PrepU Chapter 3

Which of the following techniques are used in a physical assessment? Select all that apply.

-Auscultation -Palpation -Inspection

When conducting a health assessment, it is sometimes necessary to use special tools. What are some of these special tools? Select all that apply.

-Ophthalmoscope -Goniometer -Skin-fold calipers

Which of the following should the nurse do before conducting a physical examination of a client? (Select all that apply.)

-Wash hands. -Identify ways to ensure patient privacy. -Obtain and check needed equipment.

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

The client is in a standing position. Which of the following can the nurse most effectively assess with the client in this position?

Balance

While percussing an adult client during a physical examination, the nurse can expect to hear flatness over the client's

Bone

A nurse is preparing to evaluate an elderly client's risk for developing pressure sores after a 2-week stay in the hospital. Which of the following pieces of equipment will this nurse need for this purpose?

Braden scale

While performing the physical examination of a client, the nurse lightly taps certain parts of the body to produce sound waves. What is the purpose of this method of assessment?

Determine if a structure is filled with air or fluid or is a solid structure

The nurse would use what part of the hand when assessing temperature during palpation?

Dorsal surface

A nurse is examining a child who is suspected of having bronchitis and is preparing to auscultate his chest with a stethoscope. Which of the following actions would demonstrate the correct technique for this procedure?

Ensuring that contact with the skin is maintained

A nurse is preparing to examine a 45-year-old female client with a family history of breast cancer. The nurse explains that she will be performing a routine clinical breast examination of the client today. The client objects to having her breasts examined. How should the nurse respond?

Explain the importance of the examination and the risks of breast cancer

The nurse would use the tuning fork to assess for what?

Hearing loss

In which order should a nurse implement the four physical assessment techniques when initiating a health assessment?

Inspection, palpation, percussion, auscultation

The nurse is assessing a client with unexplained lesions noted on the client's back. The nurse is going to palpate the area of the lesions. What type of palpation should the nurse use?

Light

A nurse needs to obtain a pulse on a client. Which physical assessment technique should the nurse use?

Light palpation

You should use the bell of the stethoscope when auscultating what type of sounds?

Low-frequency sounds

During a physical examination of a client, the nurse assesses the size of the liver. Which of the following techniques should the nurse use for this assessment?

Palpation

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

How should the nurse place the ear of an adult when using the otoscope?

Up and back

While examining a client, the nurse plans to palpate temperature of the skin by using the

dorsal surface of the hand