NR 304 EXAM 1 REVIEW -HEALTH ASSESSMENT II
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
Your patient is sent to the ED for complaints of pain, redness and edema of the LLE with a
diagnosis of r/o DVT. In the ER the patient will have diagnostic testing complete to confirm
the providers diagnosis. To screen for DVT you would:
A) Measure circumference of the ankle
B) Check temperature with the palm of hand.
C) Compress dorsalis pedis pulse, looking for blood return
D) Measure widest point with a tape measure
CORRECT ANSWER
D) Measure widest point with a tape measure
Question 2
You are a nursing student on a medical unit. A new admission requires a complete
assessment; however your clinical instructor asks you to assess the lymphatic system of
the patient. Which of the following organs aids the lymphatic system?
A) Liver, lymph nodes, and stomach
B) Pancreas, small intestine and stomach
C) Spleen, tonsils and thymus
D) Pancreas, spleen and tonsils
CORRECT ANSWER
1
, C) Spleen, tonsils and thymus
Question 3
You assess a patient who has 4+ edema of the right leg. What is the best way to document
this finding?
A) Mild pitting, no perceptible swelling of the leg
B) Moderate pitting, indentation subsides rapidly
C) Deep pitting, leg looks swollen
D) Very deep pitting, indentation lasts a long time
CORRECT ANSWER
D) Very deep pitting, indentation lasts a long time
Question 4
A nurse is caring for a client who is experiencing diarrhea. Which physiological response to
diarrhea should the nurse be most concerned about?
A) Dehydration
B) Malnutrition
C) Excoriated skin
D) Urinary Incontinence
CORRECT ANSWER
A) Dehydration
Question 5
2
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
Your patient is sent to the ED for complaints of pain, redness and edema of the LLE with a
diagnosis of r/o DVT. In the ER the patient will have diagnostic testing complete to confirm
the providers diagnosis. To screen for DVT you would:
A) Measure circumference of the ankle
B) Check temperature with the palm of hand.
C) Compress dorsalis pedis pulse, looking for blood return
D) Measure widest point with a tape measure
CORRECT ANSWER
D) Measure widest point with a tape measure
Question 2
You are a nursing student on a medical unit. A new admission requires a complete
assessment; however your clinical instructor asks you to assess the lymphatic system of
the patient. Which of the following organs aids the lymphatic system?
A) Liver, lymph nodes, and stomach
B) Pancreas, small intestine and stomach
C) Spleen, tonsils and thymus
D) Pancreas, spleen and tonsils
CORRECT ANSWER
1
, C) Spleen, tonsils and thymus
Question 3
You assess a patient who has 4+ edema of the right leg. What is the best way to document
this finding?
A) Mild pitting, no perceptible swelling of the leg
B) Moderate pitting, indentation subsides rapidly
C) Deep pitting, leg looks swollen
D) Very deep pitting, indentation lasts a long time
CORRECT ANSWER
D) Very deep pitting, indentation lasts a long time
Question 4
A nurse is caring for a client who is experiencing diarrhea. Which physiological response to
diarrhea should the nurse be most concerned about?
A) Dehydration
B) Malnutrition
C) Excoriated skin
D) Urinary Incontinence
CORRECT ANSWER
A) Dehydration
Question 5
2
