COMPLETE EXAM PACKAGE WITH HIGH-YIELD PRACTICE QUESTIONS,
DETAILED ANSWER EXPLANATIONS AND RATIONALES,
COMPREHENSIVE HEALTH ASSESSMENT CONCEPT REVIEW, HEAD-
TO-TOE PHYSICAL EXAMINATION TECHNIQUES, CLINICAL JUDGMENT
CASE SCENARIOS, PATIENT ASSESSMENT SKILLS, TEST-TAKING
STRATEGIES, AND COMPLETE EXAM PREPARATION TOOLKIT –
2026/2027 LATEST UPDATED EDITION
Heart sounds are loudest for S1 at the _______ and for S2 at the________.
Base of the heart
Right side of the heart
Center of the heart
Left side of the heart
Apex of the heart
Apex of the heart
Base of the heart
When preparing a female client for an abdominal examination, the nurse should provide
her with which instruction?
A. Empty your bladder just prior to the examination
B. refrain from eating or drinking for at least thirty minutes
,C. Lie in a prone position with slightly flexed knees
D. Exhale slowly through your mouth then hold your breath
Empty your bladder just prior to examination
The nurse learns in report that a client is stuporous. Which assessment should the nurse
perform to confirm this report?
A. Observe for facial asymmetry
B. Determine the response to stimuli
C. Assess for a positive Romberg sign
D Check the pupillary response to light
Determine the response to stimuli
The nurse begins a clients musculoskeletal assessment. While using the technique of
inspection, the nurse assesses for which possible findings? Select all that apply
A. Atrophy
B. Crepitus
C. Kyphosis
D. Osteopenia
E. Contracture
A. Atrophy
C. Kyphosis
E. Contracture
,An older client comes to the healthcare provider's office for a routine follow-up exam for
high blood pressure, osteoarthritis, constipation, and chronic sinusitis. The client recently
had a cataract removed from the left eye, Which is the MOST important for the nurse to
assess when obtaining the clients health history.
A. Obtain a medication history including prescription and non prescription drugs.
B. Conduct an assessment of functional capacity and environmental hazards.
C. Emphasize the need to place advance directives in the medical record.
D. Distinguish between symptoms caused by disease and those due to aging.
A. Obtain a medication history including prescription and non prescription drugs.
The nurse is assessing a client who has a history of kidney stones and returns to the clinic
with flank pain. Which intervention should the nurse implement first?
A. Collect a urine sample and strain for granules or calculi.
B. Use a standard pain assessment questionnaire and scale.
C. Observe for nonverbal signs to measure pain intensity.
D. Ask the client if he took any pain medicine at home.
B. Use a standard pain assessment questionnaire and scale
During a health assessment, the client reports being treated for osteoarthritis. The nurse
examines a client's hands and finds Heberden's nodes. Which finding should the nurse
document in the client's medical record?
A. Frozen, non-movable phalangeal joints
, B. Proximal intertarsal joint swelling of big toe
C. Distal interphalangeal joint nodules that deviate
D. Non-painful enlarged interphalangeal joints
C. Distal interphalangeal joint nodules that deviate
The nurse is assessing a client with gallstones for jaundice. Which action should the nurse
perform to confirm this information?
A. Examine client's sclera for icterus
B. Review recent serum bilirubin levels
C. Assess conjunctival sacs of lower lids for pallor
D. Observe the client's urine for dark orange color
A. Examine client's sclera for icterus
When assessing heart sounds of a client with rheumatic valvular heart disease, where
should the nurse place the stethoscope to auscultate the tricuspid valve?
A. Third left intercostal space
B. Left fourth intercostal space next to the sternal border
C. Second right intercostal space
D. Left fifth intercostal space, midclavicular line
B. Left fourth intercostal space next to the sternal border
The client is a 35 year old male with no history of any medical conditions is in the clinic for
an annual physical, which can the nurse do to mitigate artifacts when performing
auscultation? Select all that apply