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NR 304 / NR304 Exam 2 Actual Exam
2026/2027 | Health Assessment II |
Chamberlain | Questions with Verified
Answers | 100% Correct | Pass
Guaranteed
Q001: A 58-year-old man with a history of hypertension presents for a routine
follow-up. The nurse notes a blood pressure of 168/98 mmHg, heart rate 88 bpm,
and no visible distress. Which action should the nurse prioritize first?
Options:
A. Document the findings and schedule recheck in 6 months
B. Ask the patient to relax for 5 minutes and re-measure BP - CORRECT
C. Immediately notify the provider for hypertensive crisis
D. Instruct the patient to reduce salt intake today
ANSWER: B
Q002: During abdominal assessment of a 42-year-old woman, the nurse hears a
soft swishing sound over the right upper quadrant with the bell of the stethoscope.
This finding is most consistent with:
Options:
A. Borborygmi
B. Venous hum - CORRECT
C. Friction rub
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D. Succussion splash
ANSWER: B
Q003: A 67-year-old woman with COPD is assessed for respiratory status.
Auscultation reveals diminished breath sounds and a prolonged expiratory phase.
Which additional finding would best confirm active airflow limitation?
Options:
A. Fine crackles at lung bases
B. Wheezes during expiration - CORRECT
C. Pleural friction rub
D. Bronchophony
ANSWER: B
Q004: A 50-year-old male reports sudden-onset left calf pain and swelling after a
long flight. On inspection, the calf is erythematous and 3 cm larger in
circumference than the right. Which test should the nurse perform next?
Options:
A. Homans sign - CORRECT
B. Trendelenburg test
C. Phalen maneuver
D. Lachman test
ANSWER: A
Q005: A 55-year-old woman with diabetes complains of numbness in her feet.
Monofilament testing reveals absent sensation at three sites on the plantar surface
of both feet. The nurse should document this as:
Options:
A. Hyperesthesia
B. Peripheral neuropathy - CORRECT
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C. Allodynia
D. Paresthesia
ANSWER: B
Q006: A 70-year-old man is being assessed for balance. During the Romberg test,
he sways significantly and nearly falls when his eyes are closed. This finding
suggests:
Options:
A. Normal age-related change
B. Vestibular or proprioceptive deficit - CORRECT
C. Cerebellar dysfunction
D. Muscular weakness
ANSWER: B
Q007: A 45-year-old woman reports chest pain that worsens with deep inspiration
and improves when she leans forward. A friction rub is heard at the left sternal
border. Which condition is most likely?
Options:
A. Myocardial infarction
B. Pericarditis - CORRECT
C. Pulmonary embolism
D. Aortic stenosis
ANSWER: B
Q008: A 60-year-old male has a blood pressure reading of 142/88 mmHg on two
separate occasions. He denies chest pain or shortness of breath. Which
classification should the nurse document?
Options:
A. Normal BP
NR 304 / NR304 Exam 2 Actual Exam
2026/2027 | Health Assessment II |
Chamberlain | Questions with Verified
Answers | 100% Correct | Pass
Guaranteed
Q001: A 58-year-old man with a history of hypertension presents for a routine
follow-up. The nurse notes a blood pressure of 168/98 mmHg, heart rate 88 bpm,
and no visible distress. Which action should the nurse prioritize first?
Options:
A. Document the findings and schedule recheck in 6 months
B. Ask the patient to relax for 5 minutes and re-measure BP - CORRECT
C. Immediately notify the provider for hypertensive crisis
D. Instruct the patient to reduce salt intake today
ANSWER: B
Q002: During abdominal assessment of a 42-year-old woman, the nurse hears a
soft swishing sound over the right upper quadrant with the bell of the stethoscope.
This finding is most consistent with:
Options:
A. Borborygmi
B. Venous hum - CORRECT
C. Friction rub
, 2
D. Succussion splash
ANSWER: B
Q003: A 67-year-old woman with COPD is assessed for respiratory status.
Auscultation reveals diminished breath sounds and a prolonged expiratory phase.
Which additional finding would best confirm active airflow limitation?
Options:
A. Fine crackles at lung bases
B. Wheezes during expiration - CORRECT
C. Pleural friction rub
D. Bronchophony
ANSWER: B
Q004: A 50-year-old male reports sudden-onset left calf pain and swelling after a
long flight. On inspection, the calf is erythematous and 3 cm larger in
circumference than the right. Which test should the nurse perform next?
Options:
A. Homans sign - CORRECT
B. Trendelenburg test
C. Phalen maneuver
D. Lachman test
ANSWER: A
Q005: A 55-year-old woman with diabetes complains of numbness in her feet.
Monofilament testing reveals absent sensation at three sites on the plantar surface
of both feet. The nurse should document this as:
Options:
A. Hyperesthesia
B. Peripheral neuropathy - CORRECT
, 3
C. Allodynia
D. Paresthesia
ANSWER: B
Q006: A 70-year-old man is being assessed for balance. During the Romberg test,
he sways significantly and nearly falls when his eyes are closed. This finding
suggests:
Options:
A. Normal age-related change
B. Vestibular or proprioceptive deficit - CORRECT
C. Cerebellar dysfunction
D. Muscular weakness
ANSWER: B
Q007: A 45-year-old woman reports chest pain that worsens with deep inspiration
and improves when she leans forward. A friction rub is heard at the left sternal
border. Which condition is most likely?
Options:
A. Myocardial infarction
B. Pericarditis - CORRECT
C. Pulmonary embolism
D. Aortic stenosis
ANSWER: B
Q008: A 60-year-old male has a blood pressure reading of 142/88 mmHg on two
separate occasions. He denies chest pain or shortness of breath. Which
classification should the nurse document?
Options:
A. Normal BP
