HEALTH ASSESSMENT EXAM 2
QUESTIONS WITH VERIFIED ANSWERS
2025.
A nnnurse nnperforms nna nnfocused nnassessment nnon nna nnnew nnclient. nnThe nnnurse nnobserves
nnpustules nnand nnerythema nnaround nnthe nnclient's nnhair nnfollicles. nnThe nnnurse nnrecognizes
nnthese nnare nnsigns nnand nnsymptoms nnof nnwhich nnof nnthe nnfollowing nndisorders?
A. nnalopecia
B. nnringworm
C. nntinea nncapitis
D. nnfolliculitis nn- nnANSWER: nnD. nnfolliculitis
A nn20-year-old nnclient nnvisits nnthe nnoutpatient nncenter nnand nntells nnthe nnnurse nnthat nnhe nnhas
nnbeen nnexperiencing nnsudden nngeneralized nnhair nnloss. nnAfter nndetermining nnthat nnthe
nnclient nnhas nnnot nnreceived nnradiation nnor nnchemotherapy, nnthe nnnurse nnshould nnfurther
nnassess nnthe nnclient nnfor nnsigns nnand nnsymptoms nnof? nn- nnANSWER: nnhypothyroidism
What nnabnormal nnphysical nnresponse nnshould nnthe nnnurse nnbe nnprepared nnto nnmanage
nnafter nnnoting nnpallor nnin nna nnclient?
A. nndiarrhea
B. nnfainting
C. nnvomiting
D. nndiaphoresis nn- nnANSWER: nnB. nnfainting
The nnnurse nnassesses nna nnclient's nnsubmental nnlymph nnnodes. nnIn nnwhich nnarea nnof nnthe
nnclient's nnhead nnshould nnthe nnnurse nnpalpate nnthese nnlymph nnnodes? nn- nnANSWER: nnIn nnthe
nnmidline, nna nnfew nncentimeters nnbehind nnthe nntip nnof nnthe nnmandible
A nnclient nnreports nnsevere nnpain nnin nnthe nnposterior nnregion nnof nnthe nnneck nnand nndifficulty
nnturning nnthe nnhead nnto nnthe nnright. nnWhat nnadditional nninformation nnshould nnthe nnnurse
nncollect?
A. nnDifficulty nnwith nnswallowing
B. nnChanges nnin nnsleeping nnhabits
C. nnPrevious nninjuries nnto nnthe nnhead nnand nnneck
D. nnStiffness nnin nnthe nnright nnshoulder nn- nnANSWER: nnC. nnPrevious nninjuries nnto nnthe nnhead
nnand nnneck
,A nnnurse nnis nnassessing nnthe nnhead nnand nnneck nnof nnan nnadult nnclient. nnWhich nnvertebra
nnshould nnthe nnnurse nnidentify nnas nna nnlandmark nnin nnorder nnto nnlocate nnthe nnclient's nnother
nnvertebrae nnthat nnis nneasily nnpalpated nnwhen nnthe nnneck nnis nnflexed? nn- nnANSWER: nnC7
What nnis nnthe nnmost nncommon nntype nnof nnhyperthyroidism? nn- nnANSWER: nnGraves nndisease
While nnexamining nna nnclient, nnthe nnnurse nnobserves nnthat nnhe nnappears nnto nnbe nnnodding nnhis
nnhead nninvoluntarily. nnWhich nnof nnthe nnfollowing nnconditions nnshould nnthe nnnurse
nnadditionally nnassess nnfor, nnbased nnon nnthis nnfinding?
A. nnNeurologic nndisorder
B. nnPaget's nndisease
C. nnUnilateral nnvision
D. nnAortic nninsufficiency nn- nnANSWER: nnD. nnAortic nninsufficiency
A nnclient nndescribes nnheadaches nnas nnsevere nnand nnlasting nnfor nndays. nnWhich nnquestion
nnwould nnbe nnmost nnappropriate nnto nnuse nnto nndetermine nnif nnthese nnheadaches nnare
nnmigraines?
