NURSING 500 EXAM 2025/2026
QUESTIONS AND ANSWERS 100% PASS
Abdominal exam - ANS Inspect, auscultate, palpate, percuss
Exam order, except abdominal - ANS Inspect, palpate, percuss, auscultation
Inspection - ANS Observation, uses eyes and nose, starts upon patient greeting
Assessing during inspection - ANS Gait, ease of ADLs, iContact, demeanor, clothing,
appropriateness, color/moisture of skin, emotional/mental status, unusual odors.
Auscultation - ANS Listening, usually with a stethoscope
Perform in quiet area. perform last.
Listen for sound and:
Intensity.
Pitch
Duration.
Quality.
1 @COPYRIGHT 2025/2026.
,Percussion - ANS Finger against a finger on a body part
Percussion: Quiet - ANS Dense
Percussion: loud - ANS Air
Percussion: less loud - ANS Fluid
Percussion: soft - ANS Solid
Percussion: tympanic
Volume, pitch, duration, quality, example - ANS Loud, high pitch, moderate duration, drum,
like quality, example: gastric bubble
Percussion, hyper-resonant
Volume, pitch, duration, quality, example - ANS Very loud, low pitch, long duration, boom-
like quality, example: emphysematous lungs
Percussion: resonant
Volume, pitch, duration, quality, example - ANS Loud, low pitch, long, duration, hollow
quality, example: healthy lung tissue
Percussion: dull.
Volume, pitch, duration, Quality, example. - ANS Soft to moderate, moderate to high pitch,
moderate duration, thud, like quality, example: over liver
Percussion: flat.
2 @COPYRIGHT 2025/2026.
,Volume, pitch, duration, Quality, example. - ANS Soft, high pitch, short, duration, very dull,
quality, example: over muscle
Immediate percussion - ANS Strike finger/hand directly against body
Indirect/mediate percussion - ANS Strike distal phalanx of middle finger against finger,
placed on body, originate, strike from wrist
Percussion with fist - ANS Used to elicit tenderness from liver, gallbladder, kidneys; uses
ulnar aspect of fist
Palpation - ANS Gathering information through hands and fingers
Find discrimination - ANS Palmar surfaces of fingers and finger pads, sensitive, use for
discriminatory touch to determine:
Position.
Texture.
Size
Consistency.
Massive.
Fluid.
Crepitus.
Vibration - ANS Ulnar surface of hands and fingers
What surface of the hair do you use for temperature? No - ANS Dorsal surface of hand
How to palpate - ANS Be gentle, warm hands
3 @COPYRIGHT 2025/2026.
, Pneumatic otoscope - ANS Illuminates, external auditory canal and tympanic membrane
Reflex hammer - ANS Test, deep, tendon reflexes; use brisk, wrist snap
Ophthalmoscope - ANS Used to assess the inner structures of the eye
Ophthalmoscope: large aperture - ANS Large round beam, used most often
Ophthalmoscope: small aperture - ANS Used to examine small pupils
Ophthalmoscope: read, free filter - ANS Green beam to examine optic disc for pallor and
minute vessel, changes, permits, recognition of retinal hemorrhage, blood appears black
Ophthalmoscope: slit aperture - ANS Used for interior eye; determines elevation of lesions
on retina
Ophthalmoscope: grid aperture - ANS For size of fundal lesions
Woods lamp - ANS Black light = wave length 360 MM
Causes substances to fluoresce.
Used to see fungi on skin lesions.
When does cognitive decline occur in older adults? - ANS After age 60 or 70
What are some signs of possible cognitive impairment? - ANS Significant memory, loss,
confusion, impaired communication, inappropriate affect, personal care, difficulties, hazardous
behavior, agitation, and suspiciousness.
4 @COPYRIGHT 2025/2026.
QUESTIONS AND ANSWERS 100% PASS
Abdominal exam - ANS Inspect, auscultate, palpate, percuss
Exam order, except abdominal - ANS Inspect, palpate, percuss, auscultation
Inspection - ANS Observation, uses eyes and nose, starts upon patient greeting
Assessing during inspection - ANS Gait, ease of ADLs, iContact, demeanor, clothing,
appropriateness, color/moisture of skin, emotional/mental status, unusual odors.
Auscultation - ANS Listening, usually with a stethoscope
Perform in quiet area. perform last.
Listen for sound and:
Intensity.
Pitch
Duration.
Quality.
1 @COPYRIGHT 2025/2026.
,Percussion - ANS Finger against a finger on a body part
Percussion: Quiet - ANS Dense
Percussion: loud - ANS Air
Percussion: less loud - ANS Fluid
Percussion: soft - ANS Solid
Percussion: tympanic
Volume, pitch, duration, quality, example - ANS Loud, high pitch, moderate duration, drum,
like quality, example: gastric bubble
Percussion, hyper-resonant
Volume, pitch, duration, quality, example - ANS Very loud, low pitch, long duration, boom-
like quality, example: emphysematous lungs
Percussion: resonant
Volume, pitch, duration, quality, example - ANS Loud, low pitch, long, duration, hollow
quality, example: healthy lung tissue
Percussion: dull.
Volume, pitch, duration, Quality, example. - ANS Soft to moderate, moderate to high pitch,
moderate duration, thud, like quality, example: over liver
Percussion: flat.
2 @COPYRIGHT 2025/2026.
,Volume, pitch, duration, Quality, example. - ANS Soft, high pitch, short, duration, very dull,
quality, example: over muscle
Immediate percussion - ANS Strike finger/hand directly against body
Indirect/mediate percussion - ANS Strike distal phalanx of middle finger against finger,
placed on body, originate, strike from wrist
Percussion with fist - ANS Used to elicit tenderness from liver, gallbladder, kidneys; uses
ulnar aspect of fist
Palpation - ANS Gathering information through hands and fingers
Find discrimination - ANS Palmar surfaces of fingers and finger pads, sensitive, use for
discriminatory touch to determine:
Position.
Texture.
Size
Consistency.
Massive.
Fluid.
Crepitus.
Vibration - ANS Ulnar surface of hands and fingers
What surface of the hair do you use for temperature? No - ANS Dorsal surface of hand
How to palpate - ANS Be gentle, warm hands
3 @COPYRIGHT 2025/2026.
, Pneumatic otoscope - ANS Illuminates, external auditory canal and tympanic membrane
Reflex hammer - ANS Test, deep, tendon reflexes; use brisk, wrist snap
Ophthalmoscope - ANS Used to assess the inner structures of the eye
Ophthalmoscope: large aperture - ANS Large round beam, used most often
Ophthalmoscope: small aperture - ANS Used to examine small pupils
Ophthalmoscope: read, free filter - ANS Green beam to examine optic disc for pallor and
minute vessel, changes, permits, recognition of retinal hemorrhage, blood appears black
Ophthalmoscope: slit aperture - ANS Used for interior eye; determines elevation of lesions
on retina
Ophthalmoscope: grid aperture - ANS For size of fundal lesions
Woods lamp - ANS Black light = wave length 360 MM
Causes substances to fluoresce.
Used to see fungi on skin lesions.
When does cognitive decline occur in older adults? - ANS After age 60 or 70
What are some signs of possible cognitive impairment? - ANS Significant memory, loss,
confusion, impaired communication, inappropriate affect, personal care, difficulties, hazardous
behavior, agitation, and suspiciousness.
4 @COPYRIGHT 2025/2026.
