Health Assessment Exam [2026/2027] Updated Version
| Verified Questions & Detailed Rationales
What action should the nurse take during an otoscopic examination of an
adult patient?
Ans: Pull the auricle up and back - VERIFIED ANSWER - Ans: Pull the auricle
up and back
1. While conducting an interview a client reports acute pain in the left
upper quadrant of the abdomen. Given this information the nurse should?
A. Perform a complete abdominal assessment beginning with palpation
B. Proceed directly to performing auscultation of the abdomen
C. Complete the interview to obtain baseline information
D. Palpate the left upper quadrant last - VERIFIED ANSWER - D. Palpate the
left upper quadrant last
2. The nurse knows that during an abdominal assessment, deep palpation
is used to determine? - VERIFIED ANSWER - Enlarged organs
,3. When palpating the abdomen of a 20 year old patient, the nurse notices
the presence of tenderness in the left upper quadrant with deep palpation.
Which of these structures is most likely to be involved? - VERIFIED
ANSWER - Spleen
4. While examining a patient, the nurse observes abdominal pulsations
between the xiphoid process and umbilicus. The nurse would suspect that
these are: - VERIFIED ANSWER - Ans: normal abdominal aortic pulsations
5. The nurse suspects that a patient has appendicitis. Which of these
procedures are appropriate for use when assessing for appendicitis?
SELECT ALL THAT APPLY - VERIFIED ANSWER - Ans: Test for Blumberg's
sign and Perform the iliopsoas muscle test
6. The nurse is percussing the seventh right intercostal space at the
midclavicular line over the liver. Which sound should the nurse expect to
hear? - VERIFIED ANSWER - Dullness
7. While assessing a client's abdomen, which of the following would be
considered expected findings? - VERIFIED ANSWER - 3cm pulsation in the
epigastric region
,8. What is the pupillary response when the patient changes from near
vision to far vision? - VERIFIED ANSWER - Pupils constrict
9. When assessing a client's oral cavity the nurse notes that the tonsils
are enlarged and touching. The nurse would record the size of the tonsils
as?
1+
2+
3+
4+ - VERIFIED ANSWER - 3+
10. When performing a physical assessment of a client's frontal sinuses to
determine the presence of an infection the nurse should - VERIFIED
ANSWER - Ans: Ask if the client has a history of sinus infections
11. A patient is hospitalized for liver enlargement and tenderness. When
performing his admission physical examination you would be especially
gentle and careful when palpating his - VERIFIED ANSWER - RUQ
, 13. A visual acuity of 20/30 using the snellen chart means the? - VERIFIED
ANSWER - Ans: Client can read at 20 feet what a person with normal
vision can read at 30 feet.
13. The Optic Nerve mediates which function? - VERIFIED ANSWER - Vision
15. Which of the following is the first important step in helping the patient
to relax for the complete abdominal examination?
A. Warm the stethoscope before auscultating
B. Expose only the abdomen for examination
C. Have the patient bend their knees
D. Have the patient empty his/her bladder - VERIFIED ANSWER - Warm the
stethoscope before auscultating
16. A nurse notices the presence of nystagmus while assessing a client's
extraocular movements. Nystagmus typically occurs when the
A. Eyelid droops with movement of the eye
B. Eyes are in extreme lateral gaze
C. Reflection of light is congruent in both eyes
D. Upper eyelid overlaps the superior part of the iris - VERIFIED ANSWER -
D. Upper eyelid overlaps the superior part of the iris
| Verified Questions & Detailed Rationales
What action should the nurse take during an otoscopic examination of an
adult patient?
Ans: Pull the auricle up and back - VERIFIED ANSWER - Ans: Pull the auricle
up and back
1. While conducting an interview a client reports acute pain in the left
upper quadrant of the abdomen. Given this information the nurse should?
A. Perform a complete abdominal assessment beginning with palpation
B. Proceed directly to performing auscultation of the abdomen
C. Complete the interview to obtain baseline information
D. Palpate the left upper quadrant last - VERIFIED ANSWER - D. Palpate the
left upper quadrant last
2. The nurse knows that during an abdominal assessment, deep palpation
is used to determine? - VERIFIED ANSWER - Enlarged organs
,3. When palpating the abdomen of a 20 year old patient, the nurse notices
the presence of tenderness in the left upper quadrant with deep palpation.
Which of these structures is most likely to be involved? - VERIFIED
ANSWER - Spleen
4. While examining a patient, the nurse observes abdominal pulsations
between the xiphoid process and umbilicus. The nurse would suspect that
these are: - VERIFIED ANSWER - Ans: normal abdominal aortic pulsations
5. The nurse suspects that a patient has appendicitis. Which of these
procedures are appropriate for use when assessing for appendicitis?
SELECT ALL THAT APPLY - VERIFIED ANSWER - Ans: Test for Blumberg's
sign and Perform the iliopsoas muscle test
6. The nurse is percussing the seventh right intercostal space at the
midclavicular line over the liver. Which sound should the nurse expect to
hear? - VERIFIED ANSWER - Dullness
7. While assessing a client's abdomen, which of the following would be
considered expected findings? - VERIFIED ANSWER - 3cm pulsation in the
epigastric region
,8. What is the pupillary response when the patient changes from near
vision to far vision? - VERIFIED ANSWER - Pupils constrict
9. When assessing a client's oral cavity the nurse notes that the tonsils
are enlarged and touching. The nurse would record the size of the tonsils
as?
1+
2+
3+
4+ - VERIFIED ANSWER - 3+
10. When performing a physical assessment of a client's frontal sinuses to
determine the presence of an infection the nurse should - VERIFIED
ANSWER - Ans: Ask if the client has a history of sinus infections
11. A patient is hospitalized for liver enlargement and tenderness. When
performing his admission physical examination you would be especially
gentle and careful when palpating his - VERIFIED ANSWER - RUQ
, 13. A visual acuity of 20/30 using the snellen chart means the? - VERIFIED
ANSWER - Ans: Client can read at 20 feet what a person with normal
vision can read at 30 feet.
13. The Optic Nerve mediates which function? - VERIFIED ANSWER - Vision
15. Which of the following is the first important step in helping the patient
to relax for the complete abdominal examination?
A. Warm the stethoscope before auscultating
B. Expose only the abdomen for examination
C. Have the patient bend their knees
D. Have the patient empty his/her bladder - VERIFIED ANSWER - Warm the
stethoscope before auscultating
16. A nurse notices the presence of nystagmus while assessing a client's
extraocular movements. Nystagmus typically occurs when the
A. Eyelid droops with movement of the eye
B. Eyes are in extreme lateral gaze
C. Reflection of light is congruent in both eyes
D. Upper eyelid overlaps the superior part of the iris - VERIFIED ANSWER -
D. Upper eyelid overlaps the superior part of the iris
