The answers are in bold
1. Which of the following techniques is used to assess the patient's muscle strength?
o a) Applying opposing force while the patient resists
o b) Observing the patient's range of motion
o c) Measuring the patient's blood pressure
o d) Auscultating the patient's lungs
2. When performing a respiratory assessment, the nurse notes a high-pitched, musical sound on
expiration. This sound is most likely:
o a) Wheezing
o b) Crackles
o c) Stridor
o d) Rhonchi
3. During a cardiovascular assessment, the nurse palpates the patient's apical pulse at the fifth
intercostal space, midclavicular line. This is the location of which heart valve?
o a) Aortic
o b) Pulmonic
o c) Tricuspid
o d) Mitral
4. A patient reports pain in the right upper quadrant (RUQ) of the abdomen. Which organ is most
likely involved?
o a) Liver
o b) Spleen
o c) Appendix
o d) Stomach
5. When assessing a patient's skin, the nurse notes a non-blanchable area of redness over the
sacrum. This finding is indicative of which stage of pressure ulcer?
o a) Stage I
, o b) Stage I
o c) Stage III
o d) Stage IV
6. Which cranial nerve is responsible for vision?
o a) Olfactory (I)
o b) Optic (II)
o c) Oculomotor (III)
o d) Trochlear (IV)
7. The nurse is assessing a patient's deep tendon reflexes. A normal response is documented as:
o a) 0
o b) 1+
o c) 2+
o d) 4+
8. When assessing the abdomen, the correct order of examination techniques is:
o a) Inspection, Auscultation, Percussion, Palpation
o b) Inspection, Palpation, Percussion, Auscultation
o c) Auscultation, Inspection, Palpation, Percussion
o d) Palpation, Percussion, Auscultation, Inspection
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9. Which of the following is an example of subjective data?
, o a) Blood pressure reading of 120/80 mmHg
o b) Patient reports a pain level of 7 out of 10
o c) Temperature of 38.5 degrees Celsius
o d) Heart rate of 90 beats per minute
10. The nurse is assessing a patient's mental status. Which of the following questions would be
appropriate to assess orientation?
o a) "Can you tell me your name?"
o b) "What is today's date?"
o c) "Where are you right now?"
o d) All of the above
11. The “review of systems” in the health history is:
a) An evaluation of past and present health state of each body system.
b) A documentation of the problem in the patient’s own words.
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c) The recording of the objective findings of the practitioner.
d) A documentation of objective data that the practitioner observes during the physical
examination
12. Which of the following is an example of objective data?
a) The patient reports feeling nauseous.
b) The patient states they have a headache
c) The nurse observes the patient has a rash on their arm.
1. Which of the following techniques is used to assess the patient's muscle strength?
o a) Applying opposing force while the patient resists
o b) Observing the patient's range of motion
o c) Measuring the patient's blood pressure
o d) Auscultating the patient's lungs
2. When performing a respiratory assessment, the nurse notes a high-pitched, musical sound on
expiration. This sound is most likely:
o a) Wheezing
o b) Crackles
o c) Stridor
o d) Rhonchi
3. During a cardiovascular assessment, the nurse palpates the patient's apical pulse at the fifth
intercostal space, midclavicular line. This is the location of which heart valve?
o a) Aortic
o b) Pulmonic
o c) Tricuspid
o d) Mitral
4. A patient reports pain in the right upper quadrant (RUQ) of the abdomen. Which organ is most
likely involved?
o a) Liver
o b) Spleen
o c) Appendix
o d) Stomach
5. When assessing a patient's skin, the nurse notes a non-blanchable area of redness over the
sacrum. This finding is indicative of which stage of pressure ulcer?
o a) Stage I
, o b) Stage I
o c) Stage III
o d) Stage IV
6. Which cranial nerve is responsible for vision?
o a) Olfactory (I)
o b) Optic (II)
o c) Oculomotor (III)
o d) Trochlear (IV)
7. The nurse is assessing a patient's deep tendon reflexes. A normal response is documented as:
o a) 0
o b) 1+
o c) 2+
o d) 4+
8. When assessing the abdomen, the correct order of examination techniques is:
o a) Inspection, Auscultation, Percussion, Palpation
o b) Inspection, Palpation, Percussion, Auscultation
o c) Auscultation, Inspection, Palpation, Percussion
o d) Palpation, Percussion, Auscultation, Inspection
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9. Which of the following is an example of subjective data?
, o a) Blood pressure reading of 120/80 mmHg
o b) Patient reports a pain level of 7 out of 10
o c) Temperature of 38.5 degrees Celsius
o d) Heart rate of 90 beats per minute
10. The nurse is assessing a patient's mental status. Which of the following questions would be
appropriate to assess orientation?
o a) "Can you tell me your name?"
o b) "What is today's date?"
o c) "Where are you right now?"
o d) All of the above
11. The “review of systems” in the health history is:
a) An evaluation of past and present health state of each body system.
b) A documentation of the problem in the patient’s own words.
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www.docsity.com
c) The recording of the objective findings of the practitioner.
d) A documentation of objective data that the practitioner observes during the physical
examination
12. Which of the following is an example of objective data?
a) The patient reports feeling nauseous.
b) The patient states they have a headache
c) The nurse observes the patient has a rash on their arm.