A. nn"When nnyou nnconsume nnalcohol, nndo nnyou nnget nna nnheadache?"
B. nn"Do nnyou nnhave nnany nneye nnsymptoms, nnsuch nnas nntearing?"
C. nn"Do nnyou nnhave nnany nnvisual nnchanges nnbefore nnthe nnheadache?"
D. nn"Do nnthey nnoccur nnafter nnyou nnhave nnbeen nntense nnor nnanxious?" nn- nnANSWER: nnC. nn"Do
nnyou nnhave nnany nnvisual nnchanges nnbefore nnthe nnheadache?"
Which nnassessment nntechnique nnshould nna nnnurse nnuse nnto nnassess nnfor nnthe nnpresence nnof
nna nnbruit nnin nna nnclient nnwith nnhyperthyroidism? nn- nnANSWER: nnAuscultation
A nnwoman nnbrings nnher nn1-month-old nninfant nnto nnthe nnED. nnShe nnsays nnthe nnbaby nnis nnnot
nneating nnor nndrinking nnwell. nnThe nnnurse nnfinds nnthe nnfontanels nnare nndepressed nnslightly.
nnWhy nndoes nnthis nnrequire nnfurther nnassessment?
A. nnThis nncould nnbe nna nnsign nnof nnphysical nnabuse
B. nnThis nncould nnbe nna nnsign nnof nnincreased nnintracranial nnpressure
C. nnThis nnis nna nnsign nnof nna nnpossible nnneurological nndisorder
d. nnThis nncould nnbe nna nnsign nnof nndehydration nn- nnANSWER: nnd. nnThis nncould nnbe nna nnsign nnof
nndehydration
When nnassessing nnthe nnhead nnand nnneck, nnthe nnnurse nnshould nnrealize nnthat nnvariations nnin
nnskull nnor nnneck nnshape nnor nnsize nnrelate nnmost nnto nnwhat?
A. nnCultural nnbackground
B. nnHeight nnand nnweight
C. nnEthnic nnbackground
D. nnGender nn- nnANSWER: nnB. nnHeight nnand nnweight
A nnnurse nnperforms nna nncomprehensive nnassessment nnon nna nnclient. nnThe nnnurse nnobserves
nnthe nnfollowing nnfindings: nnenlarged nnhands, nnfeet, nnand nnfacial nnfeatures nn(nose, nnears).
nnWhich nnof nnthe nnfollowing nndisorders nndo nnthese nnfindings nnindicate?
A. nnscleroderma
, B. nnacromegaly
C. nnParkinson nndisease
D. nnCushing nnsyndrome nn- nnANSWER: nnB. nnacromegaly
The nnnurses nnassesses nnthe nnthyroid nngland nnof nna nnclient nnwith nnrecent nnweight nnloss. nnOn
nnauscultation, nna nnlow, nnsoft, nnrushing nnsound nnis nnheard nnover nnthe nnlateral nnlobes. nnWhich
nncondition nnis nnmost nnlikely?
A. nnthyroid nncyst
B. nnHashimoto nnthyroiditis
C. nnbenign nntumor
D. nnhyperthyroidism nn- nnANSWER: nnD. nnhyperthyroidism
When nnthe nnnurse nnis nnpreparing nnto nnassess nnthe nnthyroid nngland nnof nna nnclient nnwith
nnsuspected nnhypothyroidism, nnwhy nnis nnit nnimportant nnto nnbring nna nncup nnof nnwater nnto nnthe
nnphysical nnexamination? nn- nnANSWER: nnto nnobserve nnthe nnmovement nnof nnthe nnthyroid
nngland
A nnclient nnis nnassigned nna nnvisual nnacuity nnof nn20/100 nnin nnher nnleft nneye. nnWhich nnof nnthe
nnfollowing nnis nntrue?
She nncan nnsee nnat nn20 nnfeet nnwhat nna nnnormal nnperson nncould nnsee nnat nn100 nnfeet.
