NR509 WEEK 2 EXAM (ACTUAL EXAM)
WITH QUESTIONS WITH VERY
ELABORATED ANSWERS CORRECTRY WELL
ORGANIZED LATEST 2024 – 2025 ALREADY
GRADED A+
The nurse is assessing a 16 year old patient who has suffered head injuries from a
recent motor vehicle accident. Which of the statements indicates the most
important reason for assessing any drainage from the ear canal?
A. Is the drum has ruptured, then purulent drainage will result
B. Bloody or clear watery drainage can indicate a basal skull fracture
C. The auditory canal may be occluded from increased cerumen
D. Foreign bodies from the accident may cause occlusion of the canal - ANSWERS-
B. Bloody or clear watery drainage can indicate a basal skull fracture
In performing a voice test to assess hearing, which of these actions with the nurse
perform?
A. Shield the lips so that the sound is muffled
,B. Whisper a set of random numbers and letters and then ask the patient to
repeat them
C. Ask the patient to place his finger in his ear to occlude outside noise
D. Stand approximately 4 feet away to ensure that the patient can really hear at
this distance - ANSWERS-B. Whisper a set of random numbers and letters and
then ask the patient to repeat them
In performing an examination of a 3 year old child with a suspected ear infection,
the nurse would:
A. Omit the otoscopic examination if the child has a fever
B. Pull the ear up and back before inserting the speculum
C. Ask the mother to leave the room while examining the child
D. Perform otoscopic examination at the end of the assessment - ANSWERS-D.
Perform otoscopic examination at the end of the assessment
The nurse is preparing to perform on otoscopic examination of a newborn infant.
Which statement is true regarding this examination
A. Immobility of the drum is a normal finding
B. An injected membrane would indicate an infection
C. The normal membrane may appear thick and opaque
D. The appearance of the membrane is identical to that of an adult - ANSWERS-C.
The normal membrane may appear thick and opaque
,The nurse asses the hearing of a 7 month old infant by clapping hands. What is
the expected response? The infant:
A. Turns his or her head to localize the sound
B. Shows no obvious response to the noise
C. Shows a startle and acoustic blink reflex
D. Stops any movement and appears to listen for the sound - ANSWERS-A. Turns
his or her head to localize the sound
Which of these techniques uses the sense of touch to assess texture,
temperature, moisture, and swelling when the nurse is assessing a patient?
A. Palpation
B. Inspection
C. Percussion
D. Auscultation - ANSWERS-A. Palpation
The nurse is preparing to assess a patient's abdomen by palpation. How should
the nurse proceed?
A. Palpation of reportedly tender areas are avoided because palpation in these
areas may cause pain
B. Palpating a tender area is quickly performed to avoid any discomfort that the
patient may experience
C. The assessment begins with deep palpation, while encouraging the patient to
relax and to take deep breaths.
, D. The assessment begins with light palpation to detect surface characteristics
and to accustom the patient to being touched. - ANSWERS-D. The assessment
begins with light palpation to detect surface characteristics and to accustom the
patient to being touched.
The nurse would use bimanual palpation technique in which situation?
A. Palpating the thorax of an infant
B. Palpating the kidneys and the uterus
C. Assessing pulsations and vibrations
D. Assessing the presence of tenderness and pain - ANSWERS-B. Palpating the
kidneys and the uterus
The nurse is preparing to percuss the abdomen of a patient. The purpose of the
percussion is to assess the ___________ of the underlying tissue.
A. Turgor
B. Texture
C. Density
D. Consistency - ANSWERS-C. Density
The nurse is reviewing percussion techniques with a newly graduated nurse.
Which technique, if used by the new nurse, indicates that more review is needed?
A. Percussing once over each area
B. Quickly lifting be striking finger after each stroke
C. Striking with the fingertip, not the finger pad
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