NUR2092 HEALTH ASSESSMENT EXAM 2 QUIZ BANK QUESTIONS AND ANSWERS WITH RATIONALE
NUR2092 HEALTH ASSESSMENT EXAM
2 QUIZ BANK QUESTIONS AND
ANSWERS WITH RATIONALE
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,
Organ Location 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
Directs Light Into The Ear Canal And Onto The Tympanic Examine The
Membrane. Structures Of
The Internal Ear. D.
RAT: The Otoscope Directs Light Into The Ear Canal And Onto The Tympanic Membrane
That Divides 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 That
The Examination Is Being Correctly Performed?
a. Using The Large Full Circle Of Light When Assessing Pupils That Are Not Dilated
b. Rotating The Lens Selector Dial To The Black Numbers To Compensate For Astigmatism
c. Using The Grid On
The Rotating The Lens Selector Dial To Bring The Object Into Lens Aperture Dial To
Focus Visualize The External
Structures Of The Eye D.
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 Of Light 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
pg. 1
, NUR2092 HEALTH ASSESSMENT EXAM 2 QUIZ BANK QUESTIONS AND ANSWERS WITH RATIONALE
To:
a. Auscultate Over The Area With A Fetoscope.
b. Use A
Use A Doppler Device To Check For Pulsations Over The Goniometer To
Area. Measure The
Pulsations. C.
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
Heart Tones. 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
Nurse Is 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 Or
Organizes The Assessment To Ensure That The Patient Does Not Change
Positions
Too
Often.
Condition.
D.
RAT: The Steps Of The Assessment Should Be Organized To Ensure That The Patient
Does Not Change 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.
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 Time To 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
pg. 2
, NUR2092 HEALTH ASSESSMENT EXAM 2 QUIZ BANK QUESTIONS AND ANSWERS WITH RATIONALE
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
Physical Examination?
a. Washing One’s Hands After Removing Gloves Is Not Necessary, As Long As The
Gloves
Hands Are Washed Before And After Every Physical Patient Are Still
Encounter. Intact.
B.
c. Hands Are Washed Before The Examination Of Each Body System To Prevent The
Spread 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 Contact With 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
Any Body Fluids Is Present.
8. The Nurse Is Examining A Patient’s Lower Leg And Notices A Draining Ulceration.
Which Of These Actions Is Most Appropriate In This Situation?
a. Washing Hands, And Contacting The Physician
Washing Hands, Putting On Gloves, And Continuing With The Examination
Of The
Ulceration
b. Continuing To Examine The Ulceration, And Then Washing Hands C.
D. Washing Hands, Proceeding With Rest Of The Physical Examination, And Then
Continuing With The Examination Of The Leg Ulceration
RAT: The Examiner Should Wear Gloves When The Potential Contact With Any Body
Fluids Is 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 Is Most Appropriate?
a. “Your Atrial Dysrhythmias Are Under Control.”
pg. 3
, NUR2092 HEALTH ASSESSMENT EXAM 2 QUIZ BANK QUESTIONS AND ANSWERS WITH RATIONALE
“Your Pulse Is 80 Beats Per Minute, Which Is Within The Normal
Range.”
b. “You Have Pitting Edema And Mild Varicosities.” C.
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
To Understand The Terminology.
10. The Nurse Keeps In Mind That The Most Important Reason To Share Information And
To Offer Brief Teaching While Performing The Physical Examination Is To Help The:
Examiner To Build Rapport And To Increase The Patient’s Confidence In
Him Or
Her.
a. Examiner Feel More Comfortable And To Gain Control Of The Situation. B.
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
Patient Education.
RAT: Sharing Information Builds Rapport And Increases The Patient’s Confidence In The
Examiner. It Also Gives The Patient A Little More Control In A Situation During Which
Feeling Completely Helpless Is Often Present.
11. The Nurse Is Examining An Infant And Prepares To Elicit The Moro Reflex At Which
Time During The Examination?
a. When The Infant Is Sleeping
B. At The End Of The
Examination c. Before Auscultation Of The Thorax
d. Halfway Through The Examination
RAT: The Moro Or Startle Reflex Is Elicited At The End Of The Examination Because It
May Cause The Infant To Cry.
When
12.
