EXAM 3: NUR 101/ NUR101 (NEW 2025/ 2026 UPDATE) HEALTH ASSESSMENT REVIEW
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A
| INSTANT DOWNLOAD PDF
Core Domains
General Survey and Anthropometric Measurements.
Vital Signs Assessment and Interpretation.
Skin, Hair, and Nail Assessment.
Head, Neck, and Throat Examination.
Eyes and Visual Assessment.
Ears, Hearing, and Balance Evaluation.
Thorax, Lungs, and Respiratory Assessment.
Cardiovascular and Peripheral Vascular System.
Abdomen and Gastrointestinal Assessment.
Musculoskeletal System Evaluation.
Neurological Assessment and Mental Status.
Genitourinary and Rectal Examination.
, This comprehensive health assessment examination evaluates essential nursing competencies required for
accurate patient evaluation and clinical decision-making. The exam assesses knowledge of systematic
assessment techniques, normal versus abnormal findings, documentation standards, and critical thinking
skills necessary for real-world clinical practice. Through multiple-choice and scenario-based questions, this
test measures your ability to prioritize care, recognize significant findings, apply theoretical knowledge to
practical situations, and make safe, evidence-based decisions. Emphasis is placed on real-world application,
professional standards, regulatory compliance, and ethical considerations fundamental to nursing practice.
Section One: Questions 1–100
. Which finding is most appropriate to include in a general survey?
A. Patient appears anxious and restless.
B. Patient reports pain at the incision site.
C. Patient has diminished breath sounds in the lower lobes.
D. Patient has a blood pressure of 140/90 mmHg.
🟢 Correct answer: A. Patient appears anxious and restless.
🔴 RATIONALE: A general survey includes overall appearance, behavior, posture, level of distress, and
apparent emotional state.
. The nurse measures a patient’s height and weight primarily to assess:
A. Cardiac output.
B. Nutritional status.
C. Visual acuity.
D. Reflex integrity.
🟢 Correct answer: B. Nutritional status.
, 🔴 RATIONALE: Height and weight are anthropometric measurements commonly used to evaluate nutrition
and growth patterns.
. Which vital sign is typically affected first in early shock?
A. Temperature.
B. Heart rate.
C. Respiratory rate.
D. Blood pressure.
🟢 Correct answer: B. Heart rate.
🔴 RATIONALE: Tachycardia often occurs early as a compensatory response before blood pressure drops.
. When measuring blood pressure manually, the cuff should be:
A. Applied over clothing for comfort.
B. Sized to cover about 80% of the arm circumference.
C. Placed 2 inches below the antecubital fossa.
D. Inflated only until the first sound is heard.
🟢 Correct answer: B. Sized to cover about 80% of the arm circumference.
🔴 RATIONALE: An appropriately sized cuff is essential for accurate blood pressure measurement.
. Which assessment finding suggests dehydration?
A. Moist mucous membranes.
B. Slow capillary refill.
C. Poor skin turgor.
D. Bounding pulse.
, 🟢 Correct answer: C. Poor skin turgor.
🔴 RATIONALE: Decreased skin turgor is a common sign of fluid volume deficit.
. The nurse is assessing skin color in a dark-skinned patient. The best site to check for cyanosis is:
A. Palms.
B. Nail beds and mucous membranes.
C. Forearms.
D. Shoulder blades.
🟢 Correct answer: B. Nail beds and mucous membranes.
🔴 RATIONALE: Cyanosis is best observed in areas with less pigmentation such as nail beds and mucous
membranes.
. Which finding is most concerning during skin assessment?
A. Even pigmentation.
B. Warm, dry skin.
C. New irregular mole with bleeding.
D. Soft hair distribution.
🟢 Correct answer: C. New irregular mole with bleeding.
🔴 RATIONALE: A changing, irregular, bleeding lesion may indicate malignancy and requires follow-up.
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A
| INSTANT DOWNLOAD PDF
Core Domains
General Survey and Anthropometric Measurements.
Vital Signs Assessment and Interpretation.
Skin, Hair, and Nail Assessment.
Head, Neck, and Throat Examination.
Eyes and Visual Assessment.
Ears, Hearing, and Balance Evaluation.
Thorax, Lungs, and Respiratory Assessment.
Cardiovascular and Peripheral Vascular System.
Abdomen and Gastrointestinal Assessment.
Musculoskeletal System Evaluation.
Neurological Assessment and Mental Status.
Genitourinary and Rectal Examination.
, This comprehensive health assessment examination evaluates essential nursing competencies required for
accurate patient evaluation and clinical decision-making. The exam assesses knowledge of systematic
assessment techniques, normal versus abnormal findings, documentation standards, and critical thinking
skills necessary for real-world clinical practice. Through multiple-choice and scenario-based questions, this
test measures your ability to prioritize care, recognize significant findings, apply theoretical knowledge to
practical situations, and make safe, evidence-based decisions. Emphasis is placed on real-world application,
professional standards, regulatory compliance, and ethical considerations fundamental to nursing practice.
Section One: Questions 1–100
. Which finding is most appropriate to include in a general survey?
A. Patient appears anxious and restless.
B. Patient reports pain at the incision site.
C. Patient has diminished breath sounds in the lower lobes.
D. Patient has a blood pressure of 140/90 mmHg.
🟢 Correct answer: A. Patient appears anxious and restless.
🔴 RATIONALE: A general survey includes overall appearance, behavior, posture, level of distress, and
apparent emotional state.
. The nurse measures a patient’s height and weight primarily to assess:
A. Cardiac output.
B. Nutritional status.
C. Visual acuity.
D. Reflex integrity.
🟢 Correct answer: B. Nutritional status.
, 🔴 RATIONALE: Height and weight are anthropometric measurements commonly used to evaluate nutrition
and growth patterns.
. Which vital sign is typically affected first in early shock?
A. Temperature.
B. Heart rate.
C. Respiratory rate.
D. Blood pressure.
🟢 Correct answer: B. Heart rate.
🔴 RATIONALE: Tachycardia often occurs early as a compensatory response before blood pressure drops.
. When measuring blood pressure manually, the cuff should be:
A. Applied over clothing for comfort.
B. Sized to cover about 80% of the arm circumference.
C. Placed 2 inches below the antecubital fossa.
D. Inflated only until the first sound is heard.
🟢 Correct answer: B. Sized to cover about 80% of the arm circumference.
🔴 RATIONALE: An appropriately sized cuff is essential for accurate blood pressure measurement.
. Which assessment finding suggests dehydration?
A. Moist mucous membranes.
B. Slow capillary refill.
C. Poor skin turgor.
D. Bounding pulse.
, 🟢 Correct answer: C. Poor skin turgor.
🔴 RATIONALE: Decreased skin turgor is a common sign of fluid volume deficit.
. The nurse is assessing skin color in a dark-skinned patient. The best site to check for cyanosis is:
A. Palms.
B. Nail beds and mucous membranes.
C. Forearms.
D. Shoulder blades.
🟢 Correct answer: B. Nail beds and mucous membranes.
🔴 RATIONALE: Cyanosis is best observed in areas with less pigmentation such as nail beds and mucous
membranes.
. Which finding is most concerning during skin assessment?
A. Even pigmentation.
B. Warm, dry skin.
C. New irregular mole with bleeding.
D. Soft hair distribution.
🟢 Correct answer: C. New irregular mole with bleeding.
🔴 RATIONALE: A changing, irregular, bleeding lesion may indicate malignancy and requires follow-up.
