NR 302 Health Assessment Final Exam
2025/2026 | Verified Questions &
Answers with Rationales | A+ Graded
Study Guide
The retinal structures viewed through the ophthalmoscope are: - Answer-optic disc,
vessels, macula, background
"Positive consensual light reflex" means... - Answer-simultaneous constriction
The thickening and yellowing of the lens due to aging is described as: - Answer-cataract
Eye emergency - Answer-sudden change in vision
Visual acuity is assessed with: - Answer-Snellen eye chart
The cover test is used to assess for: - Answer-muscle weakness
When using the ophthalmoscope, you would: - Answer-remove your own glasses and
approach the patient's left eye with your left eye
The 6 eye muscles that control eye movement are innervated by cranial nerves: -
Answer-III, IV, VI
atrial systoles occurs during - Answer-ventricular diastole
second heart sound is result of - Answer-closing of the aortic and pulmonic valves
Abnormal finding of jugular venous pressure - Answer-patient elevated to 45 degrees ,
Internal jugular vein pulsation at 4 cm above sternal angle
normal sized apical impulse - Answer-1 x 2 cm
,Auscultation of Pulmonic Area - Answer-2nd intercostal space
what differentiates a split s2 from s3 - Answer-S3 is lower pitched and is heard at the
apex
assessment to rule out pericardial friction rub - Answer-listen with diaphragm, patient
sitting up and leaning forward, holding breath in expiration
First step in auscultating the heart - Answer-identify S1 and S2
You will hear a split S2 most clearly in which area? - Answer-pulmonic
bell should be pressed lightly against skin so that - Answer-is does not act as a
diaphragm
A murmur heard after S1 and before S2 is classified as: - Answer-systolic, possibly
benign
Assessment of carotid artery - Answer-palpate medial to sternomastoid muscle, one
side at a time
S1 is best heard at the _____ of the heart, whereas S2 is loudest at the _____ of the
heart. S1 coincides with the pulse in the _____ and coincides with the ______ wave if
the patient is on an ECG monitor. - Answer-S1 heard at apex, S2 at base, S1 pulse
coinsides with carotid artery and R wave
tough, fibrous, double-walled sac that surrounds and protects the heart - Answer-
pericardium
thin layer of endothelial tissue that lines the inner surface of the heart chambers and
valves - Answer-endocardium
reservoir for holding blood - Answer-atrium
ensures smooth, friction-free movement of the heart muscle - Answer-pericardial fluid
Muscular pumping chamber - Answer-ventricle
muscular wall of heart - Answer-myocardium
Biomedical model - Answer-the Western European/North American tradition that views
health as the absence of disease
, The concept of health and healing has evolved in recent years. Which is the best
description of health? - Answer-Health depends on an interaction of mind, body, and
spirit within the environment
What would be included in a database for a new patient admission to surgical unit? -
Answer-All subjective and objective data, data gathered from patient, and results of any
labs or imagine
You are reviewing assessment data of a 45 year old male patient and note pain of 8/10,
labored breathing and pale. This documentation is an example of - Answer-data cluster
A patient is in the emergency department with nausea and vomiting. Which would you
include in the database? - Answer-A diet and GI history
A patient has recently received health insurance and would like to know how often to
see his provider. How do you respond? - Answer-Your visits may very, depending on
your level of wellness
You are reviewing concepts related to steps in the nursing process for determining
prioritization and developing patient outcomes. To what are these actions attributed? -
Answer-planning
Which best describes evidence based practice? - Answer-Combining clinical expertise
with the use of nursing research to provide the best care for patients while considering
the patient's values and circumstances
What can be determined when the nurse clusters data as part of the critical-thinking
process? - Answer-The nurse recognizes relevant information among the data
A patient says she is very nervous and nauseated, and she feels as if she will vomit.
This is what type of data? - Answer-Subjective
The expert nurse differs from the novice nurse by acting without consciously thinking
about the actions. This is referred to as - Answer-intuition
Which would be considered a risk diagnosis? - Answer-Identifying potential problems
the individual may develop
Which would be included in a holistic model of assessment? - Answer-A patient's
perception of his or her health status
The nurse uses health promotion activities with a new patient. What would this focus
include? - Answer-The nurse would empower the patient to choose a healthier lifestyle.
