Assessment (Latest 2026/2027 Update)
Questions with Verified Answers (WPU)
Question:
1. The nurse is preparing to perform a physical assessment. Which
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statement is true about the inspection phase of the physical assessment?
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a. Inspection usually yields little information.
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b. Inspection takes time and reveals a surprising amount of information.
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c. Inspection may be somewhat uncomfortable for the expert practitioner.
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d. Inspection requires a quick glance at the patient's body systems before
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proceeding on with palpation.? i,- i,- i,-
Answer:
ANS: B i,-
A focused inspection takes time and yields a surprising amount of
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information. Initially, the examiner may feel uncomfortable "staring" at the
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person without also "doing something." A focused assessment is much
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more than a "quick glance."
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Question:
2. The nurse would use bimanual palpation technique in which situation?
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a. Palpating the thorax of an infant
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,b. Palpating the kidneys and uterus
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c. Assessing pulsations and vibrations
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d. Assessing the presence of tenderness and pain?
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Answer:
ANS: B i,-
Bimanual palpation requires the use of both hands to envelop or capture
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certain body parts or organs such as the kidneys, uterus, or adnexa. The
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other situations are not appropriate for bimanual palpation.
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Question:
3. The nurse is preparing to percuss the abdomen of a patient. The
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purpose of the percussion is to assess the underlying tissue:
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a. turgor.
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b. texture.
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c. density.
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d. consistency.?
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Answer:
ANS: C i,-
Percussion yields a sound that depicts the location, size, and density of
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the underlying organ. Turgor and texture are assessed with palpation.
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Question:
,4. The nurse is reviewing percussion techniques with a newly graduated
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nurse. Which technique, if used by the new nurse, indicates that more
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review is needed? The nurse:
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a. percusses once over each area.
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b. lifts the striking finger off quickly after each stroke.
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c. strikes with the finger tip, not the finger pad.
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d. uses the wrist to make the strikes, not the arm.?
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Answer:
ANS: A i,-
For percussion, the nurse should percuss two times over each location.
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The striking finger should be lifted off quickly because a resting finger
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damps off vibrations. The tip of the striking finger should make contact,
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not the pad of the finger. The wrist must be relaxed, and it is used to
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make the strikes, not the arm.
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Question:
5. When percussing over the liver of a patient, the nurse notices a dull
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sound. The nurse should: i,- i,- i,-
a. consider this a normal finding.
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b. palpate this area for an underlying mass.
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c. reposition the hands and attempt to percuss in this area again.
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d. consider this an abnormal finding and refer the patient for additional
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treatment.?
Answer:
, ANS: A i,-
Percussion over relatively dense organs, such as the liver or spleen, will
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produce a dull sound. The other responses are not correct.
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Question:
6. The nurse hears bilateral louder, longer, and lower tones when
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percussing over the lungs of a 4-year-old child. What should the nurse do
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next?
a. Palpate over the area for increased pain and tenderness.
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b. Ask the child to take shallow breaths and percuss over the area again.
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c. Refer the child immediately because of an increased amount of air in
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the lungs. i,-
d. Consider this a normal finding for a child this age and proceed with the
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examination.?
Answer:
ANS: D i,-
Percussion notes that are louder in amplitude, lower in pitch, of a
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booming quality, and longer in duration are normal over a child's lung.
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Question:
7. A patient has suddenly developed shortness of breath and appears to
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be in significant respiratory distress. After putting a call in to the physician
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