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NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions
and Answers with Rationale | Latest 2026/2027 | Rasmussen College
2026/2027
HEALTH ASSESSMENT · Official Exam 2026/2027
100 80% CERTIFIED
QUESTIONS PASSING SCORE RECERTIFICATION
TABLE OF CONTENTS
Section 1 Heart and Vascular Assessment Q1-Q20
Section 2 Thorax and Respiratory Assessment Q21-Q40
Section 3 Abdominal Assessment Q41-Q60
Section 4 Musculoskeletal Assessment Q61-Q80
Section 5 Neurological Assessment Q81-Q100
Instructions: Select the single best answer for each question. This exam is designed for NUR 2092 Health
Assessment Exam 2 preparation. Passing score: 80% (80 questions correct).
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answers with Rationale | Latest 2026/2027 | Rasmussen College 2026/2027 — 2026/2027 | Passing Score: 80% | Page 1
, SECTION 1 | Heart and Vascular Assessment | Q1-Q20 | NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answers with
Rationale | Latest 2026/2027 | Rasmussen College 2026/2027 2026/2027
Q1 Question 1 of 100
A 62-year-old male presents to the clinic for a routine physical examination. The nurse assesses his
apical pulse and notes a rate of 92 beats per minute with an irregular rhythm. The nurse should
recognize that this irregularity is most consistent with which cardiac dysrhythmia commonly seen in
older adults?
A. Atrial fibrillation
B. Sinus arrhythmia
C. Premature ventricular contractions
D. First-degree AV block
Correct Answer: A
Rationale:
An irregularly irregular rhythm in an older adult is most consistent with atrial fibrillation, which is the most
common sustained dysrhythmia in this population. Sinus arrhythmia is regular and varies with respiration,
PVCs cause occasional irregularity with compensatory pauses, and first-degree AV block maintains a regular
rhythm with prolonged PR interval.
Q2 Question 2 of 100
A 55-year-old female with a history of hypertension presents with a blood pressure reading of 158/96
mmHg in the left arm. The nurse repeats the measurement in the right arm and obtains a reading of
142/88 mmHg. A significant difference between arms (greater than 10 mmHg systolic) may indicate
which condition?
A. Normal variation between arms that does not require follow-up
B. Subclavian artery stenosis or aortic coarctation requiring further evaluation
C. White coat hypertension affecting one arm only
D. Incorrect cuff size on the left arm
Correct Answer: B
Rationale:
A blood pressure difference greater than 10 mmHg between arms may indicate subclavian artery stenosis or
aortic coarctation and requires further evaluation with vascular imaging. While small differences are normal,
significant asymmetry suggests vascular obstruction. White coat hypertension affects both arms equally, and
cuff size issues would not cause this specific pattern.
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answers with Rationale | Latest 2026/2027 | Rasmussen College 2026/2027 — 2026/2027 | Passing Score: 80% | Page 2
, SECTION 1 | Heart and Vascular Assessment | Q1-Q20 | NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answers with
Rationale | Latest 2026/2027 | Rasmussen College 2026/2027 2026/2027
Q3 Question 3 of 100
A 48-year-old male presents with complaints of chest discomfort. The nurse auscultates the heart and
hears a high-pitched, blowing holosystolic murmur best heard at the cardiac apex that radiates to the
left axilla. This murmur is most characteristic of which valvular disorder?
A. Aortic stenosis
B. Tricuspid stenosis
C. Mitral regurgitation
D. Pulmonic regurgitation
Correct Answer: C
Rationale:
A high-pitched, blowing holosystolic murmur at the apex radiating to the left axilla is characteristic of mitral
regurgitation. Aortic stenosis produces a crescendo-decrescendo systolic murmur at the right second
intercostal space radiating to the carotids, and tricuspid and pulmonic murmurs are best heard at different
locations.
Q4 Question 4 of 100
A nurse is performing a cardiovascular assessment on a 70-year-old male and notes jugular venous
distension (JVD) at 6 cm above the sternal angle when the head of the bed is elevated to 45 degrees.
This finding is most consistent with which condition?
A. Dehydration and volume depletion
B. Normal age-related change in venous tone
C. Left-sided heart failure with pulmonary congestion
D. Right-sided heart failure or volume overload
Correct Answer: D
Rationale:
JVD greater than 3-4 cm above the sternal angle at 45 degrees elevation indicates elevated right atrial
pressure, most commonly caused by right-sided heart failure or volume overload. Dehydration would decrease
venous pressure, this is not a normal aging change, and left-sided heart failure primarily causes pulmonary
symptoms rather than JVD.
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answers with Rationale | Latest 2026/2027 | Rasmussen College 2026/2027 — 2026/2027 | Passing Score: 80% | Page 3
, SECTION 1 | Heart and Vascular Assessment | Q1-Q20 | NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answers with
Rationale | Latest 2026/2027 | Rasmussen College 2026/2027 2026/2027
Q5 Question 5 of 100
A 65-year-old female presents with bilateral pitting edema in the lower extremities rated at 3+ on a
scale of 0 to 4+. The nurse assesses that when pressure is applied, a deep pit forms that remains for
more than 30 seconds and the extremity looks swollen. This degree of pitting edema is most
commonly associated with which underlying condition?
