EXAM 1 – QUESTIONS AND ANSWERS | VERIFIED
AND WELL DETAILED ANSWERS | PLUS
RATIONALES | GUARANTEED PASS | LATEST EXAM
UPDATE | STUVIA VERIFIED | EXAM PREP | STUDY
GUIDE | PRACTICE TEST
1. Which technique is used first when performing an abdominal assessment?
A. Palpation
B. Percussion
C. Auscultation
D. Inspection
Correct Answer: D. Inspection
Rationale: Inspection is always performed first to avoid altering bowel sounds during
abdominal assessment.
2. What is the normal adult respiratory rate?
A. 8–10 breaths/min
B. 12–20 breaths/min
C. 20–30 breaths/min
D. 30–40 breaths/min
Correct Answer: B. 12–20 breaths/min
Rationale: A normal adult respiratory rate ranges from 12 to 20 breaths per minute.
3. Which finding indicates cyanosis?
A. Pink nail beds
B. Bluish discoloration of skin
C. Yellow sclera
, D. Red flushed skin
Correct Answer: B. Bluish discoloration of skin
Rationale: Cyanosis results from decreased oxygenation causing bluish skin discoloration.
4. What is the best position for lung auscultation?
A. Supine
B. Lithotomy
C. Upright sitting
D. Trendelenburg
Correct Answer: C. Upright sitting
Rationale: Sitting upright allows optimal lung expansion and sound detection.
5. Which cranial nerve controls facial expressions?
A. CN I
B. CN III
C. CN VII
D. CN X
Correct Answer: C. CN VII
Rationale: The facial nerve (CN VII) controls facial movement and expression.
6. What is the first step in the nursing process?
A. Diagnosis
B. Assessment
C. Planning
D. Implementation
Correct Answer: B. Assessment
Rationale: Assessment is the foundation of the nursing process.
7. A pulse rate of 110 bpm is classified as:
A. Bradycardia
B. Normal
C. Tachycardia
D. Arrhythmia
, Correct Answer: C. Tachycardia
Rationale: A heart rate above 100 bpm is tachycardia.
8. Which tool is used to measure blood pressure?
A. Thermometer
B. Sphygmomanometer
C. Otoscope
D. Stethoscope
Correct Answer: B. Sphygmomanometer
Rationale: A sphygmomanometer measures blood pressure.
9. What does PERRLA stand for?
A. Pupils Equal, Round, Reactive to Light and Accommodation
B. Pulse Equal, Regular, Reactive, Light, Alert
C. Pupils Enlarged, Reactive, Responsive, Light
D. Pressure Equal, Responsive, Reflex, Light Assessment
Correct Answer: A. Pupils Equal, Round, Reactive to Light and Accommodation
Rationale: PERRLA is a neurological assessment of pupil function.
10. Which assessment is subjective data?
A. Blood pressure reading
B. Patient reports pain
C. Heart rate measurement
D. Oxygen saturation
Correct Answer: B. Patient reports pain
Rationale: Subjective data comes from the patient’s experience.
11. Normal oxygen saturation level is:
A. 80–85%
B. 85–89%
C. 95–100%
D. 70–75%
Correct Answer: C. 95–100%
Rationale: Normal SpO2 ranges from 95% to 100%.
, 12. Which site is preferred for adult pulse measurement?
A. Femoral
B. Radial
C. Carotid
D. Brachial
Correct Answer: B. Radial
Rationale: Radial pulse is most commonly used in adults.
13. What does palpation assess?
A. Internal organ sounds
B. Touch and texture
C. Vision clarity
D. Hearing ability
Correct Answer: B. Touch and texture
Rationale: Palpation evaluates texture, temperature, and tenderness.
14. Which is a sign of dehydration?
A. Moist mucous membranes
B. Poor skin turgor
C. Bradycardia
D. Hypertension
Correct Answer: B. Poor skin turgor
Rationale: Dehydration reduces skin elasticity.
15. What is the primary purpose of health history?
A. Diagnose disease
B. Collect subjective data
C. Perform surgery
D. Prescribe medication
Correct Answer: B. Collect subjective data
Rationale: Health history gathers patient-reported information.