Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
What is the best position for assessing the lungs posteriorly?
✔✔ Sitting upright, leaning slightly forward
What tool is used to test deep tendon reflexes during a physical exam?
✔✔ Reflex hammer
What is the normal range for an adult’s respiratory rate?
✔✔ 12 to 20 breaths per minute
Where should the nurse place the stethoscope to auscultate the apical pulse?
✔✔ At the fifth intercostal space, midclavicular line
Which part of the hand is best for assessing skin temperature?
✔✔ The dorsal (back) side of the hand
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, What sound is expected when percussing over healthy lung tissue?
✔✔ Resonance
What is the correct method for assessing capillary refill?
✔✔ Press on the nailbed until it blanches, then release and observe how quickly color returns
What is the normal capillary refill time in an adult?
✔✔ Less than 2 seconds
How should the nurse assess for jugular vein distention?
✔✔ Position the client at a 30 to 45-degree angle and observe the neck
Which side of the stethoscope is best for hearing high-pitched lung sounds?
✔✔ Diaphragm
What is the best method to check for edema in the lower extremities?
✔✔ Press the skin over the shin or ankle and observe for pitting
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