Answers 2025-2026
When feeling for client pulse, take into account the - ANSWER -Rate, rhythm,
force, and elasticity
Resonant is a type of sound that can be heard while percussing. What are some of
its characteristics? - ANSWER -Clear and hollow sound, moderate in duration and
can be heard over normal lung tissue.
Failure to consider conflicting cues, using an insufficient number of cues, using
unreliable or invalid cues are which source of diagnostic error? - ANSWER
Interpreting
When documenting... - ANSWER -Do not generalize or form judgements through
written communication
The client verbally reports pain at a level of 8 or 9 when it becomes sharp is an
example of - ANSWER -Subjective data
Bathing, dressing, toileting, eating are examples of - ANSWER -Activities of daily
living
The mnemonic PQRSTU stands for: - ANSWER -Provocative or pallative, quality
,or quantity, region or radiation, severity scale, timing, and understanding patient's
perception
When interviewing Mr. C, an 89 year old man from Greece who doesn't
understand English, it is important to - ANSWER -Find an interpreter or speak
slowly
Ms. B is at the clinic today and the nurse is explaining what a heart attack is. The
nurse says "A myocardial infarction can be serious and is caused by a blood clot
that blocks one of the coronary arteries. This can lead to a rupture of a vulnerable
atherosclerotic plaque. This is an example of which interviewing traps - ANSWER -Using professional
jargon
Which of these are considered as open ended questions? - ANSWER -How have
you been getting along?
Nurse Jarrel is conducting a health awareness seminar of the female reproductive
system. A student asks the process when the ovaries releases eggs into the
fallopian tubes, and responds the correct ANSWER with? - ANSWER -Ovulation
Tendons are? - ANSWER -Connective tissue that attaches bone to skeletal muscle
Ligaments are - ANSWER -strong bands of fibrous tissue that connects bone to
each other
Cartilage are - ANSWER -Tough fibrous substance that fills the space between
joints and acts as shock absorbers.
The nurse is preparing to assess the abdomen of a hospitalized client 2 days after
,abdominal surgery. The nurse should first - ANSWER -Inspect the abdominal area
A client has experienced hematemesis, what is this? - ANSWER -Blood in the
vomit
What is hematuria? - ANSWER -blood in the urine
What is hematochezia? - ANSWER -bright red blood in stool
What is melena? - ANSWER -A black, tarry stool indicating a GI bleed
What is haemoptysis? - ANSWER -coughing up blood
The nurse is assessing an older client who has lost 5 pounds since her last visit 1
year ago. The client tells the nurse her husband died 2 months ago. The nurse
should assess for? - ANSWER -Appetite changes
The nurse is planning to assess the abdomen of an adult male, what should be
done first? - ANSWER -Ask the client to empty his bladder
During a physical assessment, the nurse documents the presence of eupneic
respirations on the client's medical record. What does this finding suggest? -
ANSWER -Normal respirations
A client with a stranded trapezius muscle complains of having occasional
shortness of breath. What might be the reason for this symptom? - ANSWER -The
strained muscle is an accessory muscle of respiration.
Consists of an inspiratory phase and an expiratory phase of breathing. - ANSWER -Respiratory Cycle
, must sit up to breathe easily - ANSWER -A person with orthopnea
No breathing at all - ANSWER -Apnea
A person who is just being admitted complains of pain on his right foot. What is
the proper way to provide this patient a proper physical assessment? - ANSWER
If a complete physical assessment is necessary, it is best to assess any painful areas
last.
The nurse tells a 75 year old patient that she will have to do a "head to toe"
assessment on him. The patient asks "what is that?" Her best ANSWER would be.. - ANSWER -"It is a way
for us to know how we are going to take care of you
later."
The difference between a "head to toe" assessment and a "focused assessment" -
ANSWER -Head to toe is completed when the patient is admitted; focused
concentrates on a particular part of a body.
We know that the nurse knows the right time to do a physical assessment when
she says: - ANSWER -"I will do it as soon as possible."
Which of the following are true regarding cultural sensitivity? - ANSWER -As a
nurse, it is important to identify and examine our own cultural and ethnic beliefs.
The consumption of alcohol, tobacco, caffeine, or herbal products are important in
health history and which part of what? - ANSWER -Habits and lifestyle patterns
Maximum pressure felt on the artery during left ventricular contraction is the -