ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS RATED A+
A patient has suddenly developed shortness of breath and
appears to be insignificant respiratory distress. After calling the
position and placing the patient on oxygen, which of these actions
is the best for the nurse to take went further assisting this patient?
A. Count the patient's respirations
B. Bilaterally percuss the thorax, noting any differences in
percussion tones
C. Call for a chest x-ray study and wait for the results before
beginning an assessment
D. Inspect the thorax for any new masses and bleeding
associated with respirations Correct Answer B. Bilaterally
percuss the thorax, noting any differences in percussion
tones
The nurse is teaching a class on basic assessment skills. Which
of these statements is true regarding the stethoscope and its use?
A. Slope of the earpieces should point posteriorly (toward to
occiput)
B. Although the stethoscope does not magnify sound, it does
block out extraneous room noise
,C. Fit and quality of the stethoscope are not as important as its
ability to magnify sound
D. Ideal tubing length should be 22 inches to dampen the
distortion of sound Correct Answer B. Although the stethoscope
does not magnify sound, it does block out extraneous room
noise
The nurse is preparing to use a stethoscope for auscultation.
Which statement is true regarding the diaphragm of the
stethoscope? The diaphragm:
A. Is used to listen for high-pitched sounds
B. Is used to listen for low-pitched sounds
C. Should be lightly held against the persons skin to block out
low-pitched sounds
D. Should be lightly held again the person skin to listen for extra
heart sounds and murmurs Correct Answer A. Is used to listen
for high-pitched sounds
Before auscultating the abdomen for the presence of bowel
sounds on a patient, the nurse should:
A. Warm the endpiece of the stethoscope by placing it in warm
water
B. Leave the gown on the patient to ensure that she or he does
not get chilled during the examination
C. Ensure that the bell side of the stethoscope is turned to the on
position
,D. Check the temperature of the room and offer blankets to the
patient if she or he feels cold. Correct Answer D. Check the
temperature of the room and offer blankets to the patient if
she or he feels cold.
The nurse will use which technique of assessment to determine
the presence of crepitus, swelling and pulsations?
A. Palpation
B. Inspection
C. Percussion
D. Auscultation Correct Answer A. Palpation
The nurse is preparing to use an otoscope for an examination.
Which statement is true regarding the otoscope? The otoscope:
A. Is often used to direct light onto the sinuses
B. Uses a short, broad speculum to help visualize the ear
C. Is used to examine the structures of the internal ear
D. Directs light into the ear canal and onto the tympanic
membrane Correct Answer D. Directs light into the ear canal
and onto the tympanic membrane
An examiner is using an ophthalmoscope to examine a patient's
eyes. The patient has astigmatism and is nearsighted. The use of
which of these techniques would indicate that the examination is
being correctly performed?
, A. Using the large full circle of light when assessing pupils that
are not dilated
B. Rotating the lens selector dial to the black numbers to
compensate for astigmatism
C. Using the grid on the lens aperture to visualize the external
structures of the eye
D. Rotating the lens selector dial to bring the object into focus
Correct Answer D. Rotating the lens selector dial to bring the
object into focus
The nurse is unable to palpate the right radial pulse on a patient.
The best action would be to:
A. Auscultate over the area with a fetoscope
B. Use a goniometer to measure the pulsations
C. Use a Doppler device to check for pulsations over the area
D. Check for the presence of pulsations with a stethoscope
Correct Answer C. Use a Doppler device to check for
pulsations over the area
The nurse is preparing to perform a physical assessment. The
correct action by the nurse is reflected by which statement? The
nurse:
A. Performs the examination from the left side of the bed
B. Examines the tender of painful areas first to help relieve the
patient's anxiety