NURS 3320 Holistic Health Assessment
Exam 2 Questions And Correct Answers
(Verified Answers) Plus Rationale 2027
Q&A| Instant Download Pdf
1. During a comprehensive health assessment, which interview
technique best encourages the patient to provide detailed
information?
A. Asking leading questions
B. Asking multiple questions at once
C. Using open-ended questions
D. Interrupting the patient for clarification
Answer: C. Using open-ended questions
Rationale: Open-ended questions encourage patients to describe their
symptoms, concerns, and experiences in their own words. This approach
promotes therapeutic communication, establishes rapport, and provides
richer assessment data than closed-ended or leading questions.
, 2. Which component of the health history focuses on illnesses
experienced by immediate biological relatives?
A. Review of systems
B. Social history
C. Personal medical history
D. Family health history
Answer: D. Family health history
Rationale: The family health history identifies inherited conditions and
diseases with genetic predispositions, such as hypertension, diabetes,
heart disease, and certain cancers. This information assists nurses in
identifying risk factors and planning preventive care.
3. Which finding during inspection of the skin requires immediate
follow-up?
A. Even skin pigmentation
B. Warm skin temperature
C. Irregularly bordered dark mole with color variation
D. Small freckles on the forearms
Answer: C. Irregularly bordered dark mole with color variation
,Rationale: A mole with asymmetry, irregular borders, multiple colors,
and increasing diameter may indicate melanoma. The ABCDE criteria
are used to evaluate suspicious skin lesions requiring prompt medical
evaluation.
4. Which pulse site is most appropriate during cardiopulmonary
resuscitation in an adult?
A. Radial
B. Brachial
C. Femoral
D. Carotid
Answer: D. Carotid
Rationale: The carotid artery is the preferred pulse site during adult CPR
because it is a central artery that remains palpable even when
peripheral circulation is poor.
5. Which vital sign should the nurse measure first?
A. Blood pressure
B. Temperature
, C. Respiratory rate
D. Respiratory rate
Answer: D. Respiratory rate
Rationale: Respirations should be assessed before the patient becomes
aware of the observation because conscious awareness may alter the
breathing pattern, affecting assessment accuracy.
6. Which finding indicates normal pupillary function?
A. Fixed pupils bilaterally
B. Unequal pupils with sluggish response
C. Pupils equal, round, reactive to light and accommodation (PERRLA)
D. Dilated pupils without accommodation
Answer: C. Pupils equal, round, reactive to light and accommodation
(PERRLA)
Rationale: PERRLA represents a normal neurological finding, indicating
intact cranial nerves II and III and appropriate pupillary responses.
7. Which cranial nerve is primarily responsible for hearing?
Exam 2 Questions And Correct Answers
(Verified Answers) Plus Rationale 2027
Q&A| Instant Download Pdf
1. During a comprehensive health assessment, which interview
technique best encourages the patient to provide detailed
information?
A. Asking leading questions
B. Asking multiple questions at once
C. Using open-ended questions
D. Interrupting the patient for clarification
Answer: C. Using open-ended questions
Rationale: Open-ended questions encourage patients to describe their
symptoms, concerns, and experiences in their own words. This approach
promotes therapeutic communication, establishes rapport, and provides
richer assessment data than closed-ended or leading questions.
, 2. Which component of the health history focuses on illnesses
experienced by immediate biological relatives?
A. Review of systems
B. Social history
C. Personal medical history
D. Family health history
Answer: D. Family health history
Rationale: The family health history identifies inherited conditions and
diseases with genetic predispositions, such as hypertension, diabetes,
heart disease, and certain cancers. This information assists nurses in
identifying risk factors and planning preventive care.
3. Which finding during inspection of the skin requires immediate
follow-up?
A. Even skin pigmentation
B. Warm skin temperature
C. Irregularly bordered dark mole with color variation
D. Small freckles on the forearms
Answer: C. Irregularly bordered dark mole with color variation
,Rationale: A mole with asymmetry, irregular borders, multiple colors,
and increasing diameter may indicate melanoma. The ABCDE criteria
are used to evaluate suspicious skin lesions requiring prompt medical
evaluation.
4. Which pulse site is most appropriate during cardiopulmonary
resuscitation in an adult?
A. Radial
B. Brachial
C. Femoral
D. Carotid
Answer: D. Carotid
Rationale: The carotid artery is the preferred pulse site during adult CPR
because it is a central artery that remains palpable even when
peripheral circulation is poor.
5. Which vital sign should the nurse measure first?
A. Blood pressure
B. Temperature
, C. Respiratory rate
D. Respiratory rate
Answer: D. Respiratory rate
Rationale: Respirations should be assessed before the patient becomes
aware of the observation because conscious awareness may alter the
breathing pattern, affecting assessment accuracy.
6. Which finding indicates normal pupillary function?
A. Fixed pupils bilaterally
B. Unequal pupils with sluggish response
C. Pupils equal, round, reactive to light and accommodation (PERRLA)
D. Dilated pupils without accommodation
Answer: C. Pupils equal, round, reactive to light and accommodation
(PERRLA)
Rationale: PERRLA represents a normal neurological finding, indicating
intact cranial nerves II and III and appropriate pupillary responses.
7. Which cranial nerve is primarily responsible for hearing?