She nnobtains nna nn20% nncorrect nnscore nnat nn100 nnfeet.
She nncan nnsee nnat nn100 nnfeet nnwhat nna nnnormal nnperson nncould nnsee nnat nn20 nnfeet.
She nncan nnaccurately nnname nn20% nnof nnthe nnletters nnat nn20 nnfeet. nn- nnANSWER: nnShe nncan
nnsee nnat nn20 nnfeet nnwhat nna nnnormal nnperson nncould nnsee nnat nn100 nnfeet.
The nnthin nnmucous nnmembrane nnthat nnlines nnthe nninner nneyelid nnand nncovers nnthe nnsclera nnis
nnknown nnas nnwhat? nn- nnANSWER: nnconjunctiva
A nnclient nncomplains nnof nnexcessive nntearing nnof nnthe nneyes. nnWhich nnassessment nnwould
nnthe nnnurse nndo nnnext?
Test nnpupillary nnreaction nnto nnlight
Perform nnthe nneye nnpositions nntest
Inspect nnthe nnpalpebral nnconjunctiva
Assess nnthe nnnasolacrimal nnsac nn- nnANSWER: nnAssess nnthe nnnasolacrimal nnsac
A nnnurse nnassesses nnthe nnvision nnof nnan nnolder nnadult nnclient nnwith nna nnlong nnhistory nnof
nnuncontrolled nntype nn2 nndiabetes. nnThe nnnurse nndetermines nnthe nnclient's nnvision nnwith
nncorrective nnlenses nnis nn20/200. nnHow nnshould nnthe nnnurse nninterpret nnthese nnfindings?
This nnis nnnormal nnvision nnfor nna nnclient nnover nn65.
The nnclient nnwill nnneed nna nnnew nnpair nnof nnglasses.
The nnclient nnmust nnhave nndeveloped nnmacular nndegeneration.
These nnfindings nnindicate nnthe nnclient nnis nnlegally nnblind. nn- nnANSWER: nnThese nnfindings
nnindicate nnthe nnclient nnis nnlegally nnblind.
QUESTIONS WITH VERIFIED ANSWERS
2025.
A nnnurse nnperforms nna nnfocused nnassessment nnon nna nnnew nnclient. nnThe nnnurse nnobserves
nnpustules nnand nnerythema nnaround nnthe nnclient's nnhair nnfollicles. nnThe nnnurse nnrecognizes
nnthese nnare nnsigns nnand nnsymptoms nnof nnwhich nnof nnthe nnfollowing nndisorders?
A. nnalopecia
B. nnringworm
C. nntinea nncapitis
D. nnfolliculitis nn- nnANSWER: nnD. nnfolliculitis
A nn20-year-old nnclient nnvisits nnthe nnoutpatient nncenter nnand nntells nnthe nnnurse nnthat nnhe nnhas
nnbeen nnexperiencing nnsudden nngeneralized nnhair nnloss. nnAfter nndetermining nnthat nnthe
nnclient nnhas nnnot nnreceived nnradiation nnor nnchemotherapy, nnthe nnnurse nnshould nnfurther
nnassess nnthe nnclient nnfor nnsigns nnand nnsymptoms nnof? nn- nnANSWER: nnhypothyroidism
What nnabnormal nnphysical nnresponse nnshould nnthe nnnurse nnbe nnprepared nnto nnmanage
nnafter nnnoting nnpallor nnin nna nnclient?
A. nndiarrhea
B. nnfainting
C. nnvomiting
D. nndiaphoresis nn- nnANSWER: nnB. nnfainting
The nnnurse nnassesses nna nnclient's nnsubmental nnlymph nnnodes. nnIn nnwhich nnarea nnof nnthe
nnclient's nnhead nnshould nnthe nnnurse nnpalpate nnthese nnlymph nnnodes? nn- nnANSWER: nnIn nnthe
nnmidline, nna nnfew nncentimeters nnbehind nnthe nntip nnof nnthe nnmandible
A nnclient nnreports nnsevere nnpain nnin nnthe nnposterior nnregion nnof nnthe nnneck nnand nndifficulty
nnturning nnthe nnhead nnto nnthe nnright. nnWhat nnadditional nninformation nnshould nnthe nnnurse
nncollect?
