NUR 220 EXAM 2 ASSESSMENT TEST PAPER
Q&A 2026 GRADED A+.
⫸ A patient complains of pain in the calf when walking. Which
question should the nurse ask for further data?
1. "Does your calf also swell when this pain occurs?"
2. "Does the pain go away when you stop walking?"
3. "Do you become short of breath when you're walking?"
4. "Do you feel dizzy when the pain occurs?". Answer: 2
⫸ Which patient has the greatest risk for hypertension?
1. An Asian man who is 5 ft 5 in (165 cm) tall, weighs 125 lbs (56.7
kg), and complains of a headache over his forehead and eyes
2. A Cheyenne Indian woman who complains of a gnawing, burning
epigastric pain radiating to her neck and jaw
3. An African American man who has type 2 diabetes mellitus,
exercises once a month, and drinks two-to-three alcoholic drinks a
night with dinner
4. A Caucasian woman who has a family history of heart disease and
complains of pain in her chest when she takes a deep breath. Answer:
3
⫸ When a patient complains of chest pain, which question is
pertinent to ask to gain additional data?
,1. "What were you doing when the pain first occurred?"
2. "What does the pain feel like?"
3. "Do you have episodes of shortness of breath?"
4. "Has anyone in your family ever had a similar pain?". Answer: 2
⫸ How does a nurse determine jugular vein pulsations?
1. Elevates the head of the bed about 90 degrees and looks for the
jugular vein pulsation parallel to the sternocleidomastoid muscle as
the head of the bed is slowly lowered
2. Looks for jugular vein pulsations at the jaw line as the patient turns
from supine to a side-lying position
3. Elevates the head of the bed until the external jugular vein
pulsation is seen above the clavicle
4. Positions the patient supine and asks him or her to cough; looks for
jugular vein pulsations during the cough. Answer: 3
⫸ Where does a nurse palpate to assess the posterior tibial pulse?
1. Behind the knee in the popliteal fossa
2. The inner aspect of the ankle below and slightly behind the medial
malleolus
3. Over the dorsum of the foot between the extension tendons of the
first and second toes
4. The outer side of the ankle below and slightly behind the lateral
malleolus. Answer: 2
, ⫸ On auscultation of the heart, the nurse recognizes which expected
finding?
1. A low-pitched blowing sound is heard over the abdominal aorta.
2. A high-pitched vibration is heard over the base of the heart.
3. The S1 heart sound is louder at the apex of the heart.
4. The S3 heart sound sounds like "Ken-tuck-y.". Answer: 3
⫸ What is the most accurate technique for detecting a venous
thrombosis at the bedside?
1. Dorsiflex the calf and note if the patient complains of pain.
2. Elevate one leg above the level of the heart to determine if the
veins empty.
244
3. Palpate the pulses distal to the areas of the suspected thrombosis.
4. Measure the thigh circumference to detect an increase from the
baseline.. Answer: 4
⫸ Each patient has had consistent blood pressure readings during the
last three clinic visits. Which patient has a blood pressure consistent
with expected findings?
1. Mr. P, whose blood pressure has been 110/78
2. Ms. J, whose blood pressure has been 140/90
3. Mr. Q, whose blood pressure has been 130/76
4. Ms. Y, whose blood pressure has been 120/80. Answer: 1
Q&A 2026 GRADED A+.
⫸ A patient complains of pain in the calf when walking. Which
question should the nurse ask for further data?
1. "Does your calf also swell when this pain occurs?"
2. "Does the pain go away when you stop walking?"
3. "Do you become short of breath when you're walking?"
4. "Do you feel dizzy when the pain occurs?". Answer: 2
⫸ Which patient has the greatest risk for hypertension?
1. An Asian man who is 5 ft 5 in (165 cm) tall, weighs 125 lbs (56.7
kg), and complains of a headache over his forehead and eyes
2. A Cheyenne Indian woman who complains of a gnawing, burning
epigastric pain radiating to her neck and jaw
3. An African American man who has type 2 diabetes mellitus,
exercises once a month, and drinks two-to-three alcoholic drinks a
night with dinner
4. A Caucasian woman who has a family history of heart disease and
complains of pain in her chest when she takes a deep breath. Answer:
3
⫸ When a patient complains of chest pain, which question is
pertinent to ask to gain additional data?
,1. "What were you doing when the pain first occurred?"
2. "What does the pain feel like?"
3. "Do you have episodes of shortness of breath?"
4. "Has anyone in your family ever had a similar pain?". Answer: 2
⫸ How does a nurse determine jugular vein pulsations?
1. Elevates the head of the bed about 90 degrees and looks for the
jugular vein pulsation parallel to the sternocleidomastoid muscle as
the head of the bed is slowly lowered
2. Looks for jugular vein pulsations at the jaw line as the patient turns
from supine to a side-lying position
3. Elevates the head of the bed until the external jugular vein
pulsation is seen above the clavicle
4. Positions the patient supine and asks him or her to cough; looks for
jugular vein pulsations during the cough. Answer: 3
⫸ Where does a nurse palpate to assess the posterior tibial pulse?
1. Behind the knee in the popliteal fossa
2. The inner aspect of the ankle below and slightly behind the medial
malleolus
3. Over the dorsum of the foot between the extension tendons of the
first and second toes
4. The outer side of the ankle below and slightly behind the lateral
malleolus. Answer: 2
, ⫸ On auscultation of the heart, the nurse recognizes which expected
finding?
1. A low-pitched blowing sound is heard over the abdominal aorta.
2. A high-pitched vibration is heard over the base of the heart.
3. The S1 heart sound is louder at the apex of the heart.
4. The S3 heart sound sounds like "Ken-tuck-y.". Answer: 3
⫸ What is the most accurate technique for detecting a venous
thrombosis at the bedside?
1. Dorsiflex the calf and note if the patient complains of pain.
2. Elevate one leg above the level of the heart to determine if the
veins empty.
244
3. Palpate the pulses distal to the areas of the suspected thrombosis.
4. Measure the thigh circumference to detect an increase from the
baseline.. Answer: 4
⫸ Each patient has had consistent blood pressure readings during the
last three clinic visits. Which patient has a blood pressure consistent
with expected findings?
1. Mr. P, whose blood pressure has been 110/78
2. Ms. J, whose blood pressure has been 140/90
3. Mr. Q, whose blood pressure has been 130/76
4. Ms. Y, whose blood pressure has been 120/80. Answer: 1
