Physical Assessment, Part II, 50

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| Attempts: 3,900 | Questions: 50 | Updated: Oct 9, 2025
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1. In the interview portion of the physical assessment, since we are not actually touching the patient, there is no need to wash our hands. 

Explanation

page 107, Always wash your hands before beginning the physical assessment. The interview portion is only a portion of the physical assessment. After or during the interview, the rest of the physical assessment process will require contact.

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About This Quiz
Physical Assessment, Part II, 50 - Quiz

From Foundations of Nursing by Christensen Kockrow, pages 93 through 120.

2.
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2. A patient has just been admitted. During physical assessment, it was observed that patient had decreased skin turgor  and dried  outer lips. What would be the most appropriate thing to offer this patient while the physical assessment is going on?

Explanation

pate 109. The patient is showing signs of dehydration as manifested by decreased skin turgor.

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3. Where is S1 auscultated most clearly?

Explanation

page 113

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4. Lateral spinal curvature

Explanation

page 113

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5. When performing a head-to-toe assessment, we normally begin with a neurologic assessment . What is the next? 

Explanation

page 107

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6. Teaching patients to perform breast self-exams is only directly related to females

Explanation

page 111 - Breast self-exams is related to both males and females

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7. A patient with increased turgor in his lower extremities manifested by smooth, taut, shiny skin that cannot be grasped or raised is most likely to have: 

Explanation

page 109

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8. The consumption of alcohol, tobacco, caffeine, or herbal products are important in health history and which are part of what?

Explanation

page 104

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9. Standardized objective measurement of the level of consiousness

Explanation

page 109

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10. In person with good cardiac function and distal perfusion, how long should a capillary refill take place?   

Explanation

page 115

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11. Match the review of organ systems on the left with information that we need to assess on the right

Explanation

page 103, Box 5-7

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12. We know that the nurse knows the right time to do a physical assessment when she says:

Explanation

page 106

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13. The nurse tells a 75 year old patient that she will have to do a "head to toe" assessment on him. The patient asks, "what is that"? Her best answer would be ...

Explanation

page 106 - Older Adults - Why do you think this is the right answer? Simplicity, clarity and directness of response.

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14. Indicative of acute or chronic respiratory distress

Explanation

page 110

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15. When doing a respiratory assessment to a patient, which of the following is the most appropriate technique? 

Explanation

page 111

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16. When auscultating for lung sounds, which part of the stethoscope is designed to transmit the higher pitch of abnormal sounds 

Explanation

page 111

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17. Match the review of organ systems on the left with information that we need to assess on the right. 

Explanation

page 103, Box 5-7

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18. An abnormal cycle of respiration that begin with slow, shallow respiration that become rapid, then become slower and are followed by periods of apnea (20 seconds). Normally caused by hear failure, opioid overdose, renal failure, meningitis, and severe head ache. 

Explanation

page 110

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19. Which of the following are true regarding cultural sensitivity

Explanation

page 104

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20. Before the beginning of a physical examination, to make the patient more comfortable, what should be done first

Explanation

page 107

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21. PERRLA refers to 

Explanation

page 109

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22. Match the pitting edema scale with the traits on the right:

Explanation

page 117, Box 5-11

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23. A swayback, an increased lumbar curvature

Explanation

page 113

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24. Match the review of organ systems  on the left with information that we need to assess on the right.  

Explanation

page 103, Box 5-7

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25. A vibrating sensation perceived when an artery is palpated and is not expected when examining a carotid pulse. 

Explanation

page 110

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26. Two significant alterations in bowel sounds:

Explanation

page 116

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27. Abnormal swishing sounds heard over organs, glands and arteries and results from an abnormality in an artery resulting from narrow or partially occluded artery such as those in atherosclerosis

Explanation

page 110

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28. Rubbing, grating or squeaky sound upon auscultation; as if two pieces of leather are being rubbed together

Explanation

page 112

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29. Exaggeration of the posterior curvature of the thoracic spine

Explanation

page 113

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30. Which of the following is not a peripheral pulse?

Explanation

page 114

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31. Match the levels of consciousness on the left with the behaviors on the right  
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32. The difference between a "head to toe" assessment and a "focused assessment"

Explanation

page 106 When to perform a Nursing Physical Assessment

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33. Vital signs are reliable even when there is a central nervous system deficit. 

