Assessment Final Examination Practice Exam
2026/2027 | Practice Questions & Study
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Question 1
A nurse is assessing a client who reports shortness of breath.
Which additional finding requires the most immediate
attention?
A. Respiratory rate of 22 breaths/minute
B. Oxygen saturation of 96% on room air
C. Inability to speak in complete sentences
D. Mild anxiety during the assessment
Correct Answer: C. Inability to speak in complete sentences
The inability to speak in complete sentences is a significant
indicator of respiratory distress and potentially inadequate
ventilation. It suggests that the client's breathing effort is severe
,enough to interfere with speech. Although a respiratory rate of
22 may be mildly elevated, and anxiety can accompany
dyspnea, neither is as concerning as the inability to
communicate normally because of respiratory compromise. An
oxygen saturation of 96% is generally within an expected range
for a healthy adult. The nurse should prioritize airway and
breathing and rapidly evaluate the client's respiratory status.
Question 2
When assessing the carotid arteries, which technique should
the nurse use?
A. Palpate both carotid arteries simultaneously
B. Auscultate after applying firm pressure over the artery
C. Palpate one carotid artery at a time
D. Compress the carotid artery until the pulse disappears
Correct Answer: C. Palpate one carotid artery at a time
The carotid arteries should be palpated individually because
simultaneous compression can reduce cerebral blood flow and
may provoke adverse cardiovascular or neurologic effects. The
nurse should use gentle pressure and assess the amplitude and
contour of the pulse. If a bruit is suspected, the artery is
auscultated using the bell of the stethoscope with light pressure.
,Excessive pressure should be avoided because it can alter the
vascular sound or potentially compromise circulation.
Question 3
A client reports abdominal pain. Which sequence should the
nurse use when performing the physical examination of the
abdomen?
A. Inspection, palpation, percussion, auscultation
B. Auscultation, inspection, percussion, palpation
C. Inspection, auscultation, percussion, palpation
D. Palpation, percussion, inspection, auscultation
Correct Answer: C. Inspection, auscultation, percussion,
palpation
The abdomen is assessed in a different sequence from most
other body systems. Inspection is performed first, followed by
auscultation, percussion, and palpation. Auscultation must
occur before percussion and palpation because manipulating
the abdomen can change bowel sounds and potentially produce
inaccurate findings. Palpation is performed last because it may
cause discomfort and alter the client's abdominal activity.
Question 4
, During a health history, which statement best demonstrates
therapeutic communication?
A. “You don't smoke anymore, correct?”
B. “Why did you wait so long to seek care?”
C. “Tell me more about what you noticed before the pain
began.”
D. “You probably developed the pain because of stress.”
Correct Answer: C. “Tell me more about what you noticed
before the pain began.”
This statement uses an open-ended, nonjudgmental approach
that encourages the client to describe the experience in their
own words. Open-ended questions often provide more
comprehensive information than questions that can be
answered with yes or no. The other responses contain leading,
judgmental, or assumptive language that can discourage
accurate disclosure and interfere with the nurse-client
relationship.
Question 5
A nurse is assessing a client's pulse. Which characteristic should
be documented in addition to the pulse rate?
A. Skin temperature only
B. Rhythm and amplitude