NR302 / NR-302 Final Exam (Latest Update 2026/2027): Health Assessment | Complete Guide with Questions and Verified Answers |
100% Correct - Chamberlain 2026/2027 — 2026/2027 Official Exam
OBJECTIVE ASSESSMENT - EXAM
NR302 / NR-302 Final Exam (Latest
Update 2026/2027): Health
Assessment | Complete Guide with
Questions and Verified Answers |
100% Correct - Chamberlain 2026/2027
— 2026/2027 Official Exam
75 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Health History & Documentation
Physical Examination Techniques
Vital Signs & Pain Assessment
Head, Neck, Skin & Thorax Assessment
Cardiovascular, Abdomen, Neuro & MSK
COVER PAGE - 1
, SECTION 4 | System-Specific Assessment: Head, Neck, Skin, and Thorax | Q46-Q60 | NR302 /
NR-302 Final Exam (Latest Update 2026/2027): Health Assessment | Complete Guide with
Questions and Verified Answers | 100% Correct - Chamberlain 2026/2027 — 2026/2027 Official
Exam 2026/2027
Q57 Question 57 of 75
A 75-year-old patient is admitted to the hospital with community-acquired pneumonia. During the
respiratory assessment, the nurse inspects the patient's breathing pattern and observes that the
patient takes a series of progressively deeper breaths followed by a period of apnea lasting 15 to 20
seconds, after which the breathing cycle begins again. The patient is not in acute distress during the
apneic periods. Which breathing pattern is the nurse observing?
A. Cheyne-Stokes respiration, characterized by a cyclical pattern of progressively increasing then
decreasing tidal volumes alternating with periods of apnea, commonly associated with heart failure, brain
injury, or opiate use
B. Kussmaul respiration, characterized by deep rapid breathing maintained at a constant rate without
apneic periods, which is the classic breathing pattern of metabolic acidosis such as diabetic ketoacidosis
C. Biot's respiration, characterized by irregular, unpredictable breathing with varying depths and rates and
occasional apneic periods, which indicates severe brainstem damage with a poor prognosis
D. Ataxic breathing, characterized by completely irregular breathing with no discernible pattern and
prolonged apneic pauses, which indicates medullary failure and is incompatible with sustained life
Correct Answer: A
Rationale:
Cheyne-Stokes respiration is characterized by a cyclical pattern of progressively deeper breaths (waxing) followed by
shallower breaths (waning) and then a period of apnea, repeating in a regular cycle (A). Kussmaul breathing is deep
and rapid without apneic periods (B). Biot's respiration is irregular and unpredictable (C). Ataxic breathing is completely
irregular and indicates medullary failure (D).
SECTION 3 | Vital Signs and Pain Assessment | Q31-Q45 | NR302 / NR-302 Final Exam (Latest
Update 2026/2027): Health Assessment | Complete Guide with Questions and Verified
Answers | 100% Correct - Chamberlain 2026/2027 — 2026/2027 Official Exam 2026/2027
Q38 Question 38 of 75
A 48-year-old patient with chronic pancreatitis reports persistent abdominal pain rated at 7 out of 10
on the numeric rating scale. The nurse assesses the pain characteristics and notes that the pain is
located in the epigastric region, radiates straight through to the back, worsens after eating a high-fat
meal, and is partially relieved by sitting upright and leaning forward. The patient takes prescribed
oxycodone with partial relief. Which pain type classification best describes this patient's pain?
