N112 Quiz Assessment NCLEX Prep
Questions With Correct Answers
A Nurse is preparing to perform an Abdominal examination of a patient. The best
position to place the client is - ANSWER Supine with head raised slightly and
knees slightly flexed
Rationale: The Position relaxes the abdominal muscles- a totally supine position
makes the abdominal muscles to be taut
A Nurse is assessing a clients muscle strength. The nurse asks the patient to
hold his hands up and supinated as if holding a tray. Nurse then tells the patient
to close eyes and clients left hand turns and moves downward slightly. Nurse
interprets this as - ANSWER Pronator drift-
Rationale:
A Nurse is preparing to measure the apical pulse of a client. The nurse places
the diaphragm of the stethoscope on which cardiac site? - ANSWER Mitral area
A Nurse is assessing a patient with history of cardiac problems- where should
the nurse place the stethoscope to hear S1 the loudest? - ANSWER 5ICS, MCL
A nurse is performing a musculoskeletal assessment on a client and finds that
the client is right handed. The nurse would document which one of the following
as abnormal findings? - ANSWER Presence of Fasciculations:
Rationale- These are fine muscle twitches which are normally not present.
Hypertrophy on a client's dominant side is considered normal at 1cm- muscle
strength is graded from 0-5 with 0 being paralysis and 5 being normal.
Symmetrical muscle movement is a normal finding.
A Nurse is performing an abdominal assessment on a client. The nurse
determines which of the following findings should be reported to the physician? -
ANSWER Pulsations between the umbilicus and pubis
Rationale: Presence of pulsation in that area indicates presence of aortic
aneurysm- should be reported to physician
What is the proper sequence for the abdominal exam - ANSWER Inspect,
Auscultate, percuss and palpate
Questions With Correct Answers
A Nurse is preparing to perform an Abdominal examination of a patient. The best
position to place the client is - ANSWER Supine with head raised slightly and
knees slightly flexed
Rationale: The Position relaxes the abdominal muscles- a totally supine position
makes the abdominal muscles to be taut
A Nurse is assessing a clients muscle strength. The nurse asks the patient to
hold his hands up and supinated as if holding a tray. Nurse then tells the patient
to close eyes and clients left hand turns and moves downward slightly. Nurse
interprets this as - ANSWER Pronator drift-
Rationale:
A Nurse is preparing to measure the apical pulse of a client. The nurse places
the diaphragm of the stethoscope on which cardiac site? - ANSWER Mitral area
A Nurse is assessing a patient with history of cardiac problems- where should
the nurse place the stethoscope to hear S1 the loudest? - ANSWER 5ICS, MCL
A nurse is performing a musculoskeletal assessment on a client and finds that
the client is right handed. The nurse would document which one of the following
as abnormal findings? - ANSWER Presence of Fasciculations:
Rationale- These are fine muscle twitches which are normally not present.
Hypertrophy on a client's dominant side is considered normal at 1cm- muscle
strength is graded from 0-5 with 0 being paralysis and 5 being normal.
Symmetrical muscle movement is a normal finding.
A Nurse is performing an abdominal assessment on a client. The nurse
determines which of the following findings should be reported to the physician? -
ANSWER Pulsations between the umbilicus and pubis
Rationale: Presence of pulsation in that area indicates presence of aortic
aneurysm- should be reported to physician
What is the proper sequence for the abdominal exam - ANSWER Inspect,
Auscultate, percuss and palpate
