NUR 2092 HEALTH ASSESSMENT EXAM
4 QUIZ BANK QUESTIONS AND
ANSWERS
1. When assessing for tactile fremitus, the nurse should expect to find the strongest
vibrations in which area?
A. Over the major bronchi
B. Over the scapulae
C. At the base of the lungs
D. In the periphery of the lung fields
Answer: A
Conceptual Explanation: Tactile fremitus is most intense over the major bronchi where
the trachea bifurcates and decreases as you move down and out toward the lung periphery.
2. A patient presents with a history of chronic obstructive pulmonary disease (COPD). What
percussion note should the nurse expect to hear over the lung fields?
A. Resonance
B. Dullness
C. Hyperresonance
,D. Tympany
Answer: C
Conceptual Explanation: Hyperresonance is a lower-pitched, booming sound found when
too much air is present, such as in emphysema or COPD.
3. During a cardiac assessment, the nurse hears a soft, low-pitched extra heart sound
immediately after S2 at the apex. This is most likely:
A. A systolic murmur
B. An S4 gallop
C. An S3 gallop
D. A pericardial friction rub
Answer: C
Conceptual Explanation: The S3 occurs immediately after S2 during the early rapid filling
phase of diastole; it is often associated with fluid overload or heart failure in adults.
4. The nurse is grading a heart murmur and notes it is loud and associated with a palpable
thrill. Which grade should be assigned?
A. Grade 2
B. Grade 4
C. Grade 3
D. Grade 5
, Answer: B
Conceptual Explanation: A Grade 4 murmur is loud and is the first grade associated with a
palpable thrill.
5. To assess for Jugular Venous Distention (JVD), the nurse should position the patient at
which angle?
A. Flat supine
B. Sitting upright at 90 degrees
C. 60 to 90 degrees
D. 30 to 45 degrees
Answer: D
Conceptual Explanation: JVD is best assessed with the patient supine at a 30- to 45-
degree angle to observe the pulsation of the internal jugular vein.
6. A patient complains of pain in the calves when walking that is relieved by rest. This is a
classic symptom of:
A. Intermittent claudication
B. Deep vein thrombosis
C. Venous insufficiency
D. Lymphedema
Answer: A
4 QUIZ BANK QUESTIONS AND
ANSWERS
1. When assessing for tactile fremitus, the nurse should expect to find the strongest
vibrations in which area?
A. Over the major bronchi
B. Over the scapulae
C. At the base of the lungs
D. In the periphery of the lung fields
Answer: A
Conceptual Explanation: Tactile fremitus is most intense over the major bronchi where
the trachea bifurcates and decreases as you move down and out toward the lung periphery.
2. A patient presents with a history of chronic obstructive pulmonary disease (COPD). What
percussion note should the nurse expect to hear over the lung fields?
A. Resonance
B. Dullness
C. Hyperresonance
,D. Tympany
Answer: C
Conceptual Explanation: Hyperresonance is a lower-pitched, booming sound found when
too much air is present, such as in emphysema or COPD.
3. During a cardiac assessment, the nurse hears a soft, low-pitched extra heart sound
immediately after S2 at the apex. This is most likely:
A. A systolic murmur
B. An S4 gallop
C. An S3 gallop
D. A pericardial friction rub
Answer: C
Conceptual Explanation: The S3 occurs immediately after S2 during the early rapid filling
phase of diastole; it is often associated with fluid overload or heart failure in adults.
4. The nurse is grading a heart murmur and notes it is loud and associated with a palpable
thrill. Which grade should be assigned?
A. Grade 2
B. Grade 4
C. Grade 3
D. Grade 5
, Answer: B
Conceptual Explanation: A Grade 4 murmur is loud and is the first grade associated with a
palpable thrill.
5. To assess for Jugular Venous Distention (JVD), the nurse should position the patient at
which angle?
A. Flat supine
B. Sitting upright at 90 degrees
C. 60 to 90 degrees
D. 30 to 45 degrees
Answer: D
Conceptual Explanation: JVD is best assessed with the patient supine at a 30- to 45-
degree angle to observe the pulsation of the internal jugular vein.
6. A patient complains of pain in the calves when walking that is relieved by rest. This is a
classic symptom of:
A. Intermittent claudication
B. Deep vein thrombosis
C. Venous insufficiency
D. Lymphedema
Answer: A
