NR 509 week 2 Questions and
Answers (100% Correct Answers)
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When performing a physical assessment, the first technique
the nurse will always use
A. Palpation
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B. Inspection
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C. Percussion
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D. Auscultation Ans: B. Inspection
The nurse is preparing to 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 Ans: B. Takes time and reveals a
surprising amount of information
The nurse is assessing a patient's skin during an office visit.
What part of the hand and technique should be used to best
assess the patient's skin temperature?
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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
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sensitive to temperature variations because of its increased
nerve supply in this area. Ans: B. Dorsal surface of the hand;
the skin is thinner on this surface than on the palms
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Which of these techniques uses 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 Ans: A. Palpation
The nurse is preparing to assess a patient's abdomen by
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
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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. Ans: 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 technique in which
situation?
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A. Palpating the thorax of an infant
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B. Palpating the kidneys and the uterus
C. Assessing pulsations and vibrations
D. Assessing the presence of tenderness and pain Ans: B.
Palpating the kidneys and the uterus
The nurse is preparing to 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 Ans: C. Density
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The nurse is reviewing 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
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D. Using the wrist to make the strikes, not the arm Ans: A.
Percussing once over each area
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When percussing over the liver 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 Ans: A. Consider this a normal finding
The nurse is unable to identify any changes in sound when
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