NURS 3020
Health Assessment
Final Assessment Review
(With Solutions)
2026
1
,1. A 65‑year‑old patient presents with unilateral wheezing and
diminished breath sounds. Which assessment finding suggests
airway obstruction?
A. Symmetrical chest expansion
B. Localized wheezing with decreased airflow
C. Hyperresonance bilaterally
D. Clear breath sounds
Answer: B. Rationale: Localized wheezing and reduced airflow
indicate obstruction.
2. During abdominal assessment, the nurse notes rebound
tenderness in the right lower quadrant. Which condition is most
likely?
A. Gastritis
B. Appendicitis
C. Cholecystitis
D. Constipation
Answer: B. Rationale: Rebound tenderness in RLQ is classic for
appendicitis.
3. A patient with liver disease presents with jaundice. Which physical
assessment finding confirms this?
A. Pale conjunctiva
B. Yellow sclera and skin
C. Cyanotic lips
D. Clubbing of fingers
Answer: B. Rationale: Jaundice manifests as yellow discoloration.
4. A patient with heart failure presents with jugular venous distension.
Which position best assesses this?
A. Supine at 90°
B. Semi‑Fowler’s at 30–45°
2
, C. Sitting upright
D. Prone
Answer: B. Rationale: JVD is best assessed at 30–45°.
5. A nurse palpates a thrill over the precordium. Which condition
does this suggest?
A. Normal finding
B. Valvular heart disease with turbulent blood flow
C. Pleural effusion
D. Pneumonia
Answer: B. Rationale: Thrills indicate turbulent flow from valvular
disease.
6. A patient with COPD presents with barrel chest. Which assessment
finding supports this?
A. AP diameter < transverse diameter
B. AP diameter ≈ transverse diameter
C. Symmetrical chest expansion
D. Normal percussion sounds
Answer: B. Rationale: Barrel chest increases AP diameter.
7. A patient with renal disease presents with periorbital edema.
Which system is primarily affected?
A. Respiratory
B. Renal/Fluid balance
C. Neurological
D. Musculoskeletal
Answer: B. Rationale: Renal dysfunction causes fluid retention.
8. A patient with suspected meningitis presents with nuchal rigidity.
Which assessment confirms this?
A. Resistance to neck flexion
B. Hyperreflexia
C. Babinski sign
D. Muscle wasting
3
Health Assessment
Final Assessment Review
(With Solutions)
2026
1
,1. A 65‑year‑old patient presents with unilateral wheezing and
diminished breath sounds. Which assessment finding suggests
airway obstruction?
A. Symmetrical chest expansion
B. Localized wheezing with decreased airflow
C. Hyperresonance bilaterally
D. Clear breath sounds
Answer: B. Rationale: Localized wheezing and reduced airflow
indicate obstruction.
2. During abdominal assessment, the nurse notes rebound
tenderness in the right lower quadrant. Which condition is most
likely?
A. Gastritis
B. Appendicitis
C. Cholecystitis
D. Constipation
Answer: B. Rationale: Rebound tenderness in RLQ is classic for
appendicitis.
3. A patient with liver disease presents with jaundice. Which physical
assessment finding confirms this?
A. Pale conjunctiva
B. Yellow sclera and skin
C. Cyanotic lips
D. Clubbing of fingers
Answer: B. Rationale: Jaundice manifests as yellow discoloration.
4. A patient with heart failure presents with jugular venous distension.
Which position best assesses this?
A. Supine at 90°
B. Semi‑Fowler’s at 30–45°
2
, C. Sitting upright
D. Prone
Answer: B. Rationale: JVD is best assessed at 30–45°.
5. A nurse palpates a thrill over the precordium. Which condition
does this suggest?
A. Normal finding
B. Valvular heart disease with turbulent blood flow
C. Pleural effusion
D. Pneumonia
Answer: B. Rationale: Thrills indicate turbulent flow from valvular
disease.
6. A patient with COPD presents with barrel chest. Which assessment
finding supports this?
A. AP diameter < transverse diameter
B. AP diameter ≈ transverse diameter
C. Symmetrical chest expansion
D. Normal percussion sounds
Answer: B. Rationale: Barrel chest increases AP diameter.
7. A patient with renal disease presents with periorbital edema.
Which system is primarily affected?
A. Respiratory
B. Renal/Fluid balance
C. Neurological
D. Musculoskeletal
Answer: B. Rationale: Renal dysfunction causes fluid retention.
8. A patient with suspected meningitis presents with nuchal rigidity.
Which assessment confirms this?
A. Resistance to neck flexion
B. Hyperreflexia
C. Babinski sign
D. Muscle wasting
3
