EXAM # 2 - NR 302 - HEALTH ASSESSMENT EXAM
QUESTIONS WITH CORRECT ANSWERS RATED A+
DuringHaHcardiovascularHassessment,HtheHnurseHknowsHthatHaHthrillHis:H-
HCORRECTHANSWERSVibrationHthatHisHpalpable.ThatHsignifiesHturbulentHbloodHflowHandHaccompaniesHlou
dHmurmurs.
TheHnurseHeducatorHisHpreparingHanHeducationHmoduleHforHtheHnursingHstaffHonHtheHepidermalHlayerHofHs
kin.HWhichHofHtheseHstatementsHwouldHbeHincludedHinHtheHmodule?H-
HCORRECTHANSWERSReplacedHeveryH4Hweeks.
TheHnurseHeducatorHisHpreparingHanHeducationHmoduleHforHtheHnursingHstaffHonHtheHdermisHlayerHofHskin.
HWhichHofHtheseHstatementsHwouldHbeHincludedHinHtheHmodule?HTheHdermis:H-
HCORRECTHANSWERSContainsHsensoryHreceptors.
TheHnurseHisHexaminingHaHpatientHwhoHtellsHtheHnurse,H"IHsureHsweatHaHlot,HespeciallyHonHmyHfaceHandHfee
tHbutHitHdoesn'tHhaveHanHodor."HTheHnurseHknowsHthatHthisHconditionHcouldHbeHrelatedHto:H-
HCORRECTHANSWERSEccrineHglands.
TheHnurseHisHbathingHanH80-year-
oldHmanHandHnoticesHthatHhisHskinHisHwrinkled,Hthin,Hlax,HandHdry.HThisHfindingHwouldHbeHrelatedHtoHwhich
HfactorHinHtheHolderHadult?H-
HCORRECTHANSWERSAnHincreasedHlossHofHelastinHandHaHdecreaseHinHsubcutaneousHfat
TheHnurseHisHreviewingHtheHanatomyHandHphysiologicHfunctioningHofHtheHheart.HWhichHstatementHbestHde
scribesHwhatHisHmeantHbyHatrialHkick?H-
HCORRECTHANSWERSTheHatriaHcontractHtowardHtheHendHofHdiastoleHandHpushHtheHremainingHbloodHintoHt
heHventricles.
DuringHanHexamination,HtheHnurseHfindsHthatHaHpatientHhasHexcessiveHdrynessHofHtheHskin.HTheHbestHtermH
toHdescribeHthisHconditionHis:H-HCORRECTHANSWERSXerosis
, AH13-year-
oldHgirlHisHinterestedHinHobtainingHinformationHaboutHtheHcauseHofHherHacne.HTheHnurseHshouldHshareHwit
hHherHthatHacne:H-HCORRECTHANSWERSIsHcausedHbyHincreasedHsebumHproduction.
WhenHlisteningHtoHheartHsounds,HtheHnurseHknowsHtheHvalveHclosuresHthatHcanHbeHheardHbestHatHtheHbase
HofHtheHheartHare:H-HCORRECTHANSWERSAorticHandHpulmonic.
TheHnurseHkeepsHinHmindHthatHaHthoroughHskinHassessmentHisHextremelyHimportantHbecauseHtheHskinHhol
dsHinformationHaboutHaHperson's:H-HCORRECTHANSWERSCirculatoryHstatus.
AHpatientHcomesHinHforHaHphysicalHexaminationHandHcomplainsHofH"freezingHtoHdeath"HwhileHwaitingHforHh
erHexamination.HTheHnurseHnotesHthatHherHskinHisHpaleHandHcoolHandHattributesHthisHfindingHto:H-
HCORRECTHANSWERSPeripheralHvasoconstriction.
AHpatientHcomesHtoHtheHclinicHandHtellsHtheHnurseHthatHheHhasHbeenHconfinedHtoHhisHreclinerHchairHforHapp
roximatelyH3HdaysHwithHhisHfeetHdownHandHheHasksHtheHnurseHtoHevaluateHhisHfeet.HDuringHtheHassessmen
t,HtheHnurseHmightHexpectHtoHfind:H-HCORRECTHANSWERSDistendedHveins
TheHsecondHheartHsoundH(S2)Hoccurs:H-
HCORRECTHANSWERSwithHtheHclosureHofHtheHsemilunarH(aorticHandHpulmonic)HvalvesHandHsignalsHtheHend
HofHsystole.HitHisHloudestHatHtheHbaseHofHtheHheart.
WhichHofHtheseHstatementsHdescribesHtheHclosureHofHtheHvalvesHinHaHnormalHcardiacHcycle?H-
HCORRECTHANSWERSTheHtricuspidHvalveHclosesHslightlyHlaterHthanHtheHmitralHvalve.
TheHcomponentHofHtheHconductionHsystemHreferredHtoHasHtheHpacemakerHofHtheHheartHisHthe:H-
HCORRECTHANSWERSSinoatrialH(SA)Hnode.
