Question 1 of 6
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The nurse is assessing a 7-year-old. List the body systems in the order in which they would likely be assessed.
- Face
- Neck
- Chest
- Abdomen
- Extremities
- Genitals
The nurse would assess the body systems in a head-to-toe fashion but would save the genital area for last because examination of this area may cause embarrassment or discomfort.
Question 2 of 6
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The nurse is assessing a 4-year-old child with a cough. After noting the child’s vital signs, which action would the nurse take?
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- Palpate the facePalpation would be performed but would not be performed first.
- Correct
- Inspect the chestChest inspection is an important assessment and would need to be performed after the child’s vital signs have been determined.
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- Percuss the thoraxThe nurse may percuss the thorax, but that would not be performed first.
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- Auscultate the lungsLung auscultation should be performed but would not be performed first.
Question 3 of 6
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An 8-year-old is seen in a clinic for a sore throat and cough. The nurse has orders to assess vital signs, auscultate lung sounds, assess the child’s weight, and obtain a throat culture. Why would the nurse perform the culture last?
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- Obtaining a throat culture is optionalIf ordered by the provider, the throat culture is not an optional procedure for the nurse.
- Correct
- Obtaining a throat culture is uncomfortableThe throat culture would be obtained last because it will likely be uncomfortable for the child.
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- Obtaining a throat culture can change the vital signsThe throat culture would not alter the patient’s vital signs.
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- Obtaining the throat culture may change lung soundsThroat cultures do not alter a patient’s lung sounds.
Question 4 of 6
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Why should the nurse auscultate the abdomen before palpation during an abdominal assessment?
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- Palpation changes bowel sounds.The nurse would auscultate before palpation, because palpation can cause a shift in intestinal contents and alter bowel sounds.
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- Palpation will be painful for the patient.Palpation may be uncomfortable for patients with abdominal pain, but that is not the primary reason that auscultation is done first.
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- Palpation takes less time than auscultation.Palpation may take less time than auscultation, depending on the patient’s condition, but that is not the primary reason that auscultation is done first.
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- Auscultation can reveal more abnormalities than palpation.Auscultation can reveal abnormalities in peristalsis, but palpation can also reveal abnormalities, such as lumps and masses.
Question 5 of 6
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The nurse percusses the chest of a 7-year-old patient with asthma and notes a dull area over the lower left quadrant. How would the nurse describe this finding?
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- Percussion over a hollow organPercussion over a hollow organ is resonant, not dull.
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- Percussion over an air-filled organPercussion over an air-filled organ is described as tympany.
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- Percussion over a solid mass, or bonePercussion over a solid bone produces a flat sound.
- Correct
- Percussion over a high-density organ or massPercussion over high-density organs produces a dull sound.
Question 6 of 6
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The nurse is performing a thorough examination of a 5-year-old child. When assessing the warmth of the child’s skin, the nurse uses which aspect of the hand?
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- PalmThe palm of the hand is used to identify vibrations, not to assess the warmth of the skin.
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- FingertipsThe fingertips are used to palpate lymph nodes and pulses, not to assess the warmth of the skin.
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- Finger padsFinger pads are used to palpate the breast, not to assess the warmth of the skin.
- Correct
- Back surfaceThe back surface of the hand would be used to assess the temperature of the skin.