1. During a head-to-toe assessment, which of the following areas should be assessed last?
(A) Abdominal examination
(B) Neurological status
(C) Skin
(D) Vital signs
2. In a physical examination, which of the following techniques is used to assess the heart rate?
(A) Auscultation
(B) Palpation
(C) Percussion
(D) Inspection
3. In assessing abdominal girth, the nurse should:
(A) Measure at the level of the umbilicus
(B) Measure the distance between the rib cage and pelvic bone
(C) Assess for the presence of rebound tenderness
(D) Use a stethoscope to listen for bowel sounds
4. In performing a cardiovascular assessment, which finding would be considered abnormal?
(A) Presence of an S3 heart sound in a young athlete
(B) Regular heart rate and rhythm
(C) Jugular venous distention
(D) No audible murmurs
5. To assess respiratory rate, a nurse should:
(A) Evaluate the depth and pattern of the breath
(B) Count the number of heartbeats in one minute
(C) Measure the number of breaths taken in one minute
(D) Check for peripheral pulses
6. When assessing blood pressure, which of the following should the nurse do to ensure an accurate measurement?
(A) Use a cuff that is too small for the patient's arm
(B) Position the patient’s arm at heart level
(C) Inflate the cuff while the patient is standing
(D) Wait less than 30 seconds between readings
7. When assessing the musculoskeletal system, which of the following should be evaluated?
(A) Skin temperature
(B) Joint range of motion
(C) Heart rate
(D) Respiratory rate
8. When performing inspection of a patient, which of the following should be observed?
(A) Body temperature
(B) Skin color and condition
(C) Heart sounds
(D) Abdominal tenderness
9. Which of the following is a normal finding when assessing the pupils during a neurological examination?
(A) Unequal pupils
(B) Fixed dilated pupils
(C) Pupils constricting equally to light
(D) Non-reactive pupils
10. Which of the following is the first step in the health assessment process?
(A) Diagnosis
(B) Planning
(C) Implementation
(D) Data collection