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NUR 265 Comprehensive Assessment Study Guide – Question Bank with Verified Answers

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Master NUR 265 with this complete assessment study guide question bank. Covers head-to-toe assessment, abnormal findings, DTRs, lung sounds, skin lesions, and neurological exams. Verified answers included.

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NUR 265 COMPREHENSIVE ASSESSMENT
STUDY GUIDE QUESTIONS BANK; COMPLETE
ACCURATE QUIZZES WITH VERIFIED ANSWERS


Abduction - correct answer- Movement away from
midline


Abnormal auscultation findings - correct answer-
Diminished/absent breath sounds, abnormal breath sounds
(bronchial in peripheral fields), adventitious sounds.


Abnormal chest movement - correct answer-
Asymmetrical chest movement, use of accessory muscles,
tachypnea (>20/min), bradypnea (<12/min), irregular patterns
(Cheyne-Stokes, Biot's, Kussmaul).


Abnormal palpation findings - correct answer- Unequal
expansion, tenderness, masses, increased/decreased/absent
fremitus.


Abnormal percussion findings - correct answer-
Hyperresonance (emphysema, pneumothorax), dullness
(consolidation, pleural effusion), flatness (large pleural effusion,
hemothorax).

,Abnormal spinal curvatures - correct answer- Conditions
such as scoliosis, hyperkyphosis, and hyperlordosis.


Absent gag - correct answer- Lack of reflex to gag when
stimulated, indicating possible nerve damage.


Adduction - correct answer- Movement toward midline


Adolescents Assessment - correct answer- Privacy
critical; offer same-gender examiner; explain purpose of
assessment


Adults Assessment - correct answer- Standard head-to-
toe approach; ensure privacy and dignity


Annular - correct answer- Ring-shaped


Anosmia - correct answer- Loss of the sense of smell.


Aortic valve location - correct answer- 2nd intercostal
space, right sternal border for auscultation.

, Apical pulse - correct answer- Normal range of 60-100
bpm with a regular rhythm.


Auscultation - correct answer- Listening to body sounds
with a stethoscope


Auscultation Abnormal - correct answer- Hyperactive
(>35/min), hypoactive (<5/min), absent (>5 min listening), bruits
over major vessels


Auscultation Normal - correct answer- Bowel sounds
present in all quadrants (5-35/min)


BNP levels - correct answer- Elevated levels (>100
pg/mL) suggest heart failure.


Breast Assessment Abnormal - correct answer-
Asymmetry, dimpling, retraction, redness, peau d'orange,
masses, nipple discharge/inversion


Breast Assessment Normal - correct answer- Symmetric,
no dimpling/retraction, no masses, nipples without discharge

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