NUR133 exam 1 updated
questions and answers
2024/2025
The nurse is performing an abdominal assessment on a client. The nurse
determines that which finding should be reported to the primary health care
provider (PHCP)?
A.Absence of a bruit
B.Concave, midline umbilicus
C.Pulsation between the umbilicus and the pubis
D.Bowel sound frequency of 15 sounds per minute - ANSWERS C.Pulsation
between the umbilicus and the pubis
A confrontation test is prescribed for a client seen in the eye and ear clinic. How
should the nurse perform this test? Arrange the actions in the order that they
should be performed. All options must be used.
A.Asks the client to cover 1 eye
B.Examiner covers eye opposite to the eye covered by the client.
C.Asks the client to report when object is first noted.
D.Stands 2 to 3 ft (60 to 90 cm) in front of client and faces the client.
E.The examiner brings in an object gradually from periphery - ANSWERS B,C,E,A,D
, The clinic nurse prepares to perform a focused assessment on a client who is
complaining of symptoms of a cold, a cough, and lung congestion. Which should
the nurse include for this type of assessment? Select all that apply.
A.Auscultating lung sounds
B.Obtaining the client's temperature
C.Assessing the strength of peripheral pulses
D.Obtaining information about the client's respirations.
E.Performing a musculoskeletal and neurological examination F.Asking the client
about a family history of any illness or disease - ANSWERS A,B,D
A chest x-ray report states that the client has a left apical pneumothorax. The
nurse caring for the client monitors the status of breath sounds in that area by
placing the stethoscope at which location?
A.Near the lateral 12th rib
B.Just under the left clavicle
C.In the fifth intercostal space
D.Posteriorly under the left scapula - ANSWERS B
The nurse is monitoring a wound in a dark-skinned client for signs of erythema.
How should the nurse best determine the presence of erythema?
A.Assess for drainage from the wound.
B.Assess for redness around the wound edges.
C.Palpate for swelling around the wound edges.
D.Palpate for increased skin temperature around the wound edges. - ANSWERS D
, While performing a cardiac assessment on a client with an incompetent heart
valve, the nurse auscultates a murmur. The nurse documents the finding and
describes the sound as which?
A.Lub-dub sounds
B.Scratchy, leathery heart noise
C.A blowing or swooshing noise
D.Abrupt, high-pitched snapping noise - ANSWERS B
The nurse is setting up the physical environment for an interview with a client
and plans to obtain subjective data regarding the client's health. Which
interventions are appropriate? Select all that apply
A.Set the room temperature at a comfortable level.
B.Remove distracting objects from the interviewing area.
C.Place a chair for the client across from the nurse's desk.
D.Ensure comfortable seating at eye level for the client and nurse. E.Provide
seating for the client so that the client faces a strong light. F.Ensure that the
distance between the client and nurse is at least
2 feet (2.1 meters). - ANSWERS A,B,D
The registered nurse (RN) is educating a new RN on how to interpret vision tests
using a Snellen chart. After the client's vision is tested with a Snellen chart, the
results of testing are documented as 20/40. Which statement by the new RN
indicates that the teaching has been effective?
A."The client's vision is normal, but the client may require reading glasses."
B."The client is legally blind, and glasses or contact lenses will not be helpful."
C."The client can read at a distance of 40 ft (12 meters) what a person with
normal vision can read at 20 ft (6 meters)."
questions and answers
2024/2025
The nurse is performing an abdominal assessment on a client. The nurse
determines that which finding should be reported to the primary health care
provider (PHCP)?
A.Absence of a bruit
B.Concave, midline umbilicus
C.Pulsation between the umbilicus and the pubis
D.Bowel sound frequency of 15 sounds per minute - ANSWERS C.Pulsation
between the umbilicus and the pubis
A confrontation test is prescribed for a client seen in the eye and ear clinic. How
should the nurse perform this test? Arrange the actions in the order that they
should be performed. All options must be used.
A.Asks the client to cover 1 eye
B.Examiner covers eye opposite to the eye covered by the client.
C.Asks the client to report when object is first noted.
D.Stands 2 to 3 ft (60 to 90 cm) in front of client and faces the client.
E.The examiner brings in an object gradually from periphery - ANSWERS B,C,E,A,D
, The clinic nurse prepares to perform a focused assessment on a client who is
complaining of symptoms of a cold, a cough, and lung congestion. Which should
the nurse include for this type of assessment? Select all that apply.
A.Auscultating lung sounds
B.Obtaining the client's temperature
C.Assessing the strength of peripheral pulses
D.Obtaining information about the client's respirations.
E.Performing a musculoskeletal and neurological examination F.Asking the client
about a family history of any illness or disease - ANSWERS A,B,D
A chest x-ray report states that the client has a left apical pneumothorax. The
nurse caring for the client monitors the status of breath sounds in that area by
placing the stethoscope at which location?
A.Near the lateral 12th rib
B.Just under the left clavicle
C.In the fifth intercostal space
D.Posteriorly under the left scapula - ANSWERS B
The nurse is monitoring a wound in a dark-skinned client for signs of erythema.
How should the nurse best determine the presence of erythema?
A.Assess for drainage from the wound.
B.Assess for redness around the wound edges.
C.Palpate for swelling around the wound edges.
D.Palpate for increased skin temperature around the wound edges. - ANSWERS D
, While performing a cardiac assessment on a client with an incompetent heart
valve, the nurse auscultates a murmur. The nurse documents the finding and
describes the sound as which?
A.Lub-dub sounds
B.Scratchy, leathery heart noise
C.A blowing or swooshing noise
D.Abrupt, high-pitched snapping noise - ANSWERS B
The nurse is setting up the physical environment for an interview with a client
and plans to obtain subjective data regarding the client's health. Which
interventions are appropriate? Select all that apply
A.Set the room temperature at a comfortable level.
B.Remove distracting objects from the interviewing area.
C.Place a chair for the client across from the nurse's desk.
D.Ensure comfortable seating at eye level for the client and nurse. E.Provide
seating for the client so that the client faces a strong light. F.Ensure that the
distance between the client and nurse is at least
2 feet (2.1 meters). - ANSWERS A,B,D
The registered nurse (RN) is educating a new RN on how to interpret vision tests
using a Snellen chart. After the client's vision is tested with a Snellen chart, the
results of testing are documented as 20/40. Which statement by the new RN
indicates that the teaching has been effective?
A."The client's vision is normal, but the client may require reading glasses."
B."The client is legally blind, and glasses or contact lenses will not be helpful."
C."The client can read at a distance of 40 ft (12 meters) what a person with
normal vision can read at 20 ft (6 meters)."
