When performing a physical examination of the patient, the nurse uses a technique that is particularly useful in identifying areas of tenderness. This technique is:

percussion

palpation

auscultation

Inspection

Answer and Explanation

The Correct Answer is B

A. Percussion – Percussion helps assess the size, location, and density of organs but is not the primary technique for identifying tenderness.

B. Palpation – Palpation involves using the hands to assess for tenderness, swelling, temperature changes, and masses. It is the most effective method for detecting areas of tenderness.

C. Auscultation – Auscultation involves listening to internal body sounds, such as heart, lung, and bowel sounds, and does not assess tenderness.

D. Inspection – Inspection is visual observation of the body for abnormalities but does not involve physically assessing for tenderness.

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Correct Answer is C

Explanation

A. Bruits – Bruits are vascular sounds caused by turbulent blood flow, typically heard over arteries.

B. Crackles – Crackles (rales) are discontinuous, crackling breath sounds caused by fluid in the alveoli, often heard in pneumonia or heart failure.

C. Wheezing – Wheezing is a high-pitched, whistling sound heard during breathing, usually caused by narrowed airways due to asthma, bronchitis, or allergic reactions.

D. Turgor – Turgor refers to skin elasticity and is used to assess hydration status, not lung sounds.

A. edema B. exudate C. purulent D. Drainage

Correct Answer is D

Explanation

A. Edema – Edema is the accumulation of fluid in tissues, not the flow or withdrawal of fluids.

B. Exudate –Exudate is a fluid that escapes from blood vessels due to inflammation or injury, but it does not specifically refer to the free flow of fluid.

C. Purulent – Purulent refers to thick, pus-containing fluid, which indicates infection but does not describe fluid drainage in general.

D. Drainage – Drainage refers to the free flow or withdrawal of fluids from a wound, cavity, or tube, including blood, pus, or serous fluid.

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When performing a physical examination of the patient, the nurse uses a technique that is particularly useful in identifying areas of tenderness. This technique is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Adventitious breath sounds that have a whistling or sighing sound due to narrowing of the lumen of a respiratory passage are termed:

Correct Answer is C

Explanation

Free flow or withdrawal of fluids from a wound or a cavity is termed:

Correct Answer is D

Explanation

Although the signs and symptoms of both infection and inflammation include erythema, edema, and pain, the major difference is that inflammation:

During the nursing interview, several histories are taken. The history that involves data concerning habits and lifestyle patterns is called:

An abnormal condition in which a person must sit or stand to breathe deeply or comfortably is called:

An abnormal rapid rate of breathing seen in many disease conditions is called:

A nurse is collecting data from a patient who has dehydration. Which findings should the nurse expect?

As the assessment continues the nurse notes an abnormal swishing sound with auscultation of the carotid artery. The term for this sound is:

The profuse secretion of sweat associated with an elevated body temperature, certain disease conditions, physical exertion, exposure to heat and mental or emotional stress is termed:

An abnormal accumulation of fluid in the interstitial spaces is described as: