Abdomen & skin
The order of abdomen physical assessment is
Orthopnea
. Point of Maximum Intensity (PMI) is located in the
The following are the three components of the Glasgow coma scale EXCEPT
Which of the following is not a subjective data related to eye ?
The Spider angioma is seen in the following condition
Which of the following causes carbon dioxide to build up in blood?
The following cardiac landmark is situated in the second intercostal space at the right sternal border (base of the heart)
The nurse supports the person’s forearm on yours; place your thumb on biceps tendon and strike a blow on the thumb. The nurse examines which of the following reflex?
Which of the test screens for loss of peripheral vision
The common cause for the bruit over the aorta is
The proper technique for auscultation of lungs in an adult patient is :
From right to left using a “z” pattern.
From bottom to top using landmarks for accuracy.
Using the bell of the stethoscope to hear high pitched sounds.
In the right half of the chest first, then on the left half of the later
From right to left using a “z” pattern.
The nurse palpates the peripheral pulse in the dorsalis pedis and documents the force or amplitude as + 2. What does it interpret?
The nurse tests for deep tendon reflex on biceps tendon and documents as DTR as “2”. It means that the reflex is :
The following are the normal results of the pupillary light reflex
1. Constriction of pupil on the same side
2. Simultaneous constriction of the other pupil ( a consensual light reflex)
3. 1 & 2
4. No response to light
1 & 2
Icteric sclera is seen in the following condition:
In which of the following condition, the vibrations increase in tactile fremitus?
The nurse documents the cardiac assessment findings. Which of the finding is not normal?
A. Precordium inspection: No visible pulsations, no heave or lift
B. Palpation: Apical pulse in 5th ICS at left midclavicular line
C. Auscultation: 74 beats per minute, rhythm regular, S1 & S2 heard
D. Auscultation: 52 beats per minute, rhythm irregular, S1 & S2 heard
D. Auscultation: 52 beats per minute, rhythm irregular, S1 & S2 heard
Which of the following is not a correct statement when assessing the sensory system?
The eye condition, strabismus means
Which of the following is not correct related to abdominal palpation?
Hyperresonant sounds are heard in patients with the following condition
The nurse performs auscultation and hears very loud murmurs with one corner of the stethoscope lifted off the chest wall. The nurse documents this murmur as
The nurse performs tests to examine the vibration and position sense to find out the intactness of the following:
In Rinne test, if the patient is not able to hear the tuning fork after it is moved from the mastoid to the pinna, it interprets the following EXCEPT
1.Their bone conduction is greater than their air conduction
2.Indicates there is something inhibiting the passage of sound waves from the ear canal
3.Conductive hearing loss
4. Air conduction is twice as long as bone conduction