NURS-108 - EXAM 1 UPDATED ACTUAL Questions and
CORRECT Answers
Which finding would alert the nurse to possible intimate Bedsores
partner violence. SATA. Trouble Swallowing
Burns from cigarettes
Difficult sitting or walking
Strangulation marks on the neck
Which finding would the nurse observe in an older adult Bedsores
who is a victim of abuse? SATA Sunken eyes
Weight gain
Sexual acting out
Bruises on the wrist/legs
Which equipment would the nurse use when performing a Rubber aprons
physical exam on a patient who is allergic to latex? SATA Neoprene gloves
Disposable syringes
Covered blood pressure cuffs
Stethoscope with covered tubing
Which statement about palpation is correct? SATA It involves the use of different parts of the hand to detect various characteristics
of body parts.
It is a physical examination technique that involves using the sense of touch to
gather information.
Which patient assessment finding would alert the nurse to Regularly goes to friends' social gatherings
substance abuse in an adult? SATA Reports sleep disturbance and insomnia
Visits the emergency department frequently
Has a habit of forgetting appointments and schedules
Takes three medication from the same health care provider
Which parameter would the nurse assess during the Age
general survey? SATA Lung Sounds
Body odor
Signs of abuse
Race
Which action is most appropriate when a nurse learns that Pace the examination, pausing at intervals
the patient who needs a physical examination is elderly
and very weak?
While assessing the genital tract, the patient assumes the Lithotomy
_ __ position
, While assessing the heart, the patient assumes the ____ ____ Lateral recumbent
position
While assessing the rectum and vagina, the patient Sims'
assumes the _ position
While assessing the musculoskeletal system, the patients Prone
assumes the _ position
Which portion of the hand would the nurse use accurately Ulnar surface of the hand
assess for fremitus?
The finger pads are used to assess for.... Tenderness
The dorsum of the fingers is used to check for body temperature
The palmar surface of the fingers is used to check for Tenderness
Which examination techniques is the nurse using when Deep palpation
pressing the hand inward about 4 cm (2 inches) into the
patient's abdomen?
While preparing a patient for a physical examination of the Supine position with the head of bed elevated
thorax and lungs, which position would the nurse use for a
patient who is too weak to sit and upright?
Which action made by the nurse during palpation will help Warm the stethoscope
promote relaxation in an anxious patient? SATA Ask the patient to take slow, deep breaths
Cool the hands before touching
Make sure that adequate lighting in available
Encourage the patient to place both arms along the sides of the body
Which position facilitates assessing the head and neck? Sims'
SATA Prone
Sitting
Supine
Dorsal recumbent
Lateral recumbent
Which finding would alert the nurse to possible intimate Bedsores
partner violence? SATA Trouble swallowing
Burns from cigarettes
Difficulty sitting or walking
Strangulation marks on the neck
Which finding would the nurse observe in an older adult Bedsores
who is a victim of abuse? SATA Sunken eyes
Weight gain
Sexual acting out
Bruises on the wrist or legs
Which question would the nurse ask as part of the CAGE "Have you ever felt bad or guilty about your drinking or drug use?"
questionnaire?
CORRECT Answers
Which finding would alert the nurse to possible intimate Bedsores
partner violence. SATA. Trouble Swallowing
Burns from cigarettes
Difficult sitting or walking
Strangulation marks on the neck
Which finding would the nurse observe in an older adult Bedsores
who is a victim of abuse? SATA Sunken eyes
Weight gain
Sexual acting out
Bruises on the wrist/legs
Which equipment would the nurse use when performing a Rubber aprons
physical exam on a patient who is allergic to latex? SATA Neoprene gloves
Disposable syringes
Covered blood pressure cuffs
Stethoscope with covered tubing
Which statement about palpation is correct? SATA It involves the use of different parts of the hand to detect various characteristics
of body parts.
It is a physical examination technique that involves using the sense of touch to
gather information.
Which patient assessment finding would alert the nurse to Regularly goes to friends' social gatherings
substance abuse in an adult? SATA Reports sleep disturbance and insomnia
Visits the emergency department frequently
Has a habit of forgetting appointments and schedules
Takes three medication from the same health care provider
Which parameter would the nurse assess during the Age
general survey? SATA Lung Sounds
Body odor
Signs of abuse
Race
Which action is most appropriate when a nurse learns that Pace the examination, pausing at intervals
the patient who needs a physical examination is elderly
and very weak?
While assessing the genital tract, the patient assumes the Lithotomy
_ __ position
, While assessing the heart, the patient assumes the ____ ____ Lateral recumbent
position
While assessing the rectum and vagina, the patient Sims'
assumes the _ position
While assessing the musculoskeletal system, the patients Prone
assumes the _ position
Which portion of the hand would the nurse use accurately Ulnar surface of the hand
assess for fremitus?
The finger pads are used to assess for.... Tenderness
The dorsum of the fingers is used to check for body temperature
The palmar surface of the fingers is used to check for Tenderness
Which examination techniques is the nurse using when Deep palpation
pressing the hand inward about 4 cm (2 inches) into the
patient's abdomen?
While preparing a patient for a physical examination of the Supine position with the head of bed elevated
thorax and lungs, which position would the nurse use for a
patient who is too weak to sit and upright?
Which action made by the nurse during palpation will help Warm the stethoscope
promote relaxation in an anxious patient? SATA Ask the patient to take slow, deep breaths
Cool the hands before touching
Make sure that adequate lighting in available
Encourage the patient to place both arms along the sides of the body
Which position facilitates assessing the head and neck? Sims'
SATA Prone
Sitting
Supine
Dorsal recumbent
Lateral recumbent
Which finding would alert the nurse to possible intimate Bedsores
partner violence? SATA Trouble swallowing
Burns from cigarettes
Difficulty sitting or walking
Strangulation marks on the neck
Which finding would the nurse observe in an older adult Bedsores
who is a victim of abuse? SATA Sunken eyes
Weight gain
Sexual acting out
Bruises on the wrist or legs
Which question would the nurse ask as part of the CAGE "Have you ever felt bad or guilty about your drinking or drug use?"
questionnaire?
