NURSING 110 HEALTH ASSESSMENT
(UPDATE 2026) QUESTIONS AND
ANSWERS WITH VERIFIED
SOLUTIONS 100% CORRECT A+
what is a triple A when talking about abdomen - CORRECT ANSWES -- An
enlargement of the aorta, the main blood vessel that delivers blood to the body, at the
level of the abdomen.
physical assessment of abdomen - CORRECT ANSWES -- inspect skin color, striae,
scars, rash, lesions
contour and symmetry (protrusion bulges, or masses)
observe abdominal movements- visible peristalsis, aortic pulsation
abdomen assessment - CORRECT ANSWES -- auscultate abdomen first then palpate
listen to the quads in the following order RLQ, RUQ, LUQ, LLQ
when auscultating the abdomen what sounds are you listening for and how often should
they occur - CORRECT ANSWES -- should occur every 5-15 seconds, normal high
pitched, gurgling, vary in pitch, frequency and intensity. loudest before meals
Borbyorygmus - CORRECT ANSWES -- stomach growling
Hypoactive bowel sounds - CORRECT ANSWES -- heard infrequently caused by meds,
bowel obstruction
Hyperactive bowel sounds - CORRECT ANSWES -- heard frequently, loud pitched,
tinkling sounds, water sounds-diarrhea laxative use
palpate abdomen - CORRECT ANSWES -- start in the right lower quadrant and work
around with light touch note tenderness, mass, tender, soft localized areas of increased
tension perform after auscultation
Upper and lower extremity assessment health history - CORRECT ANSWES -- history
of heart disorder, varicosities, hypertension
lifestyle, exercise, smoking, alcohol use
pain in legs when sleeping or worse when walking
sores on legs that won't heal
edema
,peripheral vascular assessment - CORRECT ANSWES -- inspect skin of hands and feet
color, temp edema and skin changes, texture of skin moist or dry, thin, fragile,
decreased hair, ulcerations.
Assess capillary refill <3 sec tests adequate arterial blood flow.
Assess pulses -equal, strength, compare to each other radial left with radial rt etc
how are pulses rated - CORRECT ANSWES -- 0-4 scale
0-no pulse
1+-weak, thready
2+normal
3+ strong
4+bounding
peripheral vascular assessment of veins - CORRECT ANSWES -- inspect arms and
legs for presence of/ and appearance of superficial veins. (distended veins)
i
if distended veins are seen at the anterior medial part of the thigh or lower leg to ankle
what could this be a sign of? - CORRECT ANSWES -- phlebitis
arteriole occlusion - CORRECT ANSWES -- darkening of the skin all over purple like
varicose veins - CORRECT ANSWES -- pooling of the blood in veins that causes them
to protrude very painful caused by long periods of standing etc.
Neurovascular Check--- what are the 7 p's?
Peripheral Vascular assessment Abnormals - CORRECT ANSWES -- pain
paresthesia (numbness, tingling)
Paralysis
Pallor
pulse absent or weak/thready pulse
polar temp of skin cool to touch
puffiness aka swelling or edema
Nail assessment history - CORRECT ANSWES -- diabetes?
PVD
previous trauma or surgery
clubbing
fungal infection
ingrown toe nails
nail assessment inspection - CORRECT ANSWES -- nail plate shape, curvature and
angle
nail texture-smooth, thick, thin
, nail bed color is it consistent with ethnicity? abnormals include bluish purple, pallor
spoon nail shape indicator of what - CORRECT ANSWES -- iron deficiency anemia
clubbing nail shape indicator of - CORRECT ANSWES -- long term o2 deficiency;
chronic hypoxia seen in persons with COPD
thick texture nails indicate - CORRECT ANSWES -- decreased circulation, iron def
anemia
think or furrows in nails indicate - CORRECT ANSWES -- iron def. anemia
blue/purple nails - CORRECT ANSWES -- cyanosis
musculoskeletal assessment nursing history - CORRECT ANSWES -- muscle pain,
decreased ROM, inability to perform ADL's, previous sport injury, recent fall, trauma,
lifting heavy, hx of bone disease, changes in function, rheumatoid arthritis,
osteoarthritis, tendinitis, Bursitis, Osteoporosis, Herniated disc, rotator cuff injury.....
musculoskeletal assessment what you see - CORRECT ANSWES -- inspect muscle
size compare one side to the other is atrophy present.
Do you see contracture
Palpate muscles for tonicity- spasticity, flaccidity
test strength push ,pull, grips and pushes
smooth movements yes or no, weakness yes or no
Palpate is there any Edema
Palpate joints any edema, crepitation, tenderness,
assess ROM do not force over what is comfortable
assess ambulation
Neurological assessment - CORRECT ANSWES -- begins when you meet pt. mental
status, language do they have aphasia, orientation to time, place, person and situation,
Memory immediate, past and recent. Consciousness- alert, lethargic only respond to
pain or stimuli?
