HEALTH ASSESSMENT
Exam 2 | Practice Questions, Answers
& Detailed Rationales | Nursing Exam
Prep
Resource Features
➢ Health Assessment Exam 2 practice questions
➢ Detailed answers
➢ Comprehensive rationales
➢ Clinical assessment scenarios
➢ Patient-history questions
, Health Assessment Exam 2 | Practice
Questions, Answers & Detailed Rationales |
Nursing Health Assessment Prep
Question 1: Low Pitch Breath Sounds
Question: You hear a low pitch sound in which inspiration is greater than
expiration best at:
• A) Trachea and larynx
• B) Major bronchi
• C) Peripheral lung fields
• D) Posterior chest wall
Correct Answer: C) Peripheral lung fields
Rationale: Low-pitched breath sounds (vesicular sounds) with inspiration
greater than expiration are best heard over peripheral lung fields. Vesicular
sounds are soft, low-pitched, and have a longer inspiratory phase
compared to expiratory phase. These sounds are produced by air moving
through smaller airways and alveoli. Bronchial sounds (trachea/larynx) are
high-pitched with expiration longer than inspiration. Bronchovesicular
sounds (major bronchi) are intermediate.
Question 2: 16-Month-Old Play Behavior
,Question: A 16-month male is brought into the clinic by his mother.
Mother reports that her son doesn't play with other children. He will play in
the same room and by the other children, just not with them. She is
concerned. You tell her that:
• A) This is normal. We call this solitary play.
• B) This is normal. We call this parallel play.
• C) This is abnormal. We call this parallel play.
• D) This is abnormal. We call it solitary play.
Correct Answer: B) This is normal. We call this parallel play.
Rationale: Parallel play is a normal developmental stage for toddlers (ages
2-3 years). Children at this age play alongside other children but do not
interact with them directly. They observe other children and may mimic
their actions but do not engage in cooperative play. This is a normal
progression from solitary play (infants) to parallel play (toddlers) to
associative and cooperative play (preschoolers and older). Solitary play is
typical for infants under 2 years.
Question 3: Diabetes Teaching Priority
Question: A patient with diabetes who closely monitors and controls her
blood glucose level is very interested in preventing complications of her
illness. You should emphasize the following concept in your teaching:
• A) The signs of venous insufficiency
• B) How to assess her feet daily
, • C) How to count calories
• D) Distinguishing good carbohydrates from bad carbohydrates
Correct Answer: B) How to assess her feet daily
Rationale: Daily foot assessment is crucial for diabetics to prevent
complications like diabetic foot ulcers and amputations. Diabetic
neuropathy reduces sensation, making minor injuries go unnoticed and
leading to serious infections. Patients should inspect feet daily for redness,
blisters, cuts, and temperature changes. Teaching should include proper
foot hygiene, nail care, and appropriate footwear. While glycemic control
and diet are important, daily foot assessment is the most direct
intervention to prevent the devastating complications of peripheral
neuropathy.
Question 4: Therapeutic Communication with Parent
Question: A woman is discussing the problems she is having with her 2-
year-old son. She says, "He won't go to sleep at night, and during the day
he has several fits. I get so upset when that happens." The nurse's best
verbal response would be:
• A) "Go on, I'm listening."
• B) "Fits? Tell me what you mean by this."
• C) "Yes, it can be upsetting when a child has a fit."
• D) "Don't be upset when he has a fit; every 2-year-old has fits."
Correct Answer: B) "Fits? Tell me what you mean by this."
Exam 2 | Practice Questions, Answers
& Detailed Rationales | Nursing Exam
Prep
Resource Features
➢ Health Assessment Exam 2 practice questions
➢ Detailed answers
➢ Comprehensive rationales
➢ Clinical assessment scenarios
➢ Patient-history questions
, Health Assessment Exam 2 | Practice
Questions, Answers & Detailed Rationales |
Nursing Health Assessment Prep
Question 1: Low Pitch Breath Sounds
Question: You hear a low pitch sound in which inspiration is greater than
expiration best at:
• A) Trachea and larynx
• B) Major bronchi
• C) Peripheral lung fields
• D) Posterior chest wall
Correct Answer: C) Peripheral lung fields
Rationale: Low-pitched breath sounds (vesicular sounds) with inspiration
greater than expiration are best heard over peripheral lung fields. Vesicular
sounds are soft, low-pitched, and have a longer inspiratory phase
compared to expiratory phase. These sounds are produced by air moving
through smaller airways and alveoli. Bronchial sounds (trachea/larynx) are
high-pitched with expiration longer than inspiration. Bronchovesicular
sounds (major bronchi) are intermediate.
Question 2: 16-Month-Old Play Behavior
,Question: A 16-month male is brought into the clinic by his mother.
Mother reports that her son doesn't play with other children. He will play in
the same room and by the other children, just not with them. She is
concerned. You tell her that:
• A) This is normal. We call this solitary play.
• B) This is normal. We call this parallel play.
• C) This is abnormal. We call this parallel play.
• D) This is abnormal. We call it solitary play.
Correct Answer: B) This is normal. We call this parallel play.
Rationale: Parallel play is a normal developmental stage for toddlers (ages
2-3 years). Children at this age play alongside other children but do not
interact with them directly. They observe other children and may mimic
their actions but do not engage in cooperative play. This is a normal
progression from solitary play (infants) to parallel play (toddlers) to
associative and cooperative play (preschoolers and older). Solitary play is
typical for infants under 2 years.
Question 3: Diabetes Teaching Priority
Question: A patient with diabetes who closely monitors and controls her
blood glucose level is very interested in preventing complications of her
illness. You should emphasize the following concept in your teaching:
• A) The signs of venous insufficiency
• B) How to assess her feet daily
, • C) How to count calories
• D) Distinguishing good carbohydrates from bad carbohydrates
Correct Answer: B) How to assess her feet daily
Rationale: Daily foot assessment is crucial for diabetics to prevent
complications like diabetic foot ulcers and amputations. Diabetic
neuropathy reduces sensation, making minor injuries go unnoticed and
leading to serious infections. Patients should inspect feet daily for redness,
blisters, cuts, and temperature changes. Teaching should include proper
foot hygiene, nail care, and appropriate footwear. While glycemic control
and diet are important, daily foot assessment is the most direct
intervention to prevent the devastating complications of peripheral
neuropathy.
Question 4: Therapeutic Communication with Parent
Question: A woman is discussing the problems she is having with her 2-
year-old son. She says, "He won't go to sleep at night, and during the day
he has several fits. I get so upset when that happens." The nurse's best
verbal response would be:
• A) "Go on, I'm listening."
• B) "Fits? Tell me what you mean by this."
• C) "Yes, it can be upsetting when a child has a fit."
• D) "Don't be upset when he has a fit; every 2-year-old has fits."
Correct Answer: B) "Fits? Tell me what you mean by this."
