2025 TEST BANK| COMPLETE 450 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (BRAND NEW!!)
1. A nurse is preparing to assess an adult patient’s
abdomen. Which sequence should the nurse follow?
a) Palpation, percussion, auscultation, inspection
b) Inspection, auscultation, percussion, palpation
c) Auscultation, inspection, palpation, percussion
d) Percussion, palpation, inspection, auscultation
Answer: b
Rationale: Inspection is always first. Auscultation follows
before percussion/palpation in the abdomen to avoid altering
bowel sounds.
2. During a health history, a patient reports “bad pain” but
cannot describe it further. What is the nurse’s priority
action?
a) Ask only yes/no questions
b) Use pain assessment tools (e.g., numeric or FACES scale)
c) Move to the physical exam immediately
d) Document as “patient unable to describe pain”
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, Answer: b
Rationale: Pain is subjective. Using standardized tools helps
quantify and characterize pain when descriptors fail.
3. Which of the following is an example of subjective data?
a) Blood pressure 118/76
b) Patient states, “I feel dizzy when I stand up”
c) Pupils equal and reactive to light
d) Respirations 16 breaths/min
Answer: b
Rationale: Subjective data come directly from the patient.
Objective data are measured/observed.
4. A nurse performs a comprehensive assessment on a new
admission. This type of assessment is:
a) Problem-focused
b) Shift-based
c) Complete health history and physical exam
d) Emergency assessment
Answer: c
Rationale: Comprehensive assessments are performed on
admission to establish a baseline.
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, 5. Which technique demonstrates cultural competence?
a) Assuming all patients prefer direct eye contact
b) Using a medical interpreter for a non-English-speaking
patient
c) Avoiding questions about traditional healing practices
d) Speaking louder for older adults
Answer: b
Rationale: Professional interpreters ensure accurate
communication and respect for cultural differences.
6. When auscultating heart sounds, the nurse uses the bell
of the stethoscope to best hear:
a) High-pitched murmurs
b) S1 and S2
c) Low-pitched sounds like S3 or S4
d) Breath sounds
Answer: c
Rationale: The bell detects low-frequency sounds; the
diaphragm detects high-frequency sounds.
7. A patient’s blood pressure is 148/92 mm Hg. The nurse
should:
a) Recheck immediately on the same arm
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, b) Document and notify provider for two elevated readings
c) Instruct the patient to reduce salt
d) Assume equipment error
Answer: b
Rationale: A single elevated reading needs confirmation.
Persistent elevation requires provider notification.
8. The nurse notes a discrepancy between a patient’s verbal
report of pain and their facial expression. What is the
best action?
a) Believe the verbal report
b) Believe the nonverbal cues
c) Reassess in 30 minutes
d) Document both and explore further
Answer: d
Rationale: Both verbal and nonverbal data are important;
some patients underreport pain due to culture/fear.
9. Which position is best for assessing the anus and rectum?
a) Supine
b) Sims’ position
c) Prone
d) Fowler’s
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