NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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NURg2092g/gNUR2092gHealthgAssessmentgExamg2gQuizgBankg|gQuestionsgandg
AnswersgwithgRationaleg|gLatestg2020g/g2021g|gRasmussengCollege
• Thegnursegwouldgusegbimanualgpalpationgtechniquegingwhichgsituation?
a. Palpatinggthegthoraxgofganginfant
b. Palpatinggthegkidneysgandguterus
c. Assessinggpulsationsgandgvibrations
d. Assessinggthegpresencegofgtendernessgandgpain
RAT:gBimanualgpalpationgrequiresgthegusegofgbothghandsgtogenvelopgo
rgcapturegcertaingbodygpartsgorgorgansgsuchgasgthegkidneys,guterus,gorg
adnexa.gThegothergsituationsgaregnotgappropriategforgbimanualgpalpati
on.
• Thegnursegisgpreparinggtogpercussgthegabdomengofgagpatient.gThegpurpos
egofgthegpercussiongisgtogassessgthe ofgthegunderlyinggtissue.
a. Turgor
b. Texture
c. Density
d. Consistency
RAT:gPercussiongyieldsgagsoundgthatgdepictsgtheglocation,gsize,ga
ndgdensitygofgthegunderlyinggorgan.gTurgorgandgtexturegaregasses
sedgwithgpalpation.
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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,NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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• Thegnursegisgreviewinggpercussiongtechniquesgwithgagnewlyggraduat
edgnurse.gWhichgtechnique,gifgusedgbygthegnewgnurse,gindicatesgthatg
moregreviewgisgneeded?
a. Percussinggoncegovergeachgarea
b. Quicklygliftinggthegstrikinggfingergaftergeachgstroke
c. Strikinggwithgthegfingertip,gnotgthegfingergpad
d. Usinggthegwristgtogmakegthegstrikes,gnotgthegarm
RAT:gForgpercussion,gthegnursegshouldgpercussgtwogtimesgovergeachgloc
ation.gThegstrikinggfingergshouldgbegquicklygliftedgbecausegagrestinggfing
ergdampsgoffgvibrations.gThegtipgofgthegstrikinggfingergshouldgmakegcont
act,gnotgthegpadgofgthegfinger.gThegwristgmustgbegrelaxedgandgisgusedgtog
makegthegstrikes,gnotgthegarm.
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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,NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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• Whengpercussinggovergtheglivergofgagpatient,gthegnursegnoticesgagdullg
sound.gThegnursegshould:
a. Considergthisgagnormalgfinding.
b. Palpategthisgareagforgangunderlyinggmass.
c. Repositiongtheghands,gandgattemptgtogpercussgingthisgareagagain.
d. Considergthisgfindinggasgabnormal,gandgrefergthegpatientgforgadditionalgtr
eatment.
RAT:gPercussiongovergrelativelygdensegorgans,gsuchgasgtheglivergorgsple
en,gwillgproducegagdullgsound.gThegothergresponsesgaregnotgcorrect.
• Thegnursegisgpreparinggtogusegagstethoscopegforgauscultation.gWhichgstatementg
isgtrue
regardinggthegdiaphragmgofgthegstethoscope?gThegdiaphragm:
a. Isgusedgtoglistengforghigh-pitchedgsounds.
b. Isgusedgtoglistengforglow-pitchedgsounds.
c. Shouldgbeglightlygheldgagainstgthegperson’sgskingtogblockgoutglow-
pitchedgsounds.
d. Shouldgbeglightlygheldgagainstgthegperson’sgskingtoglistengforgextrag
heartgsoundsgandgmurmurs.
RAT:gThegdiaphragmgofgthegstethoscopegisgbestgforglisteninggtoghigh-
pitchedgsoundsgsuchgasgbreath,gbowel,gandgnormalgheartgsounds.gItgsho
uldgbegfirmlygheldgagainstgthegperson’sgskin,gfirmlygenoughgtogleavegagri
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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ng.gThegbellgofgthegstethoscopegisgbestgforgsoft,glow-
gpitchedgsoundsgsuchgasgextragheartgsoundsgorgmurmurs.
• Beforegauscultatinggthegabdomengforgthegpresencegofgbowelgsoundsgongag
patient,gthegnursegshould:
a. Warmgthegendpiecegofgthegstethoscopegbygplacinggitgingwarmgwater.
b. Leavegtheggowngongthegpatientgtogensuregthatghegorgshegdoesgnotgg
etgchilledgduringgthegexamination.
c. Ensuregthatgthegbellgsidegofgthegstethoscopegisgturnedgtogtheg“on”gposition.
d. Checkgthegtemperaturegofgthegroom,gandgoffergblanketsgtogthegpati
entgifghegorgshegfeelsgcold.
RAT:gThegexaminationgroomgshouldgbegwarm.gIfgthegpatientgshivers,gth
engtheginvoluntarygmusclegcontractionsgcangmakegitgdifficultgtogheargtheg
underlyinggsounds.gThegendgofgthegstethoscopegshouldgbegwarmedgbetw
eengthegexaminer’sghands,gnotgwithgwater.gThegnursegshouldgnevergliste
ngthroughgaggown.gThegdiaphragmgofgthegstethoscopegshouldgbegusedgtog
auscultategforgbowelgsounds.
• Duringgangexaminationgofgagpatient’sgabdomen,gthegnursegnotesgthatgth
egabdomengisgroundedgandgfirmgtogthegtouch.gDuringgpercussion,gthegn
ursegnotesgagdrumlikegqualitygof
thegsoundsgacrossgthegquadrants.gThisgtypegofgsoundgindicates:
a. Constipation.
b. Air-filledgareas.
