1. When performing a physical assessment, the first technique the nurse will
always use is:
a Inspection
. .
b Percussion
. .
c
. Palpation.
d Auscultati
.
on.
1 points
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.
1 points
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).
1 points
QUESTION 4
, 1. Before auscultating the abdomen for the presence of bowel sounds on a
patient, the nurse should:
a. Warm the endpiece 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.
1 points
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.
1 points
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.
1 points
QUESTION 7
1. The nurse is assessing an 80-year-old male patient. Which assessment
findings would be considered normal?
a. Additional deposits of fat on the thighs and lower legs