ANSWERS 2026
Correct
Incorrect
1 of 397
Term
The nurse percusses a patient's chest and feels dullness. The nurse
suspects which diagnosis?
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fingertips
-the pain response may be influenced by one's culture
-individuals may express pain differently
-pain management may vary depending on the source of pain
ossicle
, pneumonia
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2 of 397
Term
The nurse notices that a patient is able to understand what is said but
has trouble formulating a response. The nurse suspects:
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c. Popliteal expressive aphasia
penile discharge normocephalic
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3 of 397
Term
When examining a patient, the nurse remembers to follow which
principle of Standard Precautions?
a. Wear gloves throughout the entire examination of the patient.
b. Wear gloves when in contact with the patient's mucous membranes.
c. Wear gloves to reduce the need for handwashing.
,d. Wear eye protection and a gown during the examination of the
patient.
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ANS: B
Feedback
A Wearing gloves throughout the examination of the patient is unnecessary.
Referring to the Standard Precautions for the correct answer; nurses use
judgment to determine when contact with body fluids is possible.
B Specifically, this applies to contact with blood, body fluids (e.g., urine, feces,
sputum, wound drainage), nonintact skin, and mucous membranes.
C Hands must be washed after removal of gloves.
D The nurse should wear a mask with eye protection or a face shield during
procedures that may result in splashes or sprays of the patient's blood, body
fluids, secretions, or excretions.
ANS: B
A Laughing and smiling during conversation may show attentiveness during the
interview, but does not encourage more talking.
B Using phrases such as "Go on" and "Then?" encourages the patient to continue
talking.
C Rephrasing what the patient has said is restatement. It confirms your
interpretation of what they said, but does not encourage additional talking.
D Asking the patient to clarify a point is done when the information
ANS: A
A After collecting data, the nurse organizes or clusters the data so that the
problems appear more clearly. To cluster data, the nurse interprets the assessment
data collected.
B Documenting subjective data is necessary for the medical record, but does not
provide analysis.
, C Before reporting data to health team members, the nurse clusters and interprets
data.
D Documenting objective data is necessary for the medical record, but does not
provide analysis.
ANS: B
Feedback
A A Doppler is used when the pulses cannot be palpated.
B A Doppler amplifies sounds difficult to hear with an acoustic stethoscope.
C A Doppler amplifies the sound of the pulsation.
D A Doppler amplifies the sound of the pulsation
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4 of 397
Term
The nurse is attending an in-service on pain management for
postoperative patients. Which statement regarding pain is true?
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"Have you noticed a change in your level of energy?"
-the pain response may be influenced by one's culture
-individuals may express pain differently
-pain management may vary depending on the source of pain