N224 Exam 1 Questions with Correct Answers (Grade A+)
Question 1: When performing a physical assessment, the technique you will always use first is:
Answer: Inspection
Question 2: The nurse is preparing to use a stethoscope for auscultation. Which statement is true
regarding the diaphragm of the stethoscope?
Answer: The diaphragm: high-pitched sounds such as breath, bowel, and normal heart sounds
Question 3: Which of the following statements is true regarding the use of standard precautions in the
health care setting?
Answer: Standard precautions are intended for use with all patients regardless of their risk or presumed
infection status.
Question 4: The most important step that the nurse can take to prevent transmission of
microorganisms in the hospital setting is to:
Answer: wash hands promptly and thoroughly before and after physical contact with each patient
Question 5: During the examination, it is often appropriate to offer some brief teaching about the
patient's body or the examiner's findings. Which of these statements by the nurse is most appropriate?
Answer: "Your pulse is 80 beats per minute. This is within the normal range."
Question 6: The nurse is performing a general survey. Which action is a component of the general
survey?
Answer: Observing the patient's body structure and nutritional status
Question 7: The nurse is assessing an 85-year-old male patient. Which assessment findings would be
considered normal?
Answer: Presence of kyphosis and flexion in bilateral knees and hips
Question 8: When assessing a 55-year-old patient who has asthma, the nurse notes that he assumes a
tripod position, leaning forward with arms braced on the chair. How should the nurse interpret these
findings?
Answer: Recognize that a tripod position is often used when a patient is having respiratory difficulties
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, Question 9: The nurse is performing a general survey of a patient. Which finding is an expected
finding?
Answer: Body mass index (BMI) of 20
Question 10: During an examination, the nurse notices that a female patient has a round "moon" face,
central trunk obesity, and a cervical hump. Her skin is fragile with bruises. The nurse determines that
the patient likely has which condition?
Answer: Cushing syndrome
Question 11: The nurse notices that a patient has a solid, elevated, circumscribed lesion that is less than
1 cm in diameter. When documenting this finding, the nurse would report this as a:
Answer: papule
Question 12: A 65-year-old man with emphysema and bronchitis has come to the clinic for a follow-up
appointment. On assessment, the nurse might expect to see which assessment findings?
Answer: Clubbing of the nails
Question 13: The nurse is assessing the nail beds of a patient. Which finding would be a normal angle?
Answer: 160 degrees
Question 14: A patient tells the nurse that he has noticed that one of his moles has started to burn and
bleed. When assessing his skin, the nurse would pay special attention to the danger signs for pigmented
lesions and would be concerned with which additional findings?
Answer: Color variation
Question 15: The nurse has discovered decreased skin turgor in a patient and knows that this is an
expected finding in which of these conditions?
Answer: Severe dehydration
Question 16: The patient has a pressure ulcer that looks shallow like an open blister. Which stage is
this?
Answer: Stage II
Question 17: The nurse is testing a patient's visual accommodation, which refers to which action?
Answer: The muscle fibers of the iris contract the pupil in bright light and accommodate for near vision,
which also results in pupil constriction
Page 2
Question 1: When performing a physical assessment, the technique you will always use first is:
Answer: Inspection
Question 2: The nurse is preparing to use a stethoscope for auscultation. Which statement is true
regarding the diaphragm of the stethoscope?
Answer: The diaphragm: high-pitched sounds such as breath, bowel, and normal heart sounds
Question 3: Which of the following statements is true regarding the use of standard precautions in the
health care setting?
Answer: Standard precautions are intended for use with all patients regardless of their risk or presumed
infection status.
Question 4: The most important step that the nurse can take to prevent transmission of
microorganisms in the hospital setting is to:
Answer: wash hands promptly and thoroughly before and after physical contact with each patient
Question 5: During the examination, it is often appropriate to offer some brief teaching about the
patient's body or the examiner's findings. Which of these statements by the nurse is most appropriate?
Answer: "Your pulse is 80 beats per minute. This is within the normal range."
Question 6: The nurse is performing a general survey. Which action is a component of the general
survey?
Answer: Observing the patient's body structure and nutritional status
Question 7: The nurse is assessing an 85-year-old male patient. Which assessment findings would be
considered normal?
Answer: Presence of kyphosis and flexion in bilateral knees and hips
Question 8: When assessing a 55-year-old patient who has asthma, the nurse notes that he assumes a
tripod position, leaning forward with arms braced on the chair. How should the nurse interpret these
findings?
Answer: Recognize that a tripod position is often used when a patient is having respiratory difficulties
Page 1
, Question 9: The nurse is performing a general survey of a patient. Which finding is an expected
finding?
Answer: Body mass index (BMI) of 20
Question 10: During an examination, the nurse notices that a female patient has a round "moon" face,
central trunk obesity, and a cervical hump. Her skin is fragile with bruises. The nurse determines that
the patient likely has which condition?
Answer: Cushing syndrome
Question 11: The nurse notices that a patient has a solid, elevated, circumscribed lesion that is less than
1 cm in diameter. When documenting this finding, the nurse would report this as a:
Answer: papule
Question 12: A 65-year-old man with emphysema and bronchitis has come to the clinic for a follow-up
appointment. On assessment, the nurse might expect to see which assessment findings?
Answer: Clubbing of the nails
Question 13: The nurse is assessing the nail beds of a patient. Which finding would be a normal angle?
Answer: 160 degrees
Question 14: A patient tells the nurse that he has noticed that one of his moles has started to burn and
bleed. When assessing his skin, the nurse would pay special attention to the danger signs for pigmented
lesions and would be concerned with which additional findings?
Answer: Color variation
Question 15: The nurse has discovered decreased skin turgor in a patient and knows that this is an
expected finding in which of these conditions?
Answer: Severe dehydration
Question 16: The patient has a pressure ulcer that looks shallow like an open blister. Which stage is
this?
Answer: Stage II
Question 17: The nurse is testing a patient's visual accommodation, which refers to which action?
Answer: The muscle fibers of the iris contract the pupil in bright light and accommodate for near vision,
which also results in pupil constriction
Page 2
