Study Guide for Fundamentals of Nursing The Art and Science of Nursing Care

(Barry) #1

142


Health Assessment


CHAPTER^25


PRACTICING FOR NCLEX


MULTIPLE CHOICE QUESTIONS
Circle the letter that corresponds to the best
answer for each question.
1.Which of the following describes a normal
assessment of the eye?
a.The patient’s eyes should not converge when
you move your finger toward his/her nose.
b.The patient’s pupils should be black, equal
in size, and round and smooth.
c.The pupils should be pale and cloudy in
older adults.
d.The patient’s pupils should dilate when
looking at a near object and constrict
when looking at a distant object.
2.Which of the following assessment measures
is used to assess the location, shape, size, and
density of tissues?
a.Observation
b.Palpation
c.Percussion
d.Auscultation
3.When percussing the stomach, which of the
following sounds would most likely be heard?
a.Tympany
b.Hyperresonance
c.Dullness
d.Flatness
4.A patient who presents with a dusky, bluish
skin color is experiencing which of the
following conditions?

a.Flushing
b.Jaundice
c.Cyanosis
d.Pallor
5.Which of the following is a normal finding
when assessing internal eye structures?
a.A uniform yellow reflex
b.A clear, reddish optic nerve disc
c.Dark-red arteries and light-red veins
d.A reddish retina
6.Which of the following are soft, low-pitched
sounds heard best over the base of the lungs
during inspiration?
a.Bronchial sounds
b.Vesicular breath sounds
c.Bronchovesicular sounds
d.Adventitious breath sounds
7.A soft, high-pitched, flat sound that is usually
percussed over muscle tissue is which of the
following?
a.Flatness
b.Resonance
c.Hyperresonance
d.Dullness
8.Which of the following conditions would be
a normal finding when palpating the skin of
a patient?
a.The skin is cool and dry.
b.When picked up in a fold, the skin fold
slowly returns to normal.
c.The skin is taut and moist to the touch.

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