CHPA PRACTICE GUIDE
QUESTIONS AND
CORRECT ANSWERS
GRADED A+ 2025-2026
Upon assessment of an older adult, the nurse notes the client's skin to have a yellow
color. The nurse interprets this finding as a result of which health condition? - ANS-
hepatitis
A nurse is inspecting the ear canals and tympanic membranes of an 18-month-old
child. How would the pinna be moved to achieve better visualization? - ANS-Gently pull
the pinna down and back.
When percussing the liver, the sound should be: - ANS-Dull
A client is brought to the health care center in a semi-conscious state following a
suicide attempt. The nurse is assisting the health care provider in resuscitating the
client. The client's skin appears to be bluish. What should the nurse document as the
cause for this coloration? - ANS-low tissue oxygenation
A nurse is assessing a client's capillary refill time. Within how many seconds should it
take for the client's blood to resume flowing in the base of the nail beds after
compression and release of the nail bed? - ANS-3
The nurse on a geriatric care unit is completing assessments of four clients. Which
client is most likely to exhibit edema? - ANS-an 81-year-old woman who has been
admitted with chronic heart failure
, The client reports a change in the ability to smell fo llowing the flu. What action(s) does
the nurse include when testing the client's smelling acuity? Select all that apply. - ANS-
While assessing breath sounds, a nurse hears crackles. The nurse interprets this
finding as indicating which condition? - ANS-
The client is reporting visual disturbances. The nurse observes the client for
extraocular movements. The nurse asks the client to focus on and to follow the nurse's
finger. Which finding is normal? - ANS-Both eyes demonstrate coordinated movements
while following the nurse's finger.
While assessing the characteristics of the skin of the client, the nurse observes a
mouth slit at the aperture of the mouth. The nurse documents this finding as a fissure.
What is a fissure? - ANS-a crack in the skin, especially in or near a mucous membrane
A nurse uses percussion to assess a client's liver. What is the normal tone that should
be heard in this situation? - ANS-dull
When percussing the liver, the sound should be: - ANS-dull
A nurse is performing a general survey of a client admitted to the hospital. Which
action is an element of this procedure? - ANS-Taking vital signs
During the admission assessment of a new client, the nurse is preparing to assess the
client's thyroid gland. How should the nurse perform this assessment? - ANS-Stand
behind the client and palpate the sides of the trachea.
A nurse suspects that a client has abdominal ascites and prepares to assess the
abdominal girth. How should this assessment be completed? - ANS-stretching a tape
measure around the largest diameter and making guide marks on the skin
The following clients are being seen in the emergency department. Which client will be
prioritized to have a mental status assessment performed by the nurse? - ANS-client
who overdosed on prescribed oxycontin
QUESTIONS AND
CORRECT ANSWERS
GRADED A+ 2025-2026
Upon assessment of an older adult, the nurse notes the client's skin to have a yellow
color. The nurse interprets this finding as a result of which health condition? - ANS-
hepatitis
A nurse is inspecting the ear canals and tympanic membranes of an 18-month-old
child. How would the pinna be moved to achieve better visualization? - ANS-Gently pull
the pinna down and back.
When percussing the liver, the sound should be: - ANS-Dull
A client is brought to the health care center in a semi-conscious state following a
suicide attempt. The nurse is assisting the health care provider in resuscitating the
client. The client's skin appears to be bluish. What should the nurse document as the
cause for this coloration? - ANS-low tissue oxygenation
A nurse is assessing a client's capillary refill time. Within how many seconds should it
take for the client's blood to resume flowing in the base of the nail beds after
compression and release of the nail bed? - ANS-3
The nurse on a geriatric care unit is completing assessments of four clients. Which
client is most likely to exhibit edema? - ANS-an 81-year-old woman who has been
admitted with chronic heart failure
, The client reports a change in the ability to smell fo llowing the flu. What action(s) does
the nurse include when testing the client's smelling acuity? Select all that apply. - ANS-
While assessing breath sounds, a nurse hears crackles. The nurse interprets this
finding as indicating which condition? - ANS-
The client is reporting visual disturbances. The nurse observes the client for
extraocular movements. The nurse asks the client to focus on and to follow the nurse's
finger. Which finding is normal? - ANS-Both eyes demonstrate coordinated movements
while following the nurse's finger.
While assessing the characteristics of the skin of the client, the nurse observes a
mouth slit at the aperture of the mouth. The nurse documents this finding as a fissure.
What is a fissure? - ANS-a crack in the skin, especially in or near a mucous membrane
A nurse uses percussion to assess a client's liver. What is the normal tone that should
be heard in this situation? - ANS-dull
When percussing the liver, the sound should be: - ANS-dull
A nurse is performing a general survey of a client admitted to the hospital. Which
action is an element of this procedure? - ANS-Taking vital signs
During the admission assessment of a new client, the nurse is preparing to assess the
client's thyroid gland. How should the nurse perform this assessment? - ANS-Stand
behind the client and palpate the sides of the trachea.
A nurse suspects that a client has abdominal ascites and prepares to assess the
abdominal girth. How should this assessment be completed? - ANS-stretching a tape
measure around the largest diameter and making guide marks on the skin
The following clients are being seen in the emergency department. Which client will be
prioritized to have a mental status assessment performed by the nurse? - ANS-client
who overdosed on prescribed oxycontin
