Exam 8: Assessment Techniques and the Clinical Setting

The nurse is examining a 2-year-old child and asks,"May I listen to your heart now?" Which critique of the nurse's technique is most accurate?

When percussing over the liver of a patient,the nurse notices a dull sound.The nurse should:

During auscultation of a patient's heart sounds,the nurse hears an unfamiliar sound.What should the nurse do next?

The nurse is preparing to examine a 4-year-old child.Which action is appropriate for this age group?

The nurse hears bilateral louder,longer,and lower tones when percussing over the lungs of a 4-year-old child.What should the nurse do next?

The nurse is preparing to palpate the thorax and abdomen of a patient.Which of these statements describes correct technique for this procedure? Select all that apply.

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

A man is at the clinic for a physical examination.He states that he is "very anxious" about the physical examination.What steps can the nurse take to make him more comfortable?

When examining a 16-year-old male teenager,the nurse should:

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

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

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

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

The nurse is unable to identify any changes in sound when percussing over the abdomen of an obese patient.What should the nurse do next?

The nurse will use which technique of assessment to determine the presence of crepitus,swelling,and pulsations?

During an examination of a patient's abdomen,the nurse notes that the abdomen is rounded and firm to the touch.During percussion,the nurse notes a drum-like quality of the sound across the quadrants.This type of sound indicates:

The nurse is teaching a class on basic assessment skills.Which of these statements is true regarding the stethoscope and its use?

The nurse is reviewing percussion techniques with a newly graduated nurse.Which technique,if used by the new nurse,indicates that more review is needed? The nurse:

The nurse is preparing to percuss the abdomen of a patient.The purpose of the percussion is to assess the underlying tissue:

The nurse is preparing to perform a physical assessment.Which statement is true about the inspection phase of the physical assessment?