#1
Which assessment technique is used to listen to heart sounds?
Inspection
Palpation
Auscultation
Percussion
#2
What is the normal range for adult respiratory rate?
8-12 breaths per minute
12-20 breaths per minute
20-30 breaths per minute
30-40 breaths per minute
#3
Which vital sign is not included in the 'ABCs' of patient assessment?
Airway
Breathing
Circulation
Digestion
#4
What is the purpose of using a pain assessment scale?
To assess cognitive function
To monitor respiratory status
To evaluate mobility
To quantify pain intensity
#5
Which of the following is a subjective data in a nursing assessment?
Blood pressure reading
Heart rate
Skin color
Pain level reported by the patient
#6
What is the purpose of assessing a patient's nutritional status?
To determine cognitive function
To assess mobility
To evaluate risk of pressure ulcers
To identify nutritional deficiencies
#7
Which of the following is a sign of impending shock?
Decreased heart rate
Increased urine output
Cool, clammy skin
Increased blood pressure
#8
Which of the following is not a component of the SOAP note?
Subjective
Objective
Analysis
Plan
#9
What does the Glasgow Coma Scale assess?
Pain level
Cognitive function
Level of consciousness
Respiratory status
#10
Which assessment finding indicates potential respiratory distress?
Cyanosis
Decreased blood pressure
Increased bowel sounds
Hypotension
#11
What is the primary purpose of using the SBAR communication tool?
To document patient information
To facilitate interprofessional communication
To assess patient safety
To monitor patient vital signs
#12
Which assessment finding requires immediate intervention?
Dry, warm skin
Bounding pulses
Respiratory rate of 24 breaths/min
Blood pressure of 130/80 mmHg
#13
What is the purpose of using a pain rating scale?
To assess mental status
To monitor heart rate
To evaluate response to medication
To quantify pain intensity
#14
Which assessment finding indicates potential circulatory compromise?
Normal capillary refill
Warm, dry skin
Decreased pedal pulses
Pink nail beds
#15
During a head-to-toe assessment, which area is assessed last?
Head and neck
Chest and abdomen
Extremities
Back
#16
Which nursing action is appropriate during a neurological assessment?
Assessing blood pressure
Checking for capillary refill
Assessing pupil response to light
Monitoring oxygen saturation
#17
Which of the following assessments is performed first during a head-to-toe examination?
Neurological assessment
Cardiovascular assessment
Respiratory assessment
Musculoskeletal assessment
#18
Which of the following is a component of the neurological assessment?
Pulse oximetry
Glasgow Coma Scale
Capillary refill
Blood pressure measurement
#19
Which nursing action is appropriate during a cardiovascular assessment?
Assessing respiratory rate
Checking for peripheral edema
Assessing pupil response to light
Monitoring bowel sounds