NUR 2092 / NUR2092 Health Assessment Exam 2 QuizB
b b b b b b b b b b
ank | Questions and Answers with Rationale | Latest202
b b b b b b b b b
| Rasmussen College b b b b b
NUR 2092 / NUR2092 Health Assessment Exam 2 QuizBank | Questions and A
b b b b b b b b b b b b b
nswers with Rationale | Latest | Rasmussen College
b b b b b b b b b b
• The nurse would use bimanual palpation technique in which situation?
b b b b b b b b b
a. Palpating the thorax of an infant b b b b b
b. Palpating the kidneys and uterus b b b b
c. Assessing pulsations and vibrations b b b
d. Assessing the presence of tenderness and pain
b b b b b b
RAT: Bimanual palpation requires the use of both hands to envelop or
b b b b b b b b b b b b
capture certain body parts or organs such as the kidneys, uterus, or adn
b b b b b b b b b b b b
exa. The other situations are notappropriate for bimanual palpation.
b b b b b b b b b
• The nurse is preparing to percuss the abdomen of a patient. The purpose
b b b b b b b b b b b b b
of the percussionis to assess the
b b b b b b of the underlying tissue.
b b b
a. Turgor
b. Texture
c. Density
d. Consistency
RAT: Percussion yields a sound that depicts the location, size, an
b b b b b b b b b b
d density of theunderlying organ. Turgor and texture are assesse
b b b b b b b b b b
d with palpation.
b b
• The nurse is reviewing percussion techniques with a newly graduate
b b b b b b b b b
NUR 2092 / NUR2092 Health Assessment Exam 2 QuizB
b b b b b b b b b
ank | Questions and Answers with Rationale | Latest202
b b b b b b b b b
| Rasmussen College b b b b b
,NUR 2092 / NUR2092 Health Assessment Exam 2 QuizB
b b b b b b b b b b
ank | Questions and Answers with Rationale | Latest202
b b b b b b b b b
| Rasmussen College b b b b b
d nurse. Whichtechnique, if used by the new nurse, indicates that m
b b b b b b b b b b b b
ore review is needed?
b b b
a. Percussing once over each area b b b b
b. Quickly lifting the striking finger after each stroke
b b b b b b b
c. Striking with the fingertip, not the finger pad
b b b b b b b
d. Using the wrist to make the strikes, not the arm
b b b b b b b b b
RAT: For percussion, the nurse should percuss two times over each locat
b b b b b b b b b b b
ion. The strikingfinger should be quickly lifted because a resting finger d
b b b b b b b b b b b b
amps off vibrations. The tip of the striking finger should make contact, n
b b b b b b b b b b b b
ot the pad of the finger. The wrist must be relaxed and is used to make th
b b b b b b b b b b b b b b b b
e strikes, not the arm.
b b b b
NUR 2092 / NUR2092 Health Assessment Exam 2 QuizB
b b b b b b b b b
ank | Questions and Answers with Rationale | Latest202
b b b b b b b b b
| Rasmussen College b b b b b
,NUR 2092 / NUR2092 Health Assessment Exam 2 QuizB
b b b b b b b b b b
ank | Questions and Answers with Rationale | Latest202
b b b b b b b b b
| Rasmussen College b b b b b
• When percussing over the liver of a patient, the nurse notices a dull so
b b b b b b b b b b b b b
und. The nurseshould:
b b b
a. Consider this a normal finding. b b b b
b. Palpate this area for an underlying mass.
b b b b b b
c. Reposition the hands, and attempt to percuss in this area again.
b b b b b b b b b b
d. Consider this finding as abnormal, and refer the patient for additional tre
b b b b b b b b b b b
atment.
RAT: Percussion over relatively dense organs, such as the liver or splee
b b b b b b b b b b b
n, will produce adull sound. The other responses are not correct.
b b b b b b b b b b b
• The nurse is preparing to use a stethoscope for auscultation. Which statement is
b b b b b b b b b b b b
b true
regarding the diaphragm of the stethoscope? The diaphragm:
b b b b b b b
a. Is used to listen for high-pitched sounds.
b b b b b b
b. Is used to listen for low-pitched sounds.
b b b b b b
c. Should be lightly held against the person’s skin to block out low-
b b b b b b b b b b b
pitched sounds. b
d. Should be lightly held against the person’s skin to listen for extra he
b b b b b b b b b b b b
art sounds andmurmurs.
b b b
RAT: The diaphragm of the stethoscope is best for listening to high-
b b b b b b b b b b b
pitched sounds suchas breath, bowel, and normal heart sounds. It shoul
b b b b b b b b b b b
d be firmly held against the person’s skin, firmly enough to leave a ring.
