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Exam (elaborations)

NUR 2092 NUR2092 Health Assessment LATEST Final Exam Review (Questions and verified Answers)

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NUR 2092 NUR2092 Health Assessment LATEST Final Exam Review (Questions and verified Answers)

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NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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Bank | Questions and Answers with Rationale | Latest2
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| Rasmussen College m m m m m




NUR 2092 / NUR2092 Health Assessment Exam 2 QuizBank | Questions and
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Answers with Rationale | Latest | Rasmussen College
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• 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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RAT: Bimanual palpation requires the use of both hands to envelop
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or capture certain body parts or organs such as the kidneys, uterus,
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or adnexa. The other situations are not appropriate for bimanual pal
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pation.



• The nurse is preparing to percuss the abdomen of a patient. The purpo
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se of the percussion is to assess the
m m m m m m m of the underlying tissue.
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a. Turgor
b. Texture
c. Density
d. Consistency


RAT: Percussion yields a sound that depicts the location, size, a
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nd density of the underlying organ. Turgor and texture are asse
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ssed with palpation.
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NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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Bank | Questions and Answers with Rationale | Latest2
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| Rasmussen College m m m m m

,NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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Bank | Questions and Answers with Rationale | Latest2
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| Rasmussen College m m m m m




• The nurse is reviewing percussion techniques with a newly gradua
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ted nurse. Which technique, if used by the new nurse, indicates th
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at more review is needed?
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a. Percussing once over each area m m m m



b. Quickly lifting the striking finger after each stroke
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c. Striking with the fingertip, not the finger pad
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d. Using the wrist to make the strikes, not the arm
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RAT: For percussion, the nurse should percuss two times over each lo
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cation. The striking finger should be quickly lifted because a resting fi
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nger damps off vibrations. The tip of the striking finger should make c
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ontact, not the pad of the finger. The wrist must be relaxed and is use
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d to make the strikes, not the arm.
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NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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Bank | Questions and Answers with Rationale | Latest2
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| Rasmussen College m m m m m

,NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
m m m m m m m m m m



Bank | Questions and Answers with Rationale | Latest2
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| Rasmussen College m m m m m




• When percussing over the liver of a patient, the nurse notices a dul
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l sound. The nurse should:
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a. Consider this a normal finding. m m m m



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 finding as abnormal, and refer the patient for additional t
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reatment.


RAT: Percussion over relatively dense organs, such as the liver or spl
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een, will produce a dull sound. The other responses are not correct.
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• The nurse is preparing to use a stethoscope for auscultation. Which statemen
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t is true
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regarding the diaphragm of the stethoscope? The diaphragm:
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a. Is used to listen for high-pitched sounds.
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b. Is used to listen for low-pitched sounds.
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c. Should be lightly held against the person’s skin to block out low-
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pitched sounds. m



d. Should be lightly held against the person’s skin to listen for extra
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m heart sounds and murmurs.
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RAT: The diaphragm of the stethoscope is best for listening to high-
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pitched sounds such as breath, bowel, and normal heart sounds. It sho
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uld be firmly held against the person’s skin, firmly enough to leave a
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NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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Bank | Questions and Answers with Rationale | Latest2
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| Rasmussen College m m m m m

, NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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Bank | Questions and Answers with Rationale | Latest2
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| Rasmussen College m m m m m




ring. The bell of the stethoscope is best for soft, low-
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m pitched sounds such as extra heart sounds or murmurs.
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• Before auscultating the abdomen for the presence of bowel sounds on
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a patient, the nurse should:
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a. Warm the endpiece of the stethoscope by placing it in warm water.
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b. Leave the gown on the patient to ensure that he or she does not
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get chilled during the examination.
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c. Ensure that the bell side of the stethoscope is turned to the “on” position
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.
d. Check the temperature of the room, and offer blankets to the pa
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tient if he or she feels cold.
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RAT: The examination room should be warm. If the patient shivers, t
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hen the involuntary muscle contractions can make it difficult to hear t
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he underlying sounds. The end of the stethoscope should be warmed b
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etween the examiner’s hands, not with water. The nurse should never
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listen through a gown. The diaphragm of the stethoscope should be us
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ed to auscultate for bowel sounds.
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• During an examination of a patient’s abdomen, the nurse notes that t
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he abdomen is rounded and firm to the touch. During percussion, th
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e nurse notes a drumlike quality of
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the sounds across the quadrants. This type of sound indicates:
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a. Constipation.

NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz
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Bank | Questions and Answers with Rationale | Latest2
m m m m m m m m m



| Rasmussen College m m m m m

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Publisher: 2022 ISBN: 9780323827874 Edition: Unknown

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