A. Neuropathic pain caused by pancreatic nerve infiltration, because the radiation to the back and partial
response to opioids are characteristic of nerve-mediated pain requiring adjuvant medications like
gabapentin
xam (Latest Update 2026/2027): Health Assessment | Complete Guide with Questions and Verified Answers | 100% Correct - Chamberlain 2026/2027 — 2026/2027 Official Exam -- 2026/2027 | Pass
, B. Visceral pain originating from the pancreas, because the deep aching quality, postprandial worsening,
and positional relief pattern are consistent with inflammation of an abdominal organ with associated
peritoneal irritation
C. Somatic pain from the abdominal wall musculature, because the epigastric location and positional
changes in pain intensity suggest a musculoskeletal origin that would respond better to heat therapy and
NSAIDs
D. Referred pain from a spinal pathology, because the radiation pattern to the back mimics radicular pain
and the partial opioid response suggests a mixed nociceptive and neuropathic pain mechanism
Correct Answer: B
Rationale:
The pain of chronic pancreatitis is classic visceral pain originating from the pancreas: epigastric location, radiation
through to the back, worsened by eating (stimulating pancreatic secretion), and partially relieved by leaning forward
(reducing tension on the inflamed organ) (B). Neuropathic pain has different characteristics (A). Somatic pain is more
superficial and localized (C). Referred pain from the spine would not follow this pattern (D).
SECTION 1 | Health History and Documentation | Q1-Q15 | NR302 / NR-302 Final Exam (Latest
Update 2026/2027): Health Assessment | Complete Guide with Questions and Verified
Answers | 100% Correct - Chamberlain 2026/2027 — 2026/2027 Official Exam 2026/2027
Q5 Question 5 of 75
A 78-year-old man is admitted to the medical unit for management of worsening congestive heart
failure. During the admission health history, the nurse notes that the patient's wife died six months
ago, he lives alone, and he has lost 15 pounds over the past three months. He states he sometimes
forgets to take his medications. Which nursing diagnosis derived from this health history data requires
the most immediate intervention during this hospitalization?
A. Imbalanced nutrition: less than body requirements, because the 15-pound weight loss indicates
significant caloric deficit that must be corrected with aggressive nutritional supplementation before
discharge
B. Risk for falls related to orthostatic hypotension from heart failure medications, because this is the
leading safety concern in elderly hospitalized patients and requires immediate implementation of fall
precautions
C. Self-care deficit related to cognitive decline and inadequate social support, because the patient's living
situation and reported medication nonadherence place him at high risk for poor outcomes after discharge
D. Ineffective coping related to complicated grief following the death of his spouse six months ago,
because unresolved bereavement is the root cause of both his weight loss and medication nonadherence
and must be addressed first
Correct Answer: C
Rationale:
The combination of living alone, forgetting medications, and weight loss indicates a self-care deficit that poses the
greatest immediate risk for this patient, as he is unlikely to manage his complex heart failure regimen safely after
discharge without intervention (C). While nutrition, falls, and coping are all valid concerns, the self-care deficit is the
most comprehensive and urgent issue affecting his ability to survive and thrive post-discharge (A, B, D).
xam (Latest Update 2026/2027): Health Assessment | Complete Guide with Questions and Verified Answers | 100% Correct - Chamberlain 2026/2027 — 2026/2027 Official Exam -- 2026/2027 | Pass
, SECTION 5 | System-Specific Assessment: Cardiovascular, Abdomen, Neurological, and
Musculoskeletal | Q61-Q75 | NR302 / NR-302 Final Exam (Latest Update 2026/2027): Health
Assessment | Complete Guide with Questions and Verified Answers | 100% Correct -
Chamberlain 2026/2027 — 2026/2027 Official Exam 2026/2027
Q68 Question 68 of 75
A 52-year-old woman presents to the gynecology clinic with a report of postmenopausal bleeding.
During the abdominal assessment, the nurse performs deep palpation of the abdomen and identifies
a firm, irregular, non-tender mass in the suprapubic area that appears to arise from the pelvis. The
mass is approximately 10 cm in diameter and does not move with respiration. Which organ is most
likely the origin of this palpable mass?