Attention span- eye contact
LOC
CRANIAL NERVES
REFLEXES
Nursing history to ask during neuro assessment - CORRECT ANSWES -- sz, changes
in speech, hx of head or spinal cord injury, changes in smell, taste, touch or hearing,
HTN
Psychiatric disorders, taking (analgesics) narcotics, antipsychotics, Antidepressants,
Nervous system stimulants
tremors
dizziness
(UPDATE 2026) QUESTIONS AND
ANSWERS WITH VERIFIED
SOLUTIONS 100% CORRECT A+
what is a triple A when talking about abdomen - CORRECT ANSWES -- An
enlargement of the aorta, the main blood vessel that delivers blood to the body, at the
level of the abdomen.
physical assessment of abdomen - CORRECT ANSWES -- inspect skin color, striae,
scars, rash, lesions
contour and symmetry (protrusion bulges, or masses)
observe abdominal movements- visible peristalsis, aortic pulsation
abdomen assessment - CORRECT ANSWES -- auscultate abdomen first then palpate
listen to the quads in the following order RLQ, RUQ, LUQ, LLQ
when auscultating the abdomen what sounds are you listening for and how often should
they occur - CORRECT ANSWES -- should occur every 5-15 seconds, normal high
pitched, gurgling, vary in pitch, frequency and intensity. loudest before meals
Borbyorygmus - CORRECT ANSWES -- stomach growling
Hypoactive bowel sounds - CORRECT ANSWES -- heard infrequently caused by meds,
bowel obstruction
Hyperactive bowel sounds - CORRECT ANSWES -- heard frequently, loud pitched,
tinkling sounds, water sounds-diarrhea laxative use
palpate abdomen - CORRECT ANSWES -- start in the right lower quadrant and work
around with light touch note tenderness, mass, tender, soft localized areas of increased
tension perform after auscultation
Upper and lower extremity assessment health history - CORRECT ANSWES -- history
of heart disorder, varicosities, hypertension
lifestyle, exercise, smoking, alcohol use
pain in legs when sleeping or worse when walking
sores on legs that won't heal
edema
,peripheral vascular assessment - CORRECT ANSWES -- inspect skin of hands and feet
color, temp edema and skin changes, texture of skin moist or dry, thin, fragile,
decreased hair, ulcerations.
Assess capillary refill <3 sec tests adequate arterial blood flow.
Assess pulses -equal, strength, compare to each other radial left with radial rt etc
how are pulses rated - CORRECT ANSWES -- 0-4 scale
0-no pulse
1+-weak, thready
2+normal
3+ strong
4+bounding
peripheral vascular assessment of veins - CORRECT ANSWES -- inspect arms and
legs for presence of/ and appearance of superficial veins. (distended veins)
i
if distended veins are seen at the anterior medial part of the thigh or lower leg to ankle
what could this be a sign of? - CORRECT ANSWES -- phlebitis
arteriole occlusion - CORRECT ANSWES -- darkening of the skin all over purple like
varicose veins - CORRECT ANSWES -- pooling of the blood in veins that causes them
to protrude very painful caused by long periods of standing etc.
Neurovascular Check--- what are the 7 p's?
Peripheral Vascular assessment Abnormals - CORRECT ANSWES -- pain
paresthesia (numbness, tingling)
Paralysis
Pallor
pulse absent or weak/thready pulse
polar temp of skin cool to touch
puffiness aka swelling or edema
Nail assessment history - CORRECT ANSWES -- diabetes?
PVD
previous trauma or surgery
clubbing
fungal infection
ingrown toe nails
nail assessment inspection - CORRECT ANSWES -- nail plate shape, curvature and
angle
nail texture-smooth, thick, thin
, nail bed color is it consistent with ethnicity? abnormals include bluish purple, pallor
spoon nail shape indicator of what - CORRECT ANSWES -- iron deficiency anemia
clubbing nail shape indicator of - CORRECT ANSWES -- long term o2 deficiency;
chronic hypoxia seen in persons with COPD
thick texture nails indicate - CORRECT ANSWES -- decreased circulation, iron def
anemia
think or furrows in nails indicate - CORRECT ANSWES -- iron def. anemia
blue/purple nails - CORRECT ANSWES -- cyanosis
musculoskeletal assessment nursing history - CORRECT ANSWES -- muscle pain,
decreased ROM, inability to perform ADL's, previous sport injury, recent fall, trauma,
lifting heavy, hx of bone disease, changes in function, rheumatoid arthritis,
osteoarthritis, tendinitis, Bursitis, Osteoporosis, Herniated disc, rotator cuff injury.....
musculoskeletal assessment what you see - CORRECT ANSWES -- inspect muscle
size compare one side to the other is atrophy present.
Do you see contracture
Palpate muscles for tonicity- spasticity, flaccidity
test strength push ,pull, grips and pushes
smooth movements yes or no, weakness yes or no
Palpate is there any Edema
Palpate joints any edema, crepitation, tenderness,
assess ROM do not force over what is comfortable
assess ambulation
Neurological assessment - CORRECT ANSWES -- begins when you meet pt. mental
status, language do they have aphasia, orientation to time, place, person and situation,
Memory immediate, past and recent. Consciousness- alert, lethargic only respond to
pain or stimuli?
Attention span- eye contact
LOC
CRANIAL NERVES
REFLEXES
Nursing history to ask during neuro assessment - CORRECT ANSWES -- sz, changes
in speech, hx of head or spinal cord injury, changes in smell, taste, touch or hearing,
HTN
Psychiatric disorders, taking (analgesics) narcotics, antipsychotics, Antidepressants,
Nervous system stimulants
tremors
dizziness
