MIDTERM AWHONN ADVANCED
FETAL MONITORING EXAM
LATEST ACTUAL EXAM 300
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES (VERIFIED
ANSWERS) ALREADY GRADED
A+
When performing a physical assessment, the first technique the nurse will always use
is:
a. Palpation.
b. Inspection.
c. Percussion.
d. Auscultation. - CORRECT ANSWER>>>>b. Inspection.
The skills requisite for the physical examination are inspection, palpation, percussion,
and auscultation. The skills are performed one at a time and in this order (with the
exception of the abdominal assessment, during which auscultation takes place before
palpation and percussion). The assessment of each body system begins with
inspection. A focused inspection takes time and yields a surprising amount of
information.
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 patients body systems before proceeding with
palpation. - CORRECT ANSWER>>>>b. Takes time and reveals a surprising
amount of information.
A focused inspection takes time and yields a surprising amount of information.
Initially, the examiner may feel uncomfortable, staring at the person without also
,doing something. A focused assessment is significantly more than a quick
glance.
The nurse is assessing a patients skin during an office visit. What part of the hand and
technique should be used to best assess the patients skin temperature?
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 sensitive to temperature
variations because of its increased nerve supply in this area. - CORRECT
ANSWER>>>>b. Dorsal surface of the hand; the skin is thinner on this surface
than on the palms.
The dorsa (backs) of the hands and fingers are best for determining temperature
because the skin is thinner on the dorsal surfaces than on the palms. Fingertips
are best for fine, tactile discrimination. The other responses are not useful for
palpation.
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 - CORRECT ANSWER>>>>a. Palpation
Palpation uses the sense of touch to assess the patient for these factors.
Inspection involves vision; percussion assesses through the use of palpable
vibrations and audible sounds; and auscultation uses the sense of hearing.
The nurse is preparing to assess a patients 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.
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. - CORRECT ANSWER>>>>d. The assessment
begins with light palpation to detect surface characteristics and to accustom the
patient to being touched.
,Light palpation is initially performed to detect any surface characteristics and to
accustom the person to being touched. Tender areas should be palpated last, not
first.
The nurse would use bimanual palpation technique in which situation?
a. Palpating the thorax of an infant
b. Palpating the kidneys and uterus
c. Assessing pulsations and vibrations
d. Assessing the presence of tenderness and pain - CORRECT ANSWER>>>>b.
Palpating the kidneys and uterus
Bimanual palpation requires the use of both hands to envelop or capture certain
body parts or organs such as the kidneys, uterus, or adnexa. The other situations
are not appropriate for bimanual palpation.
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 - CORRECT ANSWER>>>>c. Density
Percussion yields a sound that depicts the location, size, and density of the
underlying organ. Turgor and texture are assessed with palpation.
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 the striking finger after each stroke
c. Striking with the fingertip, not the finger pad
d. Using the wrist to make the strikes, not the arm - CORRECT ANSWER>>>>a.
Percussing once over each area
For percussion, the nurse should percuss two times over each location. The
striking finger should be quickly lifted because a resting finger damps off
vibrations. The tip of the striking finger should make contact, not the pad of the
finger. The wrist must be relaxed and is used to make the strikes, not the arm.
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 as abnormal, and refer the patient for additional treatment. -
CORRECT ANSWER>>>>a. Consider this a normal finding.
Percussion over relatively dense organs, such as the liver or spleen, will produce
a dull sound. The other responses are not correct.
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.
b. Consider this finding as normal, and proceed with the abdominal assessment.
c. Increase the amount of strength used when attempting to percuss over the abdomen.
d. Decrease the amount of strength used when attempting to percuss over the
abdomen. - CORRECT ANSWER>>>>c. Increase the amount of strength used
when attempting to percuss over the abdomen.
The thickness of the persons body wall will be a factor. The nurse needs a
stronger percussion stroke for persons with obese or very muscular body walls.
The force of the blow determines the loudness of the note. The other actions are
not correct.
The nurse hears bilateral loud, long, and low tones when percussing over the lungs of a
4-year-old child. The nurse should:
a. Palpate over the area for increased pain and tenderness.
b. Ask the child to take shallow breaths, and percuss over the area again.
c. Immediately refer the child because of an increased amount of air in the lungs.
d. Consider this finding as normal for a child this age, and proceed with the
examination. - CORRECT ANSWER>>>>d. Consider this finding as normal for a
child this age, and proceed with the examination.
Percussion notes that are loud in amplitude, low in pitch, of a booming quality,
and long in duration are normal over a childs lung.
A patient has suddenly developed shortness of breath and appears to be in significant
respiratory distress. After calling the physician and placing the patient on oxygen, which
of these actions is the best for the nurse to take when further assessing the patient?
a. Count the patients respirations.
b. Bilaterally percuss the thorax, noting any differences in percussion tones.
c. Call for a chest x-ray study, and wait for the results before beginning an assessment.
d. Inspect the thorax for any new masses and bleeding associated with respirations. -
CORRECT ANSWER>>>>b. Bilaterally percuss the thorax, noting any differences
in percussion tones.
