CMN 548 MODULE 1 STUDY QUESTIONS
WITH CORRECT ANSWERS (VERIFIED
ANSWERS) NEWEST VERSION
The nurse is unable to palpate the right radial pulse on a patient. The best action would
be to:
A Auscultate over the area with a fetoscope.
B Use a goniometer to measure the pulsations.
C Use a Doppler device to check for pulsations over the area.
D Check for the presence of pulsations with a stethoscope.
ANS: C
The nurse is preparing to perform a physical assessment. The correct action by the
nurse is
reflected by which statement? The nurse:
a Performs the examination from the left side of the bed.
B Examines tender or painful areas first to help relieve the patients anxiety.
C Follows the same examination sequence, regardless of the patients age or
condition.
D Organizes the assessment to ensure that the patient does not change positions
too often.
ANS: D
A man is at the clinic for a physical examination. He states that he is very anxious about
the
physical examination. What steps can the nurse take to make him more comfortable?
A Appear unhurried and confident when examining him.
B Stay in the room when he undresses in case he needs assistance.
C Ask him to change into an examining gown and to take off his undergarments.
D Defer measuring vital signs until the end of the examination, which allows him
time to become comfortable.
ANS: A
When performing a physical examination, safety must be considered to protect the
examiner
and the patient against the spread of infection. Which of these statements describes the
most
appropriate action the nurse should take when performing a physical examination?
A Washing ones hands after removing gloves is not necessary, as long as the
gloves are still intact.
B Hands are washed before and after every physical patient encounter.
,C Hands are washed before the examination of each body system to prevent the
spread of bacteria from one part of the body to another.
D Gloves are worn throughout the entire examination to demonstrate to the patient
concern regarding the spread of infectious diseases.
ANS: B
The nurse is examining a patients lower leg and notices a draining ulceration. Which of
these
actions is most appropriate in this situation?
A Washing hands, and contacting the physician
B Continuing to examine the ulceration, and then washing hands
C Washing hands, putting on gloves, and continuing with the examination of the
ulceration
d Washing hands, proceeding with rest of the physical examination, and then
continuing with the examination of the leg ulceration
ANS: C
During the examination, offering some brief teaching about the patients body or the
examiners findings is often appropriate. Which one of these statements by the nurse is
most
appropriate?
A Your atrial dysrhythmias are under control.
B You have pitting edema and mild varicosities.
C Your pulse is 80 beats per minute, which is within the normal range.
D Im using my stethoscope to listen for any crackles, wheezes, or rubs.
ANS: C
The nurse keeps in mind that the most important reason to share information and to
offer
brief teaching while performing the physical examination is to help the:
a Examiner feel more comfortable and to gain control of the situation.
B Examiner to build rapport and to increase the patients confidence in him or her.
C Patient understand his or her disease process and treatment modalities.
D Patient identify questions about his or her disease and the potential areas of
patient education.
ANS: B
The nurse is examining an infant and prepares to elicit the Moro reflex at which time
during
the examination?
A When the infant is sleeping
B At the end of the examination
C Before auscultation of the thorax
D Halfway through the examination
ANS: B
,When preparing to perform a physical examination on an infant, the nurse should:
A Have the parent remove all clothing except the diaper on a boy.
B Instruct the parent to feed the infant immediately before the examination.
C Encourage the infant to suck on a pacifier during the abdominal examination.
D Ask the parent to leave the room briefly when assessing the infants vital signs.
ANS: A
A 6-month-old infant has been brought to the well-child clinic for a check-up. She is
currently sleeping. What should the nurse do first when beginning the examination?
A Auscultate the lungs and heart while the infant is still sleeping.
B Examine the infants hips, because this procedure is uncomfortable.
C Begin with the assessment of the eye, and continue with the remainder of the
examination in a head-to-toe approach.
D Wake the infant before beginning any portion of the examination to obtain the
most accurate assessment of body systems.
ANS: A - Answer ✅
A 2-year-old child has been brought to the clinic for a well-child checkup. The best way
for
the nurse to begin the assessment is to:
a Ask the parent to place the child on the examining table.
B Have the parent remove all of the childs clothing before the examination.
C Allow the child to keep a security object such as a toy or blanket during the
examination.
D Initially focus the interactions on the child, essentially ignoring the parent until
the childs trust has been obtained.
ANS: C - Answer ✅
The nurse is examining a 2-year-old child and asks, May I listen to your heart now?
Which
critique of the nurses technique is most accurate?
A Asking questions enhances the childs autonomy
B Asking the child for permission helps develop a sense of trust
C This question is an appropriate statement because children at this age like to
have choices
d Children at this age like to say, No. The examiner should not offer a choice
when no choice is available
ANS: D - Answer ✅
Bickley Chapter 3 12th edition - Answer ✅
Suzanne, a 25 year old, comes to your clinic to establish care. You are the student
preparing to go into the examination room to interview her. Which of the following is the
most logical
sequence for the patient-provider interview?
A) Establish the agenda, negotiate a plan, establish rapport, and invite the patient's
story.
, B) Invite the patient's story, negotiate a plan, establish the agenda, and establish
rapport.
C) Greet the patient, establish rapport, invite the patient's story, establish the agenda,
expand and clarify the patient's story, and negotiate a plan.
D) Negotiate a plan, establish an agenda, invite the patient's story, and establish
rapport.
Ans: C - Answer ✅
You are running late after your quarterly quality improvement meeting at the hospital
and
have just gotten paged from the nurses' station because a family member of one of your
patients wants to talk with you about that patient's care. You have clinic this afternoon
and are doublebooked for the first appointment time; three other patients also have
arrived and are sitting in the waiting room. Which of the following demeanors is a
behavior consistent with skilled interviewing when you walk into the examination room
to speak with your first clinic patient?
A) Irritability
B) Impatience
C) Boredom
D) Calm
Ans: D - Answer ✅
Alexandra is a 28-year-old editor who presents to the clinic with abdominal pain. The
pain is
a dull ache, located in the right upper quadrant, that she rates as a 3 at the least and an
8 at the
worst. The pain started a few weeks ago, it lasts for 2 to 3 hours at a time, it comes and
goes, and it seems to be worse a couple of hours after eating. She has noticed that it
starts after eating greasy foods, so she has cut down on these as much as she can.
Initially it occurred once a week, but now it is occurring every other day. Nothing makes
it better. From this description, which of the seven attributes of a symptom has been
omitted?
A) Setting in which the symptom occurs
B) Associated manifestations
C) Quality
D) Timing
Ans: B - Answer ✅
Jason is a 41-year-old electrician who presents to the clinic for evaluation of shortness
of
breath. The shortness of breath occurs with exertion and improves with rest. It has been
going on for several months and initially occurred only a couple of times a day with
strenuous exertion; however, it has started to occur with minimal exertion and is
