NLN Physical Assessment Exam Test
correctly solved
While assessing a patient, a nurse notes the following findings: poor skin turgor, decreased blood
pressure, and a rapid pulse. The patient reports having flu-like symptoms, including nausea, vomiting,
and diarrhea for the past three days. Based on the above data, which of these laboratory tests should
the patient have? - Answer Urine osmolarity, BUN, and hematocrit
Which of these manifestations is suggestive of a UTI in a 6-year-old? - Answer Enuresis
3. To assess for Chvostek's sign, which of these actions should a nurse do? - Answer Tap over the facial
nerve anterior to the ear and observe for twitching
4. When assessing an adolescent for scoliosis, which of these actions should a nurse include? - Answer
Ask the adolescent to bend forward at the waist
5. A nurse if planning to perform a physical assessment of the abdomen. The nurse should perform
which of these assessments last? - Answer palpation
6. Which of these manifestations should a nurse expect to assess in a patient who has chronic anorexia
nervosa? - Answer constipation
7. Which if these manifestations should a nurse expect to observe in a 3-month-old infant who is
diagnosed with dehydration? - Answer tachycardia
8. A patient's chart indicates the presence of petechiae on the anterior thorax, arms, and neck. Which of
these manifestations should a nurse expect to observe? - Answer small reddish-purplish, flat spots on
the skin or mucous membranes
9. Which of these assessment data, if noted by a nurse, would indicate that a patient is responding
effectively to fluid imbalance correction? - Answer weight has stabilized
, 10. A 70-year-old patient reports flank pain and a fever. Which additional findings, if noted, would
indicate to a nurse that the patient might have renal colic or calculi? - Answer positive CVA tenderness
11. Which of these interpretations should a nurse make when a patient who has a mastectomy has an
onset of sweating, palpitations, tachycardia, and diarrhea? - Answer This is suggestive of dumping
syndrome.
12. Which of these manifestations should a nurse assess as suggestive of arterial insufficiency of the
lower extremities? - Answer diminished pedal pulses
13. A nurse should expect a patient who is diagnosed with hyperthyroidism to report which of these
manifestations? - Answer heat intolerance
14. Which of these assessment findings, if present, would indicate to a nurse that an infant has
developmental hip dysplasia? - Answer the presence of asymmetric gluteal folds
15. Which of these manifestations should a nurse expect to assess in a patient who has
hyperphosphatemia? - Answer oral numbness
16. Which of these manifestations should a nurse expect to assess in a patient who has central cord
syndrome? - Answer greater motor loss in upper rather than lower extremities
17. Which of these physical assessment findings, if identified in a patient who has CHF, requires follow-
up by a nurse? - Answer dyspnea on exertion
18. When examining a newborn infant, which of these sinuses should a nurse expect to be absent at
birth? - Answer frontal
19. Which of these instructions should a nurse include when teaching testicular self-examination? -
Answer roll each testicle gently between your thumb and fingers
correctly solved
While assessing a patient, a nurse notes the following findings: poor skin turgor, decreased blood
pressure, and a rapid pulse. The patient reports having flu-like symptoms, including nausea, vomiting,
and diarrhea for the past three days. Based on the above data, which of these laboratory tests should
the patient have? - Answer Urine osmolarity, BUN, and hematocrit
Which of these manifestations is suggestive of a UTI in a 6-year-old? - Answer Enuresis
3. To assess for Chvostek's sign, which of these actions should a nurse do? - Answer Tap over the facial
nerve anterior to the ear and observe for twitching
4. When assessing an adolescent for scoliosis, which of these actions should a nurse include? - Answer
Ask the adolescent to bend forward at the waist
5. A nurse if planning to perform a physical assessment of the abdomen. The nurse should perform
which of these assessments last? - Answer palpation
6. Which of these manifestations should a nurse expect to assess in a patient who has chronic anorexia
nervosa? - Answer constipation
7. Which if these manifestations should a nurse expect to observe in a 3-month-old infant who is
diagnosed with dehydration? - Answer tachycardia
8. A patient's chart indicates the presence of petechiae on the anterior thorax, arms, and neck. Which of
these manifestations should a nurse expect to observe? - Answer small reddish-purplish, flat spots on
the skin or mucous membranes
9. Which of these assessment data, if noted by a nurse, would indicate that a patient is responding
effectively to fluid imbalance correction? - Answer weight has stabilized
, 10. A 70-year-old patient reports flank pain and a fever. Which additional findings, if noted, would
indicate to a nurse that the patient might have renal colic or calculi? - Answer positive CVA tenderness
11. Which of these interpretations should a nurse make when a patient who has a mastectomy has an
onset of sweating, palpitations, tachycardia, and diarrhea? - Answer This is suggestive of dumping
syndrome.
12. Which of these manifestations should a nurse assess as suggestive of arterial insufficiency of the
lower extremities? - Answer diminished pedal pulses
13. A nurse should expect a patient who is diagnosed with hyperthyroidism to report which of these
manifestations? - Answer heat intolerance
14. Which of these assessment findings, if present, would indicate to a nurse that an infant has
developmental hip dysplasia? - Answer the presence of asymmetric gluteal folds
15. Which of these manifestations should a nurse expect to assess in a patient who has
hyperphosphatemia? - Answer oral numbness
16. Which of these manifestations should a nurse expect to assess in a patient who has central cord
syndrome? - Answer greater motor loss in upper rather than lower extremities
17. Which of these physical assessment findings, if identified in a patient who has CHF, requires follow-
up by a nurse? - Answer dyspnea on exertion
18. When examining a newborn infant, which of these sinuses should a nurse expect to be absent at
birth? - Answer frontal
19. Which of these instructions should a nurse include when teaching testicular self-examination? -
Answer roll each testicle gently between your thumb and fingers
