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NR-509 Week 3 Quiz NR 509 Advanced Assessment Chapter 57: Stroke L
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When performing a physical B. Inspection
assessment, the first technique
the nurse will always use
A. Palpation
B. Inspection
C. Percussion
D. Auscultation
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The nurse is preparing to B. Takes time and reveals a surprising amount of information
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
,The nurse is assessing a patient's B. Dorsal surface of the hand; the skin is thinner on this surface
skin during an office visit. What than on the palms
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.
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Which of these techniques uses A. Palpation
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
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The nurse is preparing to assess D. The assessment begins with light palpation to detect surface
a patient's abdomen by characteristics and to accustom the patient to being touched.
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 accustom
the patient to being touched.
,The nurse would use bimanual B. Palpating the kidneys and the uterus
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
The nurse is preparing to C. Density
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
The nurse is reviewing A. Percussing once over each area
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
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When percussing over the liver A. Consider this a normal finding
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
, The nurse is unable to identify C. Increase the amount of strength used when attempting to
any changes in sound when percuss over the abdomen
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.
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The nurse hears bilateral loud, D. Consider this finding as normal for a child this age and
long and low tones when proceed with the examination
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
A patient has suddenly B. Bilaterally percuss the thorax, noting any differences in
developed shortness of breath percussion tones
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 masses and bleeding
associated with respirations