PA Study Guide Ch. 3

11. 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

Ans: Hyperresonance

10. The most commonly used method of percussion is

Ans: Indirect percussion

4. During a comprehensive assessment, the primary technique used by the nurse throughout the examination is

Ans: Inspection

7. While performing a physical examination on an adult client, the nurse can detect the density of an underlying structure by using

Ans: Percussion

13. During a comprehensive assessment of an adult client, the nurse can best hear high-pitched sound by using stethoscope with a

Ans: 1 ½ inch diaphragm

8. When the nurse places one hand flat on the body surface and uses the fist of the other hand to strike the back of the hand flat on the body surface, the nurse is using

Ans: Blunt percussion

9. An adult client visits a clinic and tells the nurse that she suspects she has UTI. To detect tenderness over the client's kidney, the nurse should instruct the client that he or she will be performing

Ans: Blunt percussion

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

Ans: Bones

6. 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

Ans: Deep palpation

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

Ans: Dorsal surface of the hand

2. To alleviate a client's anxiety during a comprehensive assessment, the nurse should

Ans: Explain each procedure being performed and the reason for the procedure

3. While performing a physical examination on an older adult, the nurse should plan to

Ans: Use minimal position changes

1. Before beginning a physical assessment of a client, the nurse should fist

Ans: Wash both hands with soap and water