b b b b b b b b b b b b b b
NUR 2092 / NUR2092 Health Assessment Exam 2 QuizB
b b b b b b b b b
ank | Questions and Answers with Rationale | Latest202
b b b b b b b b b
| Rasmussen College b b b b b
, NUR 2092 / NUR2092 Health Assessment Exam 2 QuizB
b b b b b b b b b b
ank | Questions and Answers with Rationale | Latest202
b b b b b b b b b
| Rasmussen College b b b b b
The bell of the stethoscope is best for soft, low-
b b b b b b b b b
pitched sounds such as extra heart sounds or murmurs.
b b b b b b b b b
• Before auscultating the abdomen for the presence of bowel sounds on a p
b b b b b b b b b b b b
atient, the nurseshould: b b b
a. Warm the endpiece of the stethoscope by placing it in warm water.
b b b b b b b b b b b
b. Leave the gown on the patient to ensure that he or she does not get
b b b b b b b b b b b b b b b
chilled duringthe examination. b b b
c. Ensure that the bell side of the stethoscope is turned to the “on” position.
b b b b b b b b b b b b b
d. Check the temperature of the room, and offer blankets to the patie
b b b b b b b b b b b
nt if he orshe feels cold.
b b b b b b
RAT: The examination room should be warm. If the patient shivers, the
b b b b b b b b b b b
n the involuntarymuscle contractions can make it difficult to hear the un
b b b b b b b b b b b b
derlying sounds. The end of the stethoscope should be warmed between
b b b b b b b b b b b
the examiner’s hands, not with water. The nurseshould never listen thro
b b b b b b b b b b b
ugh a gown. The diaphragm of the stethoscope should be used toauscult
b b b b b b b b b b b b
ate for bowel sounds.
b b b
• During an examination of a patient’s abdomen, the nurse notes that the
b b b b b b b b b b b
abdomen is rounded and firm to the touch. During percussion, the nur
b b b b b b b b b b b b
se notes a drumlike quality of
b b b b b
the sounds across the quadrants. This type of sound indicates:
b b b b b b b b b
a. Constipation.
b. Air-filled areas. b
NUR 2092 / NUR2092 Health Assessment Exam 2 QuizB
b b b b b b b b b
ank | Questions and Answers with Rationale | Latest202
b b b b b b b b b
| Rasmussen College b b b b b
b b b b b b b b b b
ank | Questions and Answers with Rationale | Latest202
b b b b b b b b b
| Rasmussen College b b b b b
NUR 2092 / NUR2092 Health Assessment Exam 2 QuizBank | Questions and A
b b b b b b b b b b b b b
nswers with Rationale | Latest | Rasmussen College
b b b b b b b b b b
• The nurse would use bimanual palpation technique in which situation?
b b b b b b b b b
a. Palpating the thorax of an infant b b b b b
b. Palpating the kidneys and uterus b b b b
c. Assessing pulsations and vibrations b b b
d. Assessing the presence of tenderness and pain
b b b b b b
RAT: Bimanual palpation requires the use of both hands to envelop or
b b b b b b b b b b b b
capture certain body parts or organs such as the kidneys, uterus, or adn
b b b b b b b b b b b b
exa. The other situations are notappropriate for bimanual palpation.
b b b b b b b b b
• The nurse is preparing to percuss the abdomen of a patient. The purpose
b b b b b b b b b b b b b
of the percussionis to assess the
b b b b b b of the underlying tissue.
b b b
a. Turgor
b. Texture
c. Density
d. Consistency
RAT: Percussion yields a sound that depicts the location, size, an
b b b b b b b b b b
d density of theunderlying organ. Turgor and texture are assesse
b b b b b b b b b b
d with palpation.
b b
• The nurse is reviewing percussion techniques with a newly graduate
b b b b b b b b b
NUR 2092 / NUR2092 Health Assessment Exam 2 QuizB
b b b b b b b b b
ank | Questions and Answers with Rationale | Latest202
b b b b b b b b b
| Rasmussen College b b b b b
,NUR 2092 / NUR2092 Health Assessment Exam 2 QuizB
b b b b b b b b b b
ank | Questions and Answers with Rationale | Latest202
b b b b b b b b b
| Rasmussen College b b b b b
d nurse. Whichtechnique, if used by the new nurse, indicates that m
b b b b b b b b b b b b
ore review is needed?
