Question 1

When preparing to examine a 6-year-old child,which action is most appropriate?

Accepted Answer

A 6-year-old child has a sense of modesty.The child should be allowed to undress himself or herself,leave the underpants on,and wear a gown or drape.A school-age child is curious to know how various instruments work.The sequence of steps should progress from head to toes.

Question 2

MATCHING
The nurse is preparing to palpate the thorax and abdomen of a patient.For each description listed below,specify the appropriate part of the hand that should be used for palpation.

-The dorsa (backs)of hands and fingers

Accepted Answer

The dorsa (backs) of hands and fingers are most sensitive to temperature changes, making them ideal for determining the temperature of the patient's skin.

Question 3

MATCHING
The nurse is preparing to palpate the thorax and abdomen of a patient.For each description listed below,specify the appropriate part of the hand that should be used for palpation.

-Base of fingers (metacarpophalangeal joints)or ulnar surface of the hand: best for vibration.

Accepted Answer

The base of fingers (metacarpophalangeal joints) or ulnar surface of the hand is best for detecting vibration over the thorax and abdomen.

Answer: B
 The ulnar surface of the hand is best for evaluating skin texture over the abdomen.

Answer: A
 The base of fingers (metacarpophalangeal joints) should be used to detect the shape and consistency of a mass in the axilla.

Answer: C
 None of the options given are appropriate for determining the temperature of the patient's skin. The appropriate part of the hand for this assessment would be the dorsal surface.

Question 4

MATCHING
The nurse is preparing to palpate the thorax and abdomen of a patient.For each description listed below,specify the appropriate part of the hand that should be used for palpation.

-Fingertips

Accepted Answer

The answer of MATCHING
The nurse is preparing to palpate the...

Question 5

MATCHING
The nurse is preparing to palpate the thorax and abdomen of a patient.For each description listed below,specify the appropriate part of the hand that should be used for palpation.

-Fingers and thumb in a grasping action

Accepted Answer

Fingers and thumb in a grasping action are best for detecting the shape and consistency of a mass in the axilla.

Answer: B
 Fingers and thumb in a grasping action are best for evaluating skin texture over the abdomen.

Answer: C
 Fingers and thumb in a grasping action are not used to determine the temperature of the patient's skin. The back of the hand is used for this.

Answer: D
 Fingers and thumb in a grasping action are not best for detecting vibration over the thorax and abdomen. The ulnar surface of the hand is better suited for this.

Question 6

During auscultation of a patient's heart,the nurse hears an unfamiliar sound.What should the nurse do next?

Accepted Answer

If an abnormal finding is not familiar,the nurse may ask another examiner to double-check the finding.

Quiz 9: Assessment Techniques and the Clinical Setting

When preparing to examine a 6-year-old child,which action is most appropriate?

MATCHING The nurse is preparing to palpate the thorax and abdomen of a patient.For each description listed below,specify the appropriate part of the hand that should be used for palpation. -The dorsa (backs) of hands and fingers

MATCHING The nurse is preparing to palpate the thorax and abdomen of a patient.For each description listed below,specify the appropriate part of the hand that should be used for palpation. -Base of fingers (metacarpophalangeal joints) or ulnar surface of the hand: best for vibration.

MATCHING The nurse is preparing to palpate the thorax and abdomen of a patient.For each description listed below,specify the appropriate part of the hand that should be used for palpation. -Fingertips

MATCHING The nurse is preparing to palpate the thorax and abdomen of a patient.For each description listed below,specify the appropriate part of the hand that should be used for palpation. -Fingers and thumb in a grasping action

During auscultation of a patient's heart,the nurse hears an unfamiliar sound.What should the nurse do next?