AND CORRECT ANSWERS
Question:
1. A nurse is admitting a client to the medical-surgical unit. What type of physical examination is most
appropriate for this client upon admission? A. Focused B. System Specific C. Comprehensive D. Ongoing
Answer:
C. Comprehensive
Question:
2. Before beginning a physical assessment, a nurse ensures the client's privacy by closing the curtains and
drapes. Which crucial aspect of environmental preparation is the nurse addressing? A. Noise control B.
Temperature control C. Enable visualization D. Privacy is key
Answer:
D. Privacy is key
Question:
3. Which of the following physical assessment skills is typically performed first when assessing a client, in
the normal order of assessment? A. Palpation B. Percussion C. Auscultation D. Inspection
Answer:
D. Inspection
Question:
4. When preparing for a physical assessment, a nurse reflects on their own skill level, comfort, and
willingness to seek help. This is an example of which type of preparation? A. Theoretical knowledge B.
Self-knowledge C. Knowledge about client situation D. Examination techniques
Answer:
B. Self-knowledge
Question:
5. The General Survey is a basic assessment that provides an overall impression of the client. When does
the General Survey begin during a comprehensive examination? A. After vital signs are taken B. At the
first contact with the client C. During the health history interview D. Once the client is positioned
comfortably
Answer:
B. At the first contact with the client
Question:
6. During a physical assessment, a nurse notes a client's overall impression, including their appearance,
behavior, body type, posture, mental state, and speech. These observations are part of which assessment
component? A. Focused assessment B. System-specific assessment C. General Survey D. Palpation
Answer:
C. General survey
, Question:
7. A nurse needs to gather the most complete data about a client's pedal edema. Which assessment skill
would be most effective for this purpose? A. Inspection B. Auscultation C. Percussion D. Palpation
Answer:
D. Palpation
Question:
8. An 88-year-old female client is admitted for possible pneumonia. The nurse observes labored breathing
with the use of accessory muscles and a productive cough with yellow-green mucous. These findings are
most likely associated with which "General Survey Assessment Activity" system? A. Circulation B.
Elimination/Gastrointestinal C. Oxygenation D. Integumentary
Answer:
C. Oxygenation
Question:
9. Upon entering a client's room, the nurse states, "Hello, Mr. Smith, my name is Sarah, and I will be your
nurse until 3 PM today. I'm here to conduct your admission assessment, which will take about 20 minutes.
Please let me know if you have any questions, and thank you for your cooperation." This interaction best
demonstrates which communication strategy? A. SBAR
B. Therapeutic communication C. AIDET D. Assertive communication
Answer:
C. AIDET
Question:
10. A nurse is collecting an admission health history and performing a physical assessment. Which form of
communication is the nurse primarily using to interview the patient? A. Small group B. Intrapersonal C.
Interpersonal D. Group
Answer:
C. Interpersonal
Question:
11. To establish a trusting nurse-patient relationship, which nursing intervention is most effective
according to the provided material? A. Avoiding topics that may provoke emotional responses. B.
Listening to the patient while performing care activities. C. Performing care interventions quietly without
explanation. D. Greeting the patient by name whenever entering the room.
Answer:
D. Greeting the patient by name whenever entering the room
Question:
12. A client states, "I'm not sure why I'm always so tired." The nurse responds, "So, you're feeling
fatigued?" This therapeutic communication technique is known as: A. Interpreting body language B.
Exploring issues C. Restating, clarifying, validating D. Using silence
Answer:
C. Restating