NURS 100 ASSESSMENT 2 WITH QUESTIONS
AND CORRECT ANSWERS 100% A+ PASS
,Which sequence best identifies the order in which the nurse should complete an
abdominal assessment?
a. Inspection, palpation, percussion, auscultation
b. Auscultation, inspection, palpation, percussion
c. Auscultation, palpation, percussion, inspection
d. Inspection, auscultation, percussion, palpation - CORRECT ANSWERS-d.
Inspection, auscultation, percussion, palpation
Assessment of the abdominal cavity requires inspection then auscultation, percussion
then palpation to avoid stimulating the bowel and eliciting inaccurate assessment
results.
A patient's report of dizziness would be an example of subjective data.
A. True
B. False - CORRECT ANSWERS-A. True
Subjective data is known only by the patient, are based on patient experiences or
perceptions, and are reported by the patient in their own words
For example, nausea, pain experience, feeling dizzy, feeling anxious
Objective data - CORRECT ANSWERS-Observable and measurable data that can be
seen, heard, or felt by someone other than the person experiencing them
For example, elevated temperature, skin moisture, vomiting
A nurse is preparing to auscultate a patient's chest. In which area should the nurse
listen to evaluate the patient's aortic valve?
a. Second right intercostal space
b. Third left intercostal space
c. Fifth right intercostal space
d. Fifth left intercostal space along the midclavicular line - CORRECT ANSWERS-a.
Second right intercostal space
The second intercostal space on the right is the auscultation point for the aortic valve.
The ventricles and pulmonic valve are located on the left. The point of maximal impulse
(PMI) over the mitral valve is located between the left fourth and fifth intercostal spaces.
, The nurse notes the presence of ptosis when assessing an adult patient's eyes. Which
potential cause would be considered of most concern, requiring further evaluation as
soon as possible?
a. Loss of skin elasticity
b. Levator muscle weakness
c. Congenital ocular abnormality
d. Oculomotor cranial nerve III paralysis - CORRECT ANSWERS-d. Oculomotor cranial
nerve III paralysis
Oculomotor paralysis may indicate the presence of a larger neurologic problem that
requires further investigation as soon as possible. Loss of skin elasticity and muscle
weakness may be due to aging, and congenital ptosis does not require immediate
attention in an adult.
Which type of lung sounds does the nurse expect to auscultate over most of the lung
fields?
a. Vesicular
b. Resonant
c. Dull
d. Flat - CORRECT ANSWERS-a. Vesicular
Vesicular breathe sound are heard over most of the lung fields. Resonance is heard
with percussion, not auscultation. Dullness is heard over the solid organs (liver, heart).
Flat sounds are heard over the stomach and intestines.
When teaching a patient about fire safety, which activity does the nurse know is the
leading cause of fire-related death?
a. Cooking
b. Playing with matches
c. Smoking
d. Heating with kerosene heaters - CORRECT ANSWERS-a. Cooking
Cooking I the leading cause of residential fires for the last decade, followed by heating,
electrical malfunction. And other unintentional causes or carelessness.
Which measures can the nurse teach to prevent poisoning of children? (Select all that
apply.)
a. Install safety latches on reachable cabinets.
b. Keep syrup of ipecac on hand.
c. Use childproof caps on medications.
d. Use a plunger rather than a chemical drain cleaner.
AND CORRECT ANSWERS 100% A+ PASS
,Which sequence best identifies the order in which the nurse should complete an
abdominal assessment?
a. Inspection, palpation, percussion, auscultation
b. Auscultation, inspection, palpation, percussion
c. Auscultation, palpation, percussion, inspection
d. Inspection, auscultation, percussion, palpation - CORRECT ANSWERS-d.
Inspection, auscultation, percussion, palpation
Assessment of the abdominal cavity requires inspection then auscultation, percussion
then palpation to avoid stimulating the bowel and eliciting inaccurate assessment
results.
A patient's report of dizziness would be an example of subjective data.
A. True
B. False - CORRECT ANSWERS-A. True
Subjective data is known only by the patient, are based on patient experiences or
perceptions, and are reported by the patient in their own words
For example, nausea, pain experience, feeling dizzy, feeling anxious
Objective data - CORRECT ANSWERS-Observable and measurable data that can be
seen, heard, or felt by someone other than the person experiencing them
For example, elevated temperature, skin moisture, vomiting
A nurse is preparing to auscultate a patient's chest. In which area should the nurse
listen to evaluate the patient's aortic valve?
a. Second right intercostal space
b. Third left intercostal space
c. Fifth right intercostal space
d. Fifth left intercostal space along the midclavicular line - CORRECT ANSWERS-a.
Second right intercostal space
The second intercostal space on the right is the auscultation point for the aortic valve.
The ventricles and pulmonic valve are located on the left. The point of maximal impulse
(PMI) over the mitral valve is located between the left fourth and fifth intercostal spaces.
, The nurse notes the presence of ptosis when assessing an adult patient's eyes. Which
potential cause would be considered of most concern, requiring further evaluation as
soon as possible?
a. Loss of skin elasticity
b. Levator muscle weakness
c. Congenital ocular abnormality
d. Oculomotor cranial nerve III paralysis - CORRECT ANSWERS-d. Oculomotor cranial
nerve III paralysis
Oculomotor paralysis may indicate the presence of a larger neurologic problem that
requires further investigation as soon as possible. Loss of skin elasticity and muscle
weakness may be due to aging, and congenital ptosis does not require immediate
attention in an adult.
Which type of lung sounds does the nurse expect to auscultate over most of the lung
fields?
a. Vesicular
b. Resonant
c. Dull
d. Flat - CORRECT ANSWERS-a. Vesicular
Vesicular breathe sound are heard over most of the lung fields. Resonance is heard
with percussion, not auscultation. Dullness is heard over the solid organs (liver, heart).
Flat sounds are heard over the stomach and intestines.
When teaching a patient about fire safety, which activity does the nurse know is the
leading cause of fire-related death?
a. Cooking
b. Playing with matches
c. Smoking
d. Heating with kerosene heaters - CORRECT ANSWERS-a. Cooking
Cooking I the leading cause of residential fires for the last decade, followed by heating,
electrical malfunction. And other unintentional causes or carelessness.
Which measures can the nurse teach to prevent poisoning of children? (Select all that
apply.)
a. Install safety latches on reachable cabinets.
b. Keep syrup of ipecac on hand.
c. Use childproof caps on medications.
d. Use a plunger rather than a chemical drain cleaner.
