Exam 9: Assessment Techniques and the Clinical Setting

The nurse would use bimanual palpation technique in which situation?

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

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

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

With which of these patients would it be most appropriate for the nurse to use games during the assessment, such as having the patient "blow out" the light on the penlight?

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

During 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 drumlike quality of the sounds across the quadrants.This type of sound indicates:

The nurse is examining a patient's lower leg and notices a draining ulceration.Which of these actions is most appropriate in this situation?

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

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 feel more comfortable?

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

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

During auscultation of a patient's heart sounds, the nurse hears an unfamiliar sound.The nurse should:

A 2-year-old child has been brought to the clinic for a well-child checkup.The best way for the nurse to begin the assessment is to:

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

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

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

Before auscultating the abdomen for the presence of bowel sounds on a patient, the nurse should:

The nurse is preparing to assess a hospitalized patient who is experiencing significant shortness of breath.How should the nurse proceed with the assessment?