ACTUAL Exam Questions and CORRECT
Answers
When examining an older adult, the nurse should use which technique?
A. Avoid touching the patient too much.
B. Speak loudly and slowly because most aging adults have hearing deficits.
C. Attempt to perform the entire physical examination during one visit.
D. Arrange the sequence of the examination to allow as few position changes as possible. -
CORRECT ANSWER - D. Arrange the sequence of the examination to allow as few
position changes as possible.
The nurse is assessing a patient's skin during an office visit. What part of the hand and technique
should be used to best assess the patient's skin temperature?
A. Palmar surface of the hand; this surface is the most sensitive to temperature variations
because of its increased nerve supply in this area.
B. Fingertips; they are more sensitive to small changes in temperature.
C. Dorsal surface of the hand; the skin is thinner on this surface than on the palms.
D. Ulnar portion of the hand; increased blood supply in this area enhances temperature
sensitivity. - CORRECT ANSWER - C. Dorsal surface of the hand; the skin is thinner on
this surface than on the palms.
The nurse is teaching a class on basic assessment skills. Which of these statements is true
regarding the stethoscope and its use?
A. Fit and quality of the stethoscope are not as important as its ability to magnify sound.
B. Slope of the earpieces should point posteriorly (toward the occiput).
C. Although the stethoscope does not magnify sound, it does block out extraneous room noise.
D. Ideal tubing length should be 22 inches to dampen the distortion of sound. - CORRECT
ANSWER - C. Although the stethoscope does not magnify sound, it does block out
extraneous room noise.
, The nurse is performing a general survey. Which action is a component of the general survey?
A. Observing specific body systems while performing the physical assessment
B. Observing the patient's body stature and nutritional status
C. Interpreting the subjective information the patient has reported
D. Measuring the patient's temperature, pulse, respirations, and blood pressure - CORRECT
ANSWER - B. Observing the patient's body stature and nutritional status
In an interview, the nurse may find it necessary to take notes to aid his or her memory later.
Which statement is true regarding note-taking?
A. Note-taking allows the nurse to break eye contact with the patient, which may increase his or
her level of comfort.
B. Note-taking allows the patient to continue at his or her own pace as the nurse records what is
said.
C. Note-taking may impede the nurse's observation of the patient's nonverbal behaviors.
D. Note-taking allows the nurse to shift attention away from the patient, resulting in an
increased comfort level. - CORRECT ANSWER - C. Note-taking may impede the nurse's
observation of the patient's nonverbal behaviors.
During an examination of a patient's abdomen, the nurse notes that the abdomen is rounded and
firm to the touch. During percussion, the nurse notes a drumlike quality of the sounds across the
quadrants. This type of sound indicates:
A. Presence of a tumor.
B. Constipation.
C. Presence of dense organs.
D. Air-filled areas. - CORRECT ANSWER - D. Air-filled areas.
The nurse asks, "I would like to ask you some questions about your health and your usual daily
activities so that we can better plan your stay here." This question is found at the __________
phase of the interview process.
A. Closing
B. Summary