Dorsal surface(back) of the hand is used to check the

crepitus

vibration

pulses

temperature
The best position to examine the pelvic region is

supine position

prone position

lithotomy position

knee chest position

The assessment usually done on client on an subsequent visits over a period of short
duration is called as

admission assessment

interval assessment

problem focused assessment

assessment of special group

The bowel sounds are more active over the ileocecal valve in the

RUQ

RLQ

RLQ
 LLQ
The purpose of tunning fork in health assessment is to

check the conduction of sound

assess the ear canal

observe the bone formation of ear

assess tympanic membrane

The normal breath sounds includes all EXCEPT

bronchovesicular

adventitious

Bronchial

vesicular
The best place to assess central cyanosis is

palms

sclera

sole

oral mucosa
The apical impulse are palpated on the

second and third intercostal space

third and fourth intercostal space

fourth and fifth intercostal space

 fifth and sixth intercostal space
Palpation technique is used to assess the following EXCEPT

moisture

shape

reflexes

mobility
The diaphragm of the stethoscope is used to detect

low pitched sound

moderate pitched sound

high pitched sound

very high pitched sound

Bowel sounds normally occur once in

5 – 15 sec

5 – 25 sec

5 – 35 sec

5 – 45 sec
The predominant sound heard during percussion of the abdomen is

resonance

tympany

dullness
 flatness
The correct order of assessment technique during abdominal examination is i)palpation
ii) inspection iii) percussion iv) auscultation

ii, iv ,iii, i

I ,ii , iii, iv

I, iii, ii, iv

iv, iii, ii, i

Absence of gag reflex indicates the damage to

third and fourth cranial nerve

fifth and sixth cranial nerve

seventh and eighth cranial nerve

ninth and tenth cranial nerve

The predominant sound heard during the percussion of the chest is

resonance

tympany

dullness

flatness
Before female reproductive assessment the nurse advice the client to

empty the bowel

empty the bladder

drink 2 lts of water

 nil by oral
The heart sound S1 is best heard at the

apex of the heart

middle of the heart

base of the heart

lateral surface
Weber′s test is done to test

air conduction

bone conduction

lateralization

air and bone conduction

The client’s respiratory assessment reveals a loud , low pitched rumbling sound during
inspiration and expiration is interpreted as

rales

crackles

ronchi

bronchial
Continue palpation when the test findings for appendicitis is positive

true

false

not sure
The type of sound that cannot be produced in the normal body upon percussion is

flatness

dullness

hyper resonance

tympany
The following are the signs of arterial occlusion EXCEPT

pain

pallor

phlebitis

paresthesia
When doing Snellen’s test ask the client to stand or sit at a distance of

4mts

5mts

6mts

7mts
The maximum and minimum score for Glasgow coma scale (GCS) is

15 and 0

15 and 3

10 and 5

10 and 6
The test to assess the balance and gross motor function is
 Homan′s sign

Burger′s test

Romberg test

Brudzinski’s sign
One of the following is not an adventitious breath sounds

vesicular

crackles

pleural friction rub

gurgles
To check the client’s temperature its ideal to use your

base of the hand

finger tips

palm of the hand

dorsum of the hand

Rebound tenderness of internal organs must be confirmed by deep palpation

agree

disagree

uncertain
The nurse asks the client to shrug the shoulder against resistance to evaluate

facial nerve
 trigeminal nerve

hypoglossal nerve

spinal accessory nerve

The anginal pain is usually a deep pressure or pain which is substernal and diffuse,
radiating to arms, neck or jaw.

true

false
Positive Rinne’s test is

AC > BC

AC < BC

AC = BC

AC < = BC
During health assessment areas of tenderness must be palpated

first

last

not to palpate

any time
The correct technique to palpate the lymph node is

deeply palpate using entire hand

gently palpate with pads of index and middle finger of one hand

deeply palpate using both hands

 gently palpate using entire hands
Wheeze are best heard during

inspiration

expiration

both inspiration and expiration

mid way of inspiration and expiration

An Act of striking on an object against another to produce a sound is

palpation

percussion

auscultation

inspection
On auscultation S2 is best heard at the base and it is due to closure of

aortic and mitral valve

mitral and tricuspid valve

tricuspid and pulmonic valve

aortic and pulmonic valve

The components assessed in GCS includes all EXCEPT

verbal response

gag reflex

eye opening
 motor response
Homan’s sign is contraindicated in the client with

osteoporosis

arthritis

deep vein thrombosis

varicosities
The test done to check the capillary refilling time is

homan’s test

blanch test

kering’s test

skin pinch test

In a menstruating women the best time to carry out BSE is

2 – 3 days before monthly menstrual cycle

2 – 3 days after monthly menstrual cycle

first day of the month

any day of the month