NURS 190 QUIZ 1 PRACTICE TEST 2026/2027 | HIGH-YIELD
QUESTIONS & ANSWERS | COMPREHENSIVE EXAM REVIEW
1. What is the Schamroth technique?
A way to check for adherence of the nail to the nail bed
None of the above
A way to precisely measure nail base angle
A quick assessment technique for nail clubbing
2. The tubing of a stethoscope should be 12 to 18 inches to prevent:
tangling of the tubing in the examiner's clothing or pockets.
magnification of the transmitted sounds
distortion of sounds during auscultation.
transmission of external noise.
3. A person with hyperthyroidism is likely to present what symptoms?
Peripheral edema, carpal tunnel syndrome, weight gain
Goiter, hoarseness, dysphagia
Restlessness, insomnia, irritability
Fatigue, depression, sleepiness
4. What is the most common stress-related cause of malfunctioning of the
temporomandibular (TMJ) joint?
halitosis
bruxism
, insomnia
headaches
neck tension
5. Main purpose of indirect percussion is to:
Listen for bruits
See if this causes pain
Assess the density of the underlying structures
Assess size
6. A bruit is:
an aneurysm
a murmur like sound of vascular origin
a positive Roman's sign
a thrill
7. A nurse is assessing a patient with diabetes who reports numbness in their
feet. Which assessment tool should the nurse use to evaluate the patient's
sensory function?
Otoscope
Monofilament
Stethoscope
Sphygmomanometer
,8. In a clinical scenario, if a nurse needs to assess a patient's heart murmur,
which part of the stethoscope should be used and why?
The bell, because it is used for high-frequency sounds.
The bell, because it is better suited for detecting low-frequency
sounds like murmurs.
The diaphragm, because it amplifies all sounds equally.
Either part, as both can detect heart sounds effectively.
9. Describe the relationship between viral infections and the onset of Bell's
Palsy.
Viral infections have no impact on Bell's Palsy.
Viral infections may trigger inflammation of the facial nerve, leading
to Bell's Palsy.
Viral infections cause swelling in the brain, affecting facial nerves.
Viral infections directly damage the facial muscles.
10. Describe the significance of resonance sounds in a physical assessment and
where they are commonly detected.
Resonance sounds indicate the presence of air in the lungs and are
commonly heard over healthy lung tissue.
Resonance sounds are indicative of fluid in the lungs and are heard
over the heart.
Resonance sounds are high-pitched sounds heard over solid organs.
Resonance sounds are associated with muscle contractions and are
heard over the abdomen.
, 11. Describe the significance of the order in which physical assessment
techniques are performed on the abdomen.
The order is determined by the patient's comfort and preference.
The order is important to prioritize the most invasive techniques first.
The order is not significant as all techniques provide independent
information.
The order is important to avoid altering bowel sounds and to ensure
accurate assessment.
12. The difference between the Bell and the Diaphragm portions of the chest
piece in a stethoscope is the following:
Bell and diaphragm have the same shape.
Diaphragm is circular and flat surfaced, bell is bowl-shaped.
Bell is circular and flat-surfaced, and the diaphragm is bowl-shaped.
Bell transmits high-pitched sounds.
13. What is a keloid?
overgrowth of fibrous tissue at site of skin trauma
benign vascular tumor
flat, non-palpable area like freckles
epithelium lined cavity filled with fluid/solid material
14. During a physical examination, if a nurse hears hyperresonance over a
patient's chest, what condition might they suspect, and what would be the
next step in assessment?
QUESTIONS & ANSWERS | COMPREHENSIVE EXAM REVIEW
1. What is the Schamroth technique?
A way to check for adherence of the nail to the nail bed
None of the above
A way to precisely measure nail base angle
A quick assessment technique for nail clubbing
2. The tubing of a stethoscope should be 12 to 18 inches to prevent:
tangling of the tubing in the examiner's clothing or pockets.
magnification of the transmitted sounds
distortion of sounds during auscultation.
transmission of external noise.
3. A person with hyperthyroidism is likely to present what symptoms?
Peripheral edema, carpal tunnel syndrome, weight gain
Goiter, hoarseness, dysphagia
Restlessness, insomnia, irritability
Fatigue, depression, sleepiness
4. What is the most common stress-related cause of malfunctioning of the
temporomandibular (TMJ) joint?
halitosis
bruxism
, insomnia
headaches
neck tension
5. Main purpose of indirect percussion is to:
Listen for bruits
See if this causes pain
Assess the density of the underlying structures
Assess size
6. A bruit is:
an aneurysm
a murmur like sound of vascular origin
a positive Roman's sign
a thrill
7. A nurse is assessing a patient with diabetes who reports numbness in their
feet. Which assessment tool should the nurse use to evaluate the patient's
sensory function?
Otoscope
Monofilament
Stethoscope
Sphygmomanometer
,8. In a clinical scenario, if a nurse needs to assess a patient's heart murmur,
which part of the stethoscope should be used and why?
The bell, because it is used for high-frequency sounds.
The bell, because it is better suited for detecting low-frequency
sounds like murmurs.
The diaphragm, because it amplifies all sounds equally.
Either part, as both can detect heart sounds effectively.
9. Describe the relationship between viral infections and the onset of Bell's
Palsy.
Viral infections have no impact on Bell's Palsy.
Viral infections may trigger inflammation of the facial nerve, leading
to Bell's Palsy.
Viral infections cause swelling in the brain, affecting facial nerves.
Viral infections directly damage the facial muscles.
10. Describe the significance of resonance sounds in a physical assessment and
where they are commonly detected.
Resonance sounds indicate the presence of air in the lungs and are
commonly heard over healthy lung tissue.
Resonance sounds are indicative of fluid in the lungs and are heard
over the heart.
Resonance sounds are high-pitched sounds heard over solid organs.
Resonance sounds are associated with muscle contractions and are
heard over the abdomen.
, 11. Describe the significance of the order in which physical assessment
techniques are performed on the abdomen.
The order is determined by the patient's comfort and preference.
The order is important to prioritize the most invasive techniques first.
The order is not significant as all techniques provide independent
information.
The order is important to avoid altering bowel sounds and to ensure
accurate assessment.
12. The difference between the Bell and the Diaphragm portions of the chest
piece in a stethoscope is the following:
Bell and diaphragm have the same shape.
Diaphragm is circular and flat surfaced, bell is bowl-shaped.
Bell is circular and flat-surfaced, and the diaphragm is bowl-shaped.
Bell transmits high-pitched sounds.
13. What is a keloid?
overgrowth of fibrous tissue at site of skin trauma
benign vascular tumor
flat, non-palpable area like freckles
epithelium lined cavity filled with fluid/solid material
14. During a physical examination, if a nurse hears hyperresonance over a
patient's chest, what condition might they suspect, and what would be the
next step in assessment?
