GUIDE | PRACTICE QUESTIONS &
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Updated 2026 Questions and Answers
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,Which is the first assessment technique used, and what Inspection, which uses vision and smell
senses does it rely upon?
When assessing the abdomen, what is the critical The nurse must Auscultate before Palpating the
alteration to the standard order of physical assessment bowel
techniques?
Which assessment technique provides information Percussion
related to the presence of air, fluid, or solid masses?
What is the difference between performing light Light palpation is done with two or three fingers of one hand, while deep
palpation and deep palpation? palpation is done by placing one hand on top of the other
Name two body areas to auscultate during the physical Heart, lungs, and bowel sounds
exam.
List the five mandatory components that must be General health overview, PMH/Family History/ROS, Personal/Social History, and
documented in a Comprehensive Health History, besides Domestic Violence Screening
the Chief Complaint.
What specific items must be documented in the Personal Information about drug, alcohol, and tobacco use, sexual practices, tattoos, travel
and Social History? history, and work setting.
When documenting assessment data, how must the Data must be recorded objectively without bias or opinions
findings be recorded in relation to personal views?
Besides being objective and complete, when must As soon as possible after completion of the health assessment
findings about the health history and physical exam be
recorded?
Documentation serves as what kind of record of the A legal document and permanent record
patient's health status?
When assessing a dark-skinned client for jaundice, where The oral mucosa and the sclera nearest to the iris
should the nurse look, specifically avoiding general skin
color?
List three body areas where a nurse should assess for Lips and tongue, nailbeds, palms, soles, and conjunctiva
cyanosis in a dark-skinned client.
In a dark-skinned client, what two characteristics should Warmth and edema, as well as symmetry
be assessed when checking for inflammation?
,What finding is indicative of infection when assessing Purulent drainage
wound drainage?
Describe the appearance of Serosanguineous wound It contains both blood and the liquid part of blood (serum)
drainage.
In the Edema Scale, how long does the rebound take for It rebounds greater than 30 seconds
a 4+ edema rating?
What is the specific timeframe for color return during a Color must return within 3 seconds
Capillary Refill test to be considered normal?
What are the three physiological risk factors for dermal Poor nutrition, incontinence, and moisture
ulcers related to fluid/output?
What is the definition of a Stage I dermal ulcer? Intact skin with non-blanchable redness
Which stage of pressure injury involves full-thickness Stage III
tissue loss with visible fat?
What is the name of the dark sore that develops rapidly Kennedy Terminal Ulcer (KTU)
during the final stages of a person’s life?
What does a Braden Scale score of 13–14 indicate Moderate Risk
regarding pressure ulcer risk?
What test is used to measure distance vision? Snellen Test
What test is used to measure peripheral vision? Confrontation Test
What two actions define Pupillary Accommodation? Pupillary constriction and convergence of axes of eyes
, What mnemonic is used to document normal pupillary PERRLA (Pupils Equal Round Reactive to Light and Accommodation)
findings for reflex and accommodation?
What specific instruction should a nurse give a patient to Have the patient say "ahh"
check the rise and fall of the midline uvula?
What assessment tool assists in differentiating between Mental Status Exam (or by observing appearance, behavior, and cognition during
systemic, neurologic, and psychiatric disorders by the interview)
observing appearance, behavior, and cognition?
Name the tool used to objectively assess a patient's Level Glasgow Coma Scale
of Consciousness (LOC).
What is the normal range of urine output per hour that At least 30 mL per hour
patients should void?
What is considered a normal finding for Post Void Less than 50 mL of residual urine
Residual (PVR) volume?
Name two specific conditions that are causes of Urinary Nerve malfunction to bladder, Obstruction (BPH), or Post-op Anesthesia
Retention.
What term describes the untimely urination because of Functional Incontinence
physical disability?
Which diagnostic test provides information about the Urinalysis
concentration and pH of the urine?
Which specific diagnostic test is used to check for the Occult Blood test
presence of blood in the stool?
Name two arteries in the legs that should be assessed for Femoral, Popliteal, Dorsalis Pedis, or Posterior Tibial.
pulses.
What subjective data related to the abdomen is a nurse Changes in appetite, difficulty swallowing, nausea, vomiting or pain, and bowel
responsible for assessing? habits
What does the letter 'C' stand for in the ABCDE Color (variation)
melanoma screening tool?