NURS600/601 EXAM QUESTIONS AND ANSWERS %
CORRECT.
1. The nurse is preparing to perform a physical assessment. Which statement is
true about the inspection phase of the physical assessment?
a. Inspection usually yields little information.
b. Inspection takes time and reveals a surprising amount of information.
c. Inspection may be somewhat uncomfortable for the expert practitioner.
d. Inspection requires a quick glance at the patient's body systems before
proceeding on with palpation. - correct answer ANS >> B
A focused inspection takes time and yields a surprising amount of information.
Initially, the examiner may feel uncomfortable "staring" at the person without
also "doing something." A focused assessment is much more than a "quick
glance."
2. The nurse would use bimanual palpation technique in which situation?
a. Palpating the thorax of an infant
b. Palpating the kidneys and uterus
c. Assessing pulsations and vibrations
d. Assessing the presence of tenderness and pain - correct answer ANS >> B
Bimanual palpation requires the use of both hands to envelop or capture certain
body parts or organs such as the kidneys, uterus, or adnexa. The other situations
are not appropriate for bimanual palpation.
, NURS600/601
3. The nurse is preparing to percuss the abdomen of a patient. The purpose of the
percussion is to assess the underlying tissue >>
a. turgor.
b. texture.
c. density.
d. consistency. - correct answer ANS >> C
Percussion yields a sound that depicts the location, size, and density of the
underlying organ. Turgor and texture are assessed with palpation.
4. 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?
The nurse >>
a. percusses once over each area.
b. lifts the striking finger off quickly after each stroke.
c. strikes with the fingertip, not the finger pad.
d. uses the wrist to make the strikes, not the arm. - correct answer ANS >> A
For percussion, the nurse should percuss two times over each location. The
striking finger should be lifted off quickly because a resting finger damps off
vibrations. The tip of the striking finger should make contact, not the pad of the
finger. The wrist must be relaxed, and it is used to make the strikes, not the arm.
5. When percussing over the liver of a patient, the nurse notices a dull sound. The
nurse should >>
a. considers this a normal finding.
b. palpates this area for an underlying mass.
c. repositions the hands and attempt to percuss in this area again.