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Practice Question

Which of the following can be assessed with light palpation? [Select all that apply]

Answer Choices:

Correct Answer:

Tenderness

Rationale:

🔹Tenderness

♦️Light palpation helps the nurse detect areas of pain or discomfort by applying gentle pressure over the skin and superficial tissues.

♦️Clients may react with verbal or nonverbal cues (grimacing, guarding, or withdrawing) if tenderness is present.

♦️Assessing tenderness guides the nurse to avoid causing further pain and to focus deeper assessment where needed.

♦️It is commonly checked during abdominal, musculoskeletal, or soft tissue exams.

🔹Skin texture

♦️Light palpation allows the nurse to feel for temperature, moisture, smoothness, roughness, or dryness of the skin.

♦️Texture changes can indicate conditions such as dehydration, edema, hypothyroidism (dry, coarse skin), or liver disease (smooth skin).

♦️Palpating with the finger pads provides the best sensitivity to surface changes.

♦️This is part of routine head-to-toe assessment.

🔹Masses

♦️Superficial lumps, nodules, or swelling close to the skin surface can be detected with light palpation.

♦️Examples include enlarged lymph nodes, lipomas, or cysts.

♦️While deeper organs and large internal tumors require deep palpation, light palpation is sufficient to identify superficial masses.

♦️This provides early clues for further diagnostic evaluation.

Want to practice more questions like this?

This question is from Final Exam A1 FA25 which contains 50 questions.

More Questions from This Exam
The nurse is performing a health assessment on a 34-year-old female patient who reports "feeling fatigued all the time" She states, "Thave hot had a physical in over 8 years because I did not have medical insurance." The patient will be receiving a comprehensive health assessment today. Which of the following are components of the health assessment (Select all that apply]

Answer Choices:

A. Performing a physical examination
B. Assessing lifestyle factors that influence health (example: smoking, occupation, etc)
C. Collecting health data about the patient's spouse
D. Collecting data on past and present medical conditions
E. Assessing any prescription, over-the-counter, or herbal medications the patient is taking
Percussion is one of the four main assessment techniques used by nurses during a comprehensive health assessment. What is the technique and purpose of using percussion?

Answer Choices:

A. To look and examine physical aspects of the body, appearance, and behavior
B. Using the hands to identify different tones based on underlying tissue density
C. Using a stethoscope to identify different sounds based on anatomical location
D. Using the hands to touch and feel for surface characteristics
The nurse is preparing to palpate a patient's abdomen. The nurse will begin palpating the abdomen for surface characteristics and tenderrfess. This will best be achieved by:

Answer Choices:

A. Palpating with both hands and pressing down 1/2 inch
B. Palpating with one hand and pressing down 1/2 inch
C. Palpating with both hands and pressing down 1.5-2 inches
D. Palpating with one hand and pressing down 1.5-2 inches
The nurse is calculating the Body Mass Index (BMI) of a patient during a yearly health assessment. The nurse calculates the BMI to be 28. "What is the meaning of this assessment?

Answer Choices:

A. The patient is overweight
B. The patient is within normal weight for height
C. The patient is underweight
D. The patient is obese
From Exam
Final Exam A1 FA25

50 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: Examplify Exam(s)
  • Domain: Health Assessment
  • Answer Choices: 5
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