Update ) Health Assessment I |
Questions & Answers | Grade A | 100%
Correct - Chamberlain
Final Exam: NR 302 Health Assessment I (50 Questions)
Focus: Comprehensive review of foundational health assessment techniques, including vital
signs (e.g., pulse, BP, respirations), general survey (e.g., appearance, behavior), cardiovascular
(e.g., heart sounds, PMI), respiratory (e.g., breath sounds, percussion), integumentary (e.g., skin
lesions, turgor), abdominal assessments (e.g., bowel sounds, palpation), and cultural/pain
assessment.
Question 1: What is the normal range for adult heart rate?
A) 40–60 beats per minute
B) 60–100 beats per minute
C) 100–120 beats per minute
D) 120–140 beats per minute
Answer: B) 60–100 beats per minute
Rationale: The normal adult heart rate is 60–100 beats per minute at rest ().
Question 2: True/False: The point of maximal impulse (PMI) is normally located at the 5th
intercostal space, midclavicular line.
Answer: True
Rationale: The PMI, where the apical pulse is felt, is typically at the 5th ICS, midclavicular line
in adults ().
Question 3: Fill-in-the-Blank: ___________ is the term for normal breath sounds heard over the
lung periphery.
Answer: Vesicular
Rationale: Vesicular breath sounds are soft, low-pitched sounds heard over healthy lung tissue
().
Question 4: Which technique is used to assess skin turgor?
A) Percussion
B) Palpation
C) Auscultation
D) Inspection
Answer: B) Palpation
, Rationale: Skin turgor is assessed by pinching and releasing the skin, typically on the forearm,
to check elasticity ().
Question 5: True/False: A bruit heard over the carotid artery is a normal finding.
Answer: False
Rationale: A bruit indicates turbulent blood flow, often due to arterial narrowing, and is
abnormal ().
Question 6: What is the normal respiratory rate for an adult at rest?
A) 8–12 breaths per minute
B) 12–20 breaths per minute
C) 20–30 breaths per minute
D) 30–40 breaths per minute
Answer: B) 12–20 breaths per minute
Rationale: The normal adult respiratory rate is 12–20 breaths per minute ().
Question 7: Fill-in-the-Blank: ___________ is the term for a high-pitched, musical sound heard
on lung auscultation.
Answer: Wheeze
Rationale: Wheezes are high-pitched, musical adventitious sounds caused by narrowed airways
().
Question 8: True/False: The general survey includes assessing appearance, behavior, and
mobility.
Answer: True
Rationale: The general survey evaluates appearance, behavior, mobility, and body structure to
form an initial impression ().
Question 9: Which finding indicates dehydration during integumentary assessment?
A) Brisk skin turgor
B) Moist mucous membranes
C) Poor skin turgor
D) Warm, dry skin
Answer: C) Poor skin turgor
Rationale: Poor skin turgor (slow return after pinching) indicates dehydration ().
Question 10: Fill-in-the-Blank: ___________ is the normal heart sound heard at the beginning
of systole.
Answer: S1
Rationale: S1, caused by mitral and tricuspid valve closure, marks the start of systole ().
Question 11: True/False: Blood pressure should be taken with the arm at heart level.
Answer: True
Rationale: Positioning the arm at heart level ensures accurate blood pressure measurement ().