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NR 304 EXAM 1 (CHAMBERLAIN) NEWEST 2026 ACTUAL EXAM
TEST BANK| NR304 HEALTH ASSESSMENT II EXAM 1 REVIEW
WITH EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!
1. A nurse is performing a comprehensive health assessment on an
adult patient. Which action should the nurse take first?
A. Obtain a detailed family history
B. Establish rapport and explain the assessment process
C. Perform a focused neurological examination
D. Document the patient's medications
Answer: B
Rationale: Establishing rapport and explaining the assessment
promotes trust, cooperation, and accurate information gathering.
2. Which assessment technique should the nurse use first when
examining the abdomen?
A. Palpation
B. Percussion
C. Auscultation
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D. Inspection
Answer: D
Rationale: The abdomen is assessed in the sequence of inspection,
auscultation, percussion, and palpation because palpation and
percussion can alter bowel sounds.
3. Which finding should the nurse recognize as an expected adult
respiratory rate?
A. 8 breaths/min
• B. 16 breaths/min
C. 28 breaths/min
D. 36 breaths/min
Answer: B
Rationale: A typical resting respiratory rate for a healthy adult is
approximately 12–20 breaths per minute.
4. A patient reports dizziness when standing. Which vital-sign
assessment would best help the nurse evaluate for orthostatic
hypotension?
A. Temperature before and after meals
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B. Blood pressure and pulse in different positions
C. Oxygen saturation after exercise only
D. Respiratory rate while sleeping
Answer: B
Rationale: Orthostatic changes are evaluated by comparing vital signs
while the patient is lying, sitting, and standing.
5. Which assessment finding requires the nurse's immediate attention?
A. Blood pressure of 118/72 mmHg
B. Respiratory rate of 16/min
C. New-onset difficulty speaking
D. Pulse of 76/min
Answer: C
Rationale: Sudden difficulty speaking may indicate an acute
neurological event such as stroke and requires immediate evaluation.
6. When assessing pain, which question best evaluates the patient's
pain severity?
A. "What caused your pain?"
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B. "Does the pain occur every day?"
C. "How would you rate your pain on a scale from 0 to 10?"
D. "Have you experienced pain before?"
Answer: C
Rationale: A numerical rating scale provides a standardized measure
of perceived pain intensity.
7. Which characteristic is most important for the nurse to assess when
evaluating a patient's pain?
A. Location, quality, severity, timing, and aggravating or relieving factors
B. Height and weight only
C. Family history only
D. Preferred meal schedule
Answer: A
Rationale: A comprehensive pain assessment identifies characteristics
that help determine the likely cause and guide treatment.
8. Which finding is most consistent with cyanosis?
A. Yellow discoloration of the skin
NR 304 EXAM 1 (CHAMBERLAIN) NEWEST 2026 ACTUAL EXAM
TEST BANK| NR304 HEALTH ASSESSMENT II EXAM 1 REVIEW
WITH EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!
1. A nurse is performing a comprehensive health assessment on an
adult patient. Which action should the nurse take first?
A. Obtain a detailed family history
B. Establish rapport and explain the assessment process
C. Perform a focused neurological examination
D. Document the patient's medications
Answer: B
Rationale: Establishing rapport and explaining the assessment
promotes trust, cooperation, and accurate information gathering.
2. Which assessment technique should the nurse use first when
examining the abdomen?
A. Palpation
B. Percussion
C. Auscultation
,2|Page
D. Inspection
Answer: D
Rationale: The abdomen is assessed in the sequence of inspection,
auscultation, percussion, and palpation because palpation and
percussion can alter bowel sounds.
3. Which finding should the nurse recognize as an expected adult
respiratory rate?
A. 8 breaths/min
• B. 16 breaths/min
C. 28 breaths/min
D. 36 breaths/min
Answer: B
Rationale: A typical resting respiratory rate for a healthy adult is
approximately 12–20 breaths per minute.
4. A patient reports dizziness when standing. Which vital-sign
assessment would best help the nurse evaluate for orthostatic
hypotension?
A. Temperature before and after meals
,3|Page
B. Blood pressure and pulse in different positions
C. Oxygen saturation after exercise only
D. Respiratory rate while sleeping
Answer: B
Rationale: Orthostatic changes are evaluated by comparing vital signs
while the patient is lying, sitting, and standing.
5. Which assessment finding requires the nurse's immediate attention?
A. Blood pressure of 118/72 mmHg
B. Respiratory rate of 16/min
C. New-onset difficulty speaking
D. Pulse of 76/min
Answer: C
Rationale: Sudden difficulty speaking may indicate an acute
neurological event such as stroke and requires immediate evaluation.
6. When assessing pain, which question best evaluates the patient's
pain severity?
A. "What caused your pain?"
, 4|Page
B. "Does the pain occur every day?"
C. "How would you rate your pain on a scale from 0 to 10?"
D. "Have you experienced pain before?"
Answer: C
Rationale: A numerical rating scale provides a standardized measure
of perceived pain intensity.
7. Which characteristic is most important for the nurse to assess when
evaluating a patient's pain?
A. Location, quality, severity, timing, and aggravating or relieving factors
B. Height and weight only
C. Family history only
D. Preferred meal schedule
Answer: A
Rationale: A comprehensive pain assessment identifies characteristics
that help determine the likely cause and guide treatment.
8. Which finding is most consistent with cyanosis?
A. Yellow discoloration of the skin
