NR302 Nursing Skill: Head-to-Chest
Assessment Exam Questions with correct
Answers 2025/2026 A+ Graded 100%
Verified
As a nurse, you are continuously assessing your clients, collecting data, and recognizing
relevant cues within the assessment. Recognizing cues is an essential step in developing _, so
you can proceed to analyze the cues, develop hypotheses, and prioritize the information to act
upon.
Understanding how to perform an assessment on your client and the ability to recognize
abnormal findings could be the difference between life and death.
Clinical Judgement!
The nurse is admitting a client with an infected left ear cyst. As part of the admission, a
head-to-chest assessment is indicated. Before examining the client, it is important that the nurse
completes which nursing actions?
1 Ask the client to empty their bladder
2 Observe the client's face and body language for signs of pain or distress
3 Sanitize the stethoscope endpiece with an alcohol swab
4 Perform hand hygiene
5 Organize supplies to avoid interruptions
ALL!
A client-centered health assessment yields both subjective and objective data.
The nurse would ask questions to elicit (subjective/objective) data and would auscultate heart
sounds to elicit (subjective/objective) data.
- SUB
- OB
The nurse is inspecting the client's neck. Which three (3) health assessment inspection steps
will the nurse take during the neck examination?
, 1 Observe for masses on the neck
2 Observe for full range of motion of the neck
3 Palpate for quality of the blood flow through the vessels
4 Auscultate for the presence of bruits
5 Observe for symmetry and midline alignment of the trachea
1
2
5
_ is an evidence-based strategy used to communicate client information to other healthcare
team members. During simulations and clinical courses throughout your program, you will utilize
this as part of your Direct Patient Care Documentation.
Introduction/Identify, Situation, Background, Assessment, Recommendation (I-SBAR)
I
S
B
A
R
IDENTIFY
SITUATION
BACKGROUND
ASSESMENT
RECOMMEND
The nurse's ability to _ is critical to effective communication and client safety. Nurses must
understand essential information about their clients to prioritize and deliver care. Preparing to
give report takes careful consideration of what information is key to communicate.
The nurse has prepared to give report using I-SBAR.
Give and receive report
As the _, there are a variety of methods utilized to capture the client information shared.
Receiving Nurse
Electronic Health Record Important Information
Client Information
History & Physical
Provider Orders
Vital Signs
Assessment Exam Questions with correct
Answers 2025/2026 A+ Graded 100%
Verified
As a nurse, you are continuously assessing your clients, collecting data, and recognizing
relevant cues within the assessment. Recognizing cues is an essential step in developing _, so
you can proceed to analyze the cues, develop hypotheses, and prioritize the information to act
upon.
Understanding how to perform an assessment on your client and the ability to recognize
abnormal findings could be the difference between life and death.
Clinical Judgement!
The nurse is admitting a client with an infected left ear cyst. As part of the admission, a
head-to-chest assessment is indicated. Before examining the client, it is important that the nurse
completes which nursing actions?
1 Ask the client to empty their bladder
2 Observe the client's face and body language for signs of pain or distress
3 Sanitize the stethoscope endpiece with an alcohol swab
4 Perform hand hygiene
5 Organize supplies to avoid interruptions
ALL!
A client-centered health assessment yields both subjective and objective data.
The nurse would ask questions to elicit (subjective/objective) data and would auscultate heart
sounds to elicit (subjective/objective) data.
- SUB
- OB
The nurse is inspecting the client's neck. Which three (3) health assessment inspection steps
will the nurse take during the neck examination?
, 1 Observe for masses on the neck
2 Observe for full range of motion of the neck
3 Palpate for quality of the blood flow through the vessels
4 Auscultate for the presence of bruits
5 Observe for symmetry and midline alignment of the trachea
1
2
5
_ is an evidence-based strategy used to communicate client information to other healthcare
team members. During simulations and clinical courses throughout your program, you will utilize
this as part of your Direct Patient Care Documentation.
Introduction/Identify, Situation, Background, Assessment, Recommendation (I-SBAR)
I
S
B
A
R
IDENTIFY
SITUATION
BACKGROUND
ASSESMENT
RECOMMEND
The nurse's ability to _ is critical to effective communication and client safety. Nurses must
understand essential information about their clients to prioritize and deliver care. Preparing to
give report takes careful consideration of what information is key to communicate.
The nurse has prepared to give report using I-SBAR.
Give and receive report
As the _, there are a variety of methods utilized to capture the client information shared.
Receiving Nurse
Electronic Health Record Important Information
Client Information
History & Physical
Provider Orders
Vital Signs
