Rasmussen NUR 2092 Health Assessment Exam 2 2026/2027 | Complete Study Guide with 200+ Q&A | Integumentary, Head & Neck, Respiratory, Cardiac & Peripheral Vascular | Verified Answers with Rationales | Grade A+ | NGN-Aligned

INSTANT PDF DOWNLOAD—This comprehensive study guide is specifically designed for Rasmussen University nursing students preparing for NUR 2092 Health Assessment Exam 2 for the 2026/2027 academic year. Based on verified exam materials from top-selling student resources, this resource contains expertly verified practice questions and 100% correct answers with detailed rationales to help you master core health assessment concepts and achieve a top score (Grade A+). This comprehensive guide covers all major topics tested on NUR 2092 Exam 2 : Integumentary Assessment : Skin inspection techniques (color, moisture, texture, temperature, turgor, mobility, vascularity, lesions) . Primary lesions : macule (flat, 1 cm), papule (raised, 1 cm), plaque (raised, 1 cm), vesicle (fluid-filled, 1 cm), bulla (fluid-filled, 1 cm), pustule (purulent), wheal (hive-like) . Secondary lesions : crust, scale, fissure, erosion, ulcer, excoriation, scar, keloid . ABCDE rule for skin cancer : Asymmetry, Border irregularity, Color variation, Diameter 6 mm, Evolving . Pressure ulcer staging : Stage 1 (intact with non-blanchable erythema), Stage 2 (partial-thickness), Stage 3 (full-thickness with visible subcutaneous fat), Stage 4 (exposed bone/tendon/muscle) . Head & Neck Assessment : Cranial nerves —CN V (Trigeminal) for facial sensation and mastication; CN VII (Facial) for facial expression and taste; CN XI (Spinal Accessory) for trapezius and sternocleidomastoid strength (shrug shoulders, turn head against resistance) . Thyroid assessment —palpate posteriorly with neck flexed; patient swallows, thyroid rises. Lymph nodes —preauricular, postauricular, occipital, tonsillar, submandibular, submental, anterior/posterior cervical, supraclavicular; normal nodes are non-palpable, mobile, non-tender . Eye Assessment : Snellen chart for visual acuity (20/20 normal; numerator = distance from chart, denominator = distance at which normal eye sees line). Cranial nerves —CN II (Optic) for vision; CN III, IV, VI for extraocular movements (six cardinal fields of gaze) . Pupillary assessment —PERRLA (Pupils Equal, Round, Reactive to Light and Accommodation). Accommodation —pupils constrict as gaze shifts from far to near. Fundoscopic exam —visualize optic disc (creamy yellow-orange, round/oval, sharp margins) . Ear Assessment : Otoscopic exam —pull auricle up and back for adults, down for children; inspect external canal and tympanic membrane. Weber test —tuning fork on top of head; normal = sound heard equally in both ears. Rinne test —tuning fork at mastoid then near ear canal; normal = air conduction bone conduction (2:1 ratio) . Whisper test —screen for hearing loss; patient occludes one ear, whisper 2-3 words 1-2 feet away . Nose, Mouth & Throat Assessment : Transillumination for sinus tenderness; inspecting nasal mucosa for color, swelling, discharge; inspect lips, teeth, gums, tongue, buccal mucosa, hard/soft palate, tonsils (tonsil grading: 1+ visible, 2+ midway between pillars and uvula, 3+ touching uvula, 4+ touching each other) ; CN IX (Glossopharyngeal) and CN X (Vagus) for gag reflex and swallowing . Respiratory Assessment : Inspection —respiratory rate, rhythm, depth, use of accessory muscles, chest symmetry. Palpation —tactile fremitus (99 vibrations), tenderness. Percussion —resonance (normal lung), hyperresonance (COPD, pneumothorax), dullness (pneumonia, effusion). Auscultation —bronchial (loud, high-pitched over trachea), bronchovesicular (medium over main bronchi), vesicular (soft, low-pitched over peripheral lung). Adventitious sounds —crackles (rales, fluid/secretions), wheezes (airway narrowing), rhonchi (mucus in larger airways), pleural friction rub (inflamed pleura) . Cardiovascular Assessment : Inspection —JVD (jugular venous distention, 45° indicates right heart failure), heaves, thrills. Palpation —apical pulse (PMI at 5th ICS, left MCL). Auscultation —S1 (mitral/tricuspid closure, "lub"), S2 (aortic/pulmonic closure, "dub"), S3 (ventricular gallop, heart failure), S4 (atrial gallop, hypertension). Murmurs —turbulent blood flow; timing (systolic/diastolic), location, radiation, intensity (Grade 1-6) . Peripheral Vascular Assessment : Pulses —carotid, brachial, radial, ulnar, femoral, popliteal, dorsalis pedis, posterior tibial. Grading pulses : 0 absent, 1+ weak, 2+ normal, 3+ increased, 4+ bounding. Bruits —turbulent sound over artery (carotid, abdominal aorta, femoral). Capillary refill —2 seconds normal. Edema grading : 1+ mild pitting, 2+ moderate, 3+ deep pitting, 4+ very deep . Arterial insufficiency —intermittent claudication, pallor with elevation, dependent rubor, thin shiny skin, hair loss. Venous insufficiency —aching, edema, stasis ulcers, varicosities, brown discoloration . Breast & Axillae Assessment : Inspection —size, symmetry, contour, skin changes (dimpling, peau d'orange, erythema), nipple discharge. Palpation —vertical strip pattern, patient lying supine with arm overhead; assess for masses (location, size, shape, consistency, mobility, tenderness). Axillae —palpate for lymph nodes . Lifespan Considerations : Geriatric —skin loses elasticity, increased dryness, senile purpura, presbyopia (difficulty seeing near), presbycusis (high-frequency hearing loss), decreased tactile sensation, kyphosis . Pediatric —fontanels (anterior closes 12-18 months, posterior closes 2 months), head circumference measurement until 36 months, developmental milestones . Sample Questions Include : "The nurse notes a flat, non-palpable skin lesion less than 1 cm. How should this be documented?" → Macule "When assessing the thyroid gland, the nurse palpates the gland while the patient swallows. What anatomical structure rises with swallowing?" → Thyroid gland "What cranial nerve is assessed by asking the patient to shrug shoulders against resistance?" → CN XI (Spinal Accessory) "A patient reports hearing loss and a feeling of fullness in the ear. The Weber test reveals sound lateralizes to the affected ear. This finding is consistent with:" → Conductive hearing loss "During auscultation of the lungs, the nurse hears high-pitched, continuous sounds over the trachea. These sounds are best described as:" → Bronchial breath sounds "The nurse assesses a patient's lower extremities and notes 2+ pitting edema, hair loss, and cool skin. These findings are consistent with:" → Arterial insufficiency "What is the correct technique for palpating the breast?" → Use the pads of the fingers in a vertical strip pattern with the patient supine and arm overhead All questions include complete rationales based on current evidence-based practice, health assessment standards, and Rasmussen University curriculum requirements . DOCUMENT ACCESS: This study guide is available as an instant digital download (PDF) immediately upon purchase. Fully text-searchable, printable, and accessible anytime through your user account. 100% satisfaction guarantee. Trusted by thousands of Rasmussen nursing students for NUR 2092 exam preparation and mastering health assessment competencies .