,1. Which tool is most appropriate for assessing pain
intensity in a non-verbal patient?
- a) FLACC Scale
- b) Numeric Rating Scale
- c) Wong-Baker FACES Scale
- d) Visual Analog Scale
Answer: a) FLACC Scale
Rationale: The FLACC Scale is designed for assessing
pain in non-verbal patients by evaluating face, legs, activity,
cry, and consolability.
2. When assessing jugular venous pressure, the patient is
usually placed in which position?
- a) Prone
- b) Supine at 45 degrees
- c) Sitting upright
- d) Lateral decubitus
Answer: b) Supine at 45 degrees
Rationale: The patient is positioned at a 45-degree
angle to accurately assess jugular venous pressure against
gravity.
3. Which of the following breath sounds is considered
abnormal and may indicate consolidation in the lungs?
- a) Vesicular
- b) Bronchial
- c) Crackles
- d) Wheezes
, Answer: b) Bronchial
Rationale: Bronchial breath sounds heard over
peripheral lung fields suggest consolidation or fluid in the
lungs.
4. During a cardiac assessment, the nurse notes a murmur
graded as 3/6. What does this indicate about the murmur’s
intensity?
- a) Very loud, with a thrill
- b) Moderately loud, no thrill
- c) Barely audible
- d) Loud with palpable thrill
Answer: b) Moderately loud, no thrill
Rationale: A 3/6 murmur is moderately loud and
typically does not have an associated thrill.
5. Which neurological test assesses coordination and is a
key component of a cerebellar exam?
- a) Biceps reflex
- b) Babinski sign
- c) Heel-to-shin test
- d) Romberg test
Answer: c) Heel-to-shin test
Rationale: The heel-to-shin test assesses the
coordination often affected by cerebellar disorders.
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