Nur 245 Exam II questions with answers
|\ |\ |\ |\ |\ |\
When performing a physical assessment, the first
|\ |\ |\ |\ |\ |\ |\
technique the nurse will always use is:
|\ |\ |\ |\ |\ |\
a.
Palpation.
b.
Inspection.
c.
Percussion.
d.
Auscultation. - CORRECT ANSWERS ✔✔ANS: B
|\ |\ |\ |\ |\
,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.
|\ |\ |\ |\ |\
2. 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 ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔ANS: B |\
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. |\ |\ |\
3. 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 ANSWERS |\ |\ |\ |\ |\ |\ |\ |\
✔✔ANS: B
|\ |\
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?
|\ |\ |\ |\ |\ |\
|\ |\ |\ |\ |\ |\
When performing a physical assessment, the first
|\ |\ |\ |\ |\ |\ |\
technique the nurse will always use is:
|\ |\ |\ |\ |\ |\
a.
Palpation.
b.
Inspection.
c.
Percussion.
d.
Auscultation. - CORRECT ANSWERS ✔✔ANS: B
|\ |\ |\ |\ |\
,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.
|\ |\ |\ |\ |\
2. 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 ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔ANS: B |\
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. |\ |\ |\
3. 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 ANSWERS |\ |\ |\ |\ |\ |\ |\ |\
✔✔ANS: B
|\ |\
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?
|\ |\ |\ |\ |\ |\
