NURS 1201 FINAL EXAM 1

NURS 1201 FINAL EXAM 1 Question 1

A patient with a history of hypertension is undergoing a cardiovascular assessment. Which NURS 1201 technique is used to assess for jugular venous distention (JVD)?

• Inspection
• Palpation
• Percussion
• Auscultation

Question 2

A nurse is teaching a group of nursing students about the systematic approach to a neurological exam. Which of the following is assessed during the evaluation of cranial nerve II?

• Hearing
• Visual Acuity
• Facial Symmetry
• Tongue Movement

Question 3

The nurse is testing the function of cranial nerve XI (spinal accessory). Which statement best describes the response the nurse should expect if this nerve is intact? The patient

• demonstrates the ability to hear normal conversation.
• sticks out the tongue midline without tremors or deviation.
• follows an object with their eyes without nystagmus or strabismus.
• moves the head and shoulders against resistance with equal strength.

Question 4

Which term is used when a patient with an enlarged prostate gland has symptoms of burning and pain during urination?

• Dysuria
• Polyuria
• Nocturia
• Hematuria

Question 5

Which would be the best position for a patient be asked to assume if the nurse is examining the female genitalia? NURS 1201 FINAL EXAM 1

• supine
• lithotomy
• semi fowlers
• left lateral decubitus

Question 6

Using the Glasgow Coma Scale, which score below indicates a patient is in the moderate rating for brain injury?

• 6
• 7
• 8
• 9

Question 7

During the examination of a 70-year-old patient, the nurse recognizes which normal age-related change?

• testes feel less firm
• increased penis size
• increased testes size
• increased rugae over the scrotal sac

Question 8

Which of the following are typically assessed when inspecting the joints during a musculoskeletal assessment?

• crepitus, pain
• contour, swelling
• temperature, tenderness
• all of the above

Question 9

Which position will make significant lumps more distinct during breast palpation?

• Sitting with the arms relaxed at sides
• Supine with the arms relaxed at sides
• Supine with the arms raised over head
• Sitting with the arms at side and leaning slightly forward

Question 10

Which of the following is most likely the case when performing a respiratory assessment on a patient, and noting a costal angle of approximately 90 degrees?

• the patient has kyphosis
• indicative of pectus excavatum
• a normal finding in a healthy adult
• a normal finding in a patient with a barrel chest

Question 11

The nurse is preparing to palpate the dorsalis pedis artery. Which location is correct for palpation?

• behind the knee
• over the lateral malleolus
• in the groove behind the medial malleolus
• lateral to the extensor tendon of the big toe

Question 12

Which explanation most likely is indicative of borborygmi?

• absent bowel sounds
• normal bowel sounds
• hypoactive bowel sounds
• hyperactive bowel sounds

Question 13

During an abdominal assessment, the nurse is unable to hear bowel sounds in a patient’s abdomen. Before reporting this finding as absent, which length of time must the nurse listen for to confirm this?

• 1 minute
• 2 minutes
• 4 minutes
• 5 minutes

Question 14

Which of the following abnormal lung sounds is characterized by continuous high-pitched wheezing during both inspiration and expiration and can be considered a medical emergency?

• stridor
• sibilant wheeze
• sonorous wheeze
• pleural friction rub

Question 15

A 16-year-old has a fever and a sore throat. You grade their tonsils as 3+ because the tonsils are:

• visible
• touching the uvula (Note: “touching each other” is also often 3+/4+; “touching the uvula” is the standard definition for 3+)
• touching each other
• halfway between the tonsillar pillars and uvula

Question 16

Which result demonstrates normal findings when performing the diagnostic positions test?

• Convergence of the eyes
• Parallel tracking of both eyes to the object
• Dilation of the pupils when focusing on the object
• Constriction of the pupils when focusing on the object

Question 17

Which finding is considered the most abnormal when assessing the eyes of an older adult?

• Pinguecula
• Contracting eyelid
• Decreased tear production
• Diminished peripheral vision

Question 18

Which of the following is not listed as a risk factor for skin tears or breakdown, as assessed by the Braden Scale for Predicting Pressure Sore Risk?

• Moisture
• Nutrition
• Positioning
• Sensory Perception. NURS 1201 FINAL EXAM 1

Question 19

What is anosmia?

• Double vision
• Pupils of unequal size
• Decrease or loss of taste
• Decrease or loss of smell

Question 20

When using the DARP format for charting, what does the R stand for?

• Result
• Remedy
• Response
• Recommendation

Question 21

The Glasgow Coma Scale measures patients according to what three categories of response:

• Motor, sensory, and verbal
• Motor, cognition, and verbal
• Motor, eye opening, and verbal
• Eye opening, verbal, and cognition

Question 22

When pupils demonstrate convergence during the accommodation test, the pupils will __________ when viewing a distant object, and __________ when looked at a near object.

• dilate, constrict
• constrict, dilate

Question 23

Which method is used to palpate a patient’s abdomen?

• Palpation of reportedly tender areas is avoided due to increased pain
• Palpating a tender area is quickly performed to avoid causing any further discomfort
• Assessment begins with deep palpation, while encouraging the patient to relax and take deep breaths
• Assessment begins with light palpation to detect surface characteristics and to accustom the patient to being touched

Question 24

The nurse needs to complete an abdominal assessment. Which quadrant of the abdomen should the nurse begin auscultating first? NURS 1201 FINAL EXAM 1

• LUQ
• LLQ
• RUQ
• RLQ