NU 136 Exam 2 – Fundamentals of
Nursing 1
55 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Vital Signs & Assessment
2 Hygiene & Personal Care
3 Mobility & Positioning
4 Safety & Infection Control
5 Wound Care
6 Oxygenation
7 Nutrition & Elimination
8 Documentation & Medication Administration
Page 1
,Q1
A nurse is measuring orthostatic vital signs. Which sequence is correct?
A) Sitting, then supine, then standing
B) Standing, then sitting, then supine
C) *Supine, then sitting, then standing CORRECT
D) Supine, then standing, then sitting
Rationale
Orthostatic measurements begin with the client supine, then sitting, then standing to detect
position-related BP drops.
Q2
A nurse auscultates an apical pulse of 88 bpm and a radial pulse of 72 bpm. Which term
describes this finding?
A) *Pulse deficit CORRECT
B) Bradycardia
C) Irregular rhythm
D) Tachycardia
Rationale
A pulse deficit is the difference between apical and radial rates, indicating ineffective
contractions.
Q3
Which route provides the most accurate core body temperature in an adult?
A) Axillary
B) *Rectal CORRECT
C) Temporal
D) Oral
Page 2
, Rationale
Rectal temperature most closely reflects core temperature; axillary is the least accurate.
Q4
In which order should the nurse perform an abdominal assessment?
A) Palpation, percussion, auscultation, inspection
B) Auscultation, inspection, percussion, palpation
C) *Inspection, auscultation, percussion, palpation CORRECT
D) Inspection, palpation, percussion, auscultation
Rationale
Auscultation precedes palpation and percussion to avoid altering bowel sounds.
Q5
Which assessment technique involves tapping the body to produce sound?
A) Inspection
B) Palpation
C) Auscultation
D) *Percussion CORRECT
Rationale
Percussion produces sounds that help identify underlying tissue density.
Q6
A nurse begins a physical assessment. Which technique is always performed first?
A) *Inspection CORRECT
B) Palpation
Page 3
Nursing 1
55 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Vital Signs & Assessment
2 Hygiene & Personal Care
3 Mobility & Positioning
4 Safety & Infection Control
5 Wound Care
6 Oxygenation
7 Nutrition & Elimination
8 Documentation & Medication Administration
Page 1
,Q1
A nurse is measuring orthostatic vital signs. Which sequence is correct?
A) Sitting, then supine, then standing
B) Standing, then sitting, then supine
C) *Supine, then sitting, then standing CORRECT
D) Supine, then standing, then sitting
Rationale
Orthostatic measurements begin with the client supine, then sitting, then standing to detect
position-related BP drops.
Q2
A nurse auscultates an apical pulse of 88 bpm and a radial pulse of 72 bpm. Which term
describes this finding?
A) *Pulse deficit CORRECT
B) Bradycardia
C) Irregular rhythm
D) Tachycardia
Rationale
A pulse deficit is the difference between apical and radial rates, indicating ineffective
contractions.
Q3
Which route provides the most accurate core body temperature in an adult?
A) Axillary
B) *Rectal CORRECT
C) Temporal
D) Oral
Page 2
, Rationale
Rectal temperature most closely reflects core temperature; axillary is the least accurate.
Q4
In which order should the nurse perform an abdominal assessment?
A) Palpation, percussion, auscultation, inspection
B) Auscultation, inspection, percussion, palpation
C) *Inspection, auscultation, percussion, palpation CORRECT
D) Inspection, palpation, percussion, auscultation
Rationale
Auscultation precedes palpation and percussion to avoid altering bowel sounds.
Q5
Which assessment technique involves tapping the body to produce sound?
A) Inspection
B) Palpation
C) Auscultation
D) *Percussion CORRECT
Rationale
Percussion produces sounds that help identify underlying tissue density.
Q6
A nurse begins a physical assessment. Which technique is always performed first?
A) *Inspection CORRECT
B) Palpation
Page 3
