Verified Correct Answers
A nurse instructs a patient to assume the lithotomy position. For what does the nurse plan to assess?
- Correct Answer Genitalia and genital tract
The nurse prepares to conduct a general survey on an adult patient. Which assessment is performed
first while the nurse initiates the nurse-patient relationship?` - Correct Answer Inspecting appearance
and behavior
During the physical examination of a patient, the nurse listens to the heart sounds to detect
variations from normal. Which physical examination technique is the nurse performing? - Correct
Answer Auscultation
A nurse taps a patient's skin with the fingertips to vibrate underlying tissues and organs. Which
physical assessment technique is the nurse using? - Correct Answer Percussion
A nurse is examining a patient's skin using palpation. Which action made by the nurse needs
correction?
1) Checking the patient's skin turgor and elasticity by using the dorsum of the hand
2) Checking the patient's skin texture using the palmar surface of the hand
3) Checking the patient's skin thickness with the palmar surface of the hand
4)Checking the patient's temperature using the dorsum of the hand or fingers - Correct Answer 1)
Checking the patient's skin turgor and elasticity by using the dorsum of the hand
Which physical examination technique is used to measure lymph swelling? - Correct Answer
Palpation of the lymph nodes using the pads of the fingers
The nurse is teaching a young mother to palpate her 8-year-old child to quickly evaluate whether the
child has a fever. Which information is important for the nurse to include? - Correct Answer Place the
back of your hand against the child's forehead
Which scale is used to weigh infants? - Correct Answer Platform scale
, A patient is scheduled for angiography. The nurse observes that the patient is anxious and unwilling
to sit through the procedure. What would be the most appropriate nursing action? - Correct Answer
Reschedule the angiography and provide more information about the procedure.
Which nursing action is most appropriate when preparing to perform a physical examination on a
patient? - Correct Answer Maintaining the appropriate room temperature
Which position provides easy access to a patient's pulse sites during a physical examination? -
Correct Answer Supine
The nurse is measuring the body temperature of a patient. How can the nurse check a patient's body
temperature using a palpation technique? - Correct Answer By using the dorsal surface of the hand
A patient comes to a clinic for a regular checkup. The nurse is performing a physical examination of
the patient. Which interventions should the nurse follow during inspection to get the best results?
Select all that apply.
A) Make sure that adequate lighting is available.
B)Use a penlight or lamp to inspect body cavities.
C) Inspect each area for size, shape, color, symmetry, position, and abnormality.
D)Expose the patient completely for an easy inspection.
E) Check for side-to-side symmetry. - Correct Answer A,B,C,E
A nurse is preparing to perform a physical examination of a patient who is allergic to latex. Which
equipment should the nurse avoid using? Select all that apply.
A) Rubber aprons
B) Neoprene gloves
C) Disposable syringes
D) Covered blood pressure cuffs
E) Stethoscope with covered tubing - Correct Answer A, C
Which patient position promotes relaxation of abdominal muscles during a physical examination? -
Correct Answer Dorsal recumbent