NURS 190: Physical Assessment [Week
1]| Practice Q&A| Verified Answers 2025
**What is the first step in performing a physical assessment?**
Inspection.
**Which test is used to evaluate cranial nerve II (optic nerve)?**
The Snellen chart test.
**What would be an abnormal finding when insp...
NURS 190: Physical Assessment [Week
1]| Practice Q&A| Verified Answers 2025
**What is the first step in performing a physical assessment?**
Inspection.
**Which test is used to evaluate cranial nerve II (optic nerve)?**
The Snellen chart test.
**What would be an abnormal finding when inspecting the nails?**
Clubbing, discoloration, or thickened nails, which may indicate systemic illness.
**What should a nurse do before performing any examination?**
Wash their hands and ensure the environment is prepared.
**What is an abnormal finding when inspecting the head during a physical examination?**
Asymmetry of the skull or visible lumps, bumps, or tenderness.
**Which maneuver would the nurse use to assess cranial nerve XI (accessory nerve)?**
The nurse would have the patient shrug their shoulders and turn their head against resistance.
**What is the normal finding when inspecting the skin?**
1
, The skin should be even-toned, smooth, and free of lesions or wounds.
**When assessing the lymph nodes, which nodes are considered abnormal if palpated in a
healthy adult?**
Any palpable lymph nodes in the cervical, axillary, or inguinal regions.
**Which test is performed to assess the skin’s turgor?**
Pinch the skin on the back of the hand or under the clavicle and release it; it should return
quickly to its normal position.
**What is an abnormal finding when inspecting the hair?**
Excessive dryness, thinning, or hair loss in patches.
**What does the ABCDE rule stand for in skin cancer screening?**
A = Asymmetry, B = Border irregularity, C = Color variation, D = Diameter greater than
6mm, E = Evolving.
**In what position should a client be placed for an abdominal examination?**
The client should be placed in a supine position with arms at their sides.
**When performing an assessment of the neck, what would the nurse palpate for?**
The nurse palpates for the trachea’s position, lymph nodes, and thyroid gland enlargement.
2
,**Which assessment technique involves using the fingers and hands to feel body parts?**
Palpation.
**When is auscultation performed in the examination of the abdomen?**
Auscultation should be performed before palpation and percussion to avoid altering bowel
sounds.
**What would be the normal finding when assessing the skin?**
The skin should be smooth, even-toned, and without any lesions.
**What is the correct order of assessment techniques for the abdomen?**
1. Inspection, 2. Auscultation of major bowel sounds, 3. Auscultation of major arteries, 4.
Percussion, 5. Palpation.
#Basic Assessment Techniques For all others
-Inspection
-Auscultation
-Percussion
3
, -Palpation
Abdm
-Palpation
-Percussion
When the client refuses to continue the examination Document what was done
&
What was refused
Inspection *Observe*
-beginning to end
-in a systemic manner
*Talk* (speech)
*Observe for*
-Symmetry, color size, shape, contour, movement, drainage
*Sound*
*Smell*
Palpation Used to find
4
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