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Medical-Surgical Nursing Assessment Quiz

#1

Which of the following is NOT a component of the ABCDE assessment?

Digestion
Explanation

ABC stands for Airway, Breathing, Circulation, and Disability; Digestion is not included.

#2

Which of the following is NOT a potential complication of a central venous catheter?

Hemothorax
Explanation

Hemothorax is not typically a complication of central venous catheter insertion.

#3

Which of the following is NOT a priority action during the initial assessment of a trauma patient?

Checking blood pressure
Explanation

In trauma, airway, breathing, and circulation (ABC) take priority over checking blood pressure.

#4

Which assessment technique is used to assess for tactile fremitus?

Palpation
Explanation

Tactile fremitus is assessed through palpation, not auscultation.

#5

Which of the following is NOT a risk factor for pressure ulcer development?

Skin hydration
Explanation

Skin hydration is not a risk factor for pressure ulcer development; moisture is.

#6

Which of the following assessment findings is characteristic of a tension pneumothorax?

Decreased or absent breath sounds on affected side
Explanation

Decreased or absent breath sounds on the affected side is characteristic of a tension pneumothorax.

#7

Which lab value is most indicative of acute kidney injury?

Creatinine
Explanation

Creatinine levels are a key indicator of acute kidney injury.

#8

Which of the following symptoms is NOT typically associated with compartment syndrome?

Warmth and redness
Explanation

Warmth and redness are typically associated with inflammation, not compartment syndrome.

#9

Which of the following diagnostic tests is most commonly used to diagnose deep vein thrombosis (DVT)?

Venous duplex ultrasound
Explanation

Venous duplex ultrasound is the most common diagnostic test for DVT.

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