A. The liver, because the firm irregular mass in the suprapubic area could represent hepatomegaly from
metastatic disease that has extended inferiorly below the costal margin
B. The spleen, because an enlarged spleen can extend into the lower abdomen and present as a firm
mass, though it typically moves with respiration and is located in the left upper quadrant
C. The urinary bladder, because a distended bladder from urinary retention can present as a suprapubic
mass, though it is typically smooth and balloon-like rather than firm and irregular
D. An enlarged uterus, because a firm, irregular, non-tender pelvic mass in the suprapubic area in a
postmenopausal woman with bleeding raises concern for endometrial or uterine pathology requiring further
evaluation
Correct Answer: D
Rationale:
In a postmenopausal woman with vaginal bleeding, a firm, irregular, non-tender suprapubic mass most likely originates
from the uterus and raises concern for endometrial or uterine pathology such as leiomyomas or endometrial carcinoma
(D). The liver is in the RUQ (A). The spleen is in the LUQ (B). A distended bladder would be smooth and would resolve
after catheterization (C).
SECTION 2 | Physical Examination Techniques | Q16-Q30 | NR302 / NR-302 Final Exam (Latest
Update 2026/2027): Health Assessment | Complete Guide with Questions and Verified
Answers | 100% Correct - Chamberlain 2026/2027 — 2026/2027 Official Exam 2026/2027
Q18 Question 18 of 75
A nurse is assessing a 58-year-old patient with suspected pneumonia. During the chest examination,
the nurse uses the technique of percussion over the posterior thorax. The nurse elicits dullness to
percussion over the right posterior lower lung field. Which pathophysiological process best explains
this percussion finding?
A. Consolidation of lung tissue caused by inflammatory exudate filling the alveolar spaces, which increases
tissue density and produces dullness rather than the expected resonance of normal aerated lung
B. A pleural effusion accumulating in the right pleural space causing compression atelectasis, which
produces a hyperresonant sound because trapped air in partially collapsed alveoli amplifies the percussion
xam (Latest Update 2026/2027): Health Assessment | Complete Guide with Questions and Verified Answers | 100% Correct - Chamberlain 2026/2027 — 2026/2027 Official Exam -- 2026/2027 | Pass
100% Correct - Chamberlain 2026/2027 — 2026/2027 Official Exam
OBJECTIVE ASSESSMENT - EXAM
NR302 / NR-302 Final Exam (Latest
Update 2026/2027): Health
Assessment | Complete Guide with
Questions and Verified Answers |
100% Correct - Chamberlain 2026/2027
— 2026/2027 Official Exam
75 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Health History & Documentation
Physical Examination Techniques
Vital Signs & Pain Assessment
Head, Neck, Skin & Thorax Assessment
Cardiovascular, Abdomen, Neuro & MSK
COVER PAGE - 1
, SECTION 4 | System-Specific Assessment: Head, Neck, Skin, and Thorax | Q46-Q60 | NR302 /
NR-302 Final Exam (Latest Update 2026/2027): Health Assessment | Complete Guide with
Questions and Verified Answers | 100% Correct - Chamberlain 2026/2027 — 2026/2027 Official
Exam 2026/2027
Q57 Question 57 of 75
A 75-year-old patient is admitted to the hospital with community-acquired pneumonia. During the
respiratory assessment, the nurse inspects the patient's breathing pattern and observes that the
patient takes a series of progressively deeper breaths followed by a period of apnea lasting 15 to 20
seconds, after which the breathing cycle begins again. The patient is not in acute distress during the
apneic periods. Which breathing pattern is the nurse observing?
