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NURS 212 Chapter 3 PrepU Review exam
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NURS 212 Chapter 3 PrepU ReviewThe nurse is conducting a physical examination of the abdomen. What is the nurse's best action to
ensure she can hear bowel sounds? - Reduce all environmental noise.
Which illustrates the nurse using the technique of inspection? - The nurse detects a fruity odor of
the patient's breath.
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? - Adequate lighting
A nurse is preparing to perform auscultation on a client. Which guideline is most important for the
nurse to keep in mind while performing this technique? - Eliminate distracting noises from the
environment.
A nurse is performing percussion over the area of a client's stomach. The nurse should anticipate
hearing which type of sound? - Tympany
When assessing pulses, the nurse would use which part of the hand for palpation? - Fingerpads
The nurse would use what part of the hand when assessing temperature during palpation? - Dorsal
surface
When inspecting structures such as the jugular venous pulse, what would be the best lighting to use?
- Tangential lighting
While examining a client, the nurse plans to palpate temperature of the skin by using the - dorsal
surface of the hand.
The nurse is completing a physical examination of a client who reports ear pain. In order to
determine if the tympanic membrane is still intact, which instrument is required? - otoscope
A nurse performs an admission assessment on a client admitted with chest pain. The nurse knows
that using the bell of the stethoscope is appropriate to auscultate for which type of sounds? - Heart
murmur
, Which action by a nurse demonstrates the correct application of the principles of standard
precautions? - Wearing gloves when palpating the tongue, lips, & gums
Which is the priority for the nurse conducting a physical examination of a client with generalized
muscle weakness? - Limit position changes as much as possible
Which describes the nurse using the technique of percussion? - The nurse notes resonance over the
individual's thorax.
A nurse is preparing perform a physical examination of an obese client who is beginning a diet and
exercise program. The physician would like to establish a baseline percent body fat measurement for
the client so that the client's progress in reducing body fat can be tracked over time. Which piece of
equipment should the nurse anticipate needing for this purpose? - Skinfold calipers
A nurse is palpating a child's forehead for signs of fever. Which part of the hand should the nurse
use? - Dorsal surface
What would be the expected tone elicited by percussion of a normal lung? - Resonance
While performing a physical examination on an adult client, the nurse can detect the density of an
underlying structure by using - percussion.
Light palpation is most appropriate to assess the - inflamed areas of skin
A client has an enlarged area on the lower leg. Which technique should the nurse expect to use to
assess this body area? - palpation
Which of the following techniques are used in a physical assessment? Select all that apply. - -
Inspection
-Palpation
-Auscultation
A nurse on an oncology unit enters a client's room to auscultate bowel sounds. What should the
nurse do before auscultating? - Disinfect the stethoscope before touching the client
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