NSG 101 UNIT EXAM 1 HEALTH ASSESSMENT
QUESTIONS & VERIFIED ANSWERS
A. Appearance and behavior
B. Measurement of vital signs.
C. Observing specific body systems.
D. Conducting a detailed health history.
(A) - Answers - The nurse prepares to conduct a general survey on an adult patient.
Which assessment is performed first while the nurse initiates the nurse-patient
relationship?
A. 4, 2, 3, 1
B. 1, 2, 3, 4
C. 3, 2, 4, 1
D. 2, 3, 4, 1
(D) - Answers - The nurse is performing an abdominal assessment on a patient. In what
order does the nurse perform the steps?
1. Percussion
2. Inspection
3. Auscultation
4. Palpation
A. Rhonchi
B. Coarse crackles
C. Sibilant wheeze
D. Pleural friction rub
(B) - Answers - While auscultating the adult patient's lungs, the nurse hears loud, bubbly
sounds during inspiration that did not disappear after the patient coughed. Which finding
should the nurse document from the lung assessment?
A. Nodule
B. Macule
C. Wheal
D. Pustule
(C) - Answers - During assessment of the skin, the nurse assesses a lesion on the arm
of the patient. The lesion is irregularly shaped, elevated with edema, and about 3 cm.
What type of lesion does the patient have?
, A. Auscultation of an apical heart rate of 76
B. Absence of bowel sounds on abdominal assessment
C. Respiratory rate of 8 breaths/min
D. Palpation of dorsalis pedis pulses with strength of +2
(C) - Answers - The nurse is assessing a patient who returned 1 hour ago from surgery
for an abdominal hysterectomy. Which assessment finding would require immediate
follow-up?
A. "I'll make sure to schedule my colonoscopy annually after the age of 60."
B. "I'll make sure to have a computer tomography (CT) colonoscopy every 5 years."
C. "I'll make sure to have a flexible sigmoidoscopy every year once I turn 55."
D. "I'll make sure to have a fecal occult blood test annually once I turn 50."
(D) - Answers - Which statement made by the patient indicates an understanding about
teaching related to early detection of colorectal cancer?
A. Supine with both arms overhead with palms upward.
B. Sitting with hands clasped just above the umbilicus.
C. Supine with the right arm abducted and hand under the head an neck.
D. Lying on the right side, adducting the right arm on the side of the body. - Answers -
How should the patient be positioned to best palpate for lumps or tumors during an
examination of the right breast?
A. "I'll recognize abnormal lumps because they are very painful"
B. "I'll start performing testicular self-examination monthly after I turn 15"
C. "I'll perform the self-examination in front of a mirror"
D. "I'll gently roll the testicle between my fingers"
(A) - Answers - The nurse is teaching a patient how to perform a testicular self-
examination. Which statement made by the patient indicates a need for further
teaching?
A. The student stands at a midline position behind the patient observing for position of
the spine and scapula.
B. The student palpates the thoracic muscles for masses, pulsations, or abnormal
movements.
C. the student places the bell of the stethoscope on the anterior chest wall to auscultate
breath sounds.
D. The student places the palm of the hand over the intercostal spaces and asks the
patient to say "ninety-nine"
(C) - Answers - The nurse is observing the student nurse perform a respiratory
assessment on a patient. Which action by the student nurse requires the nurse to
intervene?
QUESTIONS & VERIFIED ANSWERS
A. Appearance and behavior
B. Measurement of vital signs.
C. Observing specific body systems.
D. Conducting a detailed health history.
(A) - Answers - The nurse prepares to conduct a general survey on an adult patient.
Which assessment is performed first while the nurse initiates the nurse-patient
relationship?
A. 4, 2, 3, 1
B. 1, 2, 3, 4
C. 3, 2, 4, 1
D. 2, 3, 4, 1
(D) - Answers - The nurse is performing an abdominal assessment on a patient. In what
order does the nurse perform the steps?
1. Percussion
2. Inspection
3. Auscultation
4. Palpation
A. Rhonchi
B. Coarse crackles
C. Sibilant wheeze
D. Pleural friction rub
(B) - Answers - While auscultating the adult patient's lungs, the nurse hears loud, bubbly
sounds during inspiration that did not disappear after the patient coughed. Which finding
should the nurse document from the lung assessment?
A. Nodule
B. Macule
C. Wheal
D. Pustule
(C) - Answers - During assessment of the skin, the nurse assesses a lesion on the arm
of the patient. The lesion is irregularly shaped, elevated with edema, and about 3 cm.
What type of lesion does the patient have?
, A. Auscultation of an apical heart rate of 76
B. Absence of bowel sounds on abdominal assessment
C. Respiratory rate of 8 breaths/min
D. Palpation of dorsalis pedis pulses with strength of +2
(C) - Answers - The nurse is assessing a patient who returned 1 hour ago from surgery
for an abdominal hysterectomy. Which assessment finding would require immediate
follow-up?
A. "I'll make sure to schedule my colonoscopy annually after the age of 60."
B. "I'll make sure to have a computer tomography (CT) colonoscopy every 5 years."
C. "I'll make sure to have a flexible sigmoidoscopy every year once I turn 55."
D. "I'll make sure to have a fecal occult blood test annually once I turn 50."
(D) - Answers - Which statement made by the patient indicates an understanding about
teaching related to early detection of colorectal cancer?
A. Supine with both arms overhead with palms upward.
B. Sitting with hands clasped just above the umbilicus.
C. Supine with the right arm abducted and hand under the head an neck.
D. Lying on the right side, adducting the right arm on the side of the body. - Answers -
How should the patient be positioned to best palpate for lumps or tumors during an
examination of the right breast?
A. "I'll recognize abnormal lumps because they are very painful"
B. "I'll start performing testicular self-examination monthly after I turn 15"
C. "I'll perform the self-examination in front of a mirror"
D. "I'll gently roll the testicle between my fingers"
(A) - Answers - The nurse is teaching a patient how to perform a testicular self-
examination. Which statement made by the patient indicates a need for further
teaching?
A. The student stands at a midline position behind the patient observing for position of
the spine and scapula.
B. The student palpates the thoracic muscles for masses, pulsations, or abnormal
movements.
C. the student places the bell of the stethoscope on the anterior chest wall to auscultate
breath sounds.
D. The student places the palm of the hand over the intercostal spaces and asks the
patient to say "ninety-nine"
(C) - Answers - The nurse is observing the student nurse perform a respiratory
assessment on a patient. Which action by the student nurse requires the nurse to
intervene?
