(NURS 100) ASSESSMENT 2. WCU
EXAM 2025 QUESTIONS AND
ANSWERS
Objective data can be gathered from the patient during which aspects of the
physical assessment process? (Select all that apply.) - ....ANSWER ...-a.
Patient interview
b. Health history
c. General survey
d. Physical examination
e. Laboratory testing
Objective data consist of observed information or signs that can be collected
during all stages of the physical assessment process. Even while the patient is
answering questions, providing subjective or symptom information, the nurse
observes for physical signs of abnormalities or impairment.
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,Which sequence best identifies the order in which the nurse should complete an
abdominal assessment?
a. Inspection, palpation, percussion, auscultation
b. Auscultation, inspection, palpation, percussion
c. Auscultation, palpation, percussion, inspection
d. Inspection, auscultation, percussion, palpation - ....ANSWER ...-d.
Inspection, auscultation, percussion, palpation
Assessment of the abdominal cavity requires inspection then auscultation,
percussion then palpation to avoid stimulating the bowel and eliciting inaccurate
assessment results.
A nurse is preparing to auscultate a patient's chest. In which area should the nurse
listen to evaluate the patient's aortic valve?
a. Second right intercostal space
b. Third left intercostal space
c. Fifth right intercostal space
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,d. Fifth left intercostal space along the midclavicular line - ....ANSWER ...-a.
Second right intercostal space
The second intercostal space on the right is the auscultation point for the aortic
valve. The ventricles and pulmonic valve are located on the left. The point of
maximal impulse (PMI) over the mitral valve is located between the left fourth and
fifth intercostal spaces.
The nurse notes the presence of ptosis when assessing an adult patient's eyes.
Which potential cause would be considered of most concern, requiring further
evaluation as soon as possible?
a. Loss of skin elasticity
b. Levator muscle weakness
c. Congenital ocular abnormality
d. Oculomotor cranial nerve III paralysis - ....ANSWER ...-d. Oculomotor
cranial nerve III paralysis
Oculomotor paralysis may indicate the presence of a larger neurologic problem
that requires further investigation as soon as possible. Loss of skin elasticity and
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, muscle weakness may be due to aging, and congenital ptosis does not require
immediate attention in an adult.
Which type of lung sounds does the nurse expect to auscultate over most of the
lung fields?
a. Vesicular
b. Resonant
c. Dull
d. Flat - ....ANSWER ...-a. Vesicular
Vesicular breathe sound are heard over most of the lung fields. Resonance is heard
with percussion, not auscultation. Dullness is heard over the solid organs (liver,
heart). Flat sounds are heard over the stomach and intestines.
When teaching a patient about fire safety, which activity does the nurse know is the
leading cause of fire-related death?
a. Cooking
b. Playing with matches
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EXAM 2025 QUESTIONS AND
ANSWERS
Objective data can be gathered from the patient during which aspects of the
physical assessment process? (Select all that apply.) - ....ANSWER ...-a.
Patient interview
b. Health history
c. General survey
d. Physical examination
e. Laboratory testing
Objective data consist of observed information or signs that can be collected
during all stages of the physical assessment process. Even while the patient is
answering questions, providing subjective or symptom information, the nurse
observes for physical signs of abnormalities or impairment.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,Which sequence best identifies the order in which the nurse should complete an
abdominal assessment?
a. Inspection, palpation, percussion, auscultation
b. Auscultation, inspection, palpation, percussion
c. Auscultation, palpation, percussion, inspection
d. Inspection, auscultation, percussion, palpation - ....ANSWER ...-d.
Inspection, auscultation, percussion, palpation
Assessment of the abdominal cavity requires inspection then auscultation,
percussion then palpation to avoid stimulating the bowel and eliciting inaccurate
assessment results.
A nurse is preparing to auscultate a patient's chest. In which area should the nurse
listen to evaluate the patient's aortic valve?
a. Second right intercostal space
b. Third left intercostal space
c. Fifth right intercostal space
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
,d. Fifth left intercostal space along the midclavicular line - ....ANSWER ...-a.
Second right intercostal space
The second intercostal space on the right is the auscultation point for the aortic
valve. The ventricles and pulmonic valve are located on the left. The point of
maximal impulse (PMI) over the mitral valve is located between the left fourth and
fifth intercostal spaces.
The nurse notes the presence of ptosis when assessing an adult patient's eyes.
Which potential cause would be considered of most concern, requiring further
evaluation as soon as possible?
a. Loss of skin elasticity
b. Levator muscle weakness
c. Congenital ocular abnormality
d. Oculomotor cranial nerve III paralysis - ....ANSWER ...-d. Oculomotor
cranial nerve III paralysis
Oculomotor paralysis may indicate the presence of a larger neurologic problem
that requires further investigation as soon as possible. Loss of skin elasticity and
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
, muscle weakness may be due to aging, and congenital ptosis does not require
immediate attention in an adult.
Which type of lung sounds does the nurse expect to auscultate over most of the
lung fields?
a. Vesicular
b. Resonant
c. Dull
d. Flat - ....ANSWER ...-a. Vesicular
Vesicular breathe sound are heard over most of the lung fields. Resonance is heard
with percussion, not auscultation. Dullness is heard over the solid organs (liver,
heart). Flat sounds are heard over the stomach and intestines.
When teaching a patient about fire safety, which activity does the nurse know is the
leading cause of fire-related death?
a. Cooking
b. Playing with matches
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