FETAL MONITORING EXAM
LATEST ACTUAL EXAM 300
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES (VERIFIED
ANSWERS) ALREADY GRADED
A+
When performing a physical assessment, the first technique the nurse will always use
is:
a. Palpation.
b. Inspection.
c. Percussion.
d. Auscultation. - CORRECT ANSWER>>>>b. Inspection.
The skills requisite for the physical examination are inspection, palpation, percussion,
and auscultation. The skills are performed one at a time and in this order (with the
exception of the abdominal assessment, during which auscultation takes place before
palpation and percussion). The assessment of each body system begins with
inspection. A focused inspection takes time and yields a surprising amount of
information.
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 patients body systems before proceeding with
palpation. - CORRECT ANSWER>>>>b. Takes time and reveals a surprising
amount of information.
A focused inspection takes time and yields a surprising amount of information.
Initially, the examiner may feel uncomfortable, staring at the person without also
,doing something. A focused assessment is significantly more than a quick
glance.
The nurse is assessing a patients skin during an office visit. What part of the hand and
technique should be used to best assess the patients skin temperature?
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 sensitive to temperature
variations because of its increased nerve supply in this area. - CORRECT
ANSWER>>>>b. Dorsal surface of the hand; the skin is thinner on this surface
than on the palms.
The dorsa (backs) of the hands and fingers are best for determining temperature
because the skin is thinner on the dorsal surfaces than on the palms. Fingertips
are best for fine, tactile discrimination. The other responses are not useful for
palpation.
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 - CORRECT ANSWER>>>>a. Palpation
Palpation uses the sense of touch to assess the patient for these factors.
Inspection involves vision; percussion assesses through the use of palpable
vibrations and audible sounds; and auscultation uses the sense of hearing.
The nurse is preparing to assess a patients 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.
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. - CORRECT ANSWER>>>>d. The assessment
begins with light palpation to detect surface characteristics and to accustom the
patient to being touched.
,Light palpation is initially performed to detect any surface characteristics and to
accustom the person to being touched. Tender areas should be palpated last, not
first.
The nurse would use bimanual palpation technique in which situation?
a. Palpating the thorax of an infant
b. Palpating the kidneys and uterus
c. Assessing pulsations and vibrations
d. Assessing the presence of tenderness and pain - CORRECT ANSWER>>>>b.
Palpating the kidneys and uterus
Bimanual palpation requires the use of both hands to envelop or capture certain
body parts or organs such as the kidneys, uterus, or adnexa. The other situations
are not appropriate for bimanual palpation.
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 - CORRECT ANSWER>>>>c. Density
Percussion yields a sound that depicts the location, size, and density of the
underlying organ. Turgor and texture are assessed with palpation.
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 the striking finger after each stroke
c. Striking with the fingertip, not the finger pad
d. Using the wrist to make the strikes, not the arm - CORRECT ANSWER>>>>a.
Percussing once over each area
For percussion, the nurse should percuss two times over each location. The
striking finger should be quickly lifted because a resting finger damps off
vibrations. The tip of the striking finger should make contact, not the pad of the
finger. The wrist must be relaxed and is used to make the strikes, not the arm.
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 as abnormal, and refer the patient for additional treatment. -
CORRECT ANSWER>>>>a. Consider this a normal finding.
Percussion over relatively dense organs, such as the liver or spleen, will produce
a dull sound. The other responses are not correct.
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.
b. Consider this finding as normal, and proceed with the abdominal assessment.
c. Increase the amount of strength used when attempting to percuss over the abdomen.
d. Decrease the amount of strength used when attempting to percuss over the
abdomen. - CORRECT ANSWER>>>>c. Increase the amount of strength used
when attempting to percuss over the abdomen.
The thickness of the persons body wall will be a factor. The nurse needs a
stronger percussion stroke for persons with obese or very muscular body walls.
The force of the blow determines the loudness of the note. The other actions are
not correct.
The nurse hears bilateral loud, long, and low tones when percussing over the lungs of a
4-year-old child. The nurse should:
a. Palpate over the area for increased pain and tenderness.
b. Ask the child to take shallow breaths, and percuss over the area again.
c. Immediately refer the child because of an increased amount of air in the lungs.
d. Consider this finding as normal for a child this age, and proceed with the
examination. - CORRECT ANSWER>>>>d. Consider this finding as normal for a
child this age, and proceed with the examination.
Percussion notes that are loud in amplitude, low in pitch, of a booming quality,
and long in duration are normal over a childs lung.
A patient has suddenly developed shortness of breath and appears to be in significant
respiratory distress. After calling the physician and placing the patient on oxygen, which
of these actions is the best for the nurse to take when further assessing the patient?
a. Count the patients respirations.
b. Bilaterally percuss the thorax, noting any differences in percussion tones.
c. Call for a chest x-ray study, and wait for the results before beginning an assessment.
d. Inspect the thorax for any new masses and bleeding associated with respirations. -
CORRECT ANSWER>>>>b. Bilaterally percuss the thorax, noting any differences
in percussion tones.