A. nnDifficulty nnwith nnswallowing
B. nnChanges nnin nnsleeping nnhabits
C. nnPrevious nninjuries nnto nnthe nnhead nnand nnneck
D. nnStiffness nnin nnthe nnright nnshoulder nn- nnANSWER: nnC. nnPrevious nninjuries nnto nnthe nnhead
nnand nnneck
,A nnnurse nnis nnassessing nnthe nnhead nnand nnneck nnof nnan nnadult nnclient. nnWhich nnvertebra
nnshould nnthe nnnurse nnidentify nnas nna nnlandmark nnin nnorder nnto nnlocate nnthe nnclient's nnother
nnvertebrae nnthat nnis nneasily nnpalpated nnwhen nnthe nnneck nnis nnflexed? nn- nnANSWER: nnC7
What nnis nnthe nnmost nncommon nntype nnof nnhyperthyroidism? nn- nnANSWER: nnGraves nndisease
While nnexamining nna nnclient, nnthe nnnurse nnobserves nnthat nnhe nnappears nnto nnbe nnnodding nnhis
nnhead nninvoluntarily. nnWhich nnof nnthe nnfollowing nnconditions nnshould nnthe nnnurse
nnadditionally nnassess nnfor, nnbased nnon nnthis nnfinding?
A. nnNeurologic nndisorder
B. nnPaget's nndisease
C. nnUnilateral nnvision
D. nnAortic nninsufficiency nn- nnANSWER: nnD. nnAortic nninsufficiency
A nnclient nndescribes nnheadaches nnas nnsevere nnand nnlasting nnfor nndays. nnWhich nnquestion
nnwould nnbe nnmost nnappropriate nnto nnuse nnto nndetermine nnif nnthese nnheadaches nnare
nnmigraines?
A. nn"When nnyou nnconsume nnalcohol, nndo nnyou nnget nna nnheadache?"
B. nn"Do nnyou nnhave nnany nneye nnsymptoms, nnsuch nnas nntearing?"
C. nn"Do nnyou nnhave nnany nnvisual nnchanges nnbefore nnthe nnheadache?"
D. nn"Do nnthey nnoccur nnafter nnyou nnhave nnbeen nntense nnor nnanxious?" nn- nnANSWER: nnC. nn"Do
nnyou nnhave nnany nnvisual nnchanges nnbefore nnthe nnheadache?"
Which nnassessment nntechnique nnshould nna nnnurse nnuse nnto nnassess nnfor nnthe nnpresence nnof
nna nnbruit nnin nna nnclient nnwith nnhyperthyroidism? nn- nnANSWER: nnAuscultation
A nnwoman nnbrings nnher nn1-month-old nninfant nnto nnthe nnED. nnShe nnsays nnthe nnbaby nnis nnnot
nneating nnor nndrinking nnwell. nnThe nnnurse nnfinds nnthe nnfontanels nnare nndepressed nnslightly.
nnWhy nndoes nnthis nnrequire nnfurther nnassessment?
A. nnThis nncould nnbe nna nnsign nnof nnphysical nnabuse
B. nnThis nncould nnbe nna nnsign nnof nnincreased nnintracranial nnpressure
C. nnThis nnis nna nnsign nnof nna nnpossible nnneurological nndisorder
d. nnThis nncould nnbe nna nnsign nnof nndehydration nn- nnANSWER: nnd. nnThis nncould nnbe nna nnsign nnof
nndehydration
When nnassessing nnthe nnhead nnand nnneck, nnthe nnnurse nnshould nnrealize nnthat nnvariations nnin
nnskull nnor nnneck nnshape nnor nnsize nnrelate nnmost nnto nnwhat?
