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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
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
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
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
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 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
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
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?