EXAM 1 – COMPLETE QUESTIONS AND ANSWERS
1. Which technique is used first when performing an
abdominal assessment?
A. Palpation
B. Percussion
C. Auscultation
D. Inspection
Correct Answer: D. Inspection
Rationale: Inspection is always performed first to avoid altering
bowel sounds during abdominal assessment.
2. What is the normal adult respiratory rate?
A. 8–10 breaths/min
B. 12–20 breaths/min
C. 20–30 breaths/min
D. 30–40 breaths/min
Correct Answer: B. 12–20 breaths/min
Rationale: A normal adult respiratory rate ranges from 12 to 20
breaths per minute.
,3. Which finding indicates cyanosis?
A. Pink nail beds
B. Bluish discoloration of skin
C. Yellow sclera
D. Red flushed skin
Correct Answer: B. Bluish discoloration of skin
Rationale: Cyanosis results from decreased oxygenation causing
bluish skin discoloration.
4. What is the best position for lung auscultation?
A. Supine
B. Lithotomy
C. Upright sitting
D. Trendelenburg
Correct Answer: C. Upright sitting
Rationale: Sitting upright allows optimal lung expansion and
sound detection.
5. Which cranial nerve controls facial expressions?
A. CN I
B. CN III
C. CN VII
D. CN X
Correct Answer: C. CN VII
Rationale: The facial nerve (CN VII) controls facial movement
and expression.
,6. What is the first step in the nursing process?
A. Diagnosis
B. Assessment
C. Planning
D. Implementation
Correct Answer: B. Assessment
Rationale: Assessment is the foundation of the nursing process.
7. A pulse rate of 110 bpm is classified as:
A. Bradycardia
B. Normal
C. Tachycardia
D. Arrhythmia
Correct Answer: C. Tachycardia
Rationale: A heart rate above 100 bpm is tachycardia.
8. Which tool is used to measure blood pressure?
A. Thermometer
B. Sphygmomanometer
C. Otoscope
D. Stethoscope
Correct Answer: B. Sphygmomanometer
Rationale: A sphygmomanometer measures blood pressure.
9. What does PERRLA stand for?
A. Pupils Equal, Round, Reactive to Light and Accommodation
B. Pulse Equal, Regular, Reactive, Light, Alert
, C. Pupils Enlarged, Reactive, Responsive, Light
D. Pressure Equal, Responsive, Reflex, Light Assessment
Correct Answer: A. Pupils Equal, Round, Reactive to Light and
Accommodation
Rationale: PERRLA is a neurological assessment of pupil
function.
10. Which assessment is subjective data?
A. Blood pressure reading
B. Patient reports pain
C. Heart rate measurement
D. Oxygen saturation
Correct Answer: B. Patient reports pain
Rationale: Subjective data comes from the patient's experience.
11. Normal oxygen saturation level is:
A. 80–85%
B. 85–89%
C. 95–100%
D. 70–75%
Correct Answer: C. 95–100%
Rationale: Normal SpO2 ranges from 95% to 100%.
12. Which site is preferred for adult pulse measurement?
A. Femoral
B. Radial
C. Carotid