QUESTION 1
1. When performing a physical assessment, the first technique the nurse will always use is:
a Inspectio
. n.
b Percussion
. .
c Palpation.
.
d Auscultati
. on.
QUESTION 2
1. The nurse is assess
...
QUESTION 1
1. When performing a physical assessment, the first technique the nurse will always use is:
a Inspectio
. n.
b Percussion
. .
c Palpation.
.
d Auscultati
. on.
QUESTION 2
1. 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 Ulnar portion of the hand; increased blood supply in this area
. enhances temperature sensitivity.
c Dorsal surface of the hand; the skin is thinner on this
. surface than on the palms.
d Palmar surface of the hand; this surface is the most sensitive to
. temperature variations because of its increased nerve supply in this area.
QUESTION 3
1. The nurse is teaching a class on basic assessment skills. Which of these statements is true regarding the stethoscope and its use?
a Ideal tubing length should be 22 inches to dampen the distortion
. of sound.
b Although the stethoscope does not magnify sound, it does
. block out extraneous room noise.
c Fit and quality of the stethoscope are not as important as its ability
. to magnify sound.
d Slope of the earpieces should point posteriorly (toward the
. occiput).
QUESTION 4
1. Before auscultating the abdomen for the presence of bowel sounds on a patient, the nurse should:
a Warm the end piece of the stethoscope by placing it in warm
. water.
b Check the temperature of the room, and offer blankets to
. the patient if he or she feels cold.
c Ensure that the bell side of the stethoscope is turned to the “on”
. position.
d Leave the gown on the patient to ensure that he or she does not
. get chilled during the examination.
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