chapter 6- physical examination

8/20/2019 Chapter 6- Physical Examination

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1.What should the nurse do before conducting a physical examination of a patient? (Select

all that apply.)

A) Obtain and check needed euipment.!) "nsure a uiet en#ironment.

$) %dentify &ays to ensure patient pri#acy.

') Assist the patient to a standing position.") Wash hands.

.'uring a physical examination the nurse &ants to assess a body area for contours and

si*e of organs. +he techniue that the nurse &ill use for this assessment &ould be,

A) %nspection

!) -alpation$) -ercussion

') Auscultation

.+he nurse is going to conduct a physical assessment on a patient &ho is on bed rest. +he

best position for the nurse to begin the head to toe assessment &ould be to,A) Stand on the right side of the bed.

!) Stand on the left side of the bed.

$) Stand at the head of the bed.

') Stand at the foot of the bed.

/.+he nurse is conducting a physical examination of a patient &ho is lying do&n. Which body area can be assessed &hile the patient is in this position?

A) 0ange of motion of the spine!) -osterior chest excursion$) ead and neck range of motion

') 2ugular #ein distention

3.+he nurse is planning to inspect a patient4s apical heart impulses. What should the nurse

do to ensure that this body organ is optimally assessed?

A) 5se perpendicular lighting.!) 5se tangential lighting.

$) 6ocus a penlight on the patient4s chest.

') Assist the client to a standing position.

7.+he nurse is ha#ing difficulty auscultating a patient4s bo&el sounds during a physicalexamination of the abdomen. What can the nurse do to impro#e hearing the patient4s

sounds of this body area?

A) -ercuss the region before auscultating.

!) -alpate the region before auscultating.$) Assist the client to a sitting position.

') 0educe all en#ironmental noise.

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8.+he nurse is preparing to assess a patient4s #ision. +he euipment that the nurse &ill needto conduct this portion of the physical examination is, (Select all that apply.)

A) Ophthalmoscope

!) Snellen chart$) 0osenbaum chart

') Otoscope

") $otton balls

9.+he nurse is planning to assess for the presence of lo&er pitch sounds &hen examining a

patient4s heart. Which item of euipment &ould the nurse use to make this assessment?A) +uning fork

!) +&o test tubes

$) !ell of a stethoscope

') 'iaphragm of a stethoscope

:.+he nurse is conducting a physical examination of a patient &ho is in the lying position.

-lace in order the areas the nurse &ill assess &hen completing this examination.

a. Shins and ankles

b. ;roin hips and kneesc. !reasts

d. $hest and thorax

e. $ardio#ascular A) c d e b a

!) d b a e c

$) a c b d e') c e b d a

") d e b a c

1<.After completing the physical examination of a patient in the seated and lying positions

the nurse asks the patient to stand. What body areas &ill the nurse assess &ith the client

in this position?A) $er#ical spine

!) +horax

$) Axillary nodes') ;ait and balance

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Answer Key

1.A ! $ ".!

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8.! $9.$

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chapter 6- physical examination

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