NR 509-week 2 Study Guide Exam
Review Questions Containing 298 Terms
with Definitive Solutions Updated 2024
When performing a physical assessment, the first technique the nurse will always
use
A. Palpation
B. Inspection
C. Percussion
D. Auscultation - Answer: B. Inspection
, NR 509 week 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 patient's body systems before proceeding with
palpation - Answer: 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?
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. - Answer: 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
B. Inspection
C. Percussion
D. Auscultation - Answer: A. Palpation
, NR 509 week 2
The nurse is preparing to assess a patient's 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. - Answer: 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?
A. Palpating the thorax of an infant
B. Palpating the kidneys and the uterus
C. Assessing pulsations and vibrations
D. Assessing the presence of tenderness and pain - Answer: 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.
A. Turgor
B. Texture
C. Density
, NR 509 week 2
D. Consistency - Answer: 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
B. Quickly lifting be striking finger after each stroke
C. Striking with the fingertip, not the finger pad
D. Using the wrist to make the strikes, not the arm - Answer: 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
B. Palpate this area for an underlying mass
C. Reposition the hands, and attempt to percuss in this area again
D. Consider this finding abnormal, and refer the patient for additional treatment -
Answer: 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?
A. Ask the patient to take deep breaths to relax the abdominal musculature
B. Consider this finding as normal and proceed with the abdominal assessment
C. Increase the amount of strength used when attempting to percuss over the
abdomen