Physical Assessment Chapter 6: Physical
Examination Questions And Answers 2022
The nurse will complete a physical examination on a newly admitted
... [Show More] client to the
rehabilitation unit of a long-term care facility. After gathering equipment, which
technique of examination will the nurse use first? - Answer- Assess the temperature
with a thermometer
What action by a nurse demonstrates the correct technique when using a
stethoscope for auscultation? - Answer- Ensure that contact with the skin is
maintained
Universal precautions are primarily designed to protect the health care worker from
what? - Answer- Blood-borne pathogens
The nurse is preparing to auscultate sounds that have a lower pitch. Which
equipment should be used to complete this assessment? - Answer- stethoscope bell
A nurse on an oncology unit enters a client's room to auscultate bowel sounds. What
should the nurse do before auscultating? - Answer- Disinfect the stethoscope before
touching the client
A nurse is performing percussion on a client's back to assess the lungs, and hears a
loud, low-pitched, hollow sound, indicating normal lungs. Which of the following
describes this finding? - Answer- Resonance
During the physical examination of your client you auscultate the sound of the client's
breathing. What area of the client are you assessing? - Answer- Lungs
A client with scabies visits the health care facility for a follow-up appointment. Which
preparation by the nurse is of greatest priority for the physical examination of this
client? - Answer- Adequate lighting
A nurse is preparing to physically examine a client. The nurse recognizes that it is
best to begin the objective data collection with which procedure? - Answer- Measure
the client's vital signs, height, and weight.
Which of the following techniques are used in a physical assessment? Select all that
apply. - Answer- 1. Inspection
2. Palpation
3.Auscultation
The new grad asks the preceptor to explain why the order of the examination is
different for the abdomen. The best response by the preceptor would include -
Answer- "Palpation will increase bowel motility and alter the sounds heard on
auscultation."
It is recommended that a left-handed examiner adopt a right-sided position. T/F? -
Answer- True
Which describes the nurse using the technique of percussion? - Answer- The nurse
notes resonance over the individual's thorax.
A nurse will be performing a complete physical examination of a man who has
emphysema with a chronic productive cough, including an assessment of his oral
cavity. Which pieces of personal protective equipment should the nurse wear? -
Answer- Gloves, mask, protective eye goggles, gown
When inspecting structures such as the jugular venous pulse, what would be the
best lighting to use? - Answer- Tangential lighting
A client is experiencing periodic abdominal pain. Which technique should the nurse
plan to use immediately after inspecting the area? - Answer- auscultation
A nurse needs to obtain a pulse on a client. Which physical assessment technique
should the nurse use? - Answer- Light palpation
What would be the expected tone elicited by percussion of a normal lung? - AnswerResonance
When assessing a client, the first skill used is inspection. What purpose does
inspection serve? - Answer- Gathering information
Which describes the nurse using the technique of palpation? - Answer- The nurse
notes increased warmth surrounding an abdominal incision.
The nurse is caring for the client who is receiving heparin. The nurse plans to: -
Answer- Wear clean gloves when administering heparin to the client
The nurse should use the handle of the reflex hammer to detect the plantar reflex.
T/F? - Answer- True
A nurse is preparing to perform intubation on a client. Which pieces of equipment are
needed to prevent the transmission of infectious agents during this procedure?
Select all that apply. - Answer- 1. Face shield
2. gloves
3. gown
A nurse is admitting a new client to the subacute medical unit and is completing a
comprehensive assessment. The nurse is appropriately applying standard
precautions by performing what action? - Answer- Wearing gloves to palpate the
tongue and buccal membranes
A nurse is preparing to perform the physical examination of an adult client who has
presented to the clinic for the first time. Which statement would guide the nurse's use
of a stethoscope during this phase of assessment? - Answer- The diaphragm should
be held firmly against the body part.
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