NURS 190 West Coast University -NURS 190
Quiz #3 Questions With Complete Solutions
#Basic Assessment Techniques - correct answerFor all others
-Inspection
-Auscultation
-Percussion
-Palpation
Abdm
-Palpation
-Percussion
When the client refuses to continue the examination - correct answerDocument what
was done
&
What was refused
Inspection - correct answer*Observe*
-beginning to end
-in a systemic manner
*Talk* (speech)
*Observe for*
-Symmetry, color size, shape, contour, movement, drainage
*Sound*
*Smell*
Palpation - correct answerUsed to find
-Size
-Shape
-Location
-Mobility
-Position
-Vibrations
>Fremitus
,NURS 190 West Coast University -NURS 190
Quiz #3 Questions With Complete Solutions
-Temperature
-Texture
-Moisture
-Tenderness
-Edema
Sensitive Areas of the Hand for Palpation - correct answerDorsal surface
Finger tips
Finger pads
Ulnar surface of the hand
Metacarpophalangeal-base of fingers
Palmar surface of the fingers
Sensitive Areas of the Hand for Palpation (*Dorsal surface*) - correct answerSkin Temp
Sensitive Areas of the Hand for Palpation (*Finger tips*) - correct answerPercussion
Sensitive Areas of the Hand for Palpation (*Finger pads*) - correct answerPulses
Crepitus
&
*Lymph nodes*
Sensitive Areas of the Hand for Palpation (*Ulnar surface of the hand*) - correct
answerFremitus
Sensitive Areas of the Hand for Palpation (*Metacarpophalangeal*) - correct
answerBase of the fingers
Fremitus
Sensitive Areas of the Hand for Palpation (*Palmar surface of the hand*) - correct
answerFremitus
Sensitive Areas of the Hand for Palpation (*Palmar surface of the fingers*) - correct
answerConsistensy
,NURS 190 West Coast University -NURS 190
Quiz #3 Questions With Complete Solutions
Texture
Size
&
Pain
Types of Palpation - correct answerLight
Moderate
Deep
Types of Palpation (*Light Palpation*) - correct answerdepth of *1/2* to *1 cm*
-Surface
-Skin
-Pulse
-Inflamed and/or tender area
Types of Palpation (*Moderate Palpation*) - correct answerdepth of *1* to *2 cm*
-Pressure
-Depth
-Size
-Shape
-Consistency
-Mobility of organs
*Moderate palpation may use a hand behind back to palpate deep*
Types of Palpation (*Deep Palpation*) - correct answerdepth of *2* to *4 cm*
-Palpate an organ that lies deep in cavity
-Use w/ CAUTION
, NURS 190 West Coast University -NURS 190
Quiz #3 Questions With Complete Solutions
Ex.
>Bladder
>Uterus
>Kidney
>Spleen
*Deep palpation may use a hand behind back to palpate deep*
Percussion - correct answerFrom the latin work "Percutire"
-means to strike through
Used to assess
-Pain/tenderness
-Size
-Shape
-Masses
>Solid, air, fluid
Types of Percussion - correct answer*Direct*-directly tap the site
*Indirect*-Putting your and down and tapping it (block and tap)
*Blunt*-blocking your hand and striking bottom of your fist
Percussion Sounds (*Tympany*) - correct answerLoud high pitched drum-like tone
Area ex.
Organ filled w/ air (gastric bubble)
Percussion Sounds (*Resonance*) - correct answerLoud, low-pitched hollow tone of
long duration
Ex. Normal lung sound
-can be hear between the ribs to the lungs
Percussion Sounds (*Hyperresonance*) - correct answerAbnormally loud, low tone of
longer duration
Ex. Air trapped in lungs
Percussion Sounds (*Dullness*) - correct answerThud like sound over consolidated
area
Ex. Liver & Heart
Quiz #3 Questions With Complete Solutions
#Basic Assessment Techniques - correct answerFor all others
-Inspection
-Auscultation
-Percussion
-Palpation
Abdm
-Palpation
-Percussion
When the client refuses to continue the examination - correct answerDocument what
was done
&
What was refused
Inspection - correct answer*Observe*
-beginning to end
-in a systemic manner
*Talk* (speech)
*Observe for*
-Symmetry, color size, shape, contour, movement, drainage
*Sound*
*Smell*
Palpation - correct answerUsed to find
-Size
-Shape
-Location
-Mobility
-Position
-Vibrations
>Fremitus
,NURS 190 West Coast University -NURS 190
Quiz #3 Questions With Complete Solutions
-Temperature
-Texture
-Moisture
-Tenderness
-Edema
Sensitive Areas of the Hand for Palpation - correct answerDorsal surface
Finger tips
Finger pads
Ulnar surface of the hand
Metacarpophalangeal-base of fingers
Palmar surface of the fingers
Sensitive Areas of the Hand for Palpation (*Dorsal surface*) - correct answerSkin Temp
Sensitive Areas of the Hand for Palpation (*Finger tips*) - correct answerPercussion
Sensitive Areas of the Hand for Palpation (*Finger pads*) - correct answerPulses
Crepitus
&
*Lymph nodes*
Sensitive Areas of the Hand for Palpation (*Ulnar surface of the hand*) - correct
answerFremitus
Sensitive Areas of the Hand for Palpation (*Metacarpophalangeal*) - correct
answerBase of the fingers
Fremitus
Sensitive Areas of the Hand for Palpation (*Palmar surface of the hand*) - correct
answerFremitus
Sensitive Areas of the Hand for Palpation (*Palmar surface of the fingers*) - correct
answerConsistensy
,NURS 190 West Coast University -NURS 190
Quiz #3 Questions With Complete Solutions
Texture
Size
&
Pain
Types of Palpation - correct answerLight
Moderate
Deep
Types of Palpation (*Light Palpation*) - correct answerdepth of *1/2* to *1 cm*
-Surface
-Skin
-Pulse
-Inflamed and/or tender area
Types of Palpation (*Moderate Palpation*) - correct answerdepth of *1* to *2 cm*
-Pressure
-Depth
-Size
-Shape
-Consistency
-Mobility of organs
*Moderate palpation may use a hand behind back to palpate deep*
Types of Palpation (*Deep Palpation*) - correct answerdepth of *2* to *4 cm*
-Palpate an organ that lies deep in cavity
-Use w/ CAUTION
, NURS 190 West Coast University -NURS 190
Quiz #3 Questions With Complete Solutions
Ex.
>Bladder
>Uterus
>Kidney
>Spleen
*Deep palpation may use a hand behind back to palpate deep*
Percussion - correct answerFrom the latin work "Percutire"
-means to strike through
Used to assess
-Pain/tenderness
-Size
-Shape
-Masses
>Solid, air, fluid
Types of Percussion - correct answer*Direct*-directly tap the site
*Indirect*-Putting your and down and tapping it (block and tap)
*Blunt*-blocking your hand and striking bottom of your fist
Percussion Sounds (*Tympany*) - correct answerLoud high pitched drum-like tone
Area ex.
Organ filled w/ air (gastric bubble)
Percussion Sounds (*Resonance*) - correct answerLoud, low-pitched hollow tone of
long duration
Ex. Normal lung sound
-can be hear between the ribs to the lungs
Percussion Sounds (*Hyperresonance*) - correct answerAbnormally loud, low tone of
longer duration
Ex. Air trapped in lungs
Percussion Sounds (*Dullness*) - correct answerThud like sound over consolidated
area
Ex. Liver & Heart