Have The Parent Remove All Clothing Except The Diaper On A Preparing To
Boy. Perform A
Physical
Examination On An Infant, The Nurse Should: A.
b. Instruct The Parent To Feed The Infant Immediately Before The Examination.
c. Encourage The Infant To Suck On A Pacifier During The Abdominal Examination.
d. Ask The Parent To Leave The Room Briefly When Assessing The Infant’s Vital
Signs.
pg. 4
NUR2092 HEALTH ASSESSMENT EXAM
2 QUIZ BANK QUESTIONS AND
ANSWERS WITH RATIONALE
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,
Organ Location 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
Directs Light Into The Ear Canal And Onto The Tympanic Examine The
Membrane. Structures Of
The Internal Ear. D.
RAT: The Otoscope Directs Light Into The Ear Canal And Onto The Tympanic Membrane
That Divides 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 That
The Examination Is Being Correctly Performed?
a. Using The Large Full Circle Of Light When Assessing Pupils That Are Not Dilated
b. Rotating The Lens Selector Dial To The Black Numbers To Compensate For Astigmatism
c. Using The Grid On
The Rotating The Lens Selector Dial To Bring The Object Into Lens Aperture Dial To
Focus Visualize The External
Structures Of The Eye D.
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 Of Light 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
pg. 1
, NUR2092 HEALTH ASSESSMENT EXAM 2 QUIZ BANK QUESTIONS AND ANSWERS WITH RATIONALE
To:
a. Auscultate Over The Area With A Fetoscope.
b. Use A
Use A Doppler Device To Check For Pulsations Over The Goniometer To
Area. Measure The
Pulsations. C.
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
Heart Tones. 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
Nurse Is 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 Or
Organizes The Assessment To Ensure That The Patient Does Not Change
Positions
Too
Often.
Condition.
D.
RAT: The Steps Of The Assessment Should Be Organized To Ensure That The Patient
Does Not Change 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.
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 Time To 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
pg. 2
, NUR2092 HEALTH ASSESSMENT EXAM 2 QUIZ BANK QUESTIONS AND ANSWERS WITH RATIONALE
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
Physical Examination?
a. Washing One’s Hands After Removing Gloves Is Not Necessary, As Long As The
Gloves
Hands Are Washed Before And After Every Physical Patient Are Still
Encounter. Intact.
B.
c. Hands Are Washed Before The Examination Of Each Body System To Prevent The
Spread 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 Contact With 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
Any Body Fluids Is Present.
8. The Nurse Is Examining A Patient’s Lower Leg And Notices A Draining Ulceration.
Which Of These Actions Is Most Appropriate In This Situation?
a. Washing Hands, And Contacting The Physician
Washing Hands, Putting On Gloves, And Continuing With The Examination
Of The
Ulceration
b. Continuing To Examine The Ulceration, And Then Washing Hands C.
D. Washing Hands, Proceeding With Rest Of The Physical Examination, And Then
Continuing With The Examination Of The Leg Ulceration
RAT: The Examiner Should Wear Gloves When The Potential Contact With Any Body
Fluids Is 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 Is Most Appropriate?
a. “Your Atrial Dysrhythmias Are Under Control.”
pg. 3
, NUR2092 HEALTH ASSESSMENT EXAM 2 QUIZ BANK QUESTIONS AND ANSWERS WITH RATIONALE
“Your Pulse Is 80 Beats Per Minute, Which Is Within The Normal
Range.”
b. “You Have Pitting Edema And Mild Varicosities.” C.
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
To Understand The Terminology.
10. The Nurse Keeps In Mind That The Most Important Reason To Share Information And
To Offer Brief Teaching While Performing The Physical Examination Is To Help The:
Examiner To Build Rapport And To Increase The Patient’s Confidence In
Him Or
Her.
a. Examiner Feel More Comfortable And To Gain Control Of The Situation. B.
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
Patient Education.
RAT: Sharing Information Builds Rapport And Increases The Patient’s Confidence In The
Examiner. It Also Gives The Patient A Little More Control In A Situation During Which
Feeling Completely Helpless Is Often Present.
11. The Nurse Is Examining An Infant And Prepares To Elicit The Moro Reflex At Which
Time During The Examination?
a. When The Infant Is Sleeping
B. At The End Of The
Examination c. Before Auscultation Of The Thorax
d. Halfway Through The Examination
RAT: The Moro Or Startle Reflex Is Elicited At The End Of The Examination Because It
May Cause The Infant To Cry.
When
12.
Have The Parent Remove All Clothing Except The Diaper On A Preparing To
Boy. Perform A
Physical
Examination On An Infant, The Nurse Should: A.
b. Instruct The Parent To Feed The Infant Immediately Before The Examination.
c. Encourage The Infant To Suck On A Pacifier During The Abdominal Examination.
d. Ask The Parent To Leave The Room Briefly When Assessing The Infant’s Vital
Signs.
pg. 4
