What action should the nurse take during Ans: Pull the auricle up and back
an otoscopic examination of an adult
patient?
Ans: Pull the auricle up and back
1. While conducting an interview a client D. Palpate the left upper quadrant last
reports acute pain in the left upper
quadrant of the abdomen. Given this
information the nurse should?
A. Perform a complete abdominal
assessment beginning with palpation
B. Proceed directly to performing
auscultation of the abdomen
C. Complete the interview to obtain
baseline information
D. Palpate the left upper quadrant last
2. The nurse knows that during an Enlarged organs
abdominal assessment, deep palpation is
used to determine?
,3. When palpating the abdomen of a 20 Spleen
year old patient, the nurse notices the
presence of tenderness in the left upper
quadrant with deep palpation. Which of
these structures is most likely to be
involved?
4. While examining a patient, the nurse Ans: normal abdominal aortic pulsations
observes abdominal pulsations between
the xiphoid process and umbilicus. The
nurse would suspect that these are:
5. The nurse suspects that a patient has Ans: Test for Blumberg's sign and Perform the iliopsoas muscle test
appendicitis. Which of these procedures
are appropriate for use when assessing for
appendicitis? SELECT ALL THAT APPLY
6. The nurse is percussing the seventh right Dullness
intercostal space at the midclavicular line
over the liver. Which sound should the
nurse expect to hear?
7. While assessing a client's abdomen, 3cm pulsation in the epigastric region
which of the following would be
considered expected findings?
, 8. What is the pupillary response when the Pupils constrict
patient changes from near vision to far
vision?
9. When assessing a client's oral cavity the 3+
nurse notes that the tonsils are enlarged
and touching. The nurse would record the
size of the tonsils as?
1+
2+
3+
4+
10. When performing a physical assessment Ans: Ask if the client has a history of sinus infections
of a client's frontal sinuses to determine the
presence of an infection the nurse should
11. A patient is hospitalized for liver RUQ
enlargement and tenderness. When
performing his admission physical
examination you would be especially
gentle and careful when palpating his
13. A visual acuity of 20/30 using the snellen Ans: Client can read at 20 feet what a person with normal vision can read at 30
chart means the?
an otoscopic examination of an adult
patient?
Ans: Pull the auricle up and back
1. While conducting an interview a client D. Palpate the left upper quadrant last
reports acute pain in the left upper
quadrant of the abdomen. Given this
information the nurse should?
A. Perform a complete abdominal
assessment beginning with palpation
B. Proceed directly to performing
auscultation of the abdomen
C. Complete the interview to obtain
baseline information
D. Palpate the left upper quadrant last
2. The nurse knows that during an Enlarged organs
abdominal assessment, deep palpation is
used to determine?
,3. When palpating the abdomen of a 20 Spleen
year old patient, the nurse notices the
presence of tenderness in the left upper
quadrant with deep palpation. Which of
these structures is most likely to be
involved?
4. While examining a patient, the nurse Ans: normal abdominal aortic pulsations
observes abdominal pulsations between
the xiphoid process and umbilicus. The
nurse would suspect that these are:
5. The nurse suspects that a patient has Ans: Test for Blumberg's sign and Perform the iliopsoas muscle test
appendicitis. Which of these procedures
are appropriate for use when assessing for
appendicitis? SELECT ALL THAT APPLY
6. The nurse is percussing the seventh right Dullness
intercostal space at the midclavicular line
over the liver. Which sound should the
nurse expect to hear?
7. While assessing a client's abdomen, 3cm pulsation in the epigastric region
which of the following would be
considered expected findings?
, 8. What is the pupillary response when the Pupils constrict
patient changes from near vision to far
vision?
9. When assessing a client's oral cavity the 3+
nurse notes that the tonsils are enlarged
and touching. The nurse would record the
size of the tonsils as?
1+
2+
3+
4+
10. When performing a physical assessment Ans: Ask if the client has a history of sinus infections
of a client's frontal sinuses to determine the
presence of an infection the nurse should
11. A patient is hospitalized for liver RUQ
enlargement and tenderness. When
performing his admission physical
examination you would be especially
gentle and careful when palpating his
13. A visual acuity of 20/30 using the snellen Ans: Client can read at 20 feet what a person with normal vision can read at 30
chart means the?
