Chapter 21: Physical Assessment - Nurselytic

Questions 49

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Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills

Chapter 21 : Physical Assessment Questions

Question 1 of 5

You are preparing to perform an initial shift assessment. You know that the correct order in which you should perform the five techniques for objective assessment (except for the abdomen) is

Correct Answer: B

Rationale: The correct order for assessment (except abdomen) is observation, auscultation, palpation, percussion, and olfaction to avoid altering findings.

Question 2 of 5

The correct sequence to assess the abdomen is

Correct Answer: B

Rationale: Abdominal assessment starts with observation, then auscultation (before palpation/percussion to avoid altering bowel sounds), followed by palpation, percussion, and olfaction.

Question 3 of 5

What are the acronyms used to indicate the quadrants of the abdomen?

Correct Answer: A,C,E,F

Rationale: The abdomen is divided into four quadrants: RLQ (right lower quadrant), LUQ (left upper quadrant), RUQ (right upper quadrant), and LLQ (left lower quadrant).

Question 4 of 5

You have just completed an initial shift assessment of your 72-year-old female patient who has congestive heart failure. Which of the following assessment findings causes you the most concern?

Correct Answer: D

Rationale: Not voiding in 12 hours is concerning in a patient with congestive heart failure, as it may indicate worsening renal perfusion or fluid retention.

Question 5 of 5

You have just completed an initial shift assessment of a male in his 30s with a history of elevated hypertension and elevated cholesterol. Which of the following assessment findings provides information about his circulatory system?

Correct Answer: B,D,E,F

Rationale: BP, pulse deficit, pedal pulses, and edema are direct indicators of circulatory status, reflecting vascular pressure, perfusion, and fluid dynamics.

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