NR509 / NR 509 Midterm Exam Latest 2024 / 2025 Update: Advanced Physical Assessment - Chamberlain
NR509 / NR 509 Midterm Exam Latest 2024 / 2025 Update : Advanced Physical Assessment - Chamberlain - When performing a physical assessment, the first technique the nurse will always use B. Inspection The nurse is preparing to perform a physical assessment. Which statement is true about the physical assessment? The inspection phase: B. Takes time and reveals a surprising amount of information The nurse is assessing a patient's skin during an office visit. What part of the hand and technique should be used to best assess the patient's skin temperature? B. Dorsal surface of the hand; the skin is thinner on this surface than on the palms 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 The nurse is preparing to assess a patient's abdomen by palpation. How should the nurse proceed? D. The assessment begins with light palpation to detect surface characteristics and to accustom the patient to being touched. The nurse would use bimanual palpation technique in which situation? B. Palpating the kidneys and the uterus The nurse is preparing to percuss the abdomen of a patient. The purpose of the percussion is to assess the of the underlying tissue. C. Density 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 When percussing over the liver of a patient, the nurse notices a dull sound. The nurse should: A. Consider this a normal finding 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? C. Increase the amount of strength used when attempting to percuss over the abdomen The nurse hears bilateral loud, long and low tones when percussing over the lungs of a 4 year old child. The nurse should D. Consider this finding as normal for a child this age and proceed with the examination A patient has suddenly developed shortness of breath and appears to be insignificant respiratory distress. After calling the position and placing the patient on oxygen, which of these actions is the best for the nurse to take went further assisting this patient? B. Bilaterally percuss the thorax, noting any differences in percussion tones The nurse is teaching a class on basic assessment skills. Which of these statements is true regarding the stethoscope and its use? B. Although the stethoscope does not magnify sound, it does block out extraneous room noise
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