A. Congestive heart failure
B. Chronic venous insufficiency
C. Deep vein thrombosis
D. Lymphedema
Correct Answer: A
Rationale:
Bilateral 3+ pitting edema is most commonly associated with congestive heart failure, which causes fluid
retention and increased hydrostatic pressure in the venous system. Venous insufficiency typically causes
unilateral edema, DVT is also usually unilateral with pain and warmth, and lymphedema is typically non-pitting.
Q6 Question 6 of 100
A nurse is assessing a 58-year-old male with suspected pericarditis. During auscultation, the nurse
hears a grating, scratching sound that is most audible during both systole and diastole when the
patient leans forward. This sound is correctly identified as which of the following?
A. Pleural friction rub
B. Pericardial friction rub
C. Murmur of aortic regurgitation
D. S3 gallop
Correct Answer: B
Rationale:
A grating, scratching sound heard during both systole and diastole that improves when the patient leans
forward is a pericardial friction rub, caused by inflamed pericardial layers rubbing together. Pleural friction rub
is synchronized with respiration not cardiac cycles, aortic regurgitation is a diastolic murmur, and S3 gallop is
a low-frequency sound after S2.
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answers with Rationale | Latest 2026/2027 | Rasmussen College 2026/2027 — 2026/2027 | Passing Score: 80% | Page 4
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions
and Answers with Rationale | Latest 2026/2027 | Rasmussen College
2026/2027
HEALTH ASSESSMENT · Official Exam 2026/2027
100 80% CERTIFIED
QUESTIONS PASSING SCORE RECERTIFICATION
TABLE OF CONTENTS
Section 1 Heart and Vascular Assessment Q1-Q20
Section 2 Thorax and Respiratory Assessment Q21-Q40
Section 3 Abdominal Assessment Q41-Q60
Section 4 Musculoskeletal Assessment Q61-Q80
Section 5 Neurological Assessment Q81-Q100
Instructions: Select the single best answer for each question. This exam is designed for NUR 2092 Health
Assessment Exam 2 preparation. Passing score: 80% (80 questions correct).
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answers with Rationale | Latest 2026/2027 | Rasmussen College 2026/2027 — 2026/2027 | Passing Score: 80% | Page 1
, SECTION 1 | Heart and Vascular Assessment | Q1-Q20 | NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answers with
Rationale | Latest 2026/2027 | Rasmussen College 2026/2027 2026/2027
Q1 Question 1 of 100
A 62-year-old male presents to the clinic for a routine physical examination. The nurse assesses his
apical pulse and notes a rate of 92 beats per minute with an irregular rhythm. The nurse should
recognize that this irregularity is most consistent with which cardiac dysrhythmia commonly seen in
older adults?
A. Atrial fibrillation
B. Sinus arrhythmia
C. Premature ventricular contractions
D. First-degree AV block
Correct Answer: A
Rationale:
An irregularly irregular rhythm in an older adult is most consistent with atrial fibrillation, which is the most
common sustained dysrhythmia in this population. Sinus arrhythmia is regular and varies with respiration,
PVCs cause occasional irregularity with compensatory pauses, and first-degree AV block maintains a regular
rhythm with prolonged PR interval.
Q2 Question 2 of 100
A 55-year-old female with a history of hypertension presents with a blood pressure reading of 158/96
mmHg in the left arm. The nurse repeats the measurement in the right arm and obtains a reading of
142/88 mmHg. A significant difference between arms (greater than 10 mmHg systolic) may indicate
which condition?
A. Normal variation between arms that does not require follow-up
B. Subclavian artery stenosis or aortic coarctation requiring further evaluation
C. White coat hypertension affecting one arm only
D. Incorrect cuff size on the left arm
Correct Answer: B
Rationale:
A blood pressure difference greater than 10 mmHg between arms may indicate subclavian artery stenosis or
aortic coarctation and requires further evaluation with vascular imaging. While small differences are normal,
significant asymmetry suggests vascular obstruction. White coat hypertension affects both arms equally, and
cuff size issues would not cause this specific pattern.
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answers with Rationale | Latest 2026/2027 | Rasmussen College 2026/2027 — 2026/2027 | Passing Score: 80% | Page 2
, SECTION 1 | Heart and Vascular Assessment | Q1-Q20 | NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answers with
Rationale | Latest 2026/2027 | Rasmussen College 2026/2027 2026/2027
Q3 Question 3 of 100
A 48-year-old male presents with complaints of chest discomfort. The nurse auscultates the heart and
hears a high-pitched, blowing holosystolic murmur best heard at the cardiac apex that radiates to the
left axilla. This murmur is most characteristic of which valvular disorder?
A. Aortic stenosis
B. Tricuspid stenosis
C. Mitral regurgitation
D. Pulmonic regurgitation
Correct Answer: C
Rationale:
A high-pitched, blowing holosystolic murmur at the apex radiating to the left axilla is characteristic of mitral
regurgitation. Aortic stenosis produces a crescendo-decrescendo systolic murmur at the right second
intercostal space radiating to the carotids, and tricuspid and pulmonic murