4006 Midterm Exam Correct details
(2025\2026) 100% Assured Pass
1.The nurse is preparing to perform a physical examination on a client who has cardiopulmonary
disease. Knowing this about the client, the nurse is alert for the presence of which of the following when
checking the client's nails?
Select one:
a. Clubbing
b. Bands in nailbeds
c. Yellow discoloration
d. Splinter hemorrhages - correct answer A- clubbing
2.The nurse is auscultating the client's lungs and notes normal vesicular sounds as being which of the
following?
Select one:
a. Medium-pitched blowing sounds with inspiration equalling expiration
b. Loud, high-pitched, hollow sounds with expiration longer than inspiration
c. Soft, breezy, low-pitched sounds with longer inspiration
d. Sounds created by air moving through small airways - correct answer c. Soft, breezy, low-pitched
sounds with longer inspiration
3.During the physical examination, the nurse should use which part of the hand to assess characteristics
such as consistency, contour, and texture in the client's glands?
Select one:
a. Dorsum of the hand
b. Pads of the fingers
c. Palmar surface of the hand
d. Fingertip grasp of the tissue - correct answer b. Pads of the fingers
,4.If a low-pitched murmur is suspected with prior assessment, which of the following is the best position
for the client when the nurse auscultates the apical site?
Select one:
a. Sitting up
b. Standing
c. Lying on the left side
d. Dorsal recumbent - correct answer c. Lying on the left side
4.Which of the following positions maximizes the nurse's ability to assess the client's upper body for
symmetry?
Select one:
a. Sitting
b. Supine
c. Prone
d. Dorsal recumbent - correct answer a. Sitting
5.The nurse is observing a new staff member work with the client. Of the following activities, which one
has the greatest possibility of contributing to a nosocomial infection and requires correction?
Select one:
a. Washing hands before applying a dressing
b. Taping a plastic bag to the bed rail for tissue disposal
c. Placing a Foley catheter bag on the bed when transferring a client
d. Using alcohol to cleanse the skin before starting an intravenous line - correct answer c. Placing a Foley
catheter bag on the bed when transferring a client
Which one of the following indicates that the nurse is using surgical aseptic technique?
Select one:
a. Inserting an intravenous catheter
b. Placing soiled linen in moisture-resistant bags
c. Disposing of syringes in puncture-proof containers
, d. Washing hands before changing a dressing - correct answer a. Inserting an intravenous catheter
6.The client requires a sterile dressing change. Which of the following is an appropriate intervention for
the nurse to implement in maintaining sterile asepsis?
Select one:
a. Put sterile gloves on before opening sterile packages.
b. Check integrity of sterile packages prior to use.
c. Place the cap of the sterile solution well within the sterile field.
d. Place sterile items on the very edge of the sterile drape. - correct answer b. Check integrity of sterile
packages prior to use.
7.The nurse suspects that an older adult client may have pneumonia. Older adult clients may react
differently to infectious processes, so the nurse is alert to atypical signs and symptoms, such as which
one of the following?
Select one:
a. Hypotension
b. Confusion
c. Erythema
d. Chills - correct answer b. Confusion
8.The nurse recognizes the appropriate procedures for sterile asepsis. Of the following, which action is
consistent with sterile asepsis?
Select one:
a. Clean forceps may be used to move items on the sterile field.
b. Sterile fields may be prepared well in advance of the procedures.
c. The first small amount of sterile solution should be poured and discarded.
d. Wrapped sterile packages should be opened starting with the flap closest to the nurse. - correct
answer c. The first small amount of sterile solution should be poured and discarded.
9.The client has a 15-cm laceration on his right forearm and an infection develops. Which of the
following is a sign of an acute inflammatory process?
(2025\2026) 100% Assured Pass
1.The nurse is preparing to perform a physical examination on a client who has cardiopulmonary
disease. Knowing this about the client, the nurse is alert for the presence of which of the following when
checking the client's nails?
Select one:
a. Clubbing
b. Bands in nailbeds
c. Yellow discoloration
d. Splinter hemorrhages - correct answer A- clubbing
2.The nurse is auscultating the client's lungs and notes normal vesicular sounds as being which of the
following?
Select one:
a. Medium-pitched blowing sounds with inspiration equalling expiration
b. Loud, high-pitched, hollow sounds with expiration longer than inspiration
c. Soft, breezy, low-pitched sounds with longer inspiration
d. Sounds created by air moving through small airways - correct answer c. Soft, breezy, low-pitched
sounds with longer inspiration
3.During the physical examination, the nurse should use which part of the hand to assess characteristics
such as consistency, contour, and texture in the client's glands?
Select one:
a. Dorsum of the hand
b. Pads of the fingers
c. Palmar surface of the hand
d. Fingertip grasp of the tissue - correct answer b. Pads of the fingers
,4.If a low-pitched murmur is suspected with prior assessment, which of the following is the best position
for the client when the nurse auscultates the apical site?
Select one:
a. Sitting up
b. Standing
c. Lying on the left side
d. Dorsal recumbent - correct answer c. Lying on the left side
4.Which of the following positions maximizes the nurse's ability to assess the client's upper body for
symmetry?
Select one:
a. Sitting
b. Supine
c. Prone
d. Dorsal recumbent - correct answer a. Sitting
5.The nurse is observing a new staff member work with the client. Of the following activities, which one
has the greatest possibility of contributing to a nosocomial infection and requires correction?
Select one:
a. Washing hands before applying a dressing
b. Taping a plastic bag to the bed rail for tissue disposal
c. Placing a Foley catheter bag on the bed when transferring a client
d. Using alcohol to cleanse the skin before starting an intravenous line - correct answer c. Placing a Foley
catheter bag on the bed when transferring a client
Which one of the following indicates that the nurse is using surgical aseptic technique?
Select one:
a. Inserting an intravenous catheter
b. Placing soiled linen in moisture-resistant bags
c. Disposing of syringes in puncture-proof containers
, d. Washing hands before changing a dressing - correct answer a. Inserting an intravenous catheter
6.The client requires a sterile dressing change. Which of the following is an appropriate intervention for
the nurse to implement in maintaining sterile asepsis?
Select one:
a. Put sterile gloves on before opening sterile packages.
b. Check integrity of sterile packages prior to use.
c. Place the cap of the sterile solution well within the sterile field.
d. Place sterile items on the very edge of the sterile drape. - correct answer b. Check integrity of sterile
packages prior to use.
7.The nurse suspects that an older adult client may have pneumonia. Older adult clients may react
differently to infectious processes, so the nurse is alert to atypical signs and symptoms, such as which
one of the following?
Select one:
a. Hypotension
b. Confusion
c. Erythema
d. Chills - correct answer b. Confusion
8.The nurse recognizes the appropriate procedures for sterile asepsis. Of the following, which action is
consistent with sterile asepsis?
Select one:
a. Clean forceps may be used to move items on the sterile field.
b. Sterile fields may be prepared well in advance of the procedures.
c. The first small amount of sterile solution should be poured and discarded.
d. Wrapped sterile packages should be opened starting with the flap closest to the nurse. - correct
answer c. The first small amount of sterile solution should be poured and discarded.
9.The client has a 15-cm laceration on his right forearm and an infection develops. Which of the
following is a sign of an acute inflammatory process?
