ACTUAL Exam Questions and CORRECT
Answers
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. Body
B. Summary
C. Opening or introduction
D. Closing - CORRECT ANSWER - C. Opening or introduction
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. Measuring the patient's temperature, pulse, respirations, and blood pressure
C. Interpreting the subjective information the patient has reported
D. Observing the patient's body stature and nutritional status - CORRECT ANSWER - D.
Observing the patient's body stature and nutritional status
A man has been admitted to the observation unit for observation after being treated for a large
cut on his forehead. As the nurse works through the interview, one of the standard questions has
to do with alcohol, tobacco, and drug use. When the nurse asks him about tobacco use, he states,
"I quit smoking after my wife died 7 years ago." However, the nurse notices an open pack of
cigarettes in his shirt pocket. Using confrontation, the nurse could say:
A. "Mr. K., I know that you are lying."
B. "Mr. K., come on, tell me how much you smoke."
C. "Mr. K., you have said that you don't smoke, but I see that you have an open pack of
cigarettes in your pocket."
D. "Mr. K., I didn't realize your wife had died. It must be difficult for you at this time. Please tell
me more about that." - CORRECT ANSWER - C. "Mr. K., you have said that you don't
smoke, but I see that you have an open pack of cigarettes in your pocket."
,The nurse is preparing to percuss the abdomen of a patient. The purpose of the percussion is to
assess the __________ of the underlying tissue.
A. Density
B. Turgor
C. Texture
D. Consistency - CORRECT ANSWER - A. Density
When examining an older adult, the nurse should use which technique?
A. Attempt to perform the entire physical examination during one visit.
B. Speak loudly and slowly because most aging adults have hearing deficits.
C. Arrange the sequence of the examination to allow as few position changes as possible.
D. Avoid touching the patient too much. - CORRECT ANSWER - C. Arrange the
sequence of the examination to allow as few position changes as possible.
The nurse is preparing to use a stethoscope for auscultation. Which statement is true regarding
the diaphragm of the stethoscope? The diaphragm:
A. Should be lightly held against the person's skin to block out low-pitched sounds.
B. Is used to listen for low-pitched sounds.
C. Is used to listen for high-pitched sounds.
D. Should be lightly held against the person's skin to listen for extra heart sounds and murmurs.
- CORRECT ANSWER - C. Is used to listen for high-pitched sounds.
When performing a physical assessment, the first technique the nurse will always use is:
A. Palpation.
B. Percussion.
C. Inspection.
D. Auscultation. - CORRECT ANSWER - C. Inspection.
, 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. Ulnar portion of the hand; increased blood supply in this area enhances temperature
sensitivity.
B. Dorsal surface of the hand; the skin is thinner on this surface than on the palms.
C. Palmar surface of the hand; this surface is the most sensitive to temperature variations
because of its increased nerve supply in this area.
D. Fingertips; they are more sensitive to small changes in temperature. - CORRECT
ANSWER - B. Dorsal surface of the hand; the skin is thinner on this surface than on the
palms.
The nurse is asking a patient for his reason for seeking care and asks about the signs and
symptoms he is experiencing. Which of these is an example of a symptom?
A. Serum potassium level at 4.2 mEq/L
B. Body temperature of 100° F
C. Chest pain
D. Clammy skin - CORRECT ANSWER - C. Chest pain
The nurse is preparing to assess a patient's abdomen by palpation. How should the nurse
proceed?
A. Palpating a tender area is quickly performed to avoid any discomfort that the patient may
experience.
B. Palpation of reportedly "tender" areas are avoided because palpation in these areas may cause
pain.
C. The assessment begins with light palpation to detect surface characteristics and to accustom
the patient to being touched.
D. The assessment begins with deep palpation, while encouraging the patient to relax and to take
deep breaths. - CORRECT ANSWER - C. The assessment begins with light palpation to
detect surface characteristics and to accustom the patient to being touched.
The nurse is taking an initial blood pressure reading on a 72-year-old patient with documented
hypertension. How should the nurse proceed?