NRS 420 HEALTH ASSESSMENT ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||2026////2027!!!
During assessment of the lower extremities of a male client the nurse is
unable to palpate the dorsalis pedis pulse. What action should the nurse take
first?
a. Notify the Physician
b. Return in a few hours and reassess
c. Ask the client if this is normal for him
d. Reposition the fingers and assess again
Correct Answer: D. Reposition the fingers and assess again
Expert Rationale: The dorsalis pedis pulse can be difficult to palpate because of anatomical
variations or improper finger placement. The nurse should first reassess by repositioning
the fingers before concluding that circulation is impaired. Immediate reassessment follows
the nursing process and helps avoid unnecessary interventions. Notifying the provider is
premature until reassessment confirms an abnormal finding.
DIF: Application
REF: Peripheral Vascular Assessment
OBJ: Apply appropriate assessment techniques during vascular examination
TOP: Assessment / Nursing Process Step: Assessment
An example of objective data obtained during the physical assessment
includes: Select all that apply
a. Sore throat
b. Audible wheeze
,c. Headache
d. Tinnitus
e. Pressure ulcer rt. ankle
Correct Answer: B, E
Expert Rationale: Objective data are findings directly observed, measured, or verified by
the nurse during assessment. An audible wheeze and a visible pressure ulcer are objective
findings because they can be detected without relying on the client’s report. Sore throat,
headache, and tinnitus are subjective symptoms reported by the client.
DIF: Knowledge
REF: Health Assessment / Data Collection
OBJ: Differentiate objective and subjective assessment data
TOP: Assessment
A mother is at the clinic with her 2-year-old son and states 'he won't go to
sleep at night and during the day he has several fits.' The nurse's best verbal
response should be:
a. Go on, I'm listening
b. Tell me what you mean by fits.
c. Yes, it can be upsetting when a child has a fit.
d. Don't be upset when he has a fit, all 2-year-olds have fits
Correct Answer: B. Tell me what you mean by fits.
Expert Rationale: Clarification is an important therapeutic communication technique.
Asking the mother to explain what she means by “fits” allows the nurse to gather accurate
and complete assessment information without making assumptions. The other responses
either minimize the concern or fail to obtain specific data.
DIF: Application
REF: Therapeutic Communication
OBJ: Use clarification techniques during client interviews
TOP: Communication
,Which of the following statements illustrates the use of open-ended
questions? Select all that apply
a. Elicits cold facts
b. Builds and enhances rapport
c. Leaves interactions neutral
d. Calls for short one-to two-word answers
e. Used when narrative information is needed
Correct Answer: B, E
Expert Rationale: Open-ended questions encourage clients to provide detailed information
and promote communication and rapport-building. These questions are especially useful
when narrative responses are needed during the assessment process. Closed-ended
questions are more likely to elicit short or one-word answers.
DIF: Knowledge
REF: Communication Techniques
OBJ: Identify characteristics of open-ended questioning
TOP: Psychosocial Integrity
A client's reason for seeking care is shortness of breath. When obtaining a
health history, which question would obtain the most helpful information?
a. Will you please describe the activities that cause you to be short of breath?
b. Have you been short of breath for long?
c. Hon, are you short of breath now?
d. Do you have interstitial pneumonia?
Correct Answer: A. Will you please describe the activities that cause you to be short of
breath?
Expert Rationale: This open-ended question gathers specific information about
precipitating factors and severity of dyspnea. Functional assessment helps the nurse
, determine how the symptom affects daily activities and may indicate disease progression.
The remaining options are either closed-ended, leading, or nontherapeutic.
DIF: Application
REF: Respiratory Assessment
OBJ: Obtain relevant subjective data related to dyspnea
TOP: Assessment
During an exam the nurse notices the client has round, flat red lesions on the
skin of the forearm. The nurse suspects:
a. Petechiae
b. Pruritis
c. Herpes zoster
d. Psoriasis
Correct Answer: A. Petechiae
Expert Rationale: Petechiae are small, round, flat red or purple spots caused by capillary
bleeding under the skin. They do not blanch with pressure and may indicate bleeding
disorders or platelet abnormalities. Pruritus refers to itching, while herpes zoster and
psoriasis have different lesion characteristics.
DIF: Knowledge
REF: Skin Assessment
OBJ: Recognize common skin lesion characteristics
TOP: Assessment
A 65-year-old man with emphysema has come to the clinic for a follow-up
appointment. On assessment of the skin, the nurse might expect to assess the
following:
Correct Answer: D. Clubbing of the nails
Expert Rationale: Clubbing occurs in chronic hypoxic conditions such as emphysema and
COPD. Chronic low oxygen levels lead to bulbous enlargement of the fingertips and nails.
WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||2026////2027!!!
During assessment of the lower extremities of a male client the nurse is
unable to palpate the dorsalis pedis pulse. What action should the nurse take
first?
a. Notify the Physician
b. Return in a few hours and reassess
c. Ask the client if this is normal for him
d. Reposition the fingers and assess again
Correct Answer: D. Reposition the fingers and assess again
Expert Rationale: The dorsalis pedis pulse can be difficult to palpate because of anatomical
variations or improper finger placement. The nurse should first reassess by repositioning
the fingers before concluding that circulation is impaired. Immediate reassessment follows
the nursing process and helps avoid unnecessary interventions. Notifying the provider is
premature until reassessment confirms an abnormal finding.
DIF: Application
REF: Peripheral Vascular Assessment
OBJ: Apply appropriate assessment techniques during vascular examination
TOP: Assessment / Nursing Process Step: Assessment
An example of objective data obtained during the physical assessment
includes: Select all that apply
a. Sore throat
b. Audible wheeze
,c. Headache
d. Tinnitus
e. Pressure ulcer rt. ankle
Correct Answer: B, E
Expert Rationale: Objective data are findings directly observed, measured, or verified by
the nurse during assessment. An audible wheeze and a visible pressure ulcer are objective
findings because they can be detected without relying on the client’s report. Sore throat,
headache, and tinnitus are subjective symptoms reported by the client.
DIF: Knowledge
REF: Health Assessment / Data Collection
OBJ: Differentiate objective and subjective assessment data
TOP: Assessment
A mother is at the clinic with her 2-year-old son and states 'he won't go to
sleep at night and during the day he has several fits.' The nurse's best verbal
response should be:
a. Go on, I'm listening
b. Tell me what you mean by fits.
c. Yes, it can be upsetting when a child has a fit.
d. Don't be upset when he has a fit, all 2-year-olds have fits
Correct Answer: B. Tell me what you mean by fits.
Expert Rationale: Clarification is an important therapeutic communication technique.
Asking the mother to explain what she means by “fits” allows the nurse to gather accurate
and complete assessment information without making assumptions. The other responses
either minimize the concern or fail to obtain specific data.
DIF: Application
REF: Therapeutic Communication
OBJ: Use clarification techniques during client interviews
TOP: Communication
,Which of the following statements illustrates the use of open-ended
questions? Select all that apply
a. Elicits cold facts
b. Builds and enhances rapport
c. Leaves interactions neutral
d. Calls for short one-to two-word answers
e. Used when narrative information is needed
Correct Answer: B, E
Expert Rationale: Open-ended questions encourage clients to provide detailed information
and promote communication and rapport-building. These questions are especially useful
when narrative responses are needed during the assessment process. Closed-ended
questions are more likely to elicit short or one-word answers.
DIF: Knowledge
REF: Communication Techniques
OBJ: Identify characteristics of open-ended questioning
TOP: Psychosocial Integrity
A client's reason for seeking care is shortness of breath. When obtaining a
health history, which question would obtain the most helpful information?
a. Will you please describe the activities that cause you to be short of breath?
b. Have you been short of breath for long?
c. Hon, are you short of breath now?
d. Do you have interstitial pneumonia?
Correct Answer: A. Will you please describe the activities that cause you to be short of
breath?
Expert Rationale: This open-ended question gathers specific information about
precipitating factors and severity of dyspnea. Functional assessment helps the nurse
, determine how the symptom affects daily activities and may indicate disease progression.
The remaining options are either closed-ended, leading, or nontherapeutic.
DIF: Application
REF: Respiratory Assessment
OBJ: Obtain relevant subjective data related to dyspnea
TOP: Assessment
During an exam the nurse notices the client has round, flat red lesions on the
skin of the forearm. The nurse suspects:
a. Petechiae
b. Pruritis
c. Herpes zoster
d. Psoriasis
Correct Answer: A. Petechiae
Expert Rationale: Petechiae are small, round, flat red or purple spots caused by capillary
bleeding under the skin. They do not blanch with pressure and may indicate bleeding
disorders or platelet abnormalities. Pruritus refers to itching, while herpes zoster and
psoriasis have different lesion characteristics.
DIF: Knowledge
REF: Skin Assessment
OBJ: Recognize common skin lesion characteristics
TOP: Assessment
A 65-year-old man with emphysema has come to the clinic for a follow-up
appointment. On assessment of the skin, the nurse might expect to assess the
following:
Correct Answer: D. Clubbing of the nails
Expert Rationale: Clubbing occurs in chronic hypoxic conditions such as emphysema and
COPD. Chronic low oxygen levels lead to bulbous enlargement of the fingertips and nails.
