NURS 190 / NURS190 PHYSICAL ASSESSMENT KIM HEIN MIDTERM EXAM. QUESTIONS WITH 100% CORRECT ANSWERS.

NURS 190 Physical Assessment
MIDTERM Exam.

1. The nurse is performing a comprehensive skin assessment. Which of the following
   pieces of equipment is appropriate to use during the skin assessment? (2 Points)
   A. doppler
   B. Wood’s lamp
   C. Reflex hammer
   D. Goniometer
2. Which of the following is an expected finding in a healthy client on assessment of
   Stensen’s ducts? (2 Points)
   A. red glow is present
   B. midline and symmetric
   C. saliva is present
   D. redness is present
3. Which of the following signs or symptoms does the nurse recognize in a client with
   hypothyroidism? (Select all that apply) (2 Points)
   A. Fatigue
   B. intolerance to cold
   C. increased cardiac output
   D. constipation
4. The client has a new diagnosis of right sided heart failure. The nurse understands a
   client with right sided heart failure may have edema and jugular vein distension. (2
   Points)
   A. True
   B. False
5. The nurse performs the Romberg test to assess for: (2 Points)

A. balance
B. hearing
C. vision loss
D. cranial nerve 6 dysfunction

6. Which of the following techniques will the nurse perform to assess for signs of breast
   abnormalities? (2 Points)
   A. inspection, palpation, and auscultation
   B. inspection and palpation
   C. inspection, palpation, and percussion
   D. palpation and auscultation
7. The nurse is caring for a client with obesity. The nurse places the client in which of
   the following positions to best hear heart sounds?
   A. supine
   B. prone
   C. sitting upright
   D. left lateral
8. State at which location(s) the S1 sound (lub) is heard loudest on cardiac auscultation.
   State why the S1 is loudest at these locations. (Write 1-2 sentences).
   If you are at the proper location, you will hear the sound the loudest. (2 Points)
9. The nurse palpates an enlarged lymph node at the back of the ear, over the mastoid
   bone. The nurse documents this location as: (2 Points)
   A. posterior auricular
   B. submental
   C. posterior occular
   D. occipital
10. The older adult client is admitted with new onset pain and pressure to their eyes. On
    inspection, the sclera is red and the pupil is an irregular shape to the left eye. The nurse
    should further assess for:(2 Points)
    A. macular degeneration
    B. cataracts
    C. presbyopia
    D. Glaucoma BOOK REF. PG 253
11. The client is seen in the urgent care center with a suspected fungal infection to the
    fingernails. The nails are thick, yellow, and lifting off the nail bed. The nurse documents
    this finding as: (2 Points)
    A. clubbing
    B. Onycholysis BOOK REF PG. 203
    C. beau’s lines
    D. splinter hemmorage
12. The nurse assesses the client’s radial pulses and documents these findings: 68
    beats per minute, regular, 2+, symmetrical. The physician asks the nurse, “What was
    the client’s pulse amplitude?” The best response of the nurse: (2 Points)
    A. “68 beats per minute”
    B. “regular”
    C. “2+” BOOK REF PG 404
    D. “symmetrical”
13. The nurse is performing a cardiac auscultation and hears a harsh, blowing sound
    that is very loud at the 4th ICS, left sternal border. No thrill is present. The nurse
    understands this murmur is graded as: (2 Points)
    A. grade 4
    B. grade 2
    C. grade 3
    D. grade 5