C228-WGU Health Assessment
Questions with All Actual Answers
2025-2026 Updated.
Subjective data - Answer Said by the client (S)
Objective data - Answer Observed by the nurse (O)
Assessment Techniques is as follows - Answer Inspect-Palpation-Percussion-Auscultation
Order of Abdomen Assessment - Answer Inspect-Auscultation-Percuss-Palapate
Inspection - Answer *always first*
1. Take time to observe with eyes ear nose
2.Use good lighting
3.Look at color shape symmetry position
4.Observe for odors from skin breath wound
5. Develop and use nursing instincts
6.Inspection is done alone and in combination with other assessment techniuqes
Back of hand - Answer To assess skin temperature use
Deep Palpation - Answer 5-8cm or (2-3") deep is considered
Light Paplpation - Answer 1cm deep is considered
Percussion - Answer sounds produced by striking body surface
sounds are dull resonant flat tympanic
action is performed in the wrist
Ausculation - Answer listening to sounds produced by the body
Bell - Answer picks up low pitched sounds such as heart murmurs
,General Survey - Answer is an overall review or first impression a nurse has of person's well
being.
Appearance - Answer appears to be reported age
sexual development appropriate
alert and oriented
facial features symmetric
no signs of acute distress
Body Structure/mobilty - Answer weight and height WNL BMI guidelines
body parts equal bilaterally
stands erect
sits comfortably
gait is coordinated
walk is smooth and well balanced
full mobility of joints
Behavior - Answer maintains eye contact with appropriate expressions
comfortable and cooperative
speech clear
clothing is correct for climate
looks cleat and fit
appears clean and well groomed
Comprehensive history - Answer which includes chief complaint or reason for the visit a
complete review of systems and complete past family and social history should be obtained on
the first encounter with a patient regardless of setting and by a RN
Family Health Hx - Answer Are completed across three generations looking specifically for
patterns in genetic issues that negatively impact quality of life
Health Hx - Answer gives a picture of patient's current health and documentation must be
completed for each visit and or assessment
How to measure height less than 2 years of age - Answer Obtain height by measuring the
recumbent length of children less than 2 years of age and
, children between 2 and 3 who cannot stand unassisted. A measuring board with a stationary
headboard and a sliding vertical foot piece is ideal, but a tape measure can also be used
a) Lay the child flat against the center of the board. The head should be held against the
headboard by the parent or an assistant and the knees held so that the hips and knees are
extended. The foot piece is moved until it is firmly against the child's heels. Read and record the
measurement to the nearest 1/8 inch.
b) A modified technique in home settings is to lay the child flat and straight where the head
should be held by the parent and the knees held so that the hips and knees are extended, mark
the flat surface at the top of the head and tip of the heels. Move child and measure the distance
between the marks with a tape measure. Read and record the measurement to the nearest 1/8
inch
2. When a recumbent length is obtained for a two year old, it should be plotted on the birth to
36 months growth chart. When a standing height is obtained for a two year old, plot the finding
on the 2 year to 18 year chart. After plotting measurements for children on age and gender
specific growth charts, evaluate, educate and refer according to findings.
Height children 2-3 and older - Answer 3. Obtain a standing height on children greater than 2
to 3 years of age, adolescents, and adults, using a portable stadiometer. The patient is to be
wearing only socks or be bare foot. Have the patient stand with head, shoulder blades,
buttocks, and heels touching the wall. The knees are to be straight and feet flat on the floor, and
the patient is asked to look straight ahead. The flat surface of the stadiometer is lowered until it
touches the crown of the head, compress the hair. A measuring rod attached to a weight scale
should not be used.
Measuring weight: - Answer 1. Balance beam or digital scales should be used to weigh
patients of all ages. Spring type
scales are not acceptable. CDC recommends that all scales should be zero balanced and
calibrated. Scales must be checked for accuracy on an annual basis and calibrated in accordance
with manufacturer's instructions.
2. Prior to obtaining weight measurements, make sure the scale is "zeroed".
Weight infants, children, and teens and adults - Answer 3. Weigh infants wearing only a dry
diaper or light undergarments. Weigh children after removing
outer clothing and shoes. Weigh adolescents and adults with the patient wearing minimal
clothing.
4. Place the patient in the middle of the scale. Read the measurement and record results
immediately. Plot measurements on age and gender specific growth charts and evaluate
accordingly
Measuring head circumference - Answer Obtain measurement on children from birth to 36
months of age by extending a non stretchable measuring tape around the broadest part of the
child's head For greatest accuracy the tape is placed 3 times with a reading taken at the right
Questions with All Actual Answers
2025-2026 Updated.
Subjective data - Answer Said by the client (S)
Objective data - Answer Observed by the nurse (O)
Assessment Techniques is as follows - Answer Inspect-Palpation-Percussion-Auscultation
Order of Abdomen Assessment - Answer Inspect-Auscultation-Percuss-Palapate
Inspection - Answer *always first*
1. Take time to observe with eyes ear nose
2.Use good lighting
3.Look at color shape symmetry position
4.Observe for odors from skin breath wound
5. Develop and use nursing instincts
6.Inspection is done alone and in combination with other assessment techniuqes
Back of hand - Answer To assess skin temperature use
Deep Palpation - Answer 5-8cm or (2-3") deep is considered
Light Paplpation - Answer 1cm deep is considered
Percussion - Answer sounds produced by striking body surface
sounds are dull resonant flat tympanic
action is performed in the wrist
Ausculation - Answer listening to sounds produced by the body
Bell - Answer picks up low pitched sounds such as heart murmurs
,General Survey - Answer is an overall review or first impression a nurse has of person's well
being.
Appearance - Answer appears to be reported age
sexual development appropriate
alert and oriented
facial features symmetric
no signs of acute distress
Body Structure/mobilty - Answer weight and height WNL BMI guidelines
body parts equal bilaterally
stands erect
sits comfortably
gait is coordinated
walk is smooth and well balanced
full mobility of joints
Behavior - Answer maintains eye contact with appropriate expressions
comfortable and cooperative
speech clear
clothing is correct for climate
looks cleat and fit
appears clean and well groomed
Comprehensive history - Answer which includes chief complaint or reason for the visit a
complete review of systems and complete past family and social history should be obtained on
the first encounter with a patient regardless of setting and by a RN
Family Health Hx - Answer Are completed across three generations looking specifically for
patterns in genetic issues that negatively impact quality of life
Health Hx - Answer gives a picture of patient's current health and documentation must be
completed for each visit and or assessment
How to measure height less than 2 years of age - Answer Obtain height by measuring the
recumbent length of children less than 2 years of age and
, children between 2 and 3 who cannot stand unassisted. A measuring board with a stationary
headboard and a sliding vertical foot piece is ideal, but a tape measure can also be used
a) Lay the child flat against the center of the board. The head should be held against the
headboard by the parent or an assistant and the knees held so that the hips and knees are
extended. The foot piece is moved until it is firmly against the child's heels. Read and record the
measurement to the nearest 1/8 inch.
b) A modified technique in home settings is to lay the child flat and straight where the head
should be held by the parent and the knees held so that the hips and knees are extended, mark
the flat surface at the top of the head and tip of the heels. Move child and measure the distance
between the marks with a tape measure. Read and record the measurement to the nearest 1/8
inch
2. When a recumbent length is obtained for a two year old, it should be plotted on the birth to
36 months growth chart. When a standing height is obtained for a two year old, plot the finding
on the 2 year to 18 year chart. After plotting measurements for children on age and gender
specific growth charts, evaluate, educate and refer according to findings.
Height children 2-3 and older - Answer 3. Obtain a standing height on children greater than 2
to 3 years of age, adolescents, and adults, using a portable stadiometer. The patient is to be
wearing only socks or be bare foot. Have the patient stand with head, shoulder blades,
buttocks, and heels touching the wall. The knees are to be straight and feet flat on the floor, and
the patient is asked to look straight ahead. The flat surface of the stadiometer is lowered until it
touches the crown of the head, compress the hair. A measuring rod attached to a weight scale
should not be used.
Measuring weight: - Answer 1. Balance beam or digital scales should be used to weigh
patients of all ages. Spring type
scales are not acceptable. CDC recommends that all scales should be zero balanced and
calibrated. Scales must be checked for accuracy on an annual basis and calibrated in accordance
with manufacturer's instructions.
2. Prior to obtaining weight measurements, make sure the scale is "zeroed".
Weight infants, children, and teens and adults - Answer 3. Weigh infants wearing only a dry
diaper or light undergarments. Weigh children after removing
outer clothing and shoes. Weigh adolescents and adults with the patient wearing minimal
clothing.
4. Place the patient in the middle of the scale. Read the measurement and record results
immediately. Plot measurements on age and gender specific growth charts and evaluate
accordingly
Measuring head circumference - Answer Obtain measurement on children from birth to 36
months of age by extending a non stretchable measuring tape around the broadest part of the
child's head For greatest accuracy the tape is placed 3 times with a reading taken at the right