b b b
a. Percussing once over each area b b b b
b. Quickly lifting the striking finger after each stroke
b b b b b b b
c. Striking with the fingertip, not the finger pad
b b b b b b b
d. Using the wrist to make the strikes, not the arm
b b b b b b b b b
RAT: For percussion, the nurse should percuss two times over each locat
b b b b b b b b b b b
ion. The strikingfinger should be quickly lifted because a resting finger d
b b b b b b b b b b b b
amps off vibrations. The tip of the striking finger should make contact, n
b b b b b b b b b b b b
ot the pad of the finger. The wrist must be relaxed and is used to make th
b b b b b b b b b b b b b b b b
e strikes, not the arm.
b b b b
NUR 2092 / NUR2092 Health Assessment Exam 2 QuizB
b b b b b b b b b
ank | Questions and Answers with Rationale | Latest202
b b b b b b b b b
| Rasmussen College b b b b b
,NUR 2092 / NUR2092 Health Assessment Exam 2 QuizB
b b b b b b b b b b
ank | Questions and Answers with Rationale | Latest202
b b b b b b b b b
| Rasmussen College b b b b b
• When percussing over the liver of a patient, the nurse notices a dull so
b b b b b b b b b b b b b
und. The nurseshould:
b b b
a. Consider this a normal finding. b b b b
b. Palpate this area for an underlying mass.
b b b b b b
c. Reposition the hands, and attempt to percuss in this area again.
b b b b b b b b b b
d. Consider this finding as abnormal, and refer the patient for additional tre
b b b b b b b b b b b
atment.
RAT: Percussion over relatively dense organs, such as the liver or splee
b b b b b b b b b b b
n, will produce adull sound. The other responses are not correct.
b b b b b b b b b b b
• The nurse is preparing to use a stethoscope for auscultation. Which statement is
b b b b b b b b b b b b
b true
regarding the diaphragm of the stethoscope? The diaphragm:
b b b b b b b
a. Is used to listen for high-pitched sounds.
b b b b b b
b. Is used to listen for low-pitched sounds.
b b b b b b
c. Should be lightly held against the person’s skin to block out low-
b b b b b b b b b b b
pitched sounds. b
d. Should be lightly held against the person’s skin to listen for extra he
b b b b b b b b b b b b
art sounds andmurmurs.
b b b
RAT: The diaphragm of the stethoscope is best for listening to high-
b b b b b b b b b b b
pitched sounds suchas breath, bowel, and normal heart sounds. It shoul
b b b b b b b b b b b
d be firmly held against the person’s skin, firmly enough to leave a ring.
b b b b b b b b b b b b b b
NUR 2092 / NUR2092 Health Assessment Exam 2 QuizB
b b b b b b b b b
ank | Questions and Answers with Rationale | Latest202
b b b b b b b b b
| Rasmussen College b b b b b
, NUR 2092 / NUR2092 Health Assessment Exam 2 QuizB
b b b b b b b b b b
ank | Questions and Answers with Rationale | Latest202
b b b b b b b b b
| Rasmussen College b b b b b
The bell of the stethoscope is best for soft, low-
b b b b b b b b b
pitched sounds such as extra heart sounds or murmurs.
b b b b b b b b b
• Before auscultating the abdomen for the presence of bowel sounds on a p
b b b b b b b b b b b b
atient, the nurseshould: b b b
a. Warm the endpiece of the stethoscope by placing it in warm water.
b b b b b b b b b b b
b. Leave the gown on the patient to ensure that he or she does not get
b b b b b b b b b b b b b b b
chilled duringthe examination. b b b
c. Ensure that the bell side of the stethoscope is turned to the “on” position.
b b b b b b b b b b b b b
d. Check the temperature of the room, and offer blankets to the patie
b b b b b b b b b b b
nt if he orshe feels cold.
b b b b b b
RAT: The examination room should be warm. If the patient shivers, the
b b b b b b b b b b b
n the involuntarymuscle contractions can make it difficult to hear the un
b b b b b b b b b b b b
derlying sounds. The end of the stethoscope should be warmed between
b b b b b b b b b b b
the examiner’s hands, not with water. The nurseshould never listen thro
b b b b b b b b b b b
ugh a gown. The diaphragm of the stethoscope should be used toauscult
b b b b b b b b b b b b
ate for bowel sounds.
b b b
• During an examination of a patient’s abdomen, the nurse notes that the
b b b b b b b b b b b
abdomen is rounded and firm to the touch. During percussion, the nur
b b b b b b b b b b b b
se notes a drumlike quality of
b b b b b
the sounds across the quadrants. This type of sound indicates:
b b b b b b b b b
a. Constipation.
b. Air-filled areas. b
NUR 2092 / NUR2092 Health Assessment Exam 2 QuizB
b b b b b b b b b
ank | Questions and Answers with Rationale | Latest202
b b b b b b b b b
| Rasmussen College b b b b b
