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Physical Assessment Post-Test| Prep Study Exam 2025/2026| Updated Solution

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Physical Assessment Post-Test| Prep Study Exam 2025/2026| Updated Solution During a mental status examination, the nurse notes the patient is having difficulty with abstract thinking. Which of the following questions would best assess this function? A. "What would you do if you found a stamped, addressed envelope on the ground?" B. "Can you count backward from 100 by sevens?" C. "What do people mean when they say, 'It's raining cats and dogs'?" D. "Can you tell me where you are right now?" C. "What do people mean when they say, 'It's raining cats and dogs'?" When assessing a patient's pain level, the nurse knows that which of the following statements about pain is true? A. Pain is always objective and easy to assess. B. Pain assessment requires the nurse to make assumptions about the patient’s pain experience. C. Pain is whatever the patient says it is, existing whenever they say it does. D. Pain assessment can only be done effectively using numerical scales. C. Pain is whatever the patient says it is, existing whenever they say it does. Which of the following techniques is used by the nurse to assess for tactile fremitus? A. Palpation B. Inspection 2 C. Auscultation D. Percussion A. Palpation When assessing the pulse of a patient, the nurse should document which pulse as normal? A. A weak, thready pulse B. A full, bounding pulse C. An absent pulse D. A pulse with regular rhythm and rate of 60-100 beats per minute D. A pulse with regular rhythm and rate of 60-100 beats per minute During an assessment of the cranial nerves, the nurse asks the patient to stick out their tongue. The nurse is testing which cranial nerve? A. CN IX B. CN X C. CN XI D. CN XII D. CN XII The nurse is assessing a patient’s skin and notes a lesion that is asymmetrical, has irregular borders, multiple colors, and a diameter of 7 mm. The nurse understands that these characteristics are associated with: A. Eczema 3 B. Acne C. Malignant melanoma D. Psoriasis C. Malignant melanoma When assessing the respiratory system, the nurse auscultates crackles at the lung bases.

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Physical Assessment Post-Test| Prep
Study Exam 2025/2026| Updated
Solution
During a mental status examination, the nurse notes the patient is having difficulty with abstract

thinking. Which of the following questions would best assess this function?

A. "What would you do if you found a stamped, addressed envelope on the ground?"

B. "Can you count backward from 100 by sevens?"

C. "What do people mean when they say, 'It's raining cats and dogs'?"

D. "Can you tell me where you are right now?"

C. "What do people mean when they say, 'It's raining cats and dogs'?"



When assessing a patient's pain level, the nurse knows that which of the following statements

about pain is true?

A. Pain is always objective and easy to assess.

B. Pain assessment requires the nurse to make assumptions about the patient’s pain experience.

C. Pain is whatever the patient says it is, existing whenever they say it does.

D. Pain assessment can only be done effectively using numerical scales.

C. Pain is whatever the patient says it is, existing whenever they say it does.



Which of the following techniques is used by the nurse to assess for tactile fremitus?

A. Palpation

B. Inspection


1

,C. Auscultation

D. Percussion

A. Palpation



When assessing the pulse of a patient, the nurse should document which pulse as normal?

A. A weak, thready pulse

B. A full, bounding pulse

C. An absent pulse

D. A pulse with regular rhythm and rate of 60-100 beats per minute

D. A pulse with regular rhythm and rate of 60-100 beats per minute



During an assessment of the cranial nerves, the nurse asks the patient to stick out their tongue.

The nurse is testing which cranial nerve?

A. CN IX

B. CN X

C. CN XI

D. CN XII

D. CN XII



The nurse is assessing a patient’s skin and notes a lesion that is asymmetrical, has irregular

borders, multiple colors, and a diameter of 7 mm. The nurse understands that these

characteristics are associated with:

A. Eczema


2

, B. Acne

C. Malignant melanoma

D. Psoriasis

C. Malignant melanoma



When assessing the respiratory system, the nurse auscultates crackles at the lung bases. This

finding is most commonly associated with:

A. Bronchitis

B. Heart failure

C. Asthma

D. Emphysema

B. Heart failure



The nurse is performing a functional assessment on an older adult. Which question would be

most appropriate to include?

A. "Do you live alone or with someone?"

B. "Can you dress yourself without help?"

C. "How would you describe your mood?"

D. "Do you exercise regularly?"

B. "Can you dress yourself without help?"



During a neurological assessment, the nurse uses a reflex hammer to check the patellar reflex.

What response should be expected in a healthy adult?


3

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Subido en
7 de noviembre de 2024
Número de páginas
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2024/2025
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