QUESTION 1
1. When performing a physical assessment, the first technique the nurse
will always use is:
a Inspectio
.
n.
b Percussion
.
.
c Palpation.
.
d Auscultati
.
on.
QUESTION 2
1. 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 Ulnar portion of the hand; increased blood supply in this area
.
enhances temperature sensitivity.
c Dorsal surface of the hand; the skin is thinner on this
.
surface than on the palms.
d Palmar surface of the hand; this surface is the most sensitive to
.
temperature variations because of its increased nerve supply in
this area.
QUESTION 3
1. The nurse is teaching a class on basic assessment skills. Which
of these statements is true regarding the stethoscope and its use?
a Ideal tubing length should be 22 inches to dampen the distortion
.
of sound.
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 Slope of the earpieces should point posteriorly (toward the
.
occiput).
QUESTION 4
1. Before auscultating the abdomen for the presence of bowel
sounds on a patient, the nurse should:
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, a Warm the end piece of the stethoscope by placing it in warm
.
water.
b Check the temperature of the room, and offer blankets to
.
the patient if he or she feels cold.
c Ensure that the bell side of the stethoscope is turned to the “on”
.
position.
d Leave the gown on the patient to ensure that he or she does not
.
get chilled during the examination.
QUESTION 5
1. The nurse is unable to palpate the right radial pulse on a patient.
The best action would be to:
a Use a Doppler device to check for
.
pulsations over the area.
b Use a goniometer to measure the pulsations.
.
c Check for the presence of pulsations with a
.
stethoscope.
d Auscultate over the area with a fetoscope.
.
QUESTION 6
1. When measuring a patient’s weight, the nurse is aware of which
of these guidelines?
a Attempts should be made to weigh the patient at
.
approximately the same time of day, if a sequence of
weights is necessary.
b The patient may leave on his or her jacket and shoes as long as
.
these are documented next to the weight.
c The patient is always weighed wearing only his or her
.
undergarments.
d The type of scale does not matter, as long as the weights are
.
similar from day to day.
QUESTION 7
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1. When performing a physical assessment, the first technique the nurse
will always use is:
a Inspectio
.
n.
b Percussion
.
.
c Palpation.
.
d Auscultati
.
on.
QUESTION 2
1. 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 Ulnar portion of the hand; increased blood supply in this area
.
enhances temperature sensitivity.
c Dorsal surface of the hand; the skin is thinner on this
.
surface than on the palms.
d Palmar surface of the hand; this surface is the most sensitive to
.
temperature variations because of its increased nerve supply in
this area.
QUESTION 3
1. The nurse is teaching a class on basic assessment skills. Which
of these statements is true regarding the stethoscope and its use?
a Ideal tubing length should be 22 inches to dampen the distortion
.
of sound.
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 Slope of the earpieces should point posteriorly (toward the
.
occiput).
QUESTION 4
1. Before auscultating the abdomen for the presence of bowel
sounds on a patient, the nurse should:
This study source was downloaded by 100000839495789 from CourseHero.com on 05-22-2022 22:48:39 GMT -05:00
https://www.coursehero.com/file/38685870/Health-Assessment-Exam-3docx/
, a Warm the end piece of the stethoscope by placing it in warm
.
water.
b Check the temperature of the room, and offer blankets to
.
the patient if he or she feels cold.
c Ensure that the bell side of the stethoscope is turned to the “on”
.
position.
d Leave the gown on the patient to ensure that he or she does not
.
get chilled during the examination.
QUESTION 5
1. The nurse is unable to palpate the right radial pulse on a patient.
The best action would be to:
a Use a Doppler device to check for
.
pulsations over the area.
b Use a goniometer to measure the pulsations.
.
c Check for the presence of pulsations with a
.
stethoscope.
d Auscultate over the area with a fetoscope.
.
QUESTION 6
1. When measuring a patient’s weight, the nurse is aware of which
of these guidelines?
a Attempts should be made to weigh the patient at
.
approximately the same time of day, if a sequence of
weights is necessary.
b The patient may leave on his or her jacket and shoes as long as
.
these are documented next to the weight.
c The patient is always weighed wearing only his or her
.
undergarments.
d The type of scale does not matter, as long as the weights are
.
similar from day to day.
QUESTION 7
This study source was downloaded by 100000839495789 from CourseHero.com on 05-22-2022 22:48:39 GMT -05:00
https://www.coursehero.com/file/38685870/Health-Assessment-Exam-3docx/
