• NAGELHOUT
PHARMACOLOGY 09/19/2026
Exam
Test Bank 1 Advanced Health Assessment and
Diagnostic Reasoning 5th Edition Rhoads,
Petersen | All Chapters (1–18) | 2025 Version |
A+ || New Update | | Complete A+
Guide
While conducting an interview to obtain a health history, the nurse notices that the client pauses frequently and
looks at the nurse expectantly. Which response is best for the nurse to provide?
P 1
, • NAGELHOUT
PHARMACOLOGY 09/19/2026
Exam
A) Reassure the client that there are no wrong answers.
B) Tell the client to return later for another interview.
C) Continue to ask questions until the client responds.
D) Sit quietly to allow the client to respond comfortably. - Correct Answer :D) Sit quietly to allow the client to
respond comfortably.
A silent attentiveness or intelligent repose communicates that the nurse has time and is willing to listen to the
client's responses.
The nurse is assessing for the presence of a hernia. Which action should the nurse ask the client to perform while
lying supine?
A) Bring the knees toward the chest.
B) Place the chin onto the chest.
C) Roll from one side to the other.
D) Use abdominal muscles to sit up. - Correct Answer :D) Use abdominal muscles to sit up.
Engaging the abdominal muscles can reveal a protruding hernia. When assessing for the presence of a hernia,
the nurse should ask the client to use the abdominal muscles to sit up without hand support.
Which procedure should the nurse use to assess for a pulse deficit?
A) Compare the brachial pulse and femoral pulse.
B) Document the observed pulse rate and quality.
C) Obtain the systolic blood pressure and subtract the apical pulse.
D) Measure the apical pulse and compare it to the peripheral pulse. - Correct Answer :D) Measure the apical
pulse and compare it to the peripheral pulse.
P 2
, • NAGELHOUT
PHARMACOLOGY 09/19/2026
Exam
A pulse deficit is a palpable difference between the apical pulse at the point of maximal impulse and the radial
pulse palpated at the wrist. The nurse should measure the apical pulse and compare it to the peripheral pulse to
assess for a pulse deficit. If the pulse number is different from the apical pulse, then the radial pulse rate should
be subtracted from the apical pulse and the remaining number is the number that should be recorded for the
pulse deficit.
As a part of a routine health assessment, the nurse assesses the kidneys as part of the abdominal assessment.
Which assessment finding should the nurse conclude is normal when palpating the client's right kidney?
A) A round smooth mass that slides between the fingers.
B) The right kidney is palpated higher than the left kidney.
C) The kidney slides forward and has movable nodules throughout.
D) A vibration is felt slightly left of the abdominal midline. - Correct Answer :A) A round smooth mass that slides
between the fingers.
Occasionally, when assessing the adult kidneys, the nurse may feel the lower pole of the right kidney as a round,
smooth mass that slides between the fingers - or the nurse will feel nothing at all. Either condition is normal. The
nurse should search for the right kidney by placing hands together in a "duck-bill" position at the client's right
flank. The nurse should then press two hands together firmly and ask the client to take a deep breath. In most
people, the nurse will feel no change.
During cardiac auscultation, the nurse hears a split in the second heart sound when listening to the second left
intercostal space of a male client. To assess this sound more fully, what action should the nurse implement?
A) Inch the stethoscope down the left side of the client's sternum.
B) Ask the client to cough and then listen at the site again.
C) Instruct client to hold his breath so the sound is clearer.
D) Listen to the sound while observing the client's respirations. - Correct Answer :D) Listen to the sound while
observing the client's respirations.
P 3
, • NAGELHOUT
PHARMACOLOGY 09/19/2026
Exam
A split S2 is heard only in the pulmonic valve area (second left interspace). Listening while observing respirations
allows the examiner to determine the type of S2 split that is occurring. Other actions are not useful in
auscultating a split S2.
During a skin assessment, the nurse notes, round and discrete lesions that are dark red in color and will not
blanch. The lesions range from 1 to 3 mm in size. What is the first question the nurse should ask the client?
A) "Have you noticed any unusual bleeding?"
B) "Have you fallen recently?"
C) "How often do you drink alcohol?"
D) "Have you been exposed to anyone with a rash lately?" - Correct Answer :A) "Have you noticed any unusual
bleeding?"
Petechiae are small, reddish-purple lesions that do not fade or blanch when pressure is applied and often
indicate an increase in capillary fragility. Petechiae is a condition usually seen in clients with thrombocytopenia.
Petechiae may indicate abnormal clotting factors. Most of the diseases that cause petechiae cause bleeding and
microembolism formation.
During an inspection of a client's mouth and pharynx, the nurse places a tongue blade on the back of the tongue
which causes the client to gag. After removing the tongue blade, which action should the nurse take?
A) Initiate aspiration precautions.
B) Notify the healthcare provider.
C) Document an intact gag reflex.
D) Provide a warm salt water gargle. - Correct Answer :C) Document an intact gag reflex.
The placement of a tongue blade on the back of the tongue should stimulate a normal gag reflex, indicating that
cranial nerves IX and X are intact. The nurse should document that the gag reflex is intact.
