NR 302 Health Assessment I - Exam 6 Study Guide 2026 |Chamberlain
College
1. While testing for visual acuity using a Snellen chart, the nurse records a result
of 20/40. How should the nurse interpret this finding?
A. The patient can read at 40 feet what a person with normal vision can read at 20 feet.
B. The patient has normal visual acuity.
C. The patient can read at 20 feet what a person with normal vision can read at 40 feet.
D. The patient can see objects clearly only when they are 20 inches away.
Answer: C
Rationale: In Snellen chart notation, the top number is the distance from the chart (20
feet), and the bottom number is the distance at which a normal eye could read that line.
2. When assessing the musculoskeletal system, which movement is defined as
moving a limb away from the midline of the body?
A. Adduction
B. Extension
C. Flexion
D. Abduction
Answer: D
Rationale: Abduction is the movement of a limb away from the body’s midline. Adduction
is moving it toward the midline.
,3. In which quadrant of the breast are the majority of breast tumors found?
A. Upper Outer Quadrant
B. Upper Inner Quadrant
C. Lower Outer Quadrant
D. Lower Inner Quadrant
Answer: A
Rationale: The Upper Outer Quadrant, which contains the Tail of Spence, is the site where
the majority of breast cancers are detected.
4. A nurse is teaching a male client about testicular self-examination (TSE).
Which statement by the client indicates a need for further instruction?
A. If I feel a firm, painless lump, it is likely just a cyst and nothing to worry about.
B. The best time to do the exam is during or after a warm shower.
C. I should perform the exam once a month.
D. I should report any changes in the size or shape of my testicles to my doctor.
Answer: A
Rationale: A firm, painless lump is a significant finding for testicular cancer and must be
reported immediately. It is not assumed to be a harmless cyst.
5. Which cranial nerve is being tested when the nurse asks the patient to shrug
their shoulders against resistance?
A. CN IX (Glossopharyngeal)
B. CN X (Vagus)
C. CN XII (Hypoglossal)
D. CN XI (Spinal Accessory)
Answer: D
Rationale: Cranial Nerve XI (Spinal Accessory) innervates the trapezius and sternomastoid
muscles; shoulder shrugging tests its integrity.
, 6. During a neurological exam, the nurse uses a reflex hammer to strike the
patellar tendon. The reflex is brisk and hyperactive. How should the nurse grade
this reflex?
A. 1+
B. 4+
C. 3+
D. 2+
Answer: B
Rationale: On the 0 to 4+ scale, 2+ is normal, 3+ is brisker than average, and 4+ is very
brisk or hyperactive, often associated with clonus.
7. Which skin lesion assessment finding follows the ‘B’ in the ABCDE rule for
melanoma?
A. Blue-black color
B. Border irregularity
C. Bumpy texture
D. Bleeding easily
Answer: B
Rationale: The ABCDE rule stands for Asymmetry, Border irregularity, Color variation,
Diameter >6mm, and Evolving.
8. A patient exhibits a ‘swaying’ motion when standing with eyes closed during
a Romberg test. The nurse should document this as:
A. A negative Romberg test
B. Proprioceptive deficit
C. Normal cerebellar function
D. A positive Romberg test
Answer: D
College
1. While testing for visual acuity using a Snellen chart, the nurse records a result
of 20/40. How should the nurse interpret this finding?
A. The patient can read at 40 feet what a person with normal vision can read at 20 feet.
B. The patient has normal visual acuity.
C. The patient can read at 20 feet what a person with normal vision can read at 40 feet.
D. The patient can see objects clearly only when they are 20 inches away.
Answer: C
Rationale: In Snellen chart notation, the top number is the distance from the chart (20
feet), and the bottom number is the distance at which a normal eye could read that line.
2. When assessing the musculoskeletal system, which movement is defined as
moving a limb away from the midline of the body?
A. Adduction
B. Extension
C. Flexion
D. Abduction
Answer: D
Rationale: Abduction is the movement of a limb away from the body’s midline. Adduction
is moving it toward the midline.
,3. In which quadrant of the breast are the majority of breast tumors found?
A. Upper Outer Quadrant
B. Upper Inner Quadrant
C. Lower Outer Quadrant
D. Lower Inner Quadrant
Answer: A
Rationale: The Upper Outer Quadrant, which contains the Tail of Spence, is the site where
the majority of breast cancers are detected.
4. A nurse is teaching a male client about testicular self-examination (TSE).
Which statement by the client indicates a need for further instruction?
A. If I feel a firm, painless lump, it is likely just a cyst and nothing to worry about.
B. The best time to do the exam is during or after a warm shower.
C. I should perform the exam once a month.
D. I should report any changes in the size or shape of my testicles to my doctor.
Answer: A
Rationale: A firm, painless lump is a significant finding for testicular cancer and must be
reported immediately. It is not assumed to be a harmless cyst.
5. Which cranial nerve is being tested when the nurse asks the patient to shrug
their shoulders against resistance?
A. CN IX (Glossopharyngeal)
B. CN X (Vagus)
C. CN XII (Hypoglossal)
D. CN XI (Spinal Accessory)
Answer: D
Rationale: Cranial Nerve XI (Spinal Accessory) innervates the trapezius and sternomastoid
muscles; shoulder shrugging tests its integrity.
, 6. During a neurological exam, the nurse uses a reflex hammer to strike the
patellar tendon. The reflex is brisk and hyperactive. How should the nurse grade
this reflex?
A. 1+
B. 4+
C. 3+
D. 2+
Answer: B
Rationale: On the 0 to 4+ scale, 2+ is normal, 3+ is brisker than average, and 4+ is very
brisk or hyperactive, often associated with clonus.
7. Which skin lesion assessment finding follows the ‘B’ in the ABCDE rule for
melanoma?
A. Blue-black color
B. Border irregularity
C. Bumpy texture
D. Bleeding easily
Answer: B
Rationale: The ABCDE rule stands for Asymmetry, Border irregularity, Color variation,
Diameter >6mm, and Evolving.
8. A patient exhibits a ‘swaying’ motion when standing with eyes closed during
a Romberg test. The nurse should document this as:
A. A negative Romberg test
B. Proprioceptive deficit
C. Normal cerebellar function
D. A positive Romberg test
Answer: D
