthy lung ? -
correct answer ✅Resonant: Low pitched, clear and hallow
What percussion note is heard over an adult lung with a increased
amount of air ? -
correct answer ✅Hyper-resonant: lower, booming
What percussion note is heard over the stomach or intestines ? -
correct answer ✅Tympany
What percussion note is heard over a dense organ such as the liver
or spleen ? -
correct answer ✅Dull
What is the diaphragm used for when auscultating a pt ? -
correct answer ✅Its good assessing high-pitched sounds such as
breath, bowel, and normal heart sounds
, PNR 218 Test 1 Exam Questions &
Answers (Grade A+)
What is the bell used for when auscultating a pt ? -
correct answer ✅is best for soft, low-pitched sounds such as extra
heart sounds or murmurs
Give one effective finding for ROM ? -
correct answer ✅full mobility in each joint
accurate smooth, and coordinated movement
Give one effective finding for facial features ? -
correct answer ✅symmetrical with movement
Give one ineffective finding for posture ? -
correct answer ✅Rigid spine and neck, moves as one unit
Slumped shoulders deflated appearance
Give one ineffective finding for mood/affect ? -
correct answer ✅crying, distrustful
Name 2 factors that affect temperature? -
correct answer ✅age, time of day