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7. A nurse uses percussion to assess a patient's liver. What is the normal tone that should
be heard in this situation?
A) Flat
B) Dull
C) Resonance
D) Tympany
8. A nurse assesses a patient for blood pressure. Which of the following techniques would
be used for this assessment?
A) Inspection
B) Palpation
C) Percussion
D) Auscultation
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10. A nurse performing an integumentary inspection on a patient gently pinches the skin
under the clavicle. This nurse is assessing:
A) Skin texture
B) Skin moisture
C) Skin turgor
D) Skin vascularity
11. A nurse assesses a patient's nails. Which of the following is a normal finding?
A) Concave nails
B) Skin-toned cuticles
C) 160-degree angle of nail attachment
D) Capillary refill of 5 seconds
14. A nurse is performing a head and neck assessment of a patient suspected of having
leukemia. How would the nurse detect enlarged lymph nodes commonly associated with
this disease?
A) Palpate the thyroid gland.
B) Inspect the patient's ability to move his or her neck.
C) Inspect and palpate the left and then the right carotid arteries.
D) Inspect and palpate the supraclavicular area.
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15. During an assessment of the lungs of a patient with pneumonia, the nurse finds
increased tactile fremitus. What technique was used to detect this finding?
A) Inspection
B) Palpation
C) Percussion
D) Auscultation
16. A nurse examining the lungs of a patient percusses over the anterior thorax using the
proper sequence. This technique helps to identify:
A) Masses
B) Muscle tenderness
C) Density and location of lungs
D) Normal breath sounds
17. Which of the following statements accurately represents a characteristic of the third or
fourth heart sound?
A) S3 is considered normal in children and young adults and abnormal in middle-aged
and older adults.
B) S3 is best heard with the stethoscope bell at the mitral area, with the patient lying
on the right side.
C) S4 is the fourth heart sound, represented by “lub-dub-dee.”
D) S4 is considered normal in children and adults, but abnormal in older adults.
18. Following auscultation of a patient's heart, the nurse documents grade III murmur. What
are the characteristics of this type of murmur?
A) A faint murmur that can be easily detected
B) A moderately loud murmur
C) A very loud murmur that is usually associated with a thrill sound
D) An extremely loud murmur
19. When performing an abdominal assessment, the nurse uses a different order of
techniques than with other systems. Which of the following represents this order?
A) Palpation, percussion, inspection, auscultation
B) Percussion, auscultation, inspection, palpation
C) Inspection, auscultation, percussion, palpation
D) Inspection, percussion, auscultation, palpation
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20. During the assessment of a patient's abdomen, the nurse uses the stethoscope to
auscultate the abdomen for vascular sounds and notes a bruit. What abnormal condition
does this sound suggest?
A) Aneurysm
B) Abdominal mass
C) Abdominal tenderness
D) Appendicitis
21. During an assessment of the cranial nerves, the nurse asks the patient to smile, frown,
wrinkle the forehead, and puff out the cheeks. What nerve is being tested by this action?
A) Cranial nerve I
B) Cranial nerves II and III
C) Cranial nerve VII
D) Cranial nerve VIII
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