THROUGH FOUR 2026 PREMIUM REVIEW
MATERIAL CORRECT RESULTS A+
◉ 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
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.
D)The ideal tubing length should be 22 inches to dampen distortion of
sound. Answer: ANSWER: B
The stethoscope does not magnify sound but does block out extraneous
room sounds. The slope of the earpieces should point forward toward the
examiner's nose. Longer tubing will distort sound. The fit and quality of
the stethoscope are important.