Health Assessment Test 1 NP
Questions with Accurate Answers
A nurse is assessing a client's cranial nerves. Which of the following client actions is an
indication that cranial nerve 1 is intact
a) The client can stick their tongue out
b) The client can smile symmetrically
C) The client can hear whispered words
D) The client can identify a minty scent - answerD) The client can identify a minty scent
A nurse is performing a respiratory assessment on a client. The nurse auscultates a
wet, popping sound upon inspiration of the clients breathing. The nurse should identify
this observation as which of the following findings
A) crackles
B) Stridor
C) Wheezes
D) Friction rub - answerA) Crackles
A nurse is performing a cardiovascular assessment on a client. Which of the following
findings should the nurse expect?
A) A continuous sensation of vibration felt over the second and third left intercostal
spaces
B) A high pitched scraping sound heard in the third intercostal space to the left of the
sternum
C)A brief thump felt near the fourth or fifth intercostal space near the left midclavicular
line
D) A whooshing or swishing should over the seconds intercostal space along the left
sternal border - answerC)A brief thump felt near the fourth or fifth intercostal space near
the left midclavicular line
A Nurse is preparing to perform a comprehensive physical assessment on a client.
Which of the following actions should the nurse plan to take first?
a) Document accurate data
B) develop a plan of care
,C) Validate previous data
D) Evaluate outcomes of care - answerB) develop a plan of care
A nurse is palpating a tender area on a clients abdomen. The nurse slowly applied
pressure over the area with their fingertips, then quickly releases it. The client reports
increased pain on the release of pressure. Which of the following findings should the
nurse document.
A) Borborygmi
B) Rebound tenderness
C) Tympany
D) Abdominal guarding - answerB) Rebound tenderness
A nurse is performing a physical examination of the spine for an older adult client. The
client should identify that which of the following findings is common with aging
A) Lordosis
B) Kyphosis
C) Ankylosis
D) Scoliosis - answerB) Kyphosis
Lordosis- swayback
Kyphosis- hunchback
Ankylosis-immobility
Scoliosis- lateral curve
A nurse is performing an abdominal assessment on a client. Over which of the following
areas of the clients abdomen should the nurse attempt to auscultate active bowel
sounds first
A) RUQ
B) LUQ
C) RLQ
D) LLQ - answerC) RLQ
A nurse is performing a general client survey and finds that the client has a BMI of 23.
Which of the following should the nurse document.
A) no nutritional issues
B) High risk for obesity
C) The client will need referral to a dietitian
D)The client has a BMI within the expected range - answerD)The client has a BMI within
the expected range
, A nurse is teaching a newly licensed nurse about using a stethoscope. Which of the
following instructions should the nurse include
A) Insert the earpieces at the downward angle towards your nose
B) Use the diaphragm to listen to low pitched sounds
C) Drape the stethoscope over your neck when not in use
D) Clean the stethoscope by immersing it in soapy water - answerA) Insert the
earpieces at the downward angle towards your nose
A nurse is assessing a client's peripheral vascular status of the lower extremities. The
nurse should place their fingertips on the tip of a clients foot, between the tendons of the
great toe and those of the toe next to it, in order to palpate which of the following pulses
A) Posterior tibial
B) Popliteal
C) Dorsalis pedis
D) Femoral - answerC) Dorsalis pedis
A nurse is performing preparing to conduct a Romberg test on a client. The nurse
should explain to the client that the Romberg test is used to assess which of the
following characteristics?
a) Gait
B) hearing
C) Vision
D) balance - answerD) balance
A nurse is performing a complete, head-to-toe physical examination for a client. Which
of the following physical assessment techniques should the nurse perform first? -
answer
A nurse is performing a complete, head-to-toe physical examination for a client. Which
of the following physical assessment techniques should the nurse perform first?
