NURSING COMPREHENSIVE HEALTH
ASSESSMENT FINAL EXAM 2024/2025 VERIFIED
QUESTIONS AND ANSWERS GRADED A+
A 70-year-old patient is being seen in the clinic for severe exacerbation of his heart failure. Which of
these findings is the nurse most likely to observe in this patient?
a. Fever, dry nonproductive cough, and diminished breath sounds
b. Rasping cough, thick mucoid sputum, wheezing, and bronchitis
c. Productive cough, dyspnea, weight loss, anorexia, and tuberculosis
d. Shortness of breath, orthopnea, paroxysmal nocturnal dyspnea, and ankle edema
d. Shortness of breath, orthopnea, paroxysmal nocturnal dyspnea, and ankle edema
A patient has a long history of chronic obstructive pulmonary disease (COPD). During the assessment,
the nurse will most likely observe which of these?
a. Unequal chest expansion
b. Increased tactile fremitus
c. Atrophied neck and trapezius muscles
d. Anteroposterior-to-transverse diameter ratio of 1:1
d. Anteroposterior-to-transverse diameter ratio of 1:1
In performing a breast examination, the nurse knows that examining the upper outer quadrant of the
breast is especially important. What is the reason for this?
,a. It is the largest quadrant of the breast.
b. It is the most common location of breast tumors.
c. It is where the majority of suspensory ligaments attach.
d. It is more prone to injury and calcifications than other locations in the breast.
b. It is the most common location of breast tumors.
When assessing a patient's lungs, a nurse should
a. Ask the patient to strip down to their underwear
b. Be professional and provide privacy
c. Ask the patient if they feel embarrassed with you seeing them naked
d. Ask them why they have are thick around the middle
b. Be professional and provide privacy
What are normal findings when auscultating lung sounds?
a. Lungs sound clear bilaterally
b. Lung sounds are diminished bilaterally
c. Wheezing noted in right lung
d. Wheezing noted in bilateral lungs
a. Lungs sound clear bilaterally
During an assessment, the nurse knows that expected assessment findings in the normal adult lung
include which findings?
a. Adventitious sounds and limited chest expansion
,b. Muffled voice sounds and symmetric tactile fremitus
c. Increased tactile fremitus and dull percussion tones
d. Absent voice sounds and hyperresonant percussion tones
b. Muffled voice sounds and symmetric tactile fremitus
During the physical examination, the nurse notices that a female patient has an inverted left nipple.
Which statement regarding this is most accurate?
a. Normal nipple inversion is usually bilateral.
b. Unilateral inversion of a nipple is always a serious sign.
c. Whether the inversion is a recent change should be determined.
d. Nipple inversion is not significant unless accompanied by an underlying palpable mass.
c. Whether the inversion is a recent change should be determined.
The nurse would most likely hear fine crackles in which patient or situation?
a. A pregnant woman
b. A healthy 5-year-old child
c. The immediate newborn period
d. A patient with a pneumothorax
c. The immediate newborn period
A patient has been admitted to the emergency department with a possible medical diagnosis of
pulmonary embolism. The nurse expects to see which assessment findings related to this condition?
, a. Absent or decreased breath sounds
b. Productive cough with thin, frothy sputum
c. Chest pain that is worse on deep inspiration and dyspnea
d. Diffuse infiltrates with areas of dullness upon percussion
c. Chest pain that is worse on deep inspiration and dyspnea
A woman in her 26th week of pregnancy states that she is "not really short of breath" but feels that she
is aware of her breathing and the need to breathe. What is the best reply by the nurse?
a. "The diaphragm becomes fixed during pregnancy, making it difficult to take in a deep breath."
b. "The increase in estrogen levels during pregnancy often causes a decrease in the diameter of the rib
cage and makes it difficult to breathe."
c. "What you are experiencing is normal. Some women may interpret this as shortness of breath, but it
is a normal finding and nothing is wrong."
d. "This increased awareness of the need to breathe is normal as the fetus grows because of the
increased oxygen demand on the mother's body, which results in an increased respiratory rate."
c. "What you are experiencing is normal. Some women may interpret this as shortness of breath, but it
is a normal finding and nothing is wrong."
The nurse is assessing the lungs of an older adult. Which of these changes are normal in the respiratory
system of the older adult?
a. Decrease in small airway closure occurs, leading to problems with atelectasis.
b. Severe dyspnea is experienced on exertion, resulting from changes in the lungs.
c. Respiratory muscle strength increases to compensate for a decreased vital capacity.
d. Lungs are less elastic and distensible, which decreases their ability to collapse and recoil.
d. Lungs are less elastic and distensible, which decreases their ability to collapse and recoil.
