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NR 509 WEEK 2 EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (298)
When performing a physical B. Inspection
assessment, the first technique the
nurse will always use
A. Palpation
B. Inspection
C. Percussion
D. Auscultation
The nurse is preparing to perform a B. Takes time and reveals a surprising amount of information
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
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The nurse is assessing a patient's skin B. Dorsal surface of the hand; the skin is thinner on this surface than on the palms
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
variations because of its increased nerve
supply in this area.
Which of these techniques uses the A. Palpation
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
The nurse is preparing to assess a D. The assessment begins with light palpation to detect surface characteristics
patient's abdomen by palpation. How and to accustom the patient to being touched.
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 accustom the
patient to being touched.
The nurse would use bimanual palpation B. Palpating the kidneys and the uterus
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
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The nurse is preparing to percuss the C. Density
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
The nurse is reviewing percussion A. Percussing once over each area
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
When percussing over the liver of a A. Consider this a normal finding
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
The nurse is unable to identify any C. Increase the amount of strength used when attempting to percuss over the
changes in sound when percussing over abdomen
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.
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