QUIZ TESTBANK QUESTIONS AND ANSWERS WITH
RATIONALE LATEST RASMUSSEN
COLLEGE 2025 UPDATED
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answers
with Rationale
Chapter 1:
1. The nurse will use which technique of assessment to determine the presence of
crepitus,swelling, and pulsations?
a. Palpation
b. Inspection
c. Percussion
d. Auscultation
RAT: Palpation applies the sense of touch to assess texture, temperature, moisture,
organlocation and size, as well as any swelling, vibration or pulsation, rigidity or
spasticity, crepitation, presence of lumps or masses, and the presence of tenderness
or pain.
2. The nurse is preparing to use an otoscope for an examination. Which statement is true
regarding the otoscope? The otoscope:
a. Is often used to direct light onto the sinuses.
b. Uses a short, broad speculum to help visualize the ear.
c. Is used to examine the structures of the internal ear.
d. Directs light into the ear canal and onto the tympanic membrane.
RAT: The otoscope directs light into the ear canal and onto the tympanic
membrane thatdivides the external and middle ear. A short, broad speculum is
used to visualize the nares.
3. An examiner is using an ophthalmoscope to examine a patient’s eyes. The patient
has astigmatism and is nearsighted. The use of which of these techniques would
indicate thatthe examination is being correctly performed?
a. Using the large full circle of light when assessing pupils that are not dilated
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, NUR 2092 / NUR2092 HEALTH ASSESSMENT EXAM 2
QUIZ TESTBANK QUESTIONS AND ANSWERS WITH
RATIONALE LATEST RASMUSSEN
COLLEGE 2025 UPDATED
b. Rotating the lens selector dial to the black numbers to compensate for astigmatism
c. Using the grid on the lens aperture dial to visualize the external structures of the eye
d. Rotating the lens selector dial to bring the object into focus
RAT: The ophthalmoscope is used to examine the internal eye structures. It can
compensate for nearsightedness or farsightedness, but it will not correct for
astigmatism. The grid is used to assess size and location of lesions on the fundus.
The large full spot oflight is used to assess dilated pupils. Rotating the lens selector
dial brings the object into focus.
4. The nurse is unable to palpate the right radial pulse on a patient. The best action would be
to:
a. Auscultate over the area with a fetoscope.
b. Use a goniometer to measure the pulsations.
c. Use a Doppler device to check for pulsations over the area.
d. Check for the presence of pulsations with a stethoscope.
RAT: Doppler devices are used to augment pulse or blood pressure measurements.
Goniometers measure joint range of motion. A fetoscope is used to auscultate fetal
hearttones. Stethoscopes are used to auscultate breath, bowel, and heart sounds.
5. The nurse is preparing to perform a physical assessment. The correct action by the
nurseis reflected by which statement? The nurse:
a. Performs the examination from the left side of the bed.
b. Examines tender or painful areas first to help relieve the patient’s anxiety.
c. Follows the same examination sequence, regardless of the patient’s
age orcondition.
d. Organizes the assessment to ensure that the patient does not change positions
too often.
RAT: The steps of the assessment should be organized to ensure that the patient
does notchange positions too often. The sequence of the steps of the assessment
may differ, depending on the age of the person and the examiner’s preference.
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, NUR 2092 / NUR2092 HEALTH ASSESSMENT EXAM 2
QUIZ TESTBANK QUESTIONS AND ANSWERS WITH
RATIONALE LATEST RASMUSSEN
COLLEGE 2025 UPDATED
Tender or painful areas should be assessed last.
6. A man is at the clinic for a physical examination. He states that he is “very
anxious”about the physical examination. What steps can the nurse take to
make him more comfortable?
a. Appear unhurried and confident when examining him.
b. Stay in the room when he undresses in case he needs assistance.
c. Ask him to change into an examining gown and to take off his undergarments.
d. Defer measuring vital signs until the end of the examination, which allows him
timeto become comfortable.
RAT: Anxiety can be reduced by an examiner who is confident, self-assured,
considerate,and unhurried. Familiar and relatively nonthreatening actions, such as
measuring the person’s vital signs, will gradually accustom the person to the
examination.
7. When performing a physical examination, safety must be considered to protect
the examiner and the patient against the spread of infection. Which of these
statements describes the most appropriate action the nurse should take when
performing a physicalexamination?
a. Washing one’s hands after removing gloves is not necessary, as long as the
glovesare still intact.
b. Hands are washed before and after every physical patient encounter.
c. Hands are washed before the examination of each body system to
prevent thespread of bacteria from one part of the body to another.
d. Gloves are worn throughout the entire examination to demonstrate to the patient
concern regarding the spread of infectious diseases.
RAT: The nurse should wash his or her hands before and after every physical
patient encounter; after contact with blood, body fluids, secretions, and excretions;
after contactwith any equipment contaminated with body fluids; and after
removing gloves. Hands should be washed after gloves have been removed, even if
the gloves appear to be intact.Gloves should be worn when potential contact with
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, NUR 2092 / NUR2092 HEALTH ASSESSMENT EXAM 2
QUIZ TESTBANK QUESTIONS AND ANSWERS WITH
RATIONALE LATEST RASMUSSEN
COLLEGE 2025 UPDATED
any body fluids is present.
8. The nurse is examining a patient’s lower leg and notices a draining ulceration.
Which ofthese actions is most appropriate in this situation?
a. Washing hands, and contacting the physician
b. Continuing to examine the ulceration, and then washing hands
c. Washing hands, putting on gloves, and continuing with the examination of the
ulceration
d. Washing hands, proceeding with rest of the physical examination, and
thencontinuing with the examination of the leg ulceration
RAT: The examiner should wear gloves when the potential contact with any body
fluidsis present. In this situation, the nurse should wash his or her hands, put on
gloves, and continue examining the ulceration.
9. During the examination, offering some brief teaching about the patient’s body or
the examiner’s findings is often appropriate. Which one of these statements by
the nurse ismost appropriate?
a. “Your atrial dysrhythmias are under control.”
b. “You have pitting edema and mild varicosities.”
c. “Your pulse is 80 beats per minute, which is within the normal range.”
d. “I’m using my stethoscope to listen for any crackles, wheezes, or rubs.”
RAT: The sharing of some information builds rapport, as long as the patient is
able tounderstand the terminology.
10. The nurse keeps in mind that the most important reason to share information and
to offerbrief teaching while performing the physical examination is to help the:
a. Examiner feel more comfortable and to gain control of the situation.
b. Examiner to build rapport and to increase the patient’s confidence in him or
her.
c. Patient understand his or her disease process and treatment modalities.
d. Patient identify questions about his or her disease and the potential areas of
patienteducation.
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