Explanation

Pulse and Blood pressure are not reliable indicators of central nervous system deficits. page 109

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34. The first normal heart sound S1 occurs when? 

Explanation

page 113

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35. This happens when there is a decreased supply of oxygenated blood to the tissues often caused by a narrowing of an artery 

Explanation

page 114

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36. Cramp-like pain in the lower extremities usually after walking

Explanation

page 114

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37. When auscultating for lung sounds, place the stethoscope  firmly and tightly on the skin, and listen for one full inspiratory-expiratory cycle at each point.  

Explanation

firmly, but not tightly ...page 111

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38. In the mnemonic used for assessments, what does PS stand for in ABC in and out, PS? 

Explanation

page 108

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39. Which of the following is not a symptom? 

Explanation

page 115

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40. A person who is just being admitted complains of pain on his right foot. What is the proper way to provide this patient a proper physical assessment?  

Explanation

page 106, Methods of performing a nursing physical assessment

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41. When does normal heart sound S2 occur?

Explanation

page 113

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42. Heard in patients with coronary artery disease after MI (myocardial infarction), heard late in diastole when the atria contracts. 

Explanation

page 113

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43. Lubb-dubb is caused by

Explanation

page 113

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44. A neurologic examination pertaining to the sensations of body movements and awareness of posture and cerebellar function

Explanation

page 109

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45. Which of the following are included in the neurologic assessment?

Explanation

page 107-109

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46. What do the signs and symptoms of Cushing's triad include? They are typical of someone who had traumatic brain injury 

Explanation

page 109

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47. Match the level of consciousness on the left with the behavior on the right 
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48. Match the adventitious breath sounds on the left with their traits on the right

Explanation

page 113

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49. Coma has 4 stages and death as the final phase. Match the terms on the left with the definitions on the right
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50. Where is S2 auscultated more clearly?

Explanation

page 113

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In the interview portion of the physical assessment, since we are not...
A patient has just been admitted. During physical assessment, it was...
Where is S1 auscultated most clearly?
Lateral spinal curvature
When performing a head-to-toe assessment, we normally begin with a...
Teaching patients to perform breast self-exams is only directly...
A patient with increased turgor in his lower extremities manifested by...
The consumption of alcohol, tobacco, caffeine, or herbal products are...
Standardized objective measurement of the level of consiousness
In person with good cardiac function and distal perfusion, how long...
Match the review of organ systems on the left with information that we...
We know that the nurse knows the right time to do a physical...
The nurse tells a 75 year old patient that she will have to do a...
Indicative of acute or chronic respiratory distress
When doing a respiratory assessment to a patient, which of the...
When auscultating for lung sounds, which part of the stethoscope is...
Match the review of organ systems on the left with information that we...
An abnormal cycle of respiration that begin with slow,...
Which of the following are true regarding cultural sensitivity
Before the beginning of a physical examination, to make the patient...
PERRLA refers to 
Match the pitting edema scale with the traits on the right:
A swayback, an increased lumbar curvature
Match the review of organ systems  on the left with information...
A vibrating sensation perceived when an artery is palpated and is not...
Two significant alterations in bowel sounds:
Abnormal swishing sounds heard over organs, glands and arteries and...
Rubbing, grating or squeaky sound upon auscultation; as if two pieces...
Exaggeration of the posterior curvature of the thoracic spine
Which of the following is not a peripheral pulse?
Match the levels of consciousness on the left with the behaviors on...
The difference between a "head to toe" assessment and a...
Vital signs are reliable even when there is a central nervous system...
The first normal heart sound S1 occurs when? 
This happens when there is a decreased supply of oxygenated blood to...
Cramp-like pain in the lower extremities usually after walking
When auscultating for lung sounds, place the stethoscope  firmly...
In the mnemonic used for assessments, what does PS stand for in ABC in...
Which of the following is not a symptom? 
A person who is just being admitted complains of pain on his right...
When does normal heart sound S2 occur?
Heard in patients with coronary artery disease after MI (myocardial...
Lubb-dubb is caused by
A neurologic examination pertaining to the sensations of body...
Which of the following are included in...
What do the signs and symptoms of Cushing's triad include? They...
Match the level of consciousness on the left with the behavior on the...
Match the adventitious breath sounds on the left with their traits on...
Coma has 4 stages and death as the final phase. Match the terms on the...
Where is S2 auscultated more clearly?
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