Assessment and Physical Exam
Questions and Answers 2026
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31. The nurse is preparing to complete a health assessment on a 16-year-old girl whose parents
have brought her to the clinic. Which instruction would be appropriate for the parents before the
interview begins?
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ANS: A
b.
on
d.
The Snellen eye chart is most widely used for vision examinations. The other options are not
tests for vision examinations.
DIF: Cognitive Level: Remembering (Knowledge) REF: . 776
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. After the health history has been obtained and before beginning the physical examination,
thenurse should first ask the patient to:
ANS: A
Before beginning the examination, the nurse should ask the person to empty the bladder (save the
specimen if needed), disrobe except for underpants, put on a gown, and sit with the legs dangling
off side of the bed or table.
DIF: Cognitive Level: Remembering (Knowledge) REF: . 776
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. During a complete health assessment, how would the nurse test the patients hearing?
a. Observing how the patient participates in normal conversation
b. Using the whispered voice test
c. Using the Weber and Rinne tests
d. Testing with an audiometer
ANS: B
During the complete health assessment, the nurse should test hearing with the whispered voice
test. The other options are not correct.
DIF: Cognitive Level: Applying (Application) REF: . 777
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. A patient states, Whenever I open my mouth real wide, I feel this popping sensation in front of
my ears. To further examine this, the nurse would:
a. Place the stethoscope over the temporomandibular joint, and listen for bruits.
b. Place the hands over his ears, and ask him to open his mouth really wide.
b.
d.
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c. Place one hand on his forehead and the other on his jaw, and ask him to try to open
his mouth.
d. Place a finger on his temporomandibular joint, and ask him to open and close his
mouth.
ANS: D
The nurse should palpate the temporomandibular joint by placing his or her fingers over the joint
as the person opens and closes the mouth.
DIF: Cognitive Level: Applying (Application) REF: . 777
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
6. The nurse has just completed an examination of a patients extraocular muscles.
Whendocumenting the findings, the nurse should document the assessment of which cranial
nerves?
Extraocular muscles are innervated by cranial nerves III, IV, and VI.
DIF: Cognitive Level: Applying (Application) REF: . 777
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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