Final: NURS190 / NURS 190 (Latest
Update ) Physical Assessment
| Questions with Correct Answers | Grade
A | 100% Verified - WCU
1. Which assessment technique is performed FIRST during abdominal
examination?
A) Palpation
B) Percussion
C) Inspection
D) Auscultation
Rationale: The correct order for abdominal assessment is inspection, auscultation,
percussion, then palpation. Palpation is performed last because it can alter bowel
sounds and cause patient discomfort that may interfere with the assessment .
2. A patient complains of pain in the right lower quadrant (RLQ) when the
left lower quadrant (LLQ) is palpated. This is known as:
A) Blumberg sign
B) Rovsing's sign
C) Psoas sign
D) Murphy's sign
,Rationale: Rovsing's sign is RLQ pain elicited by palpation of the LLQ. It is
indicative of acute appendicitis or peritoneal irritation. The mechanism involves
referred pain from the inflamed appendix .
3. During abdominal assessment, the nurse palpates deeply and then quickly
releases pressure, causing the patient to experience sharp, stabbing pain. This
is documented as:
A) Blumberg sign (rebound tenderness)
B) Rovsing's sign
C) Psoas sign
D) Obturator sign
Rationale: Blumberg sign (rebound tenderness) occurs when pain intensifies upon
rapid release of deep palpation. This indicates peritoneal inflammation and is
considered an emergency finding .
4. The nurse asks the patient to extend the right thigh while lying on the left
side. The patient reports pain in the RLQ. This is documented as:
A) Rovsing's sign
B) Psoas sign
C) Obturator sign
D) Murphy's sign
Rationale: Psoas sign is elicited by passive extension of the right thigh while the
patient lies on the left side or by asking the patient to flex the thigh against
resistance. Pain indicates irritation of the psoas muscle, often from appendicitis .
,5. During a Weber test, the nurse places a tuning fork on the patient's:
A) Mastoid bone
B) Top of the head (midline)
C) Forehead
D) Sternum
Rationale: The Weber test involves placing a vibrating tuning fork on the midline
of the patient's skull or forehead. The patient indicates whether sound is heard
equally in both ears or lateralizes to one side .
6. The nurse assesses tonsils that extend to the midline and may touch each
other. How should the nurse grade this finding?
A) Grade 2
B) Grade 3
C) Grade 4
D) Grade 1
*Rationale: Tonsil grading: Grade 1 = visible, Grade 2 = halfway between tonsillar
pillars and uvula, Grade 3 = touching the uvula, Grade 4 = extending to the midline
(kissing tonsils) .*
7. The nurse touches the salivary glands at the base of the frenulum with a
sterile applicator. Which duct is being assessed?
, A) Stensen's duct
B) Wharton's duct
C) Parotid duct
D) Sublingual duct
Rationale: Wharton's duct is the submandibular salivary gland duct that opens at
the base of the frenulum of the tongue .
8. The movement of a limb AWAY from the midline of the body is known as:
A) Abduction
B) Adduction
C) Circumduction
D) Flexion
Rationale: Abduction refers to movement of a limb away from the midline or
median plane of the body along the frontal plane. For fingers or toes, it means
spreading them apart .
9. The movement of a limb TOWARD the midline of the body is known as:
A) Abduction
B) Adduction
C) Pronation
D) Supination
Rationale: Adduction is the movement of a limb toward the body midline. For
fingers, this means bringing them close together .
Update ) Physical Assessment
| Questions with Correct Answers | Grade
A | 100% Verified - WCU
1. Which assessment technique is performed FIRST during abdominal
examination?
A) Palpation
B) Percussion
C) Inspection
D) Auscultation
Rationale: The correct order for abdominal assessment is inspection, auscultation,
percussion, then palpation. Palpation is performed last because it can alter bowel
sounds and cause patient discomfort that may interfere with the assessment .
2. A patient complains of pain in the right lower quadrant (RLQ) when the
left lower quadrant (LLQ) is palpated. This is known as:
A) Blumberg sign
B) Rovsing's sign
C) Psoas sign
D) Murphy's sign
,Rationale: Rovsing's sign is RLQ pain elicited by palpation of the LLQ. It is
indicative of acute appendicitis or peritoneal irritation. The mechanism involves
referred pain from the inflamed appendix .
3. During abdominal assessment, the nurse palpates deeply and then quickly
releases pressure, causing the patient to experience sharp, stabbing pain. This
is documented as:
A) Blumberg sign (rebound tenderness)
B) Rovsing's sign
C) Psoas sign
D) Obturator sign
Rationale: Blumberg sign (rebound tenderness) occurs when pain intensifies upon
rapid release of deep palpation. This indicates peritoneal inflammation and is
considered an emergency finding .
4. The nurse asks the patient to extend the right thigh while lying on the left
side. The patient reports pain in the RLQ. This is documented as:
A) Rovsing's sign
B) Psoas sign
C) Obturator sign
D) Murphy's sign
Rationale: Psoas sign is elicited by passive extension of the right thigh while the
patient lies on the left side or by asking the patient to flex the thigh against
resistance. Pain indicates irritation of the psoas muscle, often from appendicitis .
,5. During a Weber test, the nurse places a tuning fork on the patient's:
A) Mastoid bone
B) Top of the head (midline)
C) Forehead
D) Sternum
Rationale: The Weber test involves placing a vibrating tuning fork on the midline
of the patient's skull or forehead. The patient indicates whether sound is heard
equally in both ears or lateralizes to one side .
6. The nurse assesses tonsils that extend to the midline and may touch each
other. How should the nurse grade this finding?
A) Grade 2
B) Grade 3
C) Grade 4
D) Grade 1
*Rationale: Tonsil grading: Grade 1 = visible, Grade 2 = halfway between tonsillar
pillars and uvula, Grade 3 = touching the uvula, Grade 4 = extending to the midline
(kissing tonsils) .*
7. The nurse touches the salivary glands at the base of the frenulum with a
sterile applicator. Which duct is being assessed?
, A) Stensen's duct
B) Wharton's duct
C) Parotid duct
D) Sublingual duct
Rationale: Wharton's duct is the submandibular salivary gland duct that opens at
the base of the frenulum of the tongue .
8. The movement of a limb AWAY from the midline of the body is known as:
A) Abduction
B) Adduction
C) Circumduction
D) Flexion
Rationale: Abduction refers to movement of a limb away from the midline or
median plane of the body along the frontal plane. For fingers or toes, it means
spreading them apart .
9. The movement of a limb TOWARD the midline of the body is known as:
A) Abduction
B) Adduction
C) Pronation
D) Supination
Rationale: Adduction is the movement of a limb toward the body midline. For
fingers, this means bringing them close together .