A. Cheyne-Stokes respiration, characterized by a cyclical pattern of progressively increasing then
decreasing tidal volumes alternating with periods of apnea, commonly associated with heart failure, brain
injury, or opiate use
B. Kussmaul respiration, characterized by deep rapid breathing maintained at a constant rate without
apneic periods, which is the classic breathing pattern of metabolic acidosis such as diabetic ketoacidosis
C. Biot's respiration, characterized by irregular, unpredictable breathing with varying depths and rates and
occasional apneic periods, which indicates severe brainstem damage with a poor prognosis
D. Ataxic breathing, characterized by completely irregular breathing with no discernible pattern and
prolonged apneic pauses, which indicates medullary failure and is incompatible with sustained life
Correct Answer: A
Rationale:
Cheyne-Stokes respiration is characterized by a cyclical pattern of progressively deeper breaths (waxing) followed by
shallower breaths (waning) and then a period of apnea, repeating in a regular cycle (A). Kussmaul breathing is deep
and rapid without apneic periods (B). Biot's respiration is irregular and unpredictable (C). Ataxic breathing is completely
irregular and indicates medullary failure (D).
SECTION 3 | Vital Signs and Pain Assessment | Q31-Q45 | NR302 / NR-302 Final Exam (Latest
Update 2026/2027): Health Assessment | Complete Guide with Questions and Verified
Answers | 100% Correct - Chamberlain 2026/2027 — 2026/2027 Official Exam 2026/2027
Q38 Question 38 of 75
A 48-year-old patient with chronic pancreatitis reports persistent abdominal pain rated at 7 out of 10
on the numeric rating scale. The nurse assesses the pain characteristics and notes that the pain is
located in the epigastric region, radiates straight through to the back, worsens after eating a high-fat
meal, and is partially relieved by sitting upright and leaning forward. The patient takes prescribed
oxycodone with partial relief. Which pain type classification best describes this patient's pain?
A. Neuropathic pain caused by pancreatic nerve infiltration, because the radiation to the back and partial
response to opioids are characteristic of nerve-mediated pain requiring adjuvant medications like
gabapentin
xam (Latest Update 2026/2027): Health Assessment | Complete Guide with Questions and Verified Answers | 100% Correct - Chamberlain 2026/2027 — 2026/2027 Official Exam -- 2026/2027 | Pass
, B. Visceral pain originating from the pancreas, because the deep aching quality, postprandial worsening,
and positional relief pattern are consistent with inflammation of an abdominal organ with associated
peritoneal irritation
C. Somatic pain from the abdominal wall musculature, because the epigastric location and positional
changes in pain intensity suggest a musculoskeletal origin that would respond better to heat therapy and
NSAIDs
D. Referred pain from a spinal pathology, because the radiation pattern to the back mimics radicular pain
and the partial opioid response suggests a mixed nociceptive and neuropathic pain mechanism
Correct Answer: B
Rationale:
The pain of chronic pancreatitis is classic visceral pain originating from the pancreas: epigastric location, radiation
through to the back, worsened by eating (stimulating pancreatic secretion), and partially relieved by leaning forward
(reducing tension on the inflamed organ) (B). Neuropathic pain has different characteristics (A). Somatic pain is more
superficial and localized (C). Referred pain from the spine would not follow this pattern (D).
SECTION 1 | Health History and Documentation | Q1-Q15 | NR302 / NR-302 Final Exam (Latest
Update 2026/2027): Health Assessment | Complete Guide with Questions and Verified
Answers | 100% Correct - Chamberlain 2026/2027 — 2026/2027 Official Exam 2026/2027
Q5 Question 5 of 75
A 78-year-old man is admitted to the medical unit for management of worsening congestive heart
failure. During the admission health history, the nurse notes that the patient's wife died six months
ago, he lives alone, and he has lost 15 pounds over the past three months. He states he sometimes
forgets to take his medications. Which nursing diagnosis derived from this health history data requires
the most immediate intervention during this hospitalization?
