NR 302 Health Assessment (Week1,2,3,4,5,6,7,8)
MUITI VERSIONS EXAM LATEST UPDATED 2025
A physician has diagnosed a patient with purpura. After leaving the room, a
nursing student asks the nurse what the physician saw that led to that diagnosis.
The nurse should say, "The physician is referring to the: - ANSWER✅
"Confluent and extensive patch of petechiae and ecchymoses on the feet."
Heart failure causes: - ANSWER✅ Decreased cardiac output when the heart
fails as a pump and the circulation becomes backed up and congested.
The nurse is assessing the skin of a patient who has acquired immunodeficiency
syndrome (AIDS) and notices multiple patchlike lesions on the temple and beard
area that are faint pink in color. The nurse recognizes these lesions as: -
ANSWER✅ Kaposi's sarcoma.
A 45-year-old farmer comes in for a skin evaluation and complains of hair loss on
his head. His hair seems to be breaking off in patches, and he notices some
scaling on his head. The nurse begins the examination suspecting: - ANSWER✅
Tinea capitis.
,Sign and Symthoms of Heart Failure - ANSWER✅ dyspnea, orthopnea,
paroxysmal nocturnal dyspnea, decreased blood pressure, dependent and pitting
edema; anxiety; confusion; jugular vein distention; and fatigue
The nurse is assessing for inflammation in a dark-skinned person. Which
technique is the best? - ANSWER✅ Assessing the oral mucosa for generalized
erythema
nurse notices that a patient has a solid, elevated, circumscribed lesion that is less
than 1 cm in diameter. When documenting this finding, the nurse reports this as a:
- ANSWER✅ Papule.
The nurse just noted from the medical record that the patient has a lesion that is
confluent in nature. On examination, the nurse expects to find: - ANSWER✅
Lesions that run together.
What is included in patient biographical data? (11) - ANSWER✅ Name & gender,
address & phone #, age, date of birth, martial status, race, ethnicity, religion,
insurance coverage, language, reliability
What is included in patient past history? (9) - ANSWER✅ Childhood illness,
accidents/injuries, serious/chronic illnesses, hospitalizations, surgeries,
immunizations, last examination dates, allergies, current meds
,INCLUDE DATES, NAME OF HOSPITAL, NAME OF DOCTOR, TREATMENT, RECOVERY,
RESULTS
What is included in family history? (4) - ANSWER✅ Parents, grandparents,
ages, cause of death
What is the purpose of the review of systems? - ANSWER✅ To evaluate the
past and present health state of each body system and health promotion practices
What is the difference between ADLs and IADLs? - ANSWER✅ ADLs are done
for yourSELF (body): ex- bathing, dressing, eating
IADLs are done for independent living (household): ex- shopping, cooking, cleaning
How do you find smoking packs? - ANSWER✅ (PPD x years = pack years)
Which part of the nursing process is both subjective and objective? -
ANSWER✅ Assessment
What is the difference between nursing diagnosis and medical diagnosis? -
ANSWER✅ Medical diagnoses identify diseases, whereas, nursing diagnoses
focus on PAIN RESPONSES
What part of the nursing process involves SMART goals? - ANSWER✅ Planning
, A patient has had a "terrible itch" for several months that he has been
continuously scratching. On examination, the nurse might expect to find: -
ANSWER✅ Lichenification.
What are the 4 processes of health assessment in order? - ANSWER✅
Inspection, palpation, percussion, auscultation
What are the 10 things you are assessing? - ANSWER✅ Temperature, texture,
moisture, pulsations, rigidity, crepitation, swelling, organ location, presence of
lumps, tenderness/pain
What are the 3 forms of percussion? - ANSWER✅ Indirect percussion: tapping
on own finger
Direct percussion: directly tapping on skin
Blunt percussion: hitting/punching back of hand
What are the 5 percussion sounds? - ANSWER✅ Tympany, resonance,
hyperesonance, dullness, flatness
What are the 3 senses used in general survey? - ANSWER✅ Vision, hearing,
smell
MUITI VERSIONS EXAM LATEST UPDATED 2025
A physician has diagnosed a patient with purpura. After leaving the room, a
nursing student asks the nurse what the physician saw that led to that diagnosis.
The nurse should say, "The physician is referring to the: - ANSWER✅
"Confluent and extensive patch of petechiae and ecchymoses on the feet."
Heart failure causes: - ANSWER✅ Decreased cardiac output when the heart
fails as a pump and the circulation becomes backed up and congested.
The nurse is assessing the skin of a patient who has acquired immunodeficiency
syndrome (AIDS) and notices multiple patchlike lesions on the temple and beard
area that are faint pink in color. The nurse recognizes these lesions as: -
ANSWER✅ Kaposi's sarcoma.
A 45-year-old farmer comes in for a skin evaluation and complains of hair loss on
his head. His hair seems to be breaking off in patches, and he notices some
scaling on his head. The nurse begins the examination suspecting: - ANSWER✅
Tinea capitis.
,Sign and Symthoms of Heart Failure - ANSWER✅ dyspnea, orthopnea,
paroxysmal nocturnal dyspnea, decreased blood pressure, dependent and pitting
edema; anxiety; confusion; jugular vein distention; and fatigue
The nurse is assessing for inflammation in a dark-skinned person. Which
technique is the best? - ANSWER✅ Assessing the oral mucosa for generalized
erythema
nurse notices that a patient has a solid, elevated, circumscribed lesion that is less
than 1 cm in diameter. When documenting this finding, the nurse reports this as a:
- ANSWER✅ Papule.
The nurse just noted from the medical record that the patient has a lesion that is
confluent in nature. On examination, the nurse expects to find: - ANSWER✅
Lesions that run together.
What is included in patient biographical data? (11) - ANSWER✅ Name & gender,
address & phone #, age, date of birth, martial status, race, ethnicity, religion,
insurance coverage, language, reliability
What is included in patient past history? (9) - ANSWER✅ Childhood illness,
accidents/injuries, serious/chronic illnesses, hospitalizations, surgeries,
immunizations, last examination dates, allergies, current meds
,INCLUDE DATES, NAME OF HOSPITAL, NAME OF DOCTOR, TREATMENT, RECOVERY,
RESULTS
What is included in family history? (4) - ANSWER✅ Parents, grandparents,
ages, cause of death
What is the purpose of the review of systems? - ANSWER✅ To evaluate the
past and present health state of each body system and health promotion practices
What is the difference between ADLs and IADLs? - ANSWER✅ ADLs are done
for yourSELF (body): ex- bathing, dressing, eating
IADLs are done for independent living (household): ex- shopping, cooking, cleaning
How do you find smoking packs? - ANSWER✅ (PPD x years = pack years)
Which part of the nursing process is both subjective and objective? -
ANSWER✅ Assessment
What is the difference between nursing diagnosis and medical diagnosis? -
ANSWER✅ Medical diagnoses identify diseases, whereas, nursing diagnoses
focus on PAIN RESPONSES
What part of the nursing process involves SMART goals? - ANSWER✅ Planning
, A patient has had a "terrible itch" for several months that he has been
continuously scratching. On examination, the nurse might expect to find: -
ANSWER✅ Lichenification.
What are the 4 processes of health assessment in order? - ANSWER✅
Inspection, palpation, percussion, auscultation
What are the 10 things you are assessing? - ANSWER✅ Temperature, texture,
moisture, pulsations, rigidity, crepitation, swelling, organ location, presence of
lumps, tenderness/pain
What are the 3 forms of percussion? - ANSWER✅ Indirect percussion: tapping
on own finger
Direct percussion: directly tapping on skin
Blunt percussion: hitting/punching back of hand
What are the 5 percussion sounds? - ANSWER✅ Tympany, resonance,
hyperesonance, dullness, flatness
What are the 3 senses used in general survey? - ANSWER✅ Vision, hearing,
smell
