Jensen chapter 3 Test Questions with Correct Answers Latest Update 2025-2026
After the physical examination of a client, a nurse disposes of the used gloves. The nurse has
not come in contact with any body fluids or excretion, mucous membranes, non-intact skin, or
wound dressings. The nurse's hands do not appear to be visibly soiled. What hand hygiene
should the nurse perform?
-Nonantimicrobial soap and water with friction
-Hand wash with antiseptic soap
-Application of an antiseptic handrub
-No washing is needed because hands are not soiled - Answers application of an antiseptic
handrub
Which action by a nurse demonstrates the correct application of the principles of standard
precautions?
-Using an antiseptic hand scrub to cleanse visibly soiled hands.
-Wearing a gown, gloves, and mask for the physical exam
-Wearing gloves when palpating the tongue, lips, & gums
-Change gloves after each body area is examined - Answers Wearing gloves when palpating the
tongue, lips, & gums
A nurse will be performing a complete physical examination of a man who has emphysema with
a chronic productive cough, including an assessment of his oral cavity. Which pieces of
personal protective equipment should the nurse wear?
-Gloves, mask, protective eye goggles, gown
-Gloves, gown
-Mask, protective eye goggles, gown
-Mask, protective eye goggles - Answers gloves, mask, protective eye goggles, gown
The nurse is preparing to auscultate sounds that have a lower pitch. Which equipment should
be used to complete this assessment?
-Doppler
-stethoscope bell
-sphygmomanometer
,-stethoscope diaphragm - Answers stethoscope bell
A nurse needs to obtain a pulse on a client. Which physical assessment technique should the
nurse use?
-Light palpation
-Moderate palpation
-Deep palpation
-Bimanual palpation - Answers light palpation
A nurse is beginning the physical examination of an elderly man with chronic obstructive
pulmonary disease. In which order should the nurse implement the four physical assessment
techniques with this client?
-Auscultation, percussion, palpation, inspection
-Percussion, palpation, inspection, auscultation
-Palpation, inspection, auscultation, percussion
-Inspection, palpation, percussion, auscultation - Answers Inspection, palpation, percussion,
auscultation
During palpation of a client's organs, the nurse palpates the spleen by applying pressure
between 2.5 and 5 cm. The nurse is performing
-light palpation.
-moderate palpation.
-deep palpation.
-very deep palpation. - Answers deep palpation
During a comprehensive assessment of the lungs of an adult client with a diagnosis of
emphysema, the nurse anticipates that during percussion the client will exhibit
-hyperresonance.
-tympany.
-dullness.
-flatness. - Answers hyperresonance
In the course of performing a client's physical assessment, the nurse has changed from using
, the diaphragm of the stethoscope to using the bell. The nurse is most likely assessing which of
the following?
-Bowel sounds
-Breath sounds
-Heart sounds
-Femoral pulses - Answers heart sounds
During a physical examination of a client, the nurse assesses the size of the liver. Which of the
following techniques should the nurse use for this assessment?
-Inspection
-Palpation
-Percussion
-Auscultation - Answers palpation
Which is an example of palpation? Select all that apply.
-The nurse detects a small mass in the epigastric area.
-The nurse detects crepitus over the individual's thorax.
-The nurse detects increased warmth surrounding an abdominal incision.
-The nurse detects fruity odor of the patient's breath.
-The nurse detects dullness over the liver. - Answers -The nurse detects a small mass in the
epigastric area.
-The nurse detects crepitus over the individual's thorax.
-The nurse detects increased warmth surrounding an abdominal incision.
A nurse is palpating a child's forehead for signs of fever. Which part of the hand should the
nurse use?
-Fingerpads
-Ulnar surface
-Palmar surface
-Dorsal surface - Answers dorsal surface
After the physical examination of a client, a nurse disposes of the used gloves. The nurse has
not come in contact with any body fluids or excretion, mucous membranes, non-intact skin, or
wound dressings. The nurse's hands do not appear to be visibly soiled. What hand hygiene
should the nurse perform?
-Nonantimicrobial soap and water with friction
-Hand wash with antiseptic soap
-Application of an antiseptic handrub
-No washing is needed because hands are not soiled - Answers application of an antiseptic
handrub
Which action by a nurse demonstrates the correct application of the principles of standard
precautions?
-Using an antiseptic hand scrub to cleanse visibly soiled hands.
-Wearing a gown, gloves, and mask for the physical exam
-Wearing gloves when palpating the tongue, lips, & gums
-Change gloves after each body area is examined - Answers Wearing gloves when palpating the
tongue, lips, & gums
A nurse will be performing a complete physical examination of a man who has emphysema with
a chronic productive cough, including an assessment of his oral cavity. Which pieces of
personal protective equipment should the nurse wear?
-Gloves, mask, protective eye goggles, gown
-Gloves, gown
-Mask, protective eye goggles, gown
-Mask, protective eye goggles - Answers gloves, mask, protective eye goggles, gown
The nurse is preparing to auscultate sounds that have a lower pitch. Which equipment should
be used to complete this assessment?
-Doppler
-stethoscope bell
-sphygmomanometer
,-stethoscope diaphragm - Answers stethoscope bell
A nurse needs to obtain a pulse on a client. Which physical assessment technique should the
nurse use?
-Light palpation
-Moderate palpation
-Deep palpation
-Bimanual palpation - Answers light palpation
A nurse is beginning the physical examination of an elderly man with chronic obstructive
pulmonary disease. In which order should the nurse implement the four physical assessment
techniques with this client?
-Auscultation, percussion, palpation, inspection
-Percussion, palpation, inspection, auscultation
-Palpation, inspection, auscultation, percussion
-Inspection, palpation, percussion, auscultation - Answers Inspection, palpation, percussion,
auscultation
During palpation of a client's organs, the nurse palpates the spleen by applying pressure
between 2.5 and 5 cm. The nurse is performing
-light palpation.
-moderate palpation.
-deep palpation.
-very deep palpation. - Answers deep palpation
During a comprehensive assessment of the lungs of an adult client with a diagnosis of
emphysema, the nurse anticipates that during percussion the client will exhibit
-hyperresonance.
-tympany.
-dullness.
-flatness. - Answers hyperresonance
In the course of performing a client's physical assessment, the nurse has changed from using
, the diaphragm of the stethoscope to using the bell. The nurse is most likely assessing which of
the following?
-Bowel sounds
-Breath sounds
-Heart sounds
-Femoral pulses - Answers heart sounds
During a physical examination of a client, the nurse assesses the size of the liver. Which of the
following techniques should the nurse use for this assessment?
-Inspection
-Palpation
-Percussion
-Auscultation - Answers palpation
Which is an example of palpation? Select all that apply.
-The nurse detects a small mass in the epigastric area.
-The nurse detects crepitus over the individual's thorax.
-The nurse detects increased warmth surrounding an abdominal incision.
-The nurse detects fruity odor of the patient's breath.
-The nurse detects dullness over the liver. - Answers -The nurse detects a small mass in the
epigastric area.
-The nurse detects crepitus over the individual's thorax.
-The nurse detects increased warmth surrounding an abdominal incision.
A nurse is palpating a child's forehead for signs of fever. Which part of the hand should the
nurse use?
-Fingerpads
-Ulnar surface
-Palmar surface
-Dorsal surface - Answers dorsal surface