A. nnCultural nnbackground
B. nnHeight nnand nnweight
C. nnEthnic nnbackground
D. nnGender nn- nnANSWER: nnB. nnHeight nnand nnweight
A nnnurse nnperforms nna nncomprehensive nnassessment nnon nna nnclient. nnThe nnnurse nnobserves
nnthe nnfollowing nnfindings: nnenlarged nnhands, nnfeet, nnand nnfacial nnfeatures nn(nose, nnears).
nnWhich nnof nnthe nnfollowing nndisorders nndo nnthese nnfindings nnindicate?
A. nnscleroderma
, B. nnacromegaly
C. nnParkinson nndisease
D. nnCushing nnsyndrome nn- nnANSWER: nnB. nnacromegaly
The nnnurses nnassesses nnthe nnthyroid nngland nnof nna nnclient nnwith nnrecent nnweight nnloss. nnOn
nnauscultation, nna nnlow, nnsoft, nnrushing nnsound nnis nnheard nnover nnthe nnlateral nnlobes. nnWhich
nncondition nnis nnmost nnlikely?
A. nnthyroid nncyst
B. nnHashimoto nnthyroiditis
C. nnbenign nntumor
D. nnhyperthyroidism nn- nnANSWER: nnD. nnhyperthyroidism
When nnthe nnnurse nnis nnpreparing nnto nnassess nnthe nnthyroid nngland nnof nna nnclient nnwith
nnsuspected nnhypothyroidism, nnwhy nnis nnit nnimportant nnto nnbring nna nncup nnof nnwater nnto nnthe
nnphysical nnexamination? nn- nnANSWER: nnto nnobserve nnthe nnmovement nnof nnthe nnthyroid
nngland
A nnclient nnis nnassigned nna nnvisual nnacuity nnof nn20/100 nnin nnher nnleft nneye. nnWhich nnof nnthe
nnfollowing nnis nntrue?
She nncan nnsee nnat nn20 nnfeet nnwhat nna nnnormal nnperson nncould nnsee nnat nn100 nnfeet.
She nnobtains nna nn20% nncorrect nnscore nnat nn100 nnfeet.
She nncan nnsee nnat nn100 nnfeet nnwhat nna nnnormal nnperson nncould nnsee nnat nn20 nnfeet.
She nncan nnaccurately nnname nn20% nnof nnthe nnletters nnat nn20 nnfeet. nn- nnANSWER: nnShe nncan
nnsee nnat nn20 nnfeet nnwhat nna nnnormal nnperson nncould nnsee nnat nn100 nnfeet.
The nnthin nnmucous nnmembrane nnthat nnlines nnthe nninner nneyelid nnand nncovers nnthe nnsclera nnis
nnknown nnas nnwhat? nn- nnANSWER: nnconjunctiva
A nnclient nncomplains nnof nnexcessive nntearing nnof nnthe nneyes. nnWhich nnassessment nnwould
nnthe nnnurse nndo nnnext?
Test nnpupillary nnreaction nnto nnlight
Perform nnthe nneye nnpositions nntest
Inspect nnthe nnpalpebral nnconjunctiva
Assess nnthe nnnasolacrimal nnsac nn- nnANSWER: nnAssess nnthe nnnasolacrimal nnsac
A nnnurse nnassesses nnthe nnvision nnof nnan nnolder nnadult nnclient nnwith nna nnlong nnhistory nnof
nnuncontrolled nntype nn2 nndiabetes. nnThe nnnurse nndetermines nnthe nnclient's nnvision nnwith
nncorrective nnlenses nnis nn20/200. nnHow nnshould nnthe nnnurse nninterpret nnthese nnfindings?
This nnis nnnormal nnvision nnfor nna nnclient nnover nn65.
The nnclient nnwill nnneed nna nnnew nnpair nnof nnglasses.
The nnclient nnmust nnhave nndeveloped nnmacular nndegeneration.
These nnfindings nnindicate nnthe nnclient nnis nnlegally nnblind. nn- nnANSWER: nnThese nnfindings
nnindicate nnthe nnclient nnis nnlegally nnblind.
