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NUR 2092 HEALTH ASSESSMENT COMPREHENSIVE FINAL EXAM QUESTIONS AND ANSWERS

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NUR 2092 HEALTH ASSESSMENT COMPREHENSIVE FINAL EXAM QUESTIONS AND ANSWERS

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NUR 2092 HEALTH ASSESSMENT
COMPREHENSIVE FINAL EXAM
QUESTIONS AND ANSWERS




1. During a physical assessment, the nurse notes a patient’s report of ‘throbbing’ pain in the

left leg. This type of data is classified as:

A. Subjective data


B. Objective data


C. Reflective data


D. Observable data


Answer: A


Conceptual Explanation: Subjective data is what the person says about himself or herself

during history taking. Objective data is what the health professional observes by

inspecting, percussing, palpating, and auscultating during the physical examination.


2. When performing an abdominal assessment, in what order should the nurse perform the

examination techniques?

A. Inspection, Palpation, Percussion, Auscultation

,B. Palpation, Percussion, Auscultation, Inspection


C. Auscultation, Inspection, Palpation, Percussion


D. Inspection, Auscultation, Percussion, Palpation


Answer: D


Conceptual Explanation: For the abdomen, the sequence is Inspection, Auscultation,

Percussion, and then Palpation. This is done because percussion and palpation can increase

peristalsis, which would yield a false interpretation of bowel sounds.


3. The nurse is assessing a patient’s pupillary light reflex. Which cranial nerves are being

tested?

A. CN IV and CN VI


B. CN III and CN IV


C. CN II and CN III


D. CN V and CN VII


Answer: C


Conceptual Explanation: The pupillary light reflex tests the Optic nerve (CN II), which is

the sensory afferent link, and the Oculomotor nerve (CN III), which is the motor efferent

link.

, 4. A patient is reported to have a visual acuity of 20/40 using the Snellen eye chart. The nurse

interprets this as:

A. The patient can read at 20 feet what a normal person reads at 40 feet


B. The patient can read at 40 feet what a normal person reads at 20 feet


C. The patient has 40% vision in the right eye and 20% in the left


D. The patient’s vision is twice as good as normal


Answer: A


Conceptual Explanation: In the fraction 20/40, the top number (numerator) indicates the

distance the person is standing from the chart, and the bottom number (denominator)

gives the distance at which a normal eye could have read that particular line.


5. The nurse notes a ‘swishing’ sound while auscultating the carotid artery. This finding is

documented as a:

A. Bruit


B. Murmur


C. Thrill


D. Heave


Answer: A

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