N125 Final Prep Module 5 UPDATED
QUESTIONS AND CORRECT ANSWERS
A patient reports a change in the usual pattern of urination. What question does the nurse ask
to determine if incontinence is the reason for these symptoms?
a) "Have you noticed any swelling in your ankles at the end of the day?"
b) "Has the color of your urine changed lately?"
c) "Are you urinating a large amount each time you go to the bathroom?"
d) "Do you have the feeling that you cannot wait to urinate?" - CORRECT ANSWER d
When inspecting a patient's abdomen, the nurse notes which finding as abnormal?
a) Marked visible pulsations
b) Soft, flat abdomen with skin that is lighter in color than the arms and legs
c) Faint, fine vascular network
d) A centrally-located umbilicus. - CORRECT ANSWER a
A nurse notices abdominal distention when inspecting a patient's abdomen. What action can
the nurse take next to gain further objective data?
a) Assist the patient to turn on to the left side and then the right side.
b) Ask the patient to cough while lying supine.
c) Use the fingertips to sharply strike one side of the abdomen.
d) Place a measuring tape around the superior iliac crests. - CORRECT ANSWER d
A nurse insects the abdomen for skin color, surface characteristics, and surface movement.
What part of the abdominal assessment does the nurse perform next?
a) Percuss for tones
b) Auscultate for bowel sounds
c) Palpate lightly for tenderness and muscle tone.
d) Palpate deeply for masses or aortic pulsation - CORRECT ANSWER b
, How does the nurse accurately assess bowel sounds?
a) Press the bell of the stethoscope firmly against the abdomen in each quadrant.
b) Hold the diaphragm of the stethoscope lightly against the abdomen in each quadrant
c) Hold the bell of the stethoscope lightly against the abdomen in each quadrant.
d) Press the diaphragm of the stethoscope firmly against the abdomen in each quadrant. -
CORRECT ANSWER b
When lightly palpating the abdomen, the nurse
a) Observes the patient's facial expression
b) Palpates over the area of pain first
c) Depresses the abdomen 8 cm
d) Uses the palm of his/her hand to depress the abdomen. - CORRECT ANSWER a
What instructions could the nurse give to a patient to relax abdominal muscles, prior to
palpating the abdomen?
a) Place hands over the head
b) Bend the knees and place the feet flat on the bed
c) Take a deep breath and hold it.
d) Take a deep breath and cough - CORRECT ANSWER b
In assessing range of motion in a patient's ankle, the nurse knows to have the patient dorsiflex
the foot. the nurse asks the patient to:
a) move the foot so the toes are pointed toward the face, upwards
b) bring the heel back toward the back of the thigh
c) turn the sole of the foot medially.
d) move the foot so the toes are pointed downward. - CORRECT ANSWER a
What technique does the nurse use to test bicep muscle strength?
a) The patient places their hands behind the head with elbows out.
b) The patient tries to flex the arm while the nurse tries to extend the patient's forearm.
QUESTIONS AND CORRECT ANSWERS
A patient reports a change in the usual pattern of urination. What question does the nurse ask
to determine if incontinence is the reason for these symptoms?
a) "Have you noticed any swelling in your ankles at the end of the day?"
b) "Has the color of your urine changed lately?"
c) "Are you urinating a large amount each time you go to the bathroom?"
d) "Do you have the feeling that you cannot wait to urinate?" - CORRECT ANSWER d
When inspecting a patient's abdomen, the nurse notes which finding as abnormal?
a) Marked visible pulsations
b) Soft, flat abdomen with skin that is lighter in color than the arms and legs
c) Faint, fine vascular network
d) A centrally-located umbilicus. - CORRECT ANSWER a
A nurse notices abdominal distention when inspecting a patient's abdomen. What action can
the nurse take next to gain further objective data?
a) Assist the patient to turn on to the left side and then the right side.
b) Ask the patient to cough while lying supine.
c) Use the fingertips to sharply strike one side of the abdomen.
d) Place a measuring tape around the superior iliac crests. - CORRECT ANSWER d
A nurse insects the abdomen for skin color, surface characteristics, and surface movement.
What part of the abdominal assessment does the nurse perform next?
a) Percuss for tones
b) Auscultate for bowel sounds
c) Palpate lightly for tenderness and muscle tone.
d) Palpate deeply for masses or aortic pulsation - CORRECT ANSWER b
, How does the nurse accurately assess bowel sounds?
a) Press the bell of the stethoscope firmly against the abdomen in each quadrant.
b) Hold the diaphragm of the stethoscope lightly against the abdomen in each quadrant
c) Hold the bell of the stethoscope lightly against the abdomen in each quadrant.
d) Press the diaphragm of the stethoscope firmly against the abdomen in each quadrant. -
CORRECT ANSWER b
When lightly palpating the abdomen, the nurse
a) Observes the patient's facial expression
b) Palpates over the area of pain first
c) Depresses the abdomen 8 cm
d) Uses the palm of his/her hand to depress the abdomen. - CORRECT ANSWER a
What instructions could the nurse give to a patient to relax abdominal muscles, prior to
palpating the abdomen?
a) Place hands over the head
b) Bend the knees and place the feet flat on the bed
c) Take a deep breath and hold it.
d) Take a deep breath and cough - CORRECT ANSWER b
In assessing range of motion in a patient's ankle, the nurse knows to have the patient dorsiflex
the foot. the nurse asks the patient to:
a) move the foot so the toes are pointed toward the face, upwards
b) bring the heel back toward the back of the thigh
c) turn the sole of the foot medially.
d) move the foot so the toes are pointed downward. - CORRECT ANSWER a
What technique does the nurse use to test bicep muscle strength?
a) The patient places their hands behind the head with elbows out.
b) The patient tries to flex the arm while the nurse tries to extend the patient's forearm.