A) Auscultation
B) Inspection
C) Percussion
D) palpation - answerB) Inspection
Stethoscope - answer-auscultation
Questions with Accurate Answers
A nurse is assessing a client's cranial nerves. Which of the following client actions is an
indication that cranial nerve 1 is intact
a) The client can stick their tongue out
b) The client can smile symmetrically
C) The client can hear whispered words
D) The client can identify a minty scent - answerD) The client can identify a minty scent
A nurse is performing a respiratory assessment on a client. The nurse auscultates a
wet, popping sound upon inspiration of the clients breathing. The nurse should identify
this observation as which of the following findings
A) crackles
B) Stridor
C) Wheezes
D) Friction rub - answerA) Crackles
A nurse is performing a cardiovascular assessment on a client. Which of the following
findings should the nurse expect?
A) A continuous sensation of vibration felt over the second and third left intercostal
spaces
B) A high pitched scraping sound heard in the third intercostal space to the left of the
sternum
C)A brief thump felt near the fourth or fifth intercostal space near the left midclavicular
line
D) A whooshing or swishing should over the seconds intercostal space along the left
sternal border - answerC)A brief thump felt near the fourth or fifth intercostal space near
the left midclavicular line
A Nurse is preparing to perform a comprehensive physical assessment on a client.
Which of the following actions should the nurse plan to take first?
a) Document accurate data
B) develop a plan of care
,C) Validate previous data
D) Evaluate outcomes of care - answerB) develop a plan of care
A nurse is palpating a tender area on a clients abdomen. The nurse slowly applied
pressure over the area with their fingertips, then quickly releases it. The client reports
increased pain on the release of pressure. Which of the following findings should the
nurse document.
A) Borborygmi
B) Rebound tenderness
C) Tympany
D) Abdominal guarding - answerB) Rebound tenderness
A nurse is performing a physical examination of the spine for an older adult client. The
client should identify that which of the following findings is common with aging
A) Lordosis
B) Kyphosis
C) Ankylosis
D) Scoliosis - answerB) Kyphosis
Lordosis- swayback
Kyphosis- hunchback
Ankylosis-immobility
Scoliosis- lateral curve
A nurse is performing an abdominal assessment on a client. Over which of the following
areas of the clients abdomen should the nurse attempt to auscultate active bowel
sounds first
A) RUQ
B) LUQ
C) RLQ
D) LLQ - answerC) RLQ
A nurse is performing a general client survey and finds that the client has a BMI of 23.
Which of the following should the nurse document.
A) no nutritional issues
B) High risk for obesity
C) The client will need referral to a dietitian
D)The client has a BMI within the expected range - answerD)The client has a BMI within
the expected range
, A nurse is teaching a newly licensed nurse about using a stethoscope. Which of the
following instructions should the nurse include
A) Insert the earpieces at the downward angle towards your nose
B) Use the diaphragm to listen to low pitched sounds
C) Drape the stethoscope over your neck when not in use
D) Clean the stethoscope by immersing it in soapy water - answerA) Insert the
earpieces at the downward angle towards your nose
A nurse is assessing a client's peripheral vascular status of the lower extremities. The
nurse should place their fingertips on the tip of a clients foot, between the tendons of the
great toe and those of the toe next to it, in order to palpate which of the following pulses
A) Posterior tibial
B) Popliteal
C) Dorsalis pedis
D) Femoral - answerC) Dorsalis pedis
A nurse is performing preparing to conduct a Romberg test on a client. The nurse
should explain to the client that the Romberg test is used to assess which of the
following characteristics?
a) Gait
B) hearing
C) Vision
D) balance - answerD) balance
A nurse is performing a complete, head-to-toe physical examination for a client. Which
of the following physical assessment techniques should the nurse perform first? -
answer
A nurse is performing a complete, head-to-toe physical examination for a client. Which
of the following physical assessment techniques should the nurse perform first?
A) Auscultation
B) Inspection
C) Percussion
D) palpation - answerB) Inspection
Stethoscope - answer-auscultation
