Vital signs include which of the following:

LPN Progression Transition

Module 1 Physical Assessment Quiz

Question 1Vital signs include which of the following:

   pain, BMI and respirations.

 

 all the above.

 

 height, weight and pulse ox.

 

 temperature, pulse and blood pressure.

 

Question 2The nurse is assessing a client who had a laparoscopic appendectomy 6 months ago. The nurse will assess the abdomen using the assessment techniques in what order?

 

Inspection, palpation, percussion, auscultation.

 

 Inspection, auscultation, percussion, palpation

 

 Percussion, auscultation, inspection, palpation

 

 Palpation, percussion, auscultation, inspection

 

 Question 3The nurse would adapt the physical/ general assessment approach while assessing preschool children by which of the following methods? Select all that apply.

 

  Monitor growth and development.

 

 Examine child with age appropriate toys for distraction.

 

 Examine child with parents present

 

 Monitor the relationship between the child and the parents.

 

 Question 4When auscultating heart sounds, the nurse assess the rate and rhythm beginning at the 2nd intercostal space/to right of sternum, moving to the 2nd intercostal space/left of the sternum, then the 4th intercostal space/left of sternum, and finally at the 5th intercostal space/ mid-clavicular line. These locations represent what anatomic locations?

 

The four heart valves

 

 Cardiac circulation

 

  The atria and ventricles

 

 Point of maximum impulse

 

  Question 5The correct position for an abdominal assessment is:

 

Semi-fowlers.

 

 Left Simms.

 

 Supine

 

 Prone

 

 Question 6When assessing the integument system which of the following would be the best method to test for skin temperature?

 

Gloved fingers

 

 Palmer touch

 

 Fingertips

 

 Back of the hand

 

 Question 7Which statement(s) are true about a health history? Select all that apply.

 

A health history contains insurance data.

 

  A health history identifies why client is seeking health care.

 

A health history contains a review of body systems.

 

 A health history is subjective data.

 

Question 8Which statement(s) are true about a physical assessment? Select all that apply.

 

Physical assessment is obtained through direct observation.

 

 Physical assessment is subjective data.

 

  Not all physical assessments are comprehensive.

 

 A physical assessment should always be comprehensive.

 

 Question 9Which of the following components are methods to assess the client’s mental status?

 

Babinski reflex

 

 Level of consciousness

 

 Level of education

 

 Orientation to person, place, time

 

 Question 10How does the nurse test for gross motor strength and following simple commands?

 

Elbow extension against resistance

 

 Shoulder shrug against resistance

 

 Bilateral hand grasps and foot push pull

 

 Upper arm flexion against resistance

 

 Question 11Lung sounds that can be described as bubbling or popping heard during inspiration and expiration are called a:

 

crackles

 

 wheeze

 

 rhonchi

 

 stridor

 

 Question 12If unable to locate the client’s brachial pulse while assessing circulation during a routine physical examination, what should the nurse do?

 

   Check for a carotid pulse

 

  Check for a radial pulse

 

 Take the client’s blood pressure

 

 Ask another nurse to try and locate the pulse

 

 Question 13The client is admitted to the hospital with a stage 3 pressure injury in the sacral area. The nurse understands the description for a stage 3 pressure injury is:

 

intact skin with non-blanchable erythema.

 

full thickness skin/ tissue loss; exposed underlying structures

 

 full thickness loss of skin with adipose tissue exposed.

 

  partial thickness loss of skin with exposed dermis.

 

 Question 14Which of the following is an expected finding of the older adult?

 

Decreased peripheral, color and night vision.

 

 An irregular respiratory rate and rhythm at rest.

 

 Facial hair that becomes finer and softer.

 

 Increased sensitivity to odors.

 

 Question 15A nurse is conducting an assessment of the client’s cranial nerves. The nurse asks the client to raise the eyebrows, smile, and show teeth to assess which cranial nerve?

 

Facial

 

Olfactory

 

 Vagus

 

 Optic

 

Question 16 The nurse is assessing a client who had a splenectomy yesterday following a car accident. In what order would the nurse assess the client’s abdomen using inspection, auscultation, palpation, percussion?

 

Left lower quadrant, right lower quadrant, right upper quadrant, left upper quadrant

 

Right upper quadrant, left upper quadrant, left lower quadrant, right lower quadrant

 

 Left upper quadrant, left lower quadrant, right lower quadrant, right upper quadrant

 

Right lower quadrant, right upper quadrant, left lower quadrant, left upper quadrant

 

 Question 17Which of the following might be sources of information for a physical assessment. Select all that apply.

 

Normal variation that occur within races

 

 Childhood diseases

 

 Direct observation

 

 Father with history of COPD

 

 Question 18The CNA reports to the nurse that the client’s BP is 84/56. What is the nurse’s next step?

 

Ask the CNA to retake the BP and report results immediately

 

 Call the health care provider with the abnormal finding.

 

 Assess the client and retake BP manually.

 

 Get report on that client from day shift nurse.

 

 Question 19The client is complaining of pain. What characteristics of pain would the nurse assess? Select all that apply.

 

Location of pain

 

 Duration of pain

 

 Aggravates pain

 

 Quantity of pain

 

 Question 20When the nurse auscultates the clients chest and hears wheezes they understand the cause is:

 

air passing through narrowed airways.

 

 air passing through fluid in aveoli.

 

 air passing through a tuberculous (TB) bleb.

 

 pleurial layer of lungs rubbing together.

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