Which is an example of objective date?
History
2025/2026 | Verified Questions &
Answers with Rationales | A+ Graded
Study Guide
The retinal structures viewed through the ophthalmoscope are: - Answer-optic disc,
vessels, macula, background
"Positive consensual light reflex" means... - Answer-simultaneous constriction
The thickening and yellowing of the lens due to aging is described as: - Answer-cataract
Eye emergency - Answer-sudden change in vision
Visual acuity is assessed with: - Answer-Snellen eye chart
The cover test is used to assess for: - Answer-muscle weakness
When using the ophthalmoscope, you would: - Answer-remove your own glasses and
approach the patient's left eye with your left eye
The 6 eye muscles that control eye movement are innervated by cranial nerves: -
Answer-III, IV, VI
atrial systoles occurs during - Answer-ventricular diastole
second heart sound is result of - Answer-closing of the aortic and pulmonic valves
Abnormal finding of jugular venous pressure - Answer-patient elevated to 45 degrees ,
Internal jugular vein pulsation at 4 cm above sternal angle
normal sized apical impulse - Answer-1 x 2 cm
,Auscultation of Pulmonic Area - Answer-2nd intercostal space
what differentiates a split s2 from s3 - Answer-S3 is lower pitched and is heard at the
apex
assessment to rule out pericardial friction rub - Answer-listen with diaphragm, patient
sitting up and leaning forward, holding breath in expiration
First step in auscultating the heart - Answer-identify S1 and S2
You will hear a split S2 most clearly in which area? - Answer-pulmonic
bell should be pressed lightly against skin so that - Answer-is does not act as a
diaphragm
A murmur heard after S1 and before S2 is classified as: - Answer-systolic, possibly
benign
Assessment of carotid artery - Answer-palpate medial to sternomastoid muscle, one
side at a time
S1 is best heard at the _____ of the heart, whereas S2 is loudest at the _____ of the
heart. S1 coincides with the pulse in the _____ and coincides with the ______ wave if
the patient is on an ECG monitor. - Answer-S1 heard at apex, S2 at base, S1 pulse
coinsides with carotid artery and R wave
tough, fibrous, double-walled sac that surrounds and protects the heart - Answer-
pericardium
thin layer of endothelial tissue that lines the inner surface of the heart chambers and
valves - Answer-endocardium
reservoir for holding blood - Answer-atrium
ensures smooth, friction-free movement of the heart muscle - Answer-pericardial fluid
Muscular pumping chamber - Answer-ventricle
muscular wall of heart - Answer-myocardium
Biomedical model - Answer-the Western European/North American tradition that views
health as the absence of disease
, The concept of health and healing has evolved in recent years. Which is the best
description of health? - Answer-Health depends on an interaction of mind, body, and
spirit within the environment
What would be included in a database for a new patient admission to surgical unit? -
Answer-All subjective and objective data, data gathered from patient, and results of any
labs or imagine
You are reviewing assessment data of a 45 year old male patient and note pain of 8/10,
labored breathing and pale. This documentation is an example of - Answer-data cluster
A patient is in the emergency department with nausea and vomiting. Which would you
include in the database? - Answer-A diet and GI history
A patient has recently received health insurance and would like to know how often to
see his provider. How do you respond? - Answer-Your visits may very, depending on
your level of wellness
You are reviewing concepts related to steps in the nursing process for determining
prioritization and developing patient outcomes. To what are these actions attributed? -
Answer-planning
Which best describes evidence based practice? - Answer-Combining clinical expertise
with the use of nursing research to provide the best care for patients while considering
the patient's values and circumstances
What can be determined when the nurse clusters data as part of the critical-thinking
process? - Answer-The nurse recognizes relevant information among the data
A patient says she is very nervous and nauseated, and she feels as if she will vomit.
This is what type of data? - Answer-Subjective
The expert nurse differs from the novice nurse by acting without consciously thinking
about the actions. This is referred to as - Answer-intuition
Which would be considered a risk diagnosis? - Answer-Identifying potential problems
the individual may develop
Which would be included in a holistic model of assessment? - Answer-A patient's
perception of his or her health status
The nurse uses health promotion activities with a new patient. What would this focus
include? - Answer-The nurse would empower the patient to choose a healthier lifestyle.
Which is an example of objective date?
History