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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NURg2092g/gNUR2092gHealthgAssessmentgExamg2gQuizgBankg|gQuestionsgandg
AnswersgwithgRationaleg|gLatestg2020g/g2021g|gRasmussengCollege
• Thegnursegwouldgusegbimanualgpalpationgtechniquegingwhichgsituation?
a. Palpatinggthegthoraxgofganginfant
b. Palpatinggthegkidneysgandguterus
c. Assessinggpulsationsgandgvibrations
d. Assessinggthegpresencegofgtendernessgandgpain
RAT:gBimanualgpalpationgrequiresgthegusegofgbothghandsgtogenvelopgo
rgcapturegcertaingbodygpartsgorgorgansgsuchgasgthegkidneys,guterus,gorg
adnexa.gThegothergsituationsgaregnotgappropriategforgbimanualgpalpati
on.
• Thegnursegisgpreparinggtogpercussgthegabdomengofgagpatient.gThegpurpos
egofgthegpercussiongisgtogassessgthe ofgthegunderlyinggtissue.
a. Turgor
b. Texture
c. Density
d. Consistency
RAT:gPercussiongyieldsgagsoundgthatgdepictsgtheglocation,gsize,ga
ndgdensitygofgthegunderlyinggorgan.gTurgorgandgtexturegaregasses
sedgwithgpalpation.
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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,NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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• Thegnursegisgreviewinggpercussiongtechniquesgwithgagnewlyggraduat
edgnurse.gWhichgtechnique,gifgusedgbygthegnewgnurse,gindicatesgthatg
moregreviewgisgneeded?
a. Percussinggoncegovergeachgarea
b. Quicklygliftinggthegstrikinggfingergaftergeachgstroke
c. Strikinggwithgthegfingertip,gnotgthegfingergpad
d. Usinggthegwristgtogmakegthegstrikes,gnotgthegarm
RAT:gForgpercussion,gthegnursegshouldgpercussgtwogtimesgovergeachgloc
ation.gThegstrikinggfingergshouldgbegquicklygliftedgbecausegagrestinggfing
ergdampsgoffgvibrations.gThegtipgofgthegstrikinggfingergshouldgmakegcont
act,gnotgthegpadgofgthegfinger.gThegwristgmustgbegrelaxedgandgisgusedgtog
makegthegstrikes,gnotgthegarm.
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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,NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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• Whengpercussinggovergtheglivergofgagpatient,gthegnursegnoticesgagdullg
sound.gThegnursegshould:
a. Considergthisgagnormalgfinding.
b. Palpategthisgareagforgangunderlyinggmass.
c. Repositiongtheghands,gandgattemptgtogpercussgingthisgareagagain.
d. Considergthisgfindinggasgabnormal,gandgrefergthegpatientgforgadditionalgtr
eatment.
RAT:gPercussiongovergrelativelygdensegorgans,gsuchgasgtheglivergorgsple
en,gwillgproducegagdullgsound.gThegothergresponsesgaregnotgcorrect.
• Thegnursegisgpreparinggtogusegagstethoscopegforgauscultation.gWhichgstatementg
isgtrue
regardinggthegdiaphragmgofgthegstethoscope?gThegdiaphragm:
a. Isgusedgtoglistengforghigh-pitchedgsounds.
b. Isgusedgtoglistengforglow-pitchedgsounds.
c. Shouldgbeglightlygheldgagainstgthegperson’sgskingtogblockgoutglow-
pitchedgsounds.
d. Shouldgbeglightlygheldgagainstgthegperson’sgskingtoglistengforgextrag
heartgsoundsgandgmurmurs.
RAT:gThegdiaphragmgofgthegstethoscopegisgbestgforglisteninggtoghigh-
pitchedgsoundsgsuchgasgbreath,gbowel,gandgnormalgheartgsounds.gItgsho
uldgbegfirmlygheldgagainstgthegperson’sgskin,gfirmlygenoughgtogleavegagri
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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ng.gThegbellgofgthegstethoscopegisgbestgforgsoft,glow-
gpitchedgsoundsgsuchgasgextragheartgsoundsgorgmurmurs.
• Beforegauscultatinggthegabdomengforgthegpresencegofgbowelgsoundsgongag
patient,gthegnursegshould:
a. Warmgthegendpiecegofgthegstethoscopegbygplacinggitgingwarmgwater.
b. Leavegtheggowngongthegpatientgtogensuregthatghegorgshegdoesgnotgg
etgchilledgduringgthegexamination.
c. Ensuregthatgthegbellgsidegofgthegstethoscopegisgturnedgtogtheg“on”gposition.
d. Checkgthegtemperaturegofgthegroom,gandgoffergblanketsgtogthegpati
entgifghegorgshegfeelsgcold.
RAT:gThegexaminationgroomgshouldgbegwarm.gIfgthegpatientgshivers,gth
engtheginvoluntarygmusclegcontractionsgcangmakegitgdifficultgtogheargtheg
underlyinggsounds.gThegendgofgthegstethoscopegshouldgbegwarmedgbetw
eengthegexaminer’sghands,gnotgwithgwater.gThegnursegshouldgnevergliste
ngthroughgaggown.gThegdiaphragmgofgthegstethoscopegshouldgbegusedgtog
auscultategforgbowelgsounds.
• Duringgangexaminationgofgagpatient’sgabdomen,gthegnursegnotesgthatgth
egabdomengisgroundedgandgfirmgtogthegtouch.gDuringgpercussion,gthegn
ursegnotesgagdrumlikegqualitygof
thegsoundsgacrossgthegquadrants.gThisgtypegofgsoundgindicates:
a. Constipation.
b. Air-filledgareas.
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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