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NR 509 week 2 EXAM QUESTIONS AND CORRECT DETAILED ANSWERS

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NR 509 week 2 EXAM QUESTIONS AND CORRECT DETAILED ANSWERS

Instelling
NR 509 W
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NR 509 w

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NR 509 week 2 EXAM 2024-2025

QUESTIONS AND CORRECT DETAILED ANSWERS

When performing a physical assessment, the first technique the nurse will always
use
A. Palpation
B. Inspection
C. Percussion
D. Auscultation

Ans: B. Inspection

Quiz The nurse is preparing to perform a physical assessment. Which statement is
true about the physical assessment? The inspection phase:
A. Usually yields little information
B. Takes time and reveals a surprising amount of information
C. May be somewhat uncomfortable for the expert practitioner
D. Requires a quick glance at the patient's body systems before proceeding with
palpation

Ans: B. Takes time and reveals a surprising amount of information

Quiz 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. Dorsal surface of the hand; the skin is thinner on this surface than on the palms
C. Ulnar portion of the hand, increased blood supply in this area enhances
temperature sensitivity
D. Palmar surface of the hand; this surface is the most sensitive to temperature va

Ans: B. Dorsal surface of the hand; the skin is thinner on this surface than on the
palms

Quiz Which of these techniques uses the sense of touch to assess texture,
temperature, moisture, and swelling when the nurse is assessing a patient?
A. Palpation
B. Inspection

,C. Percussion
D. Auscultation

Ans: A. Palpation

Quiz The nurse is preparing to assess a patient's abdomen by palpation. How should
the nurse proceed?
A. Palpation of reportedly tender areas are avoided because palpation in these areas
may cause pain
B. Palpating a tender area is quickly performed to avoid any discomfort that the
patient may experience
C. The assessment begins with deep palpation, while encouraging the patient to
relax and to take deep breaths.
D. The assessment begins with light palpation to detect surface characteristics and
to a

Ans: D. The assessment begins with light palpation to detect surface characteristics
and to accustom the patient to being touched.

Quiz The nurse would use bimanual palpation technique in which situation?
A. Palpating the thorax of an infant
B. Palpating the kidneys and the uterus
C. Assessing pulsations and vibrations
D. Assessing the presence of tenderness and pain

Ans: B. Palpating the kidneys and the uterus

Quiz The nurse is preparing to percuss the abdomen of a patient. The purpose of the
percussion is to assess the ___________ of the underlying tissue.
A. Turgor
B. Texture
C. Density
D. Consistency

Ans: C. Density

Quiz The nurse is reviewing percussion techniques with a newly graduated nurse.
Which technique, if used by the new nurse, indicates that more review is needed?
A. Percussing once over each area
B. Quickly lifting be striking finger after each stroke
C. Striking with the fingertip, not the finger pad
D. Using the wrist to make the strikes, not the arm

Ans: A. Percussing once over each area

Quiz When percussing over the liver of a patient, the nurse notices a dull sound. The
nurse should:
A. Consider this a normal finding
B. Palpate this area for an underlying mass
C. Reposition the hands, and attempt to percuss in this area again

,D. Consider this finding abnormal, and refer the patient for additional treatment

Ans: A. Consider this a normal finding

Quiz The nurse is unable to identify any changes in sound when percussing over the
abdomen of an obese patient. What should the nurse do next?
A. Ask the patient to take deep breaths to relax the abdominal musculature
B. Consider this finding as normal and proceed with the abdominal assessment
C. Increase the amount of strength used when attempting to percuss over the
abdomen
D. Decrease the amount of strength used when attempting to percuss over the
abdomen.

Ans: C. Increase the amount of strength used when attempting to percuss over the
abdomen

Quiz The nurse hears bilateral loud, long and low tones when percussing over the
lungs of a 4 year old child. The nurse should
A. Palpate over the area for increased pain and tenderness
B. Ask the child to take shallow breaths and percuss over the area again
C. Immediately refer the child because of an increased amount of air in the lungs
D. Consider this finding as normal for a child this age and proceed with the
examination

Ans: D. Consider this finding as normal for a child this age and proceed with the
examination

Quiz A patient has suddenly developed shortness of breath and appears to be
insignificant respiratory distress. After calling the position and placing the patient on
oxygen, which of these actions is the best for the nurse to take went further assisting
this patient?
A. Count the patient's respirations
B. Bilaterally percuss the thorax, noting any differences in percussion tones
C. Call for a chest x-ray study and wait for the results before beginning an
assessment
D. Inspect the thorax for any new m

Ans: B. Bilaterally percuss the thorax, noting any differences in percussion tones

Quiz The nurse is teaching a class on basic assessment skills. Which of these
statements is true regarding the stethoscope and its use?
A. Slope of the earpieces should point posteriorly (toward to occiput)
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. Ideal tubing length should be 22 inches to dampen the distortion of sound

Ans: B. Although the stethoscope does not magnify sound, it does block out
extraneous room noise

, Quiz The nurse is preparing to use a stethoscope for auscultation. Which statement
is true regarding the diaphragm of the stethoscope? The diaphragm:
A. Is used to listen for high-pitched sounds
B. Is used to listen for low-pitched sounds
C. Should be lightly held against the persons skin to block out low-pitched sounds
D. Should be lightly held again the person skin to listen for extra heart sounds and
murmurs

Ans: A. Is used to listen for high-pitched sounds

Quiz 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. Leave the gown on the patient to ensure that she or he does not get chilled during
the examination
C. Ensure that the bell side of the stethoscope is turned to the on position
D. Check the temperature of the room and offer blankets to the patient if she or he
feels cold.

Ans: D. Check the temperature of the room and offer blankets to the patient if she or
he feels cold.

Quiz The nurse will use which technique of assessment to determine the presence of
crepitus, swelling and pulsations?
A. Palpation
B. Inspection
C. Percussion
D. Auscultation

Ans: A. Palpation

Quiz The nurse is preparing to use an otoscope for an examination. Which statement
is true regarding the otoscope? The otoscope:
A. Is often used to direct light onto the sinuses
B. Uses a short, broad speculum to help visualize the ear
C. Is used to examine the structures of the internal ear
D. Directs light into the ear canal and onto the tympanic membrane

Ans: D. Directs light into the ear canal and onto the tympanic membrane

Quiz An examiner is using an ophthalmoscope to examine a patient's eyes. The
patient has astigmatism and is nearsighted. The use of which of these techniques
would indicate that the examination is being correctly performed?
A. Using the large full circle of light when assessing pupils that are not dilated
B. Rotating the lens selector dial to the black numbers to compensate for
astigmatism
C. Using the grid on the lens aperture to visualize the external structures of the eye
D. Rotating the lens sele

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