Lab Manual Chapter 3 Pretest/Posttest
What is the diaphragm of stethoscope?
Larger end of stethoscope used to detect breath sounds, normal heart sounds, and bowel sounds
What is the ulnar surface or palm of hand?
Part of examiner's hand used to feel for vibration, thrills, or fremitus
What are finger pads?
Parts of the examiner's hand used to eel for fine discriminations: pulses, texture, size, consistency, shape, and crepitus
What is the Sitting position?
Position used during much of the physical examination including examination of the head, neck , lungs, chest, back, breast, axilla, heart, vital signs, and upper extremities
What is the Standing position?
Position used to examine male genitalia and to assess gait, posture, and balance
What is the bell of stethoscope?
Smaller end of stethoscope used to detect low-pitched sounds (abnormal heart sounds and bruits)
During palpation of a client's organs, the nurse palpates the spleen by applying pressure between 2.5 and 5 cm. The nurse is performing a- light palpation b- moderate palpation c- deep palpation d- bimanual palpation
c- deep palpation
The most commonly used method of percussion is a- direct percussion b- mild percussion c- indirect percussion d- blunt percussion
c- indirect percussion
What is the Supine position?
Back-lying position used for examination of the abdomen (with one small pillow under the head and another under knees); this position also allows easy access for palpation of peripheral pulses
What is the Lithotomy position?
Back-lying position with hips at edge of examining table and feet supported in stirrups; used for examination of female genitalia, reproductive tract, and rectum
What is the Prone position?
Client lies on abdomen with head turned to side, may be used to assess back and mobility of hip joint
What is the dorsal surface of hand?
Pars of examiner's hand used to feel for temperature
What is the Sim's position?
Side-lying position used during the rectal examination
During a comprehensive assessment of the lungs of an adult client with a diagnosis of emphysema, the nurse anticipates that during percussion the client will exhibit a- hyperresonance b- tympany c- dullness d- flatness
a- hyperresonance
Before beginning a physical assessment of a client, the nurse should first a- wash both hands with soap and water b- determine whether the client is anxious c- ask the client to remove all clothing d- request a family member to be present
a- wash both hands with soap and water
During a comprehensive assessment of an adult client, the nurse can best hear high-pitched sounds by using a stethoscope with a a- 1 inch bell b- 1.5 inch diaphragm c- 15 inch flexible tubing d- 1 inch diaphragm
b- 1.5 inch diaphragm
While percussing an adult client during a physical examination, the nurse can expect to hear flatness over the client's a- lungs b- bone c- liver d- abdomen
b- bone
To alleviate a client's anxiety during a comprehensive assessment, the nurse should a- begin with intrusive procedure first to get them completed quickly b- explain each procedure being performed and the reason for the procedure c- remain in the examination room while the client changes into a gown d- ask the client to sign a consent for the physical examination
b- explain each procedure being performed and the reason for the procedure
While examining a client, the nurse plans to palpate temperature of the skin by using the a- fingertips of the hand b- ulnar surface of the hand c- dorsal surface of the hand d- palmar surface of the hand
c- dorsal surface of the hand
An adult client visits a clinic and tells the nurse that she suspects she has a UTI. To detect tenderness over the client's kidneys, the nurse should instruct the client that he or she will be performing a- moderate palpation b- deep palpation c- indirect percussion d- blunt percussion
d- blunt percussion
When he nurse places one hand flat on the body surface and uses the first of the other hand to strike the back of the hand flat on the body surface, the nurse is using a- firm percussion b- direct pressure c- indirect percussion d- blunt percussion
d- blunt percussion
During a comprehensive assessment, the primary technique used by the nurse throughout the examination is a- palpation b- percussion c- auscultation d- inspection
d- inspection
While performing a physical examination on an adult client, the nurse can detect the density of an underlying structure by using a- inspection b- palpation c- Doppler magnification d- percussion
d- percussion
While performing a physical examination on an older adult, the nurse should plan to a- complete the examination as quickly as possible b- ask the client to change positions frequently c- provide only minimal teach related to health care d- use minimal position changes
d- use minimal position changes