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NR 302 Health Assessment Final Exam Test Bank 2025/2026 | Weber & Kelley 7th Edition | Verified Q&A with In-Depth Rationales

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Ace your NR 302 Health Assessment Final Exam with this comprehensive 2025/2026 test bank, specifically designed to align with Weber & Kelley’s Health Assessment in Nursing, 7th Edition. This document features verified questions and clinical rationales to help you master the nursing process, head-to-toe physical examination techniques, and essential bedside communication. High-Yield Topics Covered Include: • The Nursing Process & Critical Thinking: Expert guidance on subjective vs. objective data, data clustering, and identifying risk diagnoses to prioritize patient care. • HEENT Assessment: Detailed techniques for using the ophthalmoscope (viewing the optic disc and macula) and otoscope. Includes PERRLA, visual acuity (Snellen chart), and ear exam positioning for infants (pinna down) vs. adults (up and back). • Respiratory & Cardiovascular Mastery: Differentiating between S1 (loudest at apex) and S2 (loudest at base) heart sounds, assessing for murmurs, and identifying bronchiovesicular breath sounds. Includes diagnostic signs for lobar pneumonia and pleural friction rubs. • Lifespan Considerations: Tailored assessment sequences for neonates (Apgar scores), toddlers (Denver II milestones), and aging adults (assessing for sensory decline and dementia using the Mini-Cog). • Cultural Competence & Interviewing: Understanding ethnocentrism, linguistic competence (Title VII requirements), and effective communication techniques such as empathy, active listening, and SBAR reporting. • Emergency Bedside Assessment: Identifying critical findings that require immediate assistance, such as O2 saturation 92%, heart rate 90 bpm, or altered levels of consciousness. This resource is an essential tool for nursing students seeking to understand the "why" behind clinical findings and prepare for both course finals and future clinical practice.

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NR 302 Health Assessment Final Exam Test Bank -
Based on Health Assessment in Nursing, 7th Edition
by Janet R. Weber & Jane H. Kelley.




The retinal structures viewed through the ophthalmoscope are: -
ANSWER-optic disc, vessels, macula, background

"Positive consensual light reflex" means... - ANSWER-simultaneous
constriction

The thickening and yellowing of the lens due to aging is described as: -
ANSWER-cataract

Eye emergency - ANSWER-sudden change in vision

Visual acuity is assessed with: - ANSWER-Snellen eye chart

The cover test is used to assess for: - ANSWER-muscle weakness

When using the ophthalmoscope, you would: - ANSWER-remove your
own glasses and approach the patient's left eye with your left eye

The 6 eye muscles that control eye movement are innervated by cranial
nerves: - ANSWER-III, IV, VI

Conjunctivitis - ANSWER-redness of the conjunctiva

normal peripheral vision would see finger at - ANSWER-90 degrees

,2|Page


patient blind in left eye, what happens when light in right - ANSWER-
both constrict

interruption of red reflex happens when - ANSWER-there is opacity of
cornea or lens

One cause of visual impairment in aging adults is: - ANSWER-
glaucoma

PERRLA - ANSWER-pupils equal, round, reactive to light and
accommodation

cause of red reflex - ANSWER-light reflecting from the retina

color of tympanic membrane - ANSWER-pearly gray

sensioneural hearing loss - ANSWER-related to gradual nerve
degeneration

Before ear exam, palate - ANSWER-pinna, tragus, and mastoid process

Ear exam of 3 year old - ANSWER-pull pinna down

ear exam of adult - ANSWER-pull pinna up and back

darwin tubercle - ANSWER-a congenital, painless nodule at the helix

when assessing patients ear - ANSWER-tilt head away from examiner

The hearing receptors are located in the - ANSWER-cochlea

The sensation of vertigo may indicate: - ANSWER-pathology in the
semicircular canals

,3|Page


common cause of conductive hearing loss - ANSWER-impacted
cerumen

Signs of ear infection - ANSWER-absent light reflex, red and bulging
drum

Reducing risk of ear infection - ANSWER-dont smoke in house or car

assessing hearing in babies - ANSWER-watch for head turn when you
call their name

patient w head injury has clear watery drainage from ear - ANSWER-
consider possible basal skull fracture, refer immediately

common site of nose bleeds - ANSWER-kiesselbach plexus

Which sinuses can you assess through examination? - ANSWER-frontal
and maxillary

the frenulum is the - ANSWER-midline fold of tissue that connects the
tongue to the floor of the mouth

The largest salivary gland is located: - ANSWER-within the cheeks in
front of the ear

old woman with dry mouth - ANSWER-medication

find a deviated septum, what next - ANSWER-document in case it needs
suction

Oral malignancies are most likely to develop: - ANSWER-in the
mucosal "gutter" under the tongue

tonsils 3+ - ANSWER-tonsils touch the uvula

, 4|Page


function of nasal turbinates - ANSWER-warm the inhaled air

Opening of adult's parotid gland is opposite what? - ANSWER-upper
2nd molar

A nasal polyp is distinguished from the nasal turbinates by 3 things -
ANSWER-moveable, pale/gray, nontender

The examiner notes small, round, white, shiny papules on the hard palate
and gums of a 2-month-old infant. What is the significance of this
finding? - ANSWER-epstein pearls, normal

when assessing tongue - ANSWER-palpate u shaped area under tongue

expected finding of 75 year old oral cavity - ANSWER-decreased ability
to identify odors

african american with flat, 3cm, nontender, gray/white lesion on bucal
mucosa - ANSWER-leukodema, normal

The manubriosternal angle is - ANSWER-the articulation of the
manubrium and the body of the sternum

description of left lung - ANSWER-narrower than the right lung with
two lobes

Documentation of cough - ANSWER-productive cough for at least 3
months throughout the year, happens last two years

Confirm symmetric chest expansion - ANSWER--Place hands on
posterior chest wall thumbs at T9 or T10 slide medially pinch up skin
between thumbs

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