P 4
PHARMACOLOGY 09/19/2026
Exam
Test Bank 1 Advanced Health Assessment and
Diagnostic Reasoning 5th Edition Rhoads,
Petersen | All Chapters (1–18) | 2025 Version |
A+ || New Update | | Complete A+
Guide
While conducting an interview to obtain a health history, the nurse notices that the client pauses frequently and
looks at the nurse expectantly. Which response is best for the nurse to provide?
P 1
, • NAGELHOUT
PHARMACOLOGY 09/19/2026
Exam
A) Reassure the client that there are no wrong answers.
B) Tell the client to return later for another interview.
C) Continue to ask questions until the client responds.
D) Sit quietly to allow the client to respond comfortably. - Correct Answer :D) Sit quietly to allow the client to
respond comfortably.
A silent attentiveness or intelligent repose communicates that the nurse has time and is willing to listen to the
client's responses.
The nurse is assessing for the presence of a hernia. Which action should the nurse ask the client to perform while
lying supine?
A) Bring the knees toward the chest.
B) Place the chin onto the chest.
C) Roll from one side to the other.
D) Use abdominal muscles to sit up. - Correct Answer :D) Use abdominal muscles to sit up.
Engaging the abdominal muscles can reveal a protruding hernia. When assessing for the presence of a hernia,
the nurse should ask the client to use the abdominal muscles to sit up without hand support.
Which procedure should the nurse use to assess for a pulse deficit?
A) Compare the brachial pulse and femoral pulse.
B) Document the observed pulse rate and quality.
C) Obtain the systolic blood pressure and subtract the apical pulse.
D) Measure the apical pulse and compare it to the peripheral pulse. - Correct Answer :D) Measure the apical
pulse and compare it to the peripheral pulse.
P 2
, • NAGELHOUT
PHARMACOLOGY 09/19/2026
Exam
A pulse deficit is a palpable difference between the apical pulse at the point of maximal impulse and the radial
pulse palpated at the wrist. The nurse should measure the apical pulse and compare it to the peripheral pulse to
assess for a pulse deficit. If the pulse number is different from the apical pulse, then the radial pulse rate should
be subtracted from the apical pulse and the remaining number is the number that should be recorded for the
pulse deficit.
As a part of a routine health assessment, the nurse assesses the kidneys as part of the abdominal assessment.
Which assessment finding should the nurse conclude is normal when palpating the client's right kidney?
A) A round smooth mass that slides between the fingers.
B) The right kidney is palpated higher than the left kidney.
C) The kidney slides forward and has movable nodules throughout.
D) A vibration is felt slightly left of the abdominal midline. - Correct Answer :A) A round smooth mass that slides
between the fingers.
Occasionally, when assessing the adult kidneys, the nurse may feel the lower pole of the right kidney as a round,
smooth mass that slides between the fingers - or the nurse will feel nothing at all. Either condition is normal. The
nurse should search for the right kidney by placing hands together in a "duck-bill" position at the client's right
flank. The nurse should then press two hands together firmly and ask the client to take a deep breath. In most
people, the nurse will feel no change.
During cardiac auscultation, the nurse hears a split in the second heart sound when listening to the second left
intercostal space of a male client. To assess this sound more fully, what action should the nurse implement?
A) Inch the stethoscope down the left side of the client's sternum.
B) Ask the client to cough and then listen at the site again.
C) Instruct client to hold his breath so the sound is clearer.
D) Listen to the sound while observing the client's respirations. - Correct Answer :D) Listen to the sound while
observing the client's respirations.
P 3
, • NAGELHOUT
PHARMACOLOGY 09/19/2026
Exam
A split S2 is heard only in the pulmonic valve area (second left interspace). Listening while observing respirations
allows the examiner to determine the type of S2 split that is occurring. Other actions are not useful in
auscultating a split S2.
During a skin assessment, the nurse notes, round and discrete lesions that are dark red in color and will not
blanch. The lesions range from 1 to 3 mm in size. What is the first question the nurse should ask the client?
A) "Have you noticed any unusual bleeding?"
B) "Have you fallen recently?"
C) "How often do you drink alcohol?"
D) "Have you been exposed to anyone with a rash lately?" - Correct Answer :A) "Have you noticed any unusual
bleeding?"
Petechiae are small, reddish-purple lesions that do not fade or blanch when pressure is applied and often
indicate an increase in capillary fragility. Petechiae is a condition usually seen in clients with thrombocytopenia.
Petechiae may indicate abnormal clotting factors. Most of the diseases that cause petechiae cause bleeding and
microembolism formation.
During an inspection of a client's mouth and pharynx, the nurse places a tongue blade on the back of the tongue
which causes the client to gag. After removing the tongue blade, which action should the nurse take?
A) Initiate aspiration precautions.
B) Notify the healthcare provider.
C) Document an intact gag reflex.
D) Provide a warm salt water gargle. - Correct Answer :C) Document an intact gag reflex.
The placement of a tongue blade on the back of the tongue should stimulate a normal gag reflex, indicating that
cranial nerves IX and X are intact. The nurse should document that the gag reflex is intact.
P 4
