Assessment of Patient | Physical | Physiological and Psychological Assessment | Mock Test | Staff Nurse | Guides Academy

Assessment of patient – Physical, physiological and psychological assessment.

Time: 15:00

When performing a physical assessment of the abdomen, what is the correct sequence of techniques?

[a] Palpation, Auscultation, Inspection, Percussion

[b] Inspection, Palpation, Percussion, Auscultation

[c] Inspection, Auscultation, Percussion, Palpation

[d] Auscultation, Inspection, Palpation, Percussion

A nurse measures a patient's blood pressure at 150/96 mmHg. This physiological finding is known as:

[a] Hypotension

[b] Bradycardia

[c] Hypertension

[d] Orthostasis

During a psychological assessment, a nurse asks the patient, "Can you tell me your name, where you are, and what the date is?" What is the nurse assessing?

[a] Mood and affect

[b] Recent memory

[c] Coping skills

[d] Orientation

While auscultating a patient's lungs, the nurse hears high-pitched, continuous whistling sounds, primarily on expiration. These sounds are documented as:

[a] Crackles (rales)

[b] Wheezes

[c] Rhonchi

[d] Stridor

Which of the following is an example of objective data obtained during a patient assessment?

[a] The patient states, "I feel dizzy."

[b] The patient's respiratory rate is 24 breaths per minute.

[c] The patient reports a pain level of 7 out of 10.

[d] The patient's spouse says, "He hasn't been sleeping well."

A patient appears restless, is wringing their hands, and has a tense facial expression. These observations are most indicative of which psychological state?

[a] Depression

[b] Confusion

[c] Anxiety

[d] Elation

The physical assessment technique of using the fingertips to feel for texture, swelling, and pulsations is called:

[a] Inspection

[b] Auscultation

[c] Percussion

[d] Palpation

A nurse measures a patient's apical pulse and counts 52 beats per minute. This physiological finding is called:

[a] Tachycardia

[b] Bradycardia

[c] A pulse deficit

[d] An arrhythmia

The difference between a patient's mood and their affect is that:

[a] They are the same and can be used interchangeably.

[b] Mood is a sustained emotional state, while affect is the observable expression of that mood.

[c] Affect is what the patient reports feeling, while mood is what the nurse observes.

[d] Mood is related to thoughts, while affect is related to behavior.

When assessing capillary refill on a patient's fingernail, a normal finding would be color return in:

[a] More than 5 seconds.

[b] Exactly 5 seconds.

[c] 3 to 5 seconds.

[d] Less than 3 seconds.

A pulse oximeter is used for the physiological assessment of:

[a] The electrical activity of the heart.

[b] The level of carbon dioxide in the blood.

[c] The oxygen saturation level of hemoglobin in the blood.

[d] The patient's core body temperature.

The Glasgow Coma Scale (GCS) is a tool used to assess a patient's:

[a] Risk for falls.

[b] Nutritional status.

[c] Pain level.

[d] Level of consciousness.

During a skin assessment, the nurse presses on the patient's ankle and notices a 4mm indentation that disappears after a few seconds. This is documented as:

[a] 1+ pitting edema.

[b] 2+ pitting edema.

[c] 3+ pitting edema.

[d] 4+ pitting edema.

Measuring a patient's blood pressure while they are lying, sitting, and standing is done to assess for:

[a] A pulse deficit.

[b] Chronic hypertension.

[c] Orthostatic hypotension.

[d] Peripheral vascular disease.

A patient tells the nurse, "I'm just so tired of being sick; sometimes I feel like it would be easier if I didn't wake up." What is the nurse's priority psychological assessment?

[a] Assess the patient's family support system.

[b] Assess the patient's coping mechanisms.

[c] Ask a direct question about suicidal ideation or plans.

[d] Notify the patient's spiritual advisor.

The first heart sound, S1 ("lub"), is caused by the closure of which heart valves?

[a] Aortic and pulmonic.

[b] Mitral and tricuspid.

[c] Aortic and mitral.

[d] Pulmonic and tricuspid.

A patient's blood glucose level, measured via a finger stick, provides physiological information about:

[a] Kidney function.

[b] Red blood cell count.

[c] Oxygenation status.

[d] Carbohydrate metabolism.

During a psychological assessment, a patient quickly changes from one topic to another, seemingly unrelated topic. This thought process is known as:

[a] Word salad.

[b] Perseveration.

[c] Flight of ideas.

[d] Echolalia.

The term PERRLA is used during a physical assessment of the eyes. What does the "A" stand for?

[a] Apparent

[b] Approximate

[c] Accommodation

[d] Acute

A patient's respiratory rate is 10 breaths per minute. The nurse would document this physiological finding as:

[a] Tachypnea

[b] Bradypnea

[c] Apnea

[d] Dyspnea

A nurse observes a patient who is sitting slumped in a chair, has a flat affect, and speaks in a monotone voice. These findings are most consistent with which psychological state?

[a] Mania

[b] Anxiety

[c] Depression

[d] Psychosis

Which assessment is considered the "fifth vital sign"?

[a] Oxygen saturation

[b] Level of consciousness

[c] Pain

[d] Capillary refill

During percussion of a patient's abdomen, the nurse hears a high-pitched, drum-like sound over the stomach. This sound is called:

[a] Dullness

[b] Resonance

[c] Flatness

[d] Tympany

Assessing a patient's ability to perform activities of daily living (ADLs) such as bathing, dressing, and eating is part of which type of assessment?

[a] Spiritual assessment

[b] Functional assessment

[c] Cognitive assessment

[d] Economic assessment

A key component of the psychological assessment is to ask about the patient's coping mechanisms. An appropriate question to assess this would be:

[a] "Do you feel sad or hopeless?"

[b] "Are you having any thoughts of harming yourself?"

[c] "What do you usually do when you feel stressed or overwhelmed?"

[d] "Can you tell me where you are right now?"