Exam (elaborations)
NR-304: Health Assessment II RUA: Health History questions and complete solutions
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NR-304: Health Assessment II RUA: Health History questions and complete solutions
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NR-304: Health Assessment II RUAwhich of the following is the most appropriate technique for
assessing a patient's lung sounds?
A. Palpation
B. Percussion
C. Auscultation
D. Inspection
Answer: C. Auscultation
In assessing the cardiovascular system, which of the following findings would
indicate a potential problem?
A. Heart rate of 70 beats per minute
B. Regular rhythm with a normal S1 and S2
C. Presence of a third heart sound (S3) in an older adult
D. Blood pressure reading of 120/80 mmHg
Answer: C. Presence of a third heart sound (S3) in an older adult
When performing an abdominal assessment, in which order should the techniques
be performed?
A. Inspection, palpation, percussion, auscultation
B. Palpation, inspection, auscultation, percussion
C. Auscultation, inspection, palpation, percussion
D. Inspection, auscultation, percussion, palpation
Answer: D. Inspection, auscultation, percussion, palpation
A patient presents with a yellowish tint to their skin and sclera. What should the
nurse suspect?
A. Cyanosis
,B. Jaundice
C. Pallor
D. Erythema
Answer: B. Jaundice
Which finding would be most concerning during a neurological assessment of a
patient?
A. Positive Babinski reflex in an adult
B. Decreased deep tendon reflexes
C. Slurred speech
D. Intact cranial nerves
Answer: C. Slurred speech
Which of the following is an important consideration when assessing the
musculoskeletal system?
A. Checking for the presence of a bounding pulse
B. Evaluating the symmetry and range of motion of joints
C. Measuring blood pressure in both arms
D. Assessing lung sounds in all lung fields
Answer: B. Evaluating the symmetry and range of motion of joints
When assessing a patient’s skin, which of the following would be considered a
normal finding?
A. Dry, flaky skin with redness
B. Warm, moist skin with even pigmentation
C. Skin with multiple lesions of varying colors
D. Skin with an unusual odor
Answer: B. Warm, moist skin with even pigmentation
, In assessing a patient’s mental status, which question would best evaluate their
orientation to time?
A. “Can you tell me what day it is today?”
B. “Can you describe how you are feeling right now?”
C. “Can you recall your last meal?”
D. “What is your name?”
Answer: A. “Can you tell me what day it is today?”
Which assessment finding is most indicative of a potential respiratory issue?
A. Clear, pink-tinged sputum
B. Symmetrical chest expansion
C. Increased tactile fremitus
D. Regular, unlabored breathing
Answer: C. Increased tactile fremitus
During a physical examination, which technique would be most appropriate for
assessing the presence of fluid in the abdomen?
A. Inspection
B. Percussion
C. Palpation
D. Auscultation
Answer: B. Percussion
What is the most common reason for a patient to have a decreased oxygen
saturation level?
A. Overhydration
B. Hyperventilation
C. Hypoxemia
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