N146 HEALTH ASSESSMENT FINAL
EXAM QUESTIONS AND ANSWERS
Which one is a risk factor for oral cancer?
A) female gender
B) vitamin C deficiency
C) excessive caffeine intake
D) tobacco use
D) tobacco use - Most cases of oral cancer occur in people who are heavy users of tobacco (smoking and
smokeless) and alcohol.
The nurse is assessing an 8-year-old client who is complaining of a severe sore throat. Which grade will
the nurse document after noting the tonsils are swollen, red, and touching the uvula?
A. 1+
B. 2+
C. 3+
D. 4+
C. 3+
The Grading Scale used for evaluating tonsils is 1+, visible; 2+, midway between tonsillar pillars and
uvula; 3+, touching uvula; and 4+, touching each other. Therefore, the nurse will document that the
tonsils are at 3+ and notify the health care provider accordingly.
Which of the following words mean abnormal breath sounds?
A. Bronchial
B. Bronchovesicular
C. Vesicular
D. Adventitious
D. Adventitious - sounds added or superimposed over normal breath sounds and heard during auscultation
Bronchial, bronchovesicular, and vesicular sounds describe normal breath sounds.
Select all that apply -
Which sounds are considered adventitious breath sounds?
A) bronchial (coarse & fine)
B) crackles (coarse & fine)
C) bronchovesicular
,D) wheezing (sibilant & sonorous)
E) vesicular (sibilant & sonorous)
F) pleural friction rub
B) crackles (coarse & fine)
D) wheezing (sibilant & sonorous)
F) pleural friction rub
, What are the different types of palpation?
1) Light palpation - compressing down 1 cm deep & used to identify areas of tenderness and
muscular resistance.
2) Moderate palpation - involves depressing the skin surface 1 to 2 cm to feel for easily palpable body
organs and masses.
3) Deep palpation - compressing down maximum of 5-6 cm deep. Typically done to check all
quadrants to delineate abdominal organs and detect subtle masses.
Which test should a nurse perform on a client with ascites?
A. Fluid wave test and shifting dullness test
B. Murphy sign test and shifting dullness test
C. Psoas sign test and Fluid wave test
D. Murphy sign test and Obturator sign test
A. Fluid wave test and Shifting dullness test
The nurse should perform the fluid wave test on a client with ascites. Murphy sign is used to test for
cholecystitis, and the psoas sign and obturator signs are performed to test for appendicitis.
What are the typical characteristics found in a patient with ascites?
An enlarged area and abnormal dullness sound heard while percussion performed over an enlarged liver or
spleen.
What is the shifting dullness test?
A special percussion technique performed when ascites is suspected because of a distended
abdomen or bulging flanks. The client should remain supine position & percuss the umbilicus. —
If ascites is present and the client is supine, the fluid assumes a dependent position and produces a
dull percussion tone around the flanks. Air rises to the top, and tympany is percussed around the
umbilicus. When the client turns onto one side and ascites is present, the fluid assumes a dependent
position and air rises to the top.
What is the fluid wave test?
A second special technique to detect ascites. The client remains supine. . . Ask the client or an
assistant to place the ulnar side of the hand and the lateral side of the forearm firmly along the
midline of the abdomen. Firmly place the palmar surface of your fingers and hand against one side of
the client's abdomen. Use your other hand to tap the opposite side of the abdominal wall. —
If Movement of a fluid wave against the resting hand is present, it suggests large amounts of
fluid are present, which may indicate ascites.
Which skeletal muscle movement means "to move forward"?
EXAM QUESTIONS AND ANSWERS
Which one is a risk factor for oral cancer?
A) female gender
B) vitamin C deficiency
C) excessive caffeine intake
D) tobacco use
D) tobacco use - Most cases of oral cancer occur in people who are heavy users of tobacco (smoking and
smokeless) and alcohol.
The nurse is assessing an 8-year-old client who is complaining of a severe sore throat. Which grade will
the nurse document after noting the tonsils are swollen, red, and touching the uvula?
A. 1+
B. 2+
C. 3+
D. 4+
C. 3+
The Grading Scale used for evaluating tonsils is 1+, visible; 2+, midway between tonsillar pillars and
uvula; 3+, touching uvula; and 4+, touching each other. Therefore, the nurse will document that the
tonsils are at 3+ and notify the health care provider accordingly.
Which of the following words mean abnormal breath sounds?
A. Bronchial
B. Bronchovesicular
C. Vesicular
D. Adventitious
D. Adventitious - sounds added or superimposed over normal breath sounds and heard during auscultation
Bronchial, bronchovesicular, and vesicular sounds describe normal breath sounds.
Select all that apply -
Which sounds are considered adventitious breath sounds?
A) bronchial (coarse & fine)
B) crackles (coarse & fine)
C) bronchovesicular
,D) wheezing (sibilant & sonorous)
E) vesicular (sibilant & sonorous)
F) pleural friction rub
B) crackles (coarse & fine)
D) wheezing (sibilant & sonorous)
F) pleural friction rub
, What are the different types of palpation?
1) Light palpation - compressing down 1 cm deep & used to identify areas of tenderness and
muscular resistance.
2) Moderate palpation - involves depressing the skin surface 1 to 2 cm to feel for easily palpable body
organs and masses.
3) Deep palpation - compressing down maximum of 5-6 cm deep. Typically done to check all
quadrants to delineate abdominal organs and detect subtle masses.
Which test should a nurse perform on a client with ascites?
A. Fluid wave test and shifting dullness test
B. Murphy sign test and shifting dullness test
C. Psoas sign test and Fluid wave test
D. Murphy sign test and Obturator sign test
A. Fluid wave test and Shifting dullness test
The nurse should perform the fluid wave test on a client with ascites. Murphy sign is used to test for
cholecystitis, and the psoas sign and obturator signs are performed to test for appendicitis.
What are the typical characteristics found in a patient with ascites?
An enlarged area and abnormal dullness sound heard while percussion performed over an enlarged liver or
spleen.
What is the shifting dullness test?
A special percussion technique performed when ascites is suspected because of a distended
abdomen or bulging flanks. The client should remain supine position & percuss the umbilicus. —
If ascites is present and the client is supine, the fluid assumes a dependent position and produces a
dull percussion tone around the flanks. Air rises to the top, and tympany is percussed around the
umbilicus. When the client turns onto one side and ascites is present, the fluid assumes a dependent
position and air rises to the top.
What is the fluid wave test?
A second special technique to detect ascites. The client remains supine. . . Ask the client or an
assistant to place the ulnar side of the hand and the lateral side of the forearm firmly along the
midline of the abdomen. Firmly place the palmar surface of your fingers and hand against one side of
the client's abdomen. Use your other hand to tap the opposite side of the abdominal wall. —
If Movement of a fluid wave against the resting hand is present, it suggests large amounts of
fluid are present, which may indicate ascites.
Which skeletal muscle movement means "to move forward"?
