HEALTH ASSESSMENT – EXAM 2 TEST BANK
QUESTIONS AND VERIFIED ANSWERS WITH
RATIONALES GRADED A+ LATEST
Question 1
A nurse palpates a patient’s lymph nodes and notes they are soft, mobile, and non-
tender. How should this finding be interpreted?
A. Suggestive of malignancy
B. Normal lymph node finding
C. Indicative of acute infection
D. Associated with chronic inflammation
Correct Answer: B
Rationale: Normal lymph nodes are typically soft, movable, and non-tender. Hard,
fixed, or tender nodes raise concern for pathology.
Question 2
During inspection of the skull, the nurse notes a symmetrical head shape without
masses or depressions. This finding is best documented as:
A. Normocephalic
B. Dolichocephalic
C. Microcephalic
D. Hydrocephalic
Correct Answer: A
Rationale: A normocephalic head is symmetric, smooth, and proportional without
abnormalities.
,Question 3
A patient reports gradual hearing loss over several years and difficulty
understanding speech in noisy environments. Which condition is most likely?
A. Conductive hearing loss
B. Sensorineural hearing loss
C. Otitis media
D. Cerumen impaction
Correct Answer: B
Rationale: Sensorineural hearing loss typically presents gradually and affects the
ability to understand speech, especially in noisy settings.
Question 4
When assessing visual acuity, which finding requires immediate referral?
A. Blurred vision corrected with lenses
B. Sudden painless loss of vision
C. Difficulty reading small print
D. Eye strain after prolonged screen use
Correct Answer: B
Rationale: Sudden painless vision loss may indicate retinal or vascular
emergencies and requires urgent evaluation.
Question 5
The nurse observes drooping of one side of the patient’s face and inability to close
the affected eye. Which cranial nerve is most likely involved?
A. Cranial nerve III
B. Cranial nerve V
C. Cranial nerve VII
D. Cranial nerve XII
,Correct Answer: C
Rationale: Cranial nerve VII (facial nerve) controls facial movement and eyelid
closure.
Question 6
A patient complains of persistent nasal congestion and facial pain that worsens
when leaning forward. Which condition is most likely?
A. Allergic rhinitis
B. Acute sinusitis
C. Deviated septum
D. Nasal polyps
Correct Answer: B
Rationale: Sinusitis commonly causes facial pain and pressure that intensifies
when bending forward.
Question 7
When inspecting the oral cavity, which finding is most concerning?
A. Pink, moist mucosa
B. White patches that cannot be scraped off
C. Slightly enlarged tonsils
D. Transient bad breath
Correct Answer: B
Rationale: White patches that cannot be removed may indicate leukoplakia or
malignancy and require further evaluation.
, Question 8
The nurse palpates the thyroid gland and notes a painless, firm nodule. What is the
priority action?
A. Reassure the patient
B. Document as a normal finding
C. Recommend further diagnostic evaluation
D. Encourage iodine supplementation
Correct Answer: C
Rationale: Firm, painless thyroid nodules may indicate malignancy and require
diagnostic testing.
Question 9
A patient presents with hoarseness lasting longer than three weeks. This symptom
is most concerning for:
A. Viral laryngitis
B. Gastroesophageal reflux
C. Vocal cord strain
D. Laryngeal cancer
Correct Answer: D
Rationale: Persistent hoarseness longer than two to three weeks warrants
evaluation for malignancy.
Question 10
Which assessment finding best differentiates conductive from sensorineural
hearing loss?
A. Weber test lateralization
B. Tympanic membrane color
C. Presence of ear pain
D. Ear canal diameter
QUESTIONS AND VERIFIED ANSWERS WITH
RATIONALES GRADED A+ LATEST
Question 1
A nurse palpates a patient’s lymph nodes and notes they are soft, mobile, and non-
tender. How should this finding be interpreted?
A. Suggestive of malignancy
B. Normal lymph node finding
C. Indicative of acute infection
D. Associated with chronic inflammation
Correct Answer: B
Rationale: Normal lymph nodes are typically soft, movable, and non-tender. Hard,
fixed, or tender nodes raise concern for pathology.
Question 2
During inspection of the skull, the nurse notes a symmetrical head shape without
masses or depressions. This finding is best documented as:
A. Normocephalic
B. Dolichocephalic
C. Microcephalic
D. Hydrocephalic
Correct Answer: A
Rationale: A normocephalic head is symmetric, smooth, and proportional without
abnormalities.
,Question 3
A patient reports gradual hearing loss over several years and difficulty
understanding speech in noisy environments. Which condition is most likely?
A. Conductive hearing loss
B. Sensorineural hearing loss
C. Otitis media
D. Cerumen impaction
Correct Answer: B
Rationale: Sensorineural hearing loss typically presents gradually and affects the
ability to understand speech, especially in noisy settings.
Question 4
When assessing visual acuity, which finding requires immediate referral?
A. Blurred vision corrected with lenses
B. Sudden painless loss of vision
C. Difficulty reading small print
D. Eye strain after prolonged screen use
Correct Answer: B
Rationale: Sudden painless vision loss may indicate retinal or vascular
emergencies and requires urgent evaluation.
Question 5
The nurse observes drooping of one side of the patient’s face and inability to close
the affected eye. Which cranial nerve is most likely involved?
A. Cranial nerve III
B. Cranial nerve V
C. Cranial nerve VII
D. Cranial nerve XII
,Correct Answer: C
Rationale: Cranial nerve VII (facial nerve) controls facial movement and eyelid
closure.
Question 6
A patient complains of persistent nasal congestion and facial pain that worsens
when leaning forward. Which condition is most likely?
A. Allergic rhinitis
B. Acute sinusitis
C. Deviated septum
D. Nasal polyps
Correct Answer: B
Rationale: Sinusitis commonly causes facial pain and pressure that intensifies
when bending forward.
Question 7
When inspecting the oral cavity, which finding is most concerning?
A. Pink, moist mucosa
B. White patches that cannot be scraped off
C. Slightly enlarged tonsils
D. Transient bad breath
Correct Answer: B
Rationale: White patches that cannot be removed may indicate leukoplakia or
malignancy and require further evaluation.
, Question 8
The nurse palpates the thyroid gland and notes a painless, firm nodule. What is the
priority action?
A. Reassure the patient
B. Document as a normal finding
C. Recommend further diagnostic evaluation
D. Encourage iodine supplementation
Correct Answer: C
Rationale: Firm, painless thyroid nodules may indicate malignancy and require
diagnostic testing.
Question 9
A patient presents with hoarseness lasting longer than three weeks. This symptom
is most concerning for:
A. Viral laryngitis
B. Gastroesophageal reflux
C. Vocal cord strain
D. Laryngeal cancer
Correct Answer: D
Rationale: Persistent hoarseness longer than two to three weeks warrants
evaluation for malignancy.
Question 10
Which assessment finding best differentiates conductive from sensorineural
hearing loss?
A. Weber test lateralization
B. Tympanic membrane color
C. Presence of ear pain
D. Ear canal diameter