ASSESSMENT FINAL EXAM 2024/2025 VERIFIED
QUESTIONS AND ANSWERS GRADED A+
A 70-year-old patient is being seen in the clinic for severe exacerbation of his heart failure. Which of
these findings is the nurse most likely to observe in this patient?
a. Fever, dry nonproductive cough, and diminished breath sounds
b. Rasping cough, thick mucoid sputum, wheezing, and bronchitis
c. Productive cough, dyspnea, weight loss, anorexia, and tuberculosis
d. Shortness of breath, orthopnea, paroxysmal nocturnal dyspnea, and ankle edema
d. Shortness of breath, orthopnea, paroxysmal nocturnal dyspnea, and ankle edema
A patient has a long history of chronic obstructive pulmonary disease (COPD). During the assessment,
the nurse will most likely observe which of these?
a. Unequal chest expansion
b. Increased tactile fremitus
c. Atrophied neck and trapezius muscles
d. Anteroposterior-to-transverse diameter ratio of 1:1
d. Anteroposterior-to-transverse diameter ratio of 1:1
In performing a breast examination, the nurse knows that examining the upper outer quadrant of the
breast is especially important. What is the reason for this?
,a. It is the largest quadrant of the breast.
b. It is the most common location of breast tumors.
c. It is where the majority of suspensory ligaments attach.
d. It is more prone to injury and calcifications than other locations in the breast.
b. It is the most common location of breast tumors.
When assessing a patient's lungs, a nurse should
a. Ask the patient to strip down to their underwear
b. Be professional and provide privacy
c. Ask the patient if they feel embarrassed with you seeing them naked
d. Ask them why they have are thick around the middle
b. Be professional and provide privacy
What are normal findings when auscultating lung sounds?
a. Lungs sound clear bilaterally
b. Lung sounds are diminished bilaterally
c. Wheezing noted in right lung
d. Wheezing noted in bilateral lungs
a. Lungs sound clear bilaterally
During an assessment, the nurse knows that expected assessment findings in the normal adult lung
include which findings?
a. Adventitious sounds and limited chest expansion
,b. Muffled voice sounds and symmetric tactile fremitus
c. Increased tactile fremitus and dull percussion tones
d. Absent voice sounds and hyperresonant percussion tones
b. Muffled voice sounds and symmetric tactile fremitus
During the physical examination, the nurse notices that a female patient has an inverted left nipple.
Which statement regarding this is most accurate?
a. Normal nipple inversion is usually bilateral.
b. Unilateral inversion of a nipple is always a serious sign.
c. Whether the inversion is a recent change should be determined.
d. Nipple inversion is not significant unless accompanied by an underlying palpable mass.
c. Whether the inversion is a recent change should be determined.
The nurse would most likely hear fine crackles in which patient or situation?
a. A pregnant woman
b. A healthy 5-year-old child
c. The immediate newborn period
d. A patient with a pneumothorax
c. The immediate newborn period
A patient has been admitted to the emergency department with a possible medical diagnosis of
pulmonary embolism. The nurse expects to see which assessment findings related to this condition?
, a. Absent or decreased breath sounds
b. Productive cough with thin, frothy sputum
c. Chest pain that is worse on deep inspiration and dyspnea
d. Diffuse infiltrates with areas of dullness upon percussion
c. Chest pain that is worse on deep inspiration and dyspnea
A woman in her 26th week of pregnancy states that she is "not really short of breath" but feels that she
is aware of her breathing and the need to breathe. What is the best reply by the nurse?
a. "The diaphragm becomes fixed during pregnancy, making it difficult to take in a deep breath."
b. "The increase in estrogen levels during pregnancy often causes a decrease in the diameter of the rib
cage and makes it difficult to breathe."
c. "What you are experiencing is normal. Some women may interpret this as shortness of breath, but it
is a normal finding and nothing is wrong."
d. "This increased awareness of the need to breathe is normal as the fetus grows because of the
increased oxygen demand on the mother's body, which results in an increased respiratory rate."
c. "What you are experiencing is normal. Some women may interpret this as shortness of breath, but it
is a normal finding and nothing is wrong."
The nurse is assessing the lungs of an older adult. Which of these changes are normal in the respiratory
system of the older adult?
a. Decrease in small airway closure occurs, leading to problems with atelectasis.
b. Severe dyspnea is experienced on exertion, resulting from changes in the lungs.
c. Respiratory muscle strength increases to compensate for a decreased vital capacity.
d. Lungs are less elastic and distensible, which decreases their ability to collapse and recoil.
d. Lungs are less elastic and distensible, which decreases their ability to collapse and recoil.
