Which of the following is an open ended question?
a. What brought you in today?
b. Where does it hurt?
c. Have you been checking your blood pressure?
d. When was the last time you were seen by
a doctor? - (ANSWER)Answer:A. It is the only choice that would invite a paragraph for an answer rather
than a short statement.
Which of the following is the most basic function and therefore should be tested first
in an assessment of mental status?
a.Behavior
b. Consciousness
c. Judgment
d. Language - (ANSWER)Answer: B. According to your textbook, consciousness is the most fundamental
of these particular characteristics; therefore, it would be tested first.
Which of the following is not a significant contributor to the assessment of mental status?
a.Known illness or health problem
b. Current medications known to affect mood or cognition
c. Racial background
d. Personal history; current stress, social habits, sleep habits, drug and alcohol use - (ANSWER)Answer:
C. The other choices are all elements of the interview that contribute to interpretation of the findings of
the examination.
Correct order of physical examination skills: - (ANSWER)Inspection, Palpation, Percussion, Auscultation
NCLEX question
, NURS 3304 PRACTICE EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS
The nurse is preparing to percuss the abdomen of a patient. The purpose of the percussion is to assess
the underlying tissue:
A) turgor.
B)texture.
C)density.
D)consistency. - (ANSWER)ANSWER: C
Percussion yields a sound that depicts the location, size, and density of the underlying organ. Turgor and
texture are assessed with palpation.
NCLEX question
The nurse is reviewing percussion techniques with a newly graduated nurse. Which technique, if used by
the new nurse, indicates that more review is needed? The nurse:
A)percusses once over each area.
B)lifts the striking finger off quickly after each stroke.
C)strikes with the finger tip, not the finger pad.
D)uses the wrist to make the strikes, not the arm. - (ANSWER)ANSWER: A
For percussion, the nurse should percuss two times over each location. The striking finger should be
lifted off quickly because a resting finger damps off vibrations. The tip of the striking finger should make
contact, not the pad of the finger. The wrist must be relaxed, and it is used to make the strikes, not the
arm
NCLEX question
The nurse is teaching a class on basic assessment skills. Which of these statements is true regarding the
stethoscope and its use?
A)The slope of the earpieces should point posteriorly (toward the occiput).
B)The stethoscope does not magnify sound but does block out extraneous room noise.
C)The fit and quality of the stethoscope are not as important as its ability to magnify sound.