When performing a physical assessment, the first technique the nurse will always use
is:
a. Palpation.
b. Inspection.
c. Percussion.
d. Auscultation. - Answers -B
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. - Answers -B
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. - Answers -B
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 - Answers -A
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. - Answers -D
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 - Answers -B
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 - Answers -C
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