FUNDAMENTALS EXAM 2 EXAM
WITH CORRECT ANSWERS 2025
Objective data can be gathered from the patient during which
aspects of the physical assessment process? (Select all that
apply.) correct answers >> a. Patient interview
b. Health history
c. General survey
d. Physical examination
e. Laboratory testing
Which sequence best identifies the order in which the nurse
should complete an abdominal assessment? correct answers
>> Inspection, auscultation, palpation, percussion
During examination of a patient's neck with the bell of the
stethoscope, the nurse identifies a carotid bruit. When are bruits
audible in the neck? correct answers >> When the carotid
artery is partially occluded
A nurse is preparing to auscultate a patient's chest. In which area
should the nurse listen to evaluate the patient's aortic valve?
correct answers >> Second right intercostal space
Which assessment finding would be most important to document
in a patient with known liver disease who has a distended, taut
abdomen? correct answers >> Abdominal girth
,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?
correct answers >> Oculomotor cranial nerve III paralysis
Which action by a patient with a family history of macular
degeneration would demonstrate use of a prevention strategy
that has been found to help prevent deterioration of the macula?
correct answers >> Taking vitamin B6 and B12 supplements
The nurse begins the assessment of patient breath sounds and
notes diminished breath sounds at the base of the right lung.
What action should the nurse take next? correct answers >>
Listen to the base of the patient's left lung.
What actions should the nurse take to assess whether a patient
with a left above-the-knee amputation has adequate lower
extremity circulation to the stump? (Select all that apply.)
correct answers >> Palpate the stump for warmth
Inspect the stump and right leg for color.
Check the left femoral pulse for strength.
Which action by the nurse would be most effective in determining
whether a patient has muscle hypertonicity? correct answers
>> Performing passive range-of-motion exercises with the
patient
When examining a patient's hearing using the Weber test, the
nurse would expect which of the following results if the patient
,had an obstruction in the right ear? correct answers >> The
tone from a tuning fork is louder in the right ear
When inspecting a patient with suspected nasal rhinitis, physical
assessment of the nares would most likely reveal: correct
answers >> bright red, swollen mucosa and an upper
respiratory infection.
When examining a patient's cornea, which of the following
physical assessment findings is a normal occurrence? correct
answers >> No blood vessels should be present.
Which type of lung sounds does the nurse expect to auscultate
over most of the lung fields? correct answers >> Vesicular
A nurse is performing abdominal assessment in the following
order: inspection, percussion and palpation, and auscultation.
Which effect can influence the nurse's assessment results?
correct answers >> Peristalsis has increased due to external
stimulation.
A nurse is examining a 60-year-old female patient and notes
swollen, hard, lymph nodes in the right axilla. After documenting
her results and reporting them to the patient's provider, which
question would provide further insight into the patient's
condition? correct answers >> "Do you perform monthly
breast self-examinations?"
When evaluating a patient's posterior thorax excursion, the nurse
notices her right hand does not move when the patient inhales
, deeply. What is the significance of this result? correct answers
>> The right lung is not expanding with inhalation.
An older patient complains about blurred vision and "halos"
around lights at nighttime that have been gradually worsening
each year. The patient's pupils are cloudy. The nurse recognizes
the symptoms the patient is experiencing can be caused by which
of the following conditions? correct answers >> Cataracts
An uncooperative 70-year-old male with right-sided paralysis from
a recent cerebrovascular accident (CVA) has to be transferred
from the bed to a wheelchair. Which action indicates the best
method to transfer this patient? correct answers >> A full-
body sling lift is used with the help of unlicensed assistive
personnel (UAP).
After instruction, which action by a patient who can bear weight
on both feet indicates an understanding of the proper use of
crutches? correct answers >> Moving the opposing crutch
and leg together for a two-point crutch walk
What bony prominences are at greatest risk for skin breakdown
on a patient who is restricted to bed rest and placed in the side-
lying position? (Select all that apply.) correct answers >> a.
Ears
b. Elbows
c. Hips
Which area of the central nervous system has most likely
sustained damage if a patient exhibits a lack of coordination and
WITH CORRECT ANSWERS 2025
Objective data can be gathered from the patient during which
aspects of the physical assessment process? (Select all that
apply.) correct answers >> a. Patient interview
b. Health history
c. General survey
d. Physical examination
e. Laboratory testing
Which sequence best identifies the order in which the nurse
should complete an abdominal assessment? correct answers
>> Inspection, auscultation, palpation, percussion
During examination of a patient's neck with the bell of the
stethoscope, the nurse identifies a carotid bruit. When are bruits
audible in the neck? correct answers >> When the carotid
artery is partially occluded
A nurse is preparing to auscultate a patient's chest. In which area
should the nurse listen to evaluate the patient's aortic valve?
correct answers >> Second right intercostal space
Which assessment finding would be most important to document
in a patient with known liver disease who has a distended, taut
abdomen? correct answers >> Abdominal girth
,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?
correct answers >> Oculomotor cranial nerve III paralysis
Which action by a patient with a family history of macular
degeneration would demonstrate use of a prevention strategy
that has been found to help prevent deterioration of the macula?
correct answers >> Taking vitamin B6 and B12 supplements
The nurse begins the assessment of patient breath sounds and
notes diminished breath sounds at the base of the right lung.
What action should the nurse take next? correct answers >>
Listen to the base of the patient's left lung.
What actions should the nurse take to assess whether a patient
with a left above-the-knee amputation has adequate lower
extremity circulation to the stump? (Select all that apply.)
correct answers >> Palpate the stump for warmth
Inspect the stump and right leg for color.
Check the left femoral pulse for strength.
Which action by the nurse would be most effective in determining
whether a patient has muscle hypertonicity? correct answers
>> Performing passive range-of-motion exercises with the
patient
When examining a patient's hearing using the Weber test, the
nurse would expect which of the following results if the patient
,had an obstruction in the right ear? correct answers >> The
tone from a tuning fork is louder in the right ear
When inspecting a patient with suspected nasal rhinitis, physical
assessment of the nares would most likely reveal: correct
answers >> bright red, swollen mucosa and an upper
respiratory infection.
When examining a patient's cornea, which of the following
physical assessment findings is a normal occurrence? correct
answers >> No blood vessels should be present.
Which type of lung sounds does the nurse expect to auscultate
over most of the lung fields? correct answers >> Vesicular
A nurse is performing abdominal assessment in the following
order: inspection, percussion and palpation, and auscultation.
Which effect can influence the nurse's assessment results?
correct answers >> Peristalsis has increased due to external
stimulation.
A nurse is examining a 60-year-old female patient and notes
swollen, hard, lymph nodes in the right axilla. After documenting
her results and reporting them to the patient's provider, which
question would provide further insight into the patient's
condition? correct answers >> "Do you perform monthly
breast self-examinations?"
When evaluating a patient's posterior thorax excursion, the nurse
notices her right hand does not move when the patient inhales
, deeply. What is the significance of this result? correct answers
>> The right lung is not expanding with inhalation.
An older patient complains about blurred vision and "halos"
around lights at nighttime that have been gradually worsening
each year. The patient's pupils are cloudy. The nurse recognizes
the symptoms the patient is experiencing can be caused by which
of the following conditions? correct answers >> Cataracts
An uncooperative 70-year-old male with right-sided paralysis from
a recent cerebrovascular accident (CVA) has to be transferred
from the bed to a wheelchair. Which action indicates the best
method to transfer this patient? correct answers >> A full-
body sling lift is used with the help of unlicensed assistive
personnel (UAP).
After instruction, which action by a patient who can bear weight
on both feet indicates an understanding of the proper use of
crutches? correct answers >> Moving the opposing crutch
and leg together for a two-point crutch walk
What bony prominences are at greatest risk for skin breakdown
on a patient who is restricted to bed rest and placed in the side-
lying position? (Select all that apply.) correct answers >> a.
Ears
b. Elbows
c. Hips
Which area of the central nervous system has most likely
sustained damage if a patient exhibits a lack of coordination and
