NUR 5354 HEALTH ASSESSMENT
EXAM 1 NEWEST 2026 OFFICIAL
QUESTIONS AND ANSWER KEY
(GUARANTEED PASS)
Q1. A patient presents with wheezing, diffuse hyperresonance on
percussion, and decreased tactile fremitus. This presentation is most
consistent with which condition?
• A) COPD
• B) Pneumothorax
• C) Asthma
• D) Pleural effusion
Correct ,,,answer,,,: C) Asthma
Rationale: Asthma causes air trapping (hyperresonance), airway
narrowing (wheezing), and diminished sound transmission (decreased
fremitus). Note: While COPD shares some findings, diffuse
hyperresonance with wheezing is classic for an asthma exacerbation.
Q2. While auscultating breath sounds, you hear a loud, high-
pitched, hollow sound over the trachea, where expiration lasts
longer than inspiration. This describes:
• A) Vesicular breath sounds
• B) Bronchovesicular breath sounds
• C) Bronchial breath sounds
, • D) Fine crackles
Correct ,,,answer,,,: C) Bronchial breath sounds
Rationale: Bronchial sounds are normal over the trachea, characterized
by loud, high-pitched, hollow tones with a longer expiratory phase.
Q3. In a severe asthma attack, breath sounds are absent. Why is this
"ominous"?
• A) It indicates a pneumothorax.
• B) It is called a "silent chest" and indicates low air flow.
• C) The patient is sleeping.
• D) The stethoscope is broken.
Correct ,,,answer,,,: B) It is called a "silent chest" and indicates low
air flow.
Rationale: A "silent chest" signifies such severe obstruction that airflow
is minimal, indicating impending respiratory failure and requiring
immediate intervention.
🩺 Pain Assessment & Symptom Analysis
Q4. A patient describes their pain as an "electric shock-like"
sensation radiating down the leg. This is characteristic of which type
of pain?
• A) Somatic pain
• B) Neuropathic pain
• C) Nociceptive pain
• D) Acute pain
Correct ,,,answer,,,: B) Neuropathic pain
Rationale: Neuropathic pain results from nerve damage and is
, commonly described as burning, stabbing, or electric shock-like
sensations.
Q5. You are reviewing the mnemonic "OLDCARTS" to assess a
patient's chest pain. What does the "A" stand for?
• A) Auscultation
• B) Aggravating or Alleviating factors
• C) Antibiotics
• D) Assessment
Correct ,,,answer,,,: B) Aggravating or Alleviating factors
Rationale: OLDCARTS is Onset, Location,
Duration, Character, Aggravating/Alleviating, Radiation, Timing, Se
tting.
Q6. A patient tells the NP she has had abdominal pain for the past
week. What is the best response by the NP?
• A) "We'll talk about that later."
• B) "Have you ever had any children?"
• C) "What have you eaten in the last 4 hours?"
• D) "Can you point to where it hurts?"
Correct ,,,answer,,,: D) "Can you point to where it hurts?"
Rationale: You must first clarify the location of the pain, asking the
patient to point to the exact spot, as lay terms can be misleading.
🩺 Dermatology & Skin Lesions
Q7. A patient presents with a red, greasy, scaly rash located
symmetrically on the central cheeks and eyebrows. This is consistent
with:
EXAM 1 NEWEST 2026 OFFICIAL
QUESTIONS AND ANSWER KEY
(GUARANTEED PASS)
Q1. A patient presents with wheezing, diffuse hyperresonance on
percussion, and decreased tactile fremitus. This presentation is most
consistent with which condition?
• A) COPD
• B) Pneumothorax
• C) Asthma
• D) Pleural effusion
Correct ,,,answer,,,: C) Asthma
Rationale: Asthma causes air trapping (hyperresonance), airway
narrowing (wheezing), and diminished sound transmission (decreased
fremitus). Note: While COPD shares some findings, diffuse
hyperresonance with wheezing is classic for an asthma exacerbation.
Q2. While auscultating breath sounds, you hear a loud, high-
pitched, hollow sound over the trachea, where expiration lasts
longer than inspiration. This describes:
• A) Vesicular breath sounds
• B) Bronchovesicular breath sounds
• C) Bronchial breath sounds
, • D) Fine crackles
Correct ,,,answer,,,: C) Bronchial breath sounds
Rationale: Bronchial sounds are normal over the trachea, characterized
by loud, high-pitched, hollow tones with a longer expiratory phase.
Q3. In a severe asthma attack, breath sounds are absent. Why is this
"ominous"?
• A) It indicates a pneumothorax.
• B) It is called a "silent chest" and indicates low air flow.
• C) The patient is sleeping.
• D) The stethoscope is broken.
Correct ,,,answer,,,: B) It is called a "silent chest" and indicates low
air flow.
Rationale: A "silent chest" signifies such severe obstruction that airflow
is minimal, indicating impending respiratory failure and requiring
immediate intervention.
🩺 Pain Assessment & Symptom Analysis
Q4. A patient describes their pain as an "electric shock-like"
sensation radiating down the leg. This is characteristic of which type
of pain?
• A) Somatic pain
• B) Neuropathic pain
• C) Nociceptive pain
• D) Acute pain
Correct ,,,answer,,,: B) Neuropathic pain
Rationale: Neuropathic pain results from nerve damage and is
, commonly described as burning, stabbing, or electric shock-like
sensations.
Q5. You are reviewing the mnemonic "OLDCARTS" to assess a
patient's chest pain. What does the "A" stand for?
• A) Auscultation
• B) Aggravating or Alleviating factors
• C) Antibiotics
• D) Assessment
Correct ,,,answer,,,: B) Aggravating or Alleviating factors
Rationale: OLDCARTS is Onset, Location,
Duration, Character, Aggravating/Alleviating, Radiation, Timing, Se
tting.
Q6. A patient tells the NP she has had abdominal pain for the past
week. What is the best response by the NP?
• A) "We'll talk about that later."
• B) "Have you ever had any children?"
• C) "What have you eaten in the last 4 hours?"
• D) "Can you point to where it hurts?"
Correct ,,,answer,,,: D) "Can you point to where it hurts?"
Rationale: You must first clarify the location of the pain, asking the
patient to point to the exact spot, as lay terms can be misleading.
🩺 Dermatology & Skin Lesions
Q7. A patient presents with a red, greasy, scaly rash located
symmetrically on the central cheeks and eyebrows. This is consistent
with:
