WGU D443 Health Assessment Pre
Assessment -Solved
1. Which assessment technique should the nurse perform first when examining
most body systems?
A. Palpation
B. Percussion
C. Auscultation
D. Inspection
2. Which finding is considered subjective data?
A. Blood pressure of 138/84 mm Hg
B. Temperature of 38.1°C
C. Patient reports feeling dizzy
D. Respiratory rate of 22/min
3. Which finding represents objective data?
A. "My stomach hurts."
B. "I feel weak."
C. "I have been nauseated."
D. Heart rate of 104 beats/min
4. A nurse is obtaining a patient's health history. Which question is most
appropriate for exploring the chief concern?
A. "What medications did your parents take?"
B. "What brought you to the clinic today?"
C. "Do you exercise regularly?"
D. "What surgeries have you had?"
5. Which question is an example of an open-ended question?
A. "Do you smoke?"
B. "Is your pain severe?"
C. "Tell me what you have noticed about your symptoms."
D. "Does the pain occur at night?"
6. Which pulse site is commonly used when assessing circulation in an adult
emergency?
A. Radial
B. Carotid
C. Dorsalis pedis
D. Brachial
7. Which action helps ensure an accurate blood pressure measurement?
A. Place the cuff over thick clothing
,B. Keep the patient's arm unsupported
C. Use a cuff appropriate for the patient's arm size
D. Have the patient talk during measurement
8. Which respiratory finding requires the nurse's immediate attention?
A. Respiratory rate of 16/min
B. Symmetrical chest expansion
C. Oxygen saturation of 88%
D. Clear breath sounds bilaterally
9. When assessing the lungs, which technique allows the nurse to compare sounds
between corresponding areas?
A. Assessing only the anterior chest
B. Moving systematically from one side to the other
C. Listening to the entire right lung before the left
D. Asking the patient to hold their breath throughout the assessment
10. Which breath sound is normally heard over most peripheral lung fields?
A. Bronchial
B. Bronchovesicular
C. Vesicular
D. Stridor
11. A nurse hears a high-pitched musical sound primarily during expiration. Which
finding is most consistent with this sound?
A. Crackles
B. Wheezing
C. Pleural friction rub
D. Bronchial breathing
12. Which assessment finding is most concerning when evaluating airway patency?
A. Clear speech
B. Stridor
C. Symmetrical chest movement
D. Respiratory rate of 18/min
13. Which cardiac valve is best auscultated at the right second intercostal space
near the sternal border?
A. Mitral
B. Tricuspid
C. Pulmonic
D. Aortic
14. The nurse identifies the apical pulse at which location?
A. Right second intercostal space
B. Left second intercostal space
C. Left fifth intercostal space at the midclavicular line
D. Right fifth intercostal space at the midaxillary line
, 15. Which heart sound is associated with closure of the mitral and tricuspid valves?
A. S1
B. S2
C. S3
D. S4
16. Which heart sound is produced by closure of the aortic and pulmonic valves?
A. S1
B. S2
C. S3
D. S4
17. When assessing peripheral circulation, which finding suggests adequate arterial
perfusion?
A. Cool, pale extremity
B. Absent peripheral pulse
C. Capillary refill of approximately 2 seconds
D. Unilateral cyanosis
18. Which abdominal assessment sequence is generally appropriate?
A. Palpation, percussion, auscultation, inspection
B. Inspection, auscultation, percussion, palpation
C. Auscultation, inspection, palpation, percussion
D. Percussion, palpation, inspection, auscultation
19. Why is auscultation performed before palpation during an abdominal
assessment?
A. Palpation can alter bowel sounds
B. Auscultation causes abdominal tenderness
C. Palpation makes percussion impossible
D. Auscultation determines skin color
20. Which abdominal finding should the nurse recognize as potentially abnormal?
A. Soft abdomen
B. Nontender abdomen
C. Symmetric abdomen
D. Rigid, board-like abdomen
21. Which technique involves using the fingertips to determine the texture,
temperature, tenderness, and size of underlying structures?
A. Inspection
B. Palpation
C. Percussion
D. Auscultation
22. Which percussion sound is normally expected over an air-filled lung?
A. Dullness
Assessment -Solved
1. Which assessment technique should the nurse perform first when examining
most body systems?
A. Palpation
B. Percussion
C. Auscultation
D. Inspection
2. Which finding is considered subjective data?
A. Blood pressure of 138/84 mm Hg
B. Temperature of 38.1°C
C. Patient reports feeling dizzy
D. Respiratory rate of 22/min
3. Which finding represents objective data?
A. "My stomach hurts."
B. "I feel weak."
C. "I have been nauseated."
D. Heart rate of 104 beats/min
4. A nurse is obtaining a patient's health history. Which question is most
appropriate for exploring the chief concern?
A. "What medications did your parents take?"
B. "What brought you to the clinic today?"
C. "Do you exercise regularly?"
D. "What surgeries have you had?"
5. Which question is an example of an open-ended question?
A. "Do you smoke?"
B. "Is your pain severe?"
C. "Tell me what you have noticed about your symptoms."
D. "Does the pain occur at night?"
6. Which pulse site is commonly used when assessing circulation in an adult
emergency?
A. Radial
B. Carotid
C. Dorsalis pedis
D. Brachial
7. Which action helps ensure an accurate blood pressure measurement?
A. Place the cuff over thick clothing
,B. Keep the patient's arm unsupported
C. Use a cuff appropriate for the patient's arm size
D. Have the patient talk during measurement
8. Which respiratory finding requires the nurse's immediate attention?
A. Respiratory rate of 16/min
B. Symmetrical chest expansion
C. Oxygen saturation of 88%
D. Clear breath sounds bilaterally
9. When assessing the lungs, which technique allows the nurse to compare sounds
between corresponding areas?
A. Assessing only the anterior chest
B. Moving systematically from one side to the other
C. Listening to the entire right lung before the left
D. Asking the patient to hold their breath throughout the assessment
10. Which breath sound is normally heard over most peripheral lung fields?
A. Bronchial
B. Bronchovesicular
C. Vesicular
D. Stridor
11. A nurse hears a high-pitched musical sound primarily during expiration. Which
finding is most consistent with this sound?
A. Crackles
B. Wheezing
C. Pleural friction rub
D. Bronchial breathing
12. Which assessment finding is most concerning when evaluating airway patency?
A. Clear speech
B. Stridor
C. Symmetrical chest movement
D. Respiratory rate of 18/min
13. Which cardiac valve is best auscultated at the right second intercostal space
near the sternal border?
A. Mitral
B. Tricuspid
C. Pulmonic
D. Aortic
14. The nurse identifies the apical pulse at which location?
A. Right second intercostal space
B. Left second intercostal space
C. Left fifth intercostal space at the midclavicular line
D. Right fifth intercostal space at the midaxillary line
, 15. Which heart sound is associated with closure of the mitral and tricuspid valves?
A. S1
B. S2
C. S3
D. S4
16. Which heart sound is produced by closure of the aortic and pulmonic valves?
A. S1
B. S2
C. S3
D. S4
17. When assessing peripheral circulation, which finding suggests adequate arterial
perfusion?
A. Cool, pale extremity
B. Absent peripheral pulse
C. Capillary refill of approximately 2 seconds
D. Unilateral cyanosis
18. Which abdominal assessment sequence is generally appropriate?
A. Palpation, percussion, auscultation, inspection
B. Inspection, auscultation, percussion, palpation
C. Auscultation, inspection, palpation, percussion
D. Percussion, palpation, inspection, auscultation
19. Why is auscultation performed before palpation during an abdominal
assessment?
A. Palpation can alter bowel sounds
B. Auscultation causes abdominal tenderness
C. Palpation makes percussion impossible
D. Auscultation determines skin color
20. Which abdominal finding should the nurse recognize as potentially abnormal?
A. Soft abdomen
B. Nontender abdomen
C. Symmetric abdomen
D. Rigid, board-like abdomen
21. Which technique involves using the fingertips to determine the texture,
temperature, tenderness, and size of underlying structures?
A. Inspection
B. Palpation
C. Percussion
D. Auscultation
22. Which percussion sound is normally expected over an air-filled lung?
A. Dullness