TheHelectricalHstimulusHofHtheHcardiacHcycleHfollowsHwhichHsequence?H-HCORRECTHANSWERSJaundice
QUESTIONS WITH CORRECT ANSWERS RATED A+
DuringHaHcardiovascularHassessment,HtheHnurseHknowsHthatHaHthrillHis:H-
HCORRECTHANSWERSVibrationHthatHisHpalpable.ThatHsignifiesHturbulentHbloodHflowHandHaccompaniesHlou
dHmurmurs.
TheHnurseHeducatorHisHpreparingHanHeducationHmoduleHforHtheHnursingHstaffHonHtheHepidermalHlayerHofHs
kin.HWhichHofHtheseHstatementsHwouldHbeHincludedHinHtheHmodule?H-
HCORRECTHANSWERSReplacedHeveryH4Hweeks.
TheHnurseHeducatorHisHpreparingHanHeducationHmoduleHforHtheHnursingHstaffHonHtheHdermisHlayerHofHskin.
HWhichHofHtheseHstatementsHwouldHbeHincludedHinHtheHmodule?HTheHdermis:H-
HCORRECTHANSWERSContainsHsensoryHreceptors.
TheHnurseHisHexaminingHaHpatientHwhoHtellsHtheHnurse,H"IHsureHsweatHaHlot,HespeciallyHonHmyHfaceHandHfee
tHbutHitHdoesn'tHhaveHanHodor."HTheHnurseHknowsHthatHthisHconditionHcouldHbeHrelatedHto:H-
HCORRECTHANSWERSEccrineHglands.
TheHnurseHisHbathingHanH80-year-
oldHmanHandHnoticesHthatHhisHskinHisHwrinkled,Hthin,Hlax,HandHdry.HThisHfindingHwouldHbeHrelatedHtoHwhich
HfactorHinHtheHolderHadult?H-
HCORRECTHANSWERSAnHincreasedHlossHofHelastinHandHaHdecreaseHinHsubcutaneousHfat
TheHnurseHisHreviewingHtheHanatomyHandHphysiologicHfunctioningHofHtheHheart.HWhichHstatementHbestHde
scribesHwhatHisHmeantHbyHatrialHkick?H-
HCORRECTHANSWERSTheHatriaHcontractHtowardHtheHendHofHdiastoleHandHpushHtheHremainingHbloodHintoHt
heHventricles.
DuringHanHexamination,HtheHnurseHfindsHthatHaHpatientHhasHexcessiveHdrynessHofHtheHskin.HTheHbestHtermH
toHdescribeHthisHconditionHis:H-HCORRECTHANSWERSXerosis
, AH13-year-
oldHgirlHisHinterestedHinHobtainingHinformationHaboutHtheHcauseHofHherHacne.HTheHnurseHshouldHshareHwit
hHherHthatHacne:H-HCORRECTHANSWERSIsHcausedHbyHincreasedHsebumHproduction.
WhenHlisteningHtoHheartHsounds,HtheHnurseHknowsHtheHvalveHclosuresHthatHcanHbeHheardHbestHatHtheHbase
HofHtheHheartHare:H-HCORRECTHANSWERSAorticHandHpulmonic.
TheHnurseHkeepsHinHmindHthatHaHthoroughHskinHassessmentHisHextremelyHimportantHbecauseHtheHskinHhol
dsHinformationHaboutHaHperson's:H-HCORRECTHANSWERSCirculatoryHstatus.
AHpatientHcomesHinHforHaHphysicalHexaminationHandHcomplainsHofH"freezingHtoHdeath"HwhileHwaitingHforHh
erHexamination.HTheHnurseHnotesHthatHherHskinHisHpaleHandHcoolHandHattributesHthisHfindingHto:H-
HCORRECTHANSWERSPeripheralHvasoconstriction.
AHpatientHcomesHtoHtheHclinicHandHtellsHtheHnurseHthatHheHhasHbeenHconfinedHtoHhisHreclinerHchairHforHapp
roximatelyH3HdaysHwithHhisHfeetHdownHandHheHasksHtheHnurseHtoHevaluateHhisHfeet.HDuringHtheHassessmen
t,HtheHnurseHmightHexpectHtoHfind:H-HCORRECTHANSWERSDistendedHveins
TheHsecondHheartHsoundH(S2)Hoccurs:H-
HCORRECTHANSWERSwithHtheHclosureHofHtheHsemilunarH(aorticHandHpulmonic)HvalvesHandHsignalsHtheHend
HofHsystole.HitHisHloudestHatHtheHbaseHofHtheHheart.
WhichHofHtheseHstatementsHdescribesHtheHclosureHofHtheHvalvesHinHaHnormalHcardiacHcycle?H-
HCORRECTHANSWERSTheHtricuspidHvalveHclosesHslightlyHlaterHthanHtheHmitralHvalve.
TheHcomponentHofHtheHconductionHsystemHreferredHtoHasHtheHpacemakerHofHtheHheartHisHthe:H-
HCORRECTHANSWERSSinoatrialH(SA)Hnode.
TheHelectricalHstimulusHofHtheHcardiacHcycleHfollowsHwhichHsequence?H-HCORRECTHANSWERSJaundice