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1. An 85-year-old man has come in for a physical examination, and the nurse
notices that he uses a cane. When documenting general appearance, the nurse
should document this information under the section that covers:
a. Posture. b. Mobility. c. Mood and affect. d. Physical deformity: b. Mobility
2. The nurse is performing a vision examination. Which of these charts is most
widely used for vision examinations?
a. Snellen b. Shetllen c. Smoollen d. Schwellon: a. Snellen
3. After the health history has been obtained and before beginning the physical
examination, the nurse should first ask the patient to:
a. Empty the bladder. b. Completely disrobe. c. Lie on the examination table. d.
Walk around the room.: a. Empty the bladder
4. During a complete health assessment, how would the nurse test the patients
hearing?
a. Observing how the patient participates in normal conversation b. Using the
whispered voice test c. Using the Weber and Rinne tests d. Testing with an
audiometer: b. Using the whispered voice test
5. A patient states, Whenever I open my mouth real wide, I feel this popping
sensation in front of my ears. To further examine this, the nurse would:
a. Place the stethoscope over the temporomandibular joint, and listen for
bruits. b. Place the hands over his ears, and ask him to open his mouth really
wide. c. Place one hand on his forehead and the other on his jaw, and ask him
to try to open his mouth. d. Place a finger on his temporomandibular joint, and
ask him to open and close his mouth.: d. Place a finger on his temporomandibular joint, and ask
him to open and close his mouth.
6. The nurse has just completed an examination of a patients extraocular mus-
cles. When documenting the findings, the nurse should document the assess-
ment of which cranial nerves?
a. II, III, and VI b. II, IV, and V c. III, IV, and V d. III, IV, and VI: d. III, IV, and VI
, NR 511 MIDTERM EXAM(DUNPHY QUESTIONS) COMPLETE QUESTIONS
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7. A patients uvula raises midline when she says ahh, and she has a positive gag
reflex. The nurse has just tested which cranial nerves?
a. IX and X b. IX and XII c. X and XII d. XI and XII: a. IX and X
8. During an examination, the nurse notices that a patient is unable to stick out
his tongue. Which cranial nerve is involved with the successful performance of
this action?
a. I b. V c. XI d. XII: d. XII
9. A patient is unable to shrug her shoulders against the nurses resistant hands.
What cranial nerve is involved with successful shoulder shrugging?
a. VII b. IX c. XI d. XII: c. XI
10. During an examination, a patient has just successfully completed the fin-
ger-to-nose and the rapid-alternating-movements tests and is able to run
each heel down the opposite shin. The nurse will conclude that the patients
__________ function is intact.
a. Occipital b. Cerebral c. Temporal d. Cerebellar: d. Cerebellar
11. When the nurse performs the confrontation test, the nurse has assessed:
a. Extraocular eye muscles (EOMs). b. Pupils (pupils equal, round, reactive to
light, and accommodation [PERRLA]). c. Near vision. d. Visual fields.: Visual fields.
12. Which statement is true regarding the complete physical assessment?
a. The male genitalia should be examined in the supine position. b. The patient
should be in the sitting position for examination of the head and neck. c. The vi-
tal signs, height, and weight should be obtained at the end of the examination.
d. To promote consistency between patients, the examiner should not vary the
order of the assessment.: b. The patient should be in the sitting position for examination of the head and
neck.
13. Which of these is included in an assessment of general appearance?
a. Height b. Weight c. Skin color d. Vital signs: c. Skin color
14. The nurse should wear gloves for which of these examinations?
a. Measuring vital signs b. Palpation of the sinuses c. Palpation of the mouth
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and tongue d. Inspection of the eye with an ophthalmoscope: c. Palpation of the mouth
and tongue
15. The nurse should use which location for eliciting deep tendon reflexes?
a. Achilles b. Femoral c. Scapular d. Abdominal: a. Achilles
16. During an inspection of a patients face, the nurse notices that the facial
features are symmetric. This finding indicates which cranial nerve is intact?
a. VII b. IX c. XI d. XII: a. VII
17. During inspection of the posterior chest, the nurse should assess for:
a. Symmetric expansion. b. Symmetry of shoulders and muscles. c. Tactile
fremitus. d. Diaphragmatic excursion.: b. Symmetry of shoulders and muscles
18. During an examination, the patient tells the nurse that she sometimes feels
as if objects are spinning around her. The nurse would document that she
occasionally experiences:
a. Vertigo. b. Tinnitus. c. Syncope. d. Dizziness.: a. Vertigo.
19. A patient tells the nurse, Sometimes I wake up at night and I have real trouble
breathing. I have to sit up in bed to get a good breath. When documenting this
information, the nurse would note:
a. Orthopnea. b. Acute emphysema. c. Paroxysmal nocturnal dyspnea. d. Acute
shortness of breath episode.: c. Paroxysmal nocturnal dyspnea
20. During the examination of a patient, the nurse notices that the patient
has several small, flat macules on the posterior portion of her thorax. These
macules are less than 1 cm wide. Another name for these macules is:
a. Warts. b. Bullae. c. Freckles. d. Papules.: c. Freckles
21. During an examination, the nurse notices that a patients legs turn white
when they are raised above the patients head. The nurse should suspect:
a. Lymphedema. b. Raynaud disease. c. Chronic arterial insufficiency. d. Chronic
venous insufficiency: c. Chronic arterial insufficiency
22. The nurse documents that a patient has coarse, thickened skin and brown
discoloration over the lower legs. Pulses are present. This finding is probably
the result of
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a. Lymphedema. b. Raynaud disease. c. Chronic arterial insufficiency. d. Chronic
venous insufficiency.: d. Chronic venous insufficiency
23. The nurse notices that a patient has ulcerations on the tips of the toes and
on the lateral aspect of the ankles. This finding indicates:
a. Lymphedema. b. Raynaud disease. c. Arterial insufficiency. d. Venous insuffi-
ciency: c. Arterial insufficiency
24. The nurse has just recorded a positive iliopsoas test on a patient who has
abdominal pain. This test is used to confirm a(n):
a. Inflamed liver. b. Perforated spleen. c. Perforated appendix. d. Enlarged
gallbladder.: c. Perforated appendix
25. The nurse will measure a patients near vision with which tool?
a. Snellen eye chart with letters b. Snellen E chart c. Jaeger card d. Ophthalmo-
scope: c. Jaeger card
26. If the nurse records the results to the Hirschberg test, the nurse has:
a. Tested the patellar reflex. b. Assessed for appendicitis. c. Tested the corneal
light reflex. d. Assessed for thrombophlebitis: c. Tested the corneal light reflex
27. During the examination of a patients mouth, the nurse observes a nodular
bony ridge down the middle of the hard palate. The nurse would chart this
finding as:
a. Cheilosis. b. Leukoplakia. c. Ankyloglossia. d. Torus palatinus: d. Torus palatinus
28. During examination, the nurse finds that a patient is unable to distinguish
objects placed in his hand. The nurse would document:
a. Stereognosis. b. Astereognosis. c. Graphesthesia. d. Agraphesthesia: b. Astere-
ognosis
29. After the examination of an infant, the nurse documents opisthotonos. The
nurse recognizes that this finding often occurs with
a. Cerebral palsy. b. Meningeal irritation. c. Lower motor neuron lesion. d.
Upper motor neuron lesion: b. Meningeal irritation
30. After assessing a female patient, the nurse notices flesh-colored, soft, point-
ed, moist, papules in a cauliflower-like patch around her introitus. This finding