Exam 6: Techniques Equipment

The nurse is preparing to examine several clients in the clinic setting.Which of the following clients would need the greatest degree of special consideration during a physical examination?

The nurse is using an ophthalmoscope to assess the optic disc in a client.The nurse would suspect hemorrhage of the optic disc is present when which of the following colors is visualized through the red-free filter of the ophthalmoscope?

The nurse is conducting an assessment of a client with right lower quadrant abdominal pain.Which of the following should the nurse do when palpating the abdomen of this client?

The nursing instructor is observing a student nurse who is performing abdominal palpation on an adult client.In order to assess organs that lie deep within the abdominal cavity (e.g. ,kidneys,spleen),the student nurse should press on the client's abdomen using which of the following techniques?

The nurse is teaching a group of health assistants about the stethoscope.Which of the following statements about the stethoscope will the nurse include in this teaching session?

The nurse is preparing to percuss the lower lobes of a client's lungs.The percussion technique appropriate for this body area would be:

The nurse is assessing a client for hepatomegaly by percussing over the liver.The nurse would expect to hear which of the following sounds when percussing the liver?

The nursing instructor is teaching a group of nursing students the correct assessment of normal heart sounds.Draw an arrow on the part of the stethoscope that should be used by the nursing student to auscultate normal heart sounds.

The nurse is preparing to perform a complete health assessment on a client.Which of the following activities should the nurse perform just prior to this examination?

During auscultation of the breath sounds of an adult male client,the nurse hears crackling sounds over most of the chest.Which of the following would be the best action for the nurse to take next?

While auscultating a client's lungs,the nurse identifies more than one sound.Which of the following should the nurse do?

The nurse is preparing to assess a client's abdomen.Which of the following sequences will the nurse use to assess this body area?

While performing a physical assessment on an adult client,the nurse identifies an unfamiliar heart sound.The nurse suspects that this is a murmur.What is the nurse's next step?

The nurse is assessing a client's right lower extremity and during inspection notes an area of redness.In order to assess the temperature of the client's skin,the nurse should use which part of the hand?

The nurse is using a Doppler ultrasonic stethoscope to assess a client's pulse in the lower extremity and is unable to locate the pulse.What is the nurse's next action?

The nurse is assessing an anxious-appearing client who is experiencing abdominal pain.The nurse should use which of the following techniques to put the client at ease when assessing the client's abdomen?

The nurse is preparing to assess an adult client who presents to the emergency room after falling down some steps at home.The client complains of left ankle pain and has open abrasions to the left knee and shin.Which of the following should the nurse incorporate into the physical assessment of this client?

The nurse is about to perform a physical assessment on an adult client.Before beginning this phase of the client's health assessment,the nurse should first:

The nurse is inspecting a client's chest and upper extremities.Which of the following would be the appropriate method for the nurse to assess these body areas?

The nurse uses the otoscope in the physical assessment of a client.The nurse understands that this instrument is used to: