4006 MIDTERM EXAM COMPREHENSIVE STUDY
GUIDE 2026
◉ The nurse is auscultating the client's lungs and notes normal
vesicular sounds as being which of the following?
Select one:
a. Medium-pitched blowing sounds with inspiration equalling
expiration
b. Loud, high-pitched, hollow sounds with expiration longer than
inspiration
c. Soft, breezy, low-pitched sounds with longer inspiration
d. Sounds created by air moving through small airways.
Answer: c. Soft, breezy, low-pitched sounds with longer inspiration
◉ During the physical examination, the nurse should use which part
of the hand to assess characteristics such as consistency, contour,
and texture in the client's glands?
Select one:
a. Dorsum of the hand
b. Pads of the fingers
c. Palmar surface of the hand
d. Fingertip grasp of the tissue.
,Answer: b. Pads of the fingers
◉ If a low-pitched murmur is suspected with prior assessment,
which of the following is the best position for the client when the
nurse auscultates the apical site?
Select one:
a. Sitting up
b. Standing
c. Lying on the left side
d. Dorsal recumbent.
Answer: c. Lying on the left side
◉ Which of the following positions maximizes the nurse's ability to
assess the client's upper body for symmetry?
Select one:
a. Sitting
b. Supine
c. Prone
d. Dorsal recumbent.
Answer: a. Sitting
,◉ The nurse is observing a new staff member work with the client.
Of the following activities, which one has the greatest possibility of
contributing to a nosocomial infection and requires correction?
Select one:
a. Washing hands before applying a dressing
b. Taping a plastic bag to the bed rail for tissue disposal
c. Placing a Foley catheter bag on the bed when transferring a client
d. Using alcohol to cleanse the skin before starting an intravenous
line.
Answer: c. Placing a Foley catheter bag on the bed when transferring
a client
◉ Which one of the following indicates that the nurse is using
surgical aseptic technique?
Select one:
a. Inserting an intravenous catheter
b. Placing soiled linen in moisture-resistant bags
c. Disposing of syringes in puncture-proof containers
d. Washing hands before changing a dressing.
Answer: a. Inserting an intravenous catheter
◉ The client requires a sterile dressing change. Which of the
following is an appropriate intervention for the nurse to implement
in maintaining sterile asepsis?
, Select one:
a. Put sterile gloves on before opening sterile packages.
b. Check integrity of sterile packages prior to use.
c. Place the cap of the sterile solution well within the sterile field.
d. Place sterile items on the very edge of the sterile drape..
Answer: b. Check integrity of sterile packages prior to use.
◉ The nurse suspects that an older adult client may have
pneumonia. Older adult clients may react differently to infectious
processes, so the nurse is alert to atypical signs and symptoms, such
as which one of the following?
Select one:
a. Hypotension
b. Confusion
c. Erythema
d. Chills.
Answer: b. Confusion
◉ The nurse recognizes the appropriate procedures for sterile
asepsis. Of the following, which action is consistent with sterile
asepsis?
Select one:
a. Clean forceps may be used to move items on the sterile field.
GUIDE 2026
◉ The nurse is auscultating the client's lungs and notes normal
vesicular sounds as being which of the following?
Select one:
a. Medium-pitched blowing sounds with inspiration equalling
expiration
b. Loud, high-pitched, hollow sounds with expiration longer than
inspiration
c. Soft, breezy, low-pitched sounds with longer inspiration
d. Sounds created by air moving through small airways.
Answer: c. Soft, breezy, low-pitched sounds with longer inspiration
◉ During the physical examination, the nurse should use which part
of the hand to assess characteristics such as consistency, contour,
and texture in the client's glands?
Select one:
a. Dorsum of the hand
b. Pads of the fingers
c. Palmar surface of the hand
d. Fingertip grasp of the tissue.
,Answer: b. Pads of the fingers
◉ If a low-pitched murmur is suspected with prior assessment,
which of the following is the best position for the client when the
nurse auscultates the apical site?
Select one:
a. Sitting up
b. Standing
c. Lying on the left side
d. Dorsal recumbent.
Answer: c. Lying on the left side
◉ Which of the following positions maximizes the nurse's ability to
assess the client's upper body for symmetry?
Select one:
a. Sitting
b. Supine
c. Prone
d. Dorsal recumbent.
Answer: a. Sitting
,◉ The nurse is observing a new staff member work with the client.
Of the following activities, which one has the greatest possibility of
contributing to a nosocomial infection and requires correction?
Select one:
a. Washing hands before applying a dressing
b. Taping a plastic bag to the bed rail for tissue disposal
c. Placing a Foley catheter bag on the bed when transferring a client
d. Using alcohol to cleanse the skin before starting an intravenous
line.
Answer: c. Placing a Foley catheter bag on the bed when transferring
a client
◉ Which one of the following indicates that the nurse is using
surgical aseptic technique?
Select one:
a. Inserting an intravenous catheter
b. Placing soiled linen in moisture-resistant bags
c. Disposing of syringes in puncture-proof containers
d. Washing hands before changing a dressing.
Answer: a. Inserting an intravenous catheter
◉ The client requires a sterile dressing change. Which of the
following is an appropriate intervention for the nurse to implement
in maintaining sterile asepsis?
, Select one:
a. Put sterile gloves on before opening sterile packages.
b. Check integrity of sterile packages prior to use.
c. Place the cap of the sterile solution well within the sterile field.
d. Place sterile items on the very edge of the sterile drape..
Answer: b. Check integrity of sterile packages prior to use.
◉ The nurse suspects that an older adult client may have
pneumonia. Older adult clients may react differently to infectious
processes, so the nurse is alert to atypical signs and symptoms, such
as which one of the following?
Select one:
a. Hypotension
b. Confusion
c. Erythema
d. Chills.
Answer: b. Confusion
◉ The nurse recognizes the appropriate procedures for sterile
asepsis. Of the following, which action is consistent with sterile
asepsis?
Select one:
a. Clean forceps may be used to move items on the sterile field.
