“NUR 216 Health Assessment 2025 Test Bank – 150
Practice Questions with Verified Answers & A+ Graded
Rationales – Authentic Exam Questions”
Question 1:
A nurse is conducting a general survey on a newly
admitted patient. Which of the following observations
should the nurse include?
A. Heart sounds
B. Respiratory rate
C. Skin turgor
D. Level of consciousness
✅ Correct Answer: D. Level of consciousness
Rationale: A general survey includes observations about
the patient's overall appearance, behavior, and mental
status, including level of consciousness. Heart sounds
and respiratory rate are part of vital signs assessment,
while skin turgor assesses hydration status.
Question 2:
During a skin assessment, the nurse notes a lesion with
irregular borders, varying colors, and a diameter larger
than 6 mm. What is the appropriate action?
,A. Document as a normal finding
B. Apply an antibiotic ointment
C. Refer for further evaluation
D. Educate the patient on sun exposure
✅ Correct Answer: C. Refer for further evaluation
Rationale: Lesions with irregular borders, color
variations, and size greater than 6 mm may indicate
melanoma. Prompt referral for dermatological evaluation
is necessary.
Question 3:
When assessing the lungs of a patient, the nurse hears
high-pitched, musical sounds during expiration. These
sounds are best described as:
A. Crackles
B. Rhonchi
C. Wheezes
D. Pleural friction rub
✅ Correct Answer: C. Wheezes
Rationale: Wheezes are high-pitched, musical sounds
typically heard during expiration and are associated with
narrowed airways, as seen in asthma or bronchitis.
,Question 4:
A nurse is assessing a patient's abdomen. Which
sequence of techniques is correct?
A. Inspection, palpation, percussion, auscultation
B. Auscultation, inspection, percussion, palpation
C. Inspection, auscultation, percussion, palpation
D. Palpation, percussion, auscultation, inspection
✅ Correct Answer: C. Inspection, auscultation,
percussion, palpation
Rationale: The correct sequence for abdominal
assessment is inspection, auscultation, percussion, and
palpation to avoid altering bowel sounds.
Question 5:
During a neurological assessment, the nurse asks the
patient to close their eyes and identifies an object placed
in their hand. This test assesses:
A. Graphesthesia
B. Stereognosis
C. Proprioception
D. Two-point discrimination
, ✅ Correct Answer: B. Stereognosis
Rationale: Stereognosis is the ability to recognize objects
by touch with eyes closed, assessing sensory cortex
function.
Question 6:
The nurse notes that a patient's pupils are unequal in
size. This finding is termed:
A. Anisocoria
B. Miosis
C. Mydriasis
D. Nystagmus
✅ Correct Answer: A. Anisocoria
Rationale: Anisocoria refers to unequal pupil sizes, which
may be normal or indicate neurological issues.
Question 7:
Which of the following is considered subjective data?
A. Blood pressure reading
B. Patient's statement of pain
C. Laboratory results
D. Respiratory rate
Practice Questions with Verified Answers & A+ Graded
Rationales – Authentic Exam Questions”
Question 1:
A nurse is conducting a general survey on a newly
admitted patient. Which of the following observations
should the nurse include?
A. Heart sounds
B. Respiratory rate
C. Skin turgor
D. Level of consciousness
✅ Correct Answer: D. Level of consciousness
Rationale: A general survey includes observations about
the patient's overall appearance, behavior, and mental
status, including level of consciousness. Heart sounds
and respiratory rate are part of vital signs assessment,
while skin turgor assesses hydration status.
Question 2:
During a skin assessment, the nurse notes a lesion with
irregular borders, varying colors, and a diameter larger
than 6 mm. What is the appropriate action?
,A. Document as a normal finding
B. Apply an antibiotic ointment
C. Refer for further evaluation
D. Educate the patient on sun exposure
✅ Correct Answer: C. Refer for further evaluation
Rationale: Lesions with irregular borders, color
variations, and size greater than 6 mm may indicate
melanoma. Prompt referral for dermatological evaluation
is necessary.
Question 3:
When assessing the lungs of a patient, the nurse hears
high-pitched, musical sounds during expiration. These
sounds are best described as:
A. Crackles
B. Rhonchi
C. Wheezes
D. Pleural friction rub
✅ Correct Answer: C. Wheezes
Rationale: Wheezes are high-pitched, musical sounds
typically heard during expiration and are associated with
narrowed airways, as seen in asthma or bronchitis.
,Question 4:
A nurse is assessing a patient's abdomen. Which
sequence of techniques is correct?
A. Inspection, palpation, percussion, auscultation
B. Auscultation, inspection, percussion, palpation
C. Inspection, auscultation, percussion, palpation
D. Palpation, percussion, auscultation, inspection
✅ Correct Answer: C. Inspection, auscultation,
percussion, palpation
Rationale: The correct sequence for abdominal
assessment is inspection, auscultation, percussion, and
palpation to avoid altering bowel sounds.
Question 5:
During a neurological assessment, the nurse asks the
patient to close their eyes and identifies an object placed
in their hand. This test assesses:
A. Graphesthesia
B. Stereognosis
C. Proprioception
D. Two-point discrimination
, ✅ Correct Answer: B. Stereognosis
Rationale: Stereognosis is the ability to recognize objects
by touch with eyes closed, assessing sensory cortex
function.
Question 6:
The nurse notes that a patient's pupils are unequal in
size. This finding is termed:
A. Anisocoria
B. Miosis
C. Mydriasis
D. Nystagmus
✅ Correct Answer: A. Anisocoria
Rationale: Anisocoria refers to unequal pupil sizes, which
may be normal or indicate neurological issues.
Question 7:
Which of the following is considered subjective data?
A. Blood pressure reading
B. Patient's statement of pain
C. Laboratory results
D. Respiratory rate
