and Answers| Pre-Assessment Exam
2025/2026
A nurse is preparing a client for a physical assessment. The client appears anxious about the
assessment. Which statement by the nurse would be most appropriate? "Let me tell you what
I will be doing. It should not be painful."
The nurse palpating the skin of a client documents a firm 1.5-cm mass on the lower right leg.
What type of skin lesion does this describe? nodule
A nurse is preparing to assess a client's abdomen. The client is anxious and asks what to expect.
Which statement by the nurse would be most appropriate?
"I will be checking your abdomen gently, and it should not cause you any discomfort."
The nurse palpates a client’s skin and finds a soft, fluid-filled lesion on the arm. What type of
skin lesion does this describe?
Vesicle
While auscultating a client’s chest, the nurse hears wheezing. What causes this abnormal sound?
Narrowed airways, often due to bronchospasm or obstruction
During percussion of a client’s chest, the sound should be:
Resonant over healthy lung tissue
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, A nurse is assessing a client’s pulse and notices it is irregular. What should the nurse do next?
Palpate the pulse for a full minute and assess for any patterns or abnormalities.
The nurse is inspecting a client’s mouth and notices a white, patchy lesion on the tongue. What
could this indicate?
Leukoplakia, which could be a sign of a precancerous condition
While assessing a client’s skin, the nurse notes a red, raised area that is 3 cm in diameter. What
type of lesion is this?
Wheal (commonly associated with hives or insect bites)
The nurse is listening to a client’s heart sounds. Which finding would be most concerning if
heard?
A murmur that occurs during both systole and diastole, indicating possible valve dysfunction.
When assessing a client’s cranial nerve function, the nurse asks the client to shrug both
shoulders. What cranial nerve is being tested?
Cranial nerve XI (Accessory nerve)
During a neurological exam, the nurse notices that the client has a positive Babinski sign. What
does this indicate?
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