NURS 1023 Module 1&2 Exam
Questions with Answers
Which physical skin finding would the nurse associate with opioid abuse?
Diaphoresis
Red, dry skin
Needle marks
Spider angiomas - ✔✔Needle marks
Rationale: Needle marks of the skin indicate opioid abuse. Diaphoresis indicates sedative
hypnotic abuse. Red, dry skin indicates phencyclidine abuse. Spider angiomas indicate alcohol
abuse.
During a physical examination, which assessment would the nurse anticipate when a client is
placed in the lithotomy position?
Heart
Rectum
Female genitalia
Musculoskeletal system - ✔✔Female genitalia
Rationale: Lithotomy position in female clients is used to assess and examine female genitalia
and genital tracts. The lateral recumbent position is indicated in clients to assess the heart. The
knee-chest position and left lateral recumbent position are recommended for clients
undergoing rectal examinations. The prone position is indicated in clients to assess the
musculoskeletal system.
, Which pulse site would the nurse use to perform the Allen test?
Brachial
Ulnar
Femoral
Dorsalis pedis - ✔✔Ulnar
Rationale: The ulnar pulse site is used to perform the Allen test. The brachial pulse site is used
to assess the status of circulation to the lower arm and to auscultate blood pressure. The
femoral sure is used to assess the character of the pulse during physiological shock or cardiac
arrest. The dorsals pedis site is used to assess the status of circulation in the foot.
Which clinical finding would the nurse associate with hypokalemia?
Edema
Muscle spasms
Kussmaul respirations
Muscle weakness - ✔✔Muscle weakness
Rationale: Serum hypokalemia diminishes the magnitude of the neuronal and muscle cell
resting potentials. This can result in observable muscle weakness. Edema is associated with
electrolyte imbalances, including sodium excess (hypernatremia). Muscle spasms and twitching
are often seen in the setting of hypocalcemia. Kussmaul respiration is a breathing pattern
characterized by deep and labored breaths in response to metabolic acidosis, especially
diabetic ketoacidosis.
Which physical change would the nurse observe in a client with malnutrition? Select all that
apply. One, some, or all responses may be correct.
Hypotension
Questions with Answers
Which physical skin finding would the nurse associate with opioid abuse?
Diaphoresis
Red, dry skin
Needle marks
Spider angiomas - ✔✔Needle marks
Rationale: Needle marks of the skin indicate opioid abuse. Diaphoresis indicates sedative
hypnotic abuse. Red, dry skin indicates phencyclidine abuse. Spider angiomas indicate alcohol
abuse.
During a physical examination, which assessment would the nurse anticipate when a client is
placed in the lithotomy position?
Heart
Rectum
Female genitalia
Musculoskeletal system - ✔✔Female genitalia
Rationale: Lithotomy position in female clients is used to assess and examine female genitalia
and genital tracts. The lateral recumbent position is indicated in clients to assess the heart. The
knee-chest position and left lateral recumbent position are recommended for clients
undergoing rectal examinations. The prone position is indicated in clients to assess the
musculoskeletal system.
, Which pulse site would the nurse use to perform the Allen test?
Brachial
Ulnar
Femoral
Dorsalis pedis - ✔✔Ulnar
Rationale: The ulnar pulse site is used to perform the Allen test. The brachial pulse site is used
to assess the status of circulation to the lower arm and to auscultate blood pressure. The
femoral sure is used to assess the character of the pulse during physiological shock or cardiac
arrest. The dorsals pedis site is used to assess the status of circulation in the foot.
Which clinical finding would the nurse associate with hypokalemia?
Edema
Muscle spasms
Kussmaul respirations
Muscle weakness - ✔✔Muscle weakness
Rationale: Serum hypokalemia diminishes the magnitude of the neuronal and muscle cell
resting potentials. This can result in observable muscle weakness. Edema is associated with
electrolyte imbalances, including sodium excess (hypernatremia). Muscle spasms and twitching
are often seen in the setting of hypocalcemia. Kussmaul respiration is a breathing pattern
characterized by deep and labored breaths in response to metabolic acidosis, especially
diabetic ketoacidosis.
Which physical change would the nurse observe in a client with malnutrition? Select all that
apply. One, some, or all responses may be correct.
Hypotension
