NR 509 WEEK 2 EXAM QUESTIONS AND ANSWERS
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When performing a physical assessment, the first technique the
nurse will always use
A. Palpation
B. Inspection
C. Percussion
D. Auscultation ANS >> B. Inspection
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 ANS >> B. Takes time and reveals a
surprising amount of information
,NR 509 WEEK 2
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. ANS >> 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 ANS >> A. Palpation
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.
ANS >> D. The assessment begins with light palpation to detect
surface characteristics and to accustom the patient to being
touched.
,NR 509 WEEK 2
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 ANS >> 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
D. Consistency ANS >> 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 ANS >> 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 ANS >> A. Consider this a normal finding
, NR 509 WEEK 2
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
D. Decrease the amount of strength used when attempting to
percuss over the abdomen. ANS >> 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
A. Palpate over the area for increased pain and tenderness
B. Ask the child to take shallow breaths and percuss over the
area again
C. Immediately refer the child because of an increased amount of
air in the lungs
D. Consider this finding as normal for a child this age and proceed
with the examination ANS >> 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?
A. Count the patient's respirations
B. Bilaterally percuss the thorax, noting any differences in
percussion tones
C. Call for a chest x-ray study and wait for the results before
beginning an assessment