Chamberlain University
1 MAXE 403 RN
★ ★
College of Nursing & Public Health
C
C A R E • CO M P E T E N C E • CO N F I D E N C E
EST. 1889
NR 304 — Health Assessment
E X A M 1 : LY M P H AT I C , A B D O M E N , C R A N I A L N E R V E S , ST R O K E & N E U R O LO G I C A SS E SS M E N T
INSTITUTION Chamberlain University — COURSE NR 304 – Health Assessment
College of Nursing & Public
Health
EXAM VERSION Latest Update TOTAL QUESTIONS 50 Q&A with Clinical Rationale
FORMAT Multiple Choice – Select the GRADE A – 100% Correct Verified
Single Best Answer Answers
EXAM 1 STUDY GUIDE
▸ This document contains verified Q&A for NR 304 Health Assessment Exam 1 (2026/2027 Update).
▸ Covers lymphatic system functions, spleen location/function, Allen test, ABI values for PAD, Buerger's disease,
Raynaud's disease, abdominal quadrant organs, abdominal inspection components, bowel sound ranges, bruits,
percussion findings, Murphy's sign, Blumberg's sign, Rovsing's sign, obturator sign, constipation causes,
steatorrhea, borborygmus, cranial nerves (I-XII) functions and assessment techniques, afferent/efferent neurons,
Wernicke's/Broca's areas, BE FAST stroke recognition, decorticate/decerbrate posturing, Romberg test,
Brudzinski/Kernig signs, Babinski reflex, and brain lobe functions (frontal, parietal, temporal, cerebellum,
brainstem).
▸ Each answer includes clinical rationale based on evidence-based practice and Chamberlain University nursing
curriculum standards.
▸ Use this guide to prepare for Exam 1 and for clinical application in health assessment practice.
SECTION I — LYMPHATIC SYSTEM & VASCULAR ASSESSMENT Q1–Q6
1. What are the functions of the lymphatic system?
CORRECT ANSWER: Retrieves excess fluid and plasma proteins from interstitial space and returns it to
bloodstream. Major part of immune system. Uses hydrostatic and osmotic pressure.
RATIONALE: Lymphatic system maintains fluid balance. Filters pathogens and supports immune function.
2. What is the location and function of the spleen?
CORRECT ANSWER: Located in Left Upper Quadrant (LUQ). Destroys old RBCs, produces antibodies, stores
RBCs, filters microorganisms from blood.
RATIONALE: Spleen is part of the reticuloendothelial system. Splenomegaly may indicate infection, portal
hypertension, or hematologic disorders.
, 3. What is the Allen test used for?
CORRECT ANSWER: Determining the patency of the radial and ulnar arteries by compressing one artery site
and observing return of skin color as evidence of patency of the other artery.
RATIONALE: Performed before radial artery cannulation (arterial line, ABG). Positive test = hand does not reperfuse
→ inadequate collateral circulation.
4. What ABI value indicates PAD?
CORRECT ANSWER: 0.90 or less (ABI <0.90).
RATIONALE: Normal ABI is 1.0-1.4. ABI 0.5-0.9 indicates mild to moderate PAD. ABI <0.5 indicates severe PAD.
5. What is Buerger's disease?
CORRECT ANSWER: Clot forms in small/medium arteries/veins in hands and feet (thromboangiitis
obliterans).
RATIONALE: Strongly associated with smoking. Treatment requires smoking cessation.
6. What is Raynaud's disease?
CORRECT ANSWER: Vasospasms of small arteries of fingers and toes.
RATIONALE: Causes color changes: white (ischemia) → blue (cyanosis) → red (reperfusion). Triggered by cold or
stress.
SECTION II — ABDOMINAL QUADRANTS & ASSESSMENT Q7–Q22
7. Organs in RLQ
CORRECT ANSWER: Cecum, appendix.
RATIONALE: RLQ pain suggests appendicitis.
8. Organs in RUQ
CORRECT ANSWER: Liver, gallbladder, duodenum, right kidney, ascending and transverse colon.
RATIONALE: RUQ pain suggests cholecystitis or hepatitis.
9. Organs in LUQ
CORRECT ANSWER: Stomach, pancreas, spleen, left kidney, adrenal gland, transverse and descending colon.
RATIONALE: LUQ pain suggests gastritis, pancreatitis, or splenic injury.
1 MAXE 403 RN
★ ★
College of Nursing & Public Health
C
C A R E • CO M P E T E N C E • CO N F I D E N C E
EST. 1889
NR 304 — Health Assessment
E X A M 1 : LY M P H AT I C , A B D O M E N , C R A N I A L N E R V E S , ST R O K E & N E U R O LO G I C A SS E SS M E N T
INSTITUTION Chamberlain University — COURSE NR 304 – Health Assessment
College of Nursing & Public
Health
EXAM VERSION Latest Update TOTAL QUESTIONS 50 Q&A with Clinical Rationale
FORMAT Multiple Choice – Select the GRADE A – 100% Correct Verified
Single Best Answer Answers
EXAM 1 STUDY GUIDE
▸ This document contains verified Q&A for NR 304 Health Assessment Exam 1 (2026/2027 Update).
▸ Covers lymphatic system functions, spleen location/function, Allen test, ABI values for PAD, Buerger's disease,
Raynaud's disease, abdominal quadrant organs, abdominal inspection components, bowel sound ranges, bruits,
percussion findings, Murphy's sign, Blumberg's sign, Rovsing's sign, obturator sign, constipation causes,
steatorrhea, borborygmus, cranial nerves (I-XII) functions and assessment techniques, afferent/efferent neurons,
Wernicke's/Broca's areas, BE FAST stroke recognition, decorticate/decerbrate posturing, Romberg test,
Brudzinski/Kernig signs, Babinski reflex, and brain lobe functions (frontal, parietal, temporal, cerebellum,
brainstem).
▸ Each answer includes clinical rationale based on evidence-based practice and Chamberlain University nursing
curriculum standards.
▸ Use this guide to prepare for Exam 1 and for clinical application in health assessment practice.
SECTION I — LYMPHATIC SYSTEM & VASCULAR ASSESSMENT Q1–Q6
1. What are the functions of the lymphatic system?
CORRECT ANSWER: Retrieves excess fluid and plasma proteins from interstitial space and returns it to
bloodstream. Major part of immune system. Uses hydrostatic and osmotic pressure.
RATIONALE: Lymphatic system maintains fluid balance. Filters pathogens and supports immune function.
2. What is the location and function of the spleen?
CORRECT ANSWER: Located in Left Upper Quadrant (LUQ). Destroys old RBCs, produces antibodies, stores
RBCs, filters microorganisms from blood.
RATIONALE: Spleen is part of the reticuloendothelial system. Splenomegaly may indicate infection, portal
hypertension, or hematologic disorders.
, 3. What is the Allen test used for?
CORRECT ANSWER: Determining the patency of the radial and ulnar arteries by compressing one artery site
and observing return of skin color as evidence of patency of the other artery.
RATIONALE: Performed before radial artery cannulation (arterial line, ABG). Positive test = hand does not reperfuse
→ inadequate collateral circulation.
4. What ABI value indicates PAD?
CORRECT ANSWER: 0.90 or less (ABI <0.90).
RATIONALE: Normal ABI is 1.0-1.4. ABI 0.5-0.9 indicates mild to moderate PAD. ABI <0.5 indicates severe PAD.
5. What is Buerger's disease?
CORRECT ANSWER: Clot forms in small/medium arteries/veins in hands and feet (thromboangiitis
obliterans).
RATIONALE: Strongly associated with smoking. Treatment requires smoking cessation.
6. What is Raynaud's disease?
CORRECT ANSWER: Vasospasms of small arteries of fingers and toes.
RATIONALE: Causes color changes: white (ischemia) → blue (cyanosis) → red (reperfusion). Triggered by cold or
stress.
SECTION II — ABDOMINAL QUADRANTS & ASSESSMENT Q7–Q22
7. Organs in RLQ
CORRECT ANSWER: Cecum, appendix.
RATIONALE: RLQ pain suggests appendicitis.
8. Organs in RUQ
CORRECT ANSWER: Liver, gallbladder, duodenum, right kidney, ascending and transverse colon.
RATIONALE: RUQ pain suggests cholecystitis or hepatitis.
9. Organs in LUQ
CORRECT ANSWER: Stomach, pancreas, spleen, left kidney, adrenal gland, transverse and descending colon.
RATIONALE: LUQ pain suggests gastritis, pancreatitis, or splenic injury.
