Exam 8: Assessment Techniques and Safety in the Clinical Setting

During the examination, offering some brief teaching about the patient's body or the examiner's findings is often appropriate. Which one of these statements by the nurse is most appropriate?

Which should the nurse do when preparing to perform a physical examination on an infant?

The nurse is preparing to examine a 6-year-old child. Which action is most appropriate?

The nurse hears bilateral loud, long, and low tones when percussing over the lungs of a 4-year-old child. How should the nurse proceed?

The nurse is preparing to auscultate the abdomen. How should the nurse proceed?

While auscultating heart sounds, the nurse hears a murmur. Which of these instruments should be used to assess this murmur?

During auscultation of a patient's heart sounds, the nurse hears an unfamiliar sound. Which action should the nurse take?

A 6-month-old infant has been brought to the well-child clinic for a checkup. She is currently sleeping. What should the nurse do first when beginning the examination?

The nurse is unable to palpate the right radial pulse on a patient. What should the nurse do next?

Which of these techniques uses the sense of touch to assess texture, temperature, moisture, and swelling when the nurse is assessing a patient?

The nurse is preparing to perform a physical assessment. The correct action by the nurse is reflected by which statement?

Which of these statements is true regarding the use of Standard Precautions in the health care setting?

What is the most important step that the nurse can take to prevent the transmission of microorganisms in the hospital setting?

The nurse is preparing to use an otoscope for an examination. Which statement is true regarding the otoscope?

The nurse is reviewing percussion techniques with a new graduate nurse. Which action performed by the graduate nurse while percussing requires the nurse to intervene?

The nurse is preparing to assess a patient's abdomen by palpation. How should the nurse proceed?

The nurse would use bimanual palpation technique in which situation?

When examining an older adult, the nurse should use which technique?

An examiner is using an ophthalmoscope to examine a patient's eyes. The patient has astigmatism and is nearsighted. Which of these techniques by the examiner would indicate that the examination is being correctly performed?

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?