6001
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? - answer application of an
antiseptic handrub
Which action by a nurse demonstrates the correct application of the principles of
standard precautions? - answer wearing gloves when palpating the tongue, lips, and
gums
The nurse is preparing to auscultate sounds that have a lower pitch. Which equipment
should be used to complete this assessment? - answer stethoscope bell
The nurse selects a tuning fork to use when assessing a client. Which body system is
the nurse most likely assessing? - answer peripheral vascular
A client is experiencing weakness of the left side of the body. Which piece of equipment
should the nurse use to determine if the client's neurologic system is intact? -
answerreflex hammer
A nurse on an oncology unit enters a client's room to auscultate bowel sounds. What
should the nurse do before auscultating? - answerDisinfect the stethoscope before
touching the client
What guidelines should the nurse keep in mind while performing auscultation? -
answerEliminate distracting noise from the environment
A nurse is admitting a new client to the subacute medical unit and is completing a
comprehensive assessment. The nurse is appropriately applying standard precautions
by performing what action? - answerwear gloves to palpate the tongue and buccal
membranes
During a comprehensive assessment, the primary technique used by the nurse
throughout the examination is - answerinspection
Light palpation is most appropriate to assess the - answerinflamed areas of the skin
Which of the following techniques are used in a physical assessment? Select all that
apply. - answerauscultation
inspection
palpation
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? - answer application of an
antiseptic handrub
Which action by a nurse demonstrates the correct application of the principles of
standard precautions? - answer wearing gloves when palpating the tongue, lips, and
gums
The nurse is preparing to auscultate sounds that have a lower pitch. Which equipment
should be used to complete this assessment? - answer stethoscope bell
The nurse selects a tuning fork to use when assessing a client. Which body system is
the nurse most likely assessing? - answer peripheral vascular
A client is experiencing weakness of the left side of the body. Which piece of equipment
should the nurse use to determine if the client's neurologic system is intact? -
answerreflex hammer
A nurse on an oncology unit enters a client's room to auscultate bowel sounds. What
should the nurse do before auscultating? - answerDisinfect the stethoscope before
touching the client
What guidelines should the nurse keep in mind while performing auscultation? -
answerEliminate distracting noise from the environment
A nurse is admitting a new client to the subacute medical unit and is completing a
comprehensive assessment. The nurse is appropriately applying standard precautions
by performing what action? - answerwear gloves to palpate the tongue and buccal
membranes
During a comprehensive assessment, the primary technique used by the nurse
throughout the examination is - answerinspection
Light palpation is most appropriate to assess the - answerinflamed areas of the skin
Which of the following techniques are used in a physical assessment? Select all that
apply. - answerauscultation
inspection
palpation