A. Imbalanced nutrition: less than body requirements, because the 15-pound weight loss indicates
significant caloric deficit that must be corrected with aggressive nutritional supplementation before
discharge
B. Risk for falls related to orthostatic hypotension from heart failure medications, because this is the
leading safety concern in elderly hospitalized patients and requires immediate implementation of fall
precautions
C. Self-care deficit related to cognitive decline and inadequate social support, because the patient's living
situation and reported medication nonadherence place him at high risk for poor outcomes after discharge
D. Ineffective coping related to complicated grief following the death of his spouse six months ago,
because unresolved bereavement is the root cause of both his weight loss and medication nonadherence
and must be addressed first
Correct Answer: C
Rationale:
The combination of living alone, forgetting medications, and weight loss indicates a self-care deficit that poses the
greatest immediate risk for this patient, as he is unlikely to manage his complex heart failure regimen safely after
discharge without intervention (C). While nutrition, falls, and coping are all valid concerns, the self-care deficit is the
most comprehensive and urgent issue affecting his ability to survive and thrive post-discharge (A, B, D).
xam (Latest Update 2026/2027): Health Assessment | Complete Guide with Questions and Verified Answers | 100% Correct - Chamberlain 2026/2027 — 2026/2027 Official Exam -- 2026/2027 | Pass
, SECTION 5 | System-Specific Assessment: Cardiovascular, Abdomen, Neurological, and
Musculoskeletal | Q61-Q75 | NR302 / NR-302 Final Exam (Latest Update 2026/2027): Health
Assessment | Complete Guide with Questions and Verified Answers | 100% Correct -
Chamberlain 2026/2027 — 2026/2027 Official Exam 2026/2027
Q68 Question 68 of 75
A 52-year-old woman presents to the gynecology clinic with a report of postmenopausal bleeding.
During the abdominal assessment, the nurse performs deep palpation of the abdomen and identifies
a firm, irregular, non-tender mass in the suprapubic area that appears to arise from the pelvis. The
mass is approximately 10 cm in diameter and does not move with respiration. Which organ is most
likely the origin of this palpable mass?
A. The liver, because the firm irregular mass in the suprapubic area could represent hepatomegaly from
metastatic disease that has extended inferiorly below the costal margin
B. The spleen, because an enlarged spleen can extend into the lower abdomen and present as a firm
mass, though it typically moves with respiration and is located in the left upper quadrant
C. The urinary bladder, because a distended bladder from urinary retention can present as a suprapubic
mass, though it is typically smooth and balloon-like rather than firm and irregular
D. An enlarged uterus, because a firm, irregular, non-tender pelvic mass in the suprapubic area in a
postmenopausal woman with bleeding raises concern for endometrial or uterine pathology requiring further
evaluation
Correct Answer: D
Rationale:
In a postmenopausal woman with vaginal bleeding, a firm, irregular, non-tender suprapubic mass most likely originates
from the uterus and raises concern for endometrial or uterine pathology such as leiomyomas or endometrial carcinoma
(D). The liver is in the RUQ (A). The spleen is in the LUQ (B). A distended bladder would be smooth and would resolve
after catheterization (C).
SECTION 2 | Physical Examination Techniques | Q16-Q30 | NR302 / NR-302 Final Exam (Latest
Update 2026/2027): Health Assessment | Complete Guide with Questions and Verified
Answers | 100% Correct - Chamberlain 2026/2027 — 2026/2027 Official Exam 2026/2027
Q18 Question 18 of 75
A nurse is assessing a 58-year-old patient with suspected pneumonia. During the chest examination,
the nurse uses the technique of percussion over the posterior thorax. The nurse elicits dullness to
percussion over the right posterior lower lung field. Which pathophysiological process best explains
this percussion finding?
A. Consolidation of lung tissue caused by inflammatory exudate filling the alveolar spaces, which increases
tissue density and produces dullness rather than the expected resonance of normal aerated lung
B. A pleural effusion accumulating in the right pleural space causing compression atelectasis, which
produces a hyperresonant sound because trapped air in partially collapsed alveoli amplifies the percussion
xam (Latest Update 2026/2027): Health Assessment | Complete Guide with Questions and Verified Answers | 100% Correct - Chamberlain 2026/2027 — 2026/2027 Official Exam -- 2026/2027 | Pass
