ANSWERS 100% CORRECT
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? - ANSWER-reflex hammer
A nurse on an oncology unit enters a client's room to auscultate bowel sounds. What
should the nurse do before auscultating? - ANSWER-Disinfect the stethoscope
before touching the client
What guidelines should the nurse keep in mind while performing auscultation? -
ANSWER-Eliminate 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? - ANSWER-wear gloves to palpate the
tongue and buccal membranes
During a comprehensive assessment, the primary technique used by the nurse
throughout the examination is - ANSWER-inspection
Light palpation is most appropriate to assess the - ANSWER-inflamed areas of the
skin
Which of the following techniques are used in a physical assessment? Select all that
apply. - ANSWER-auscultation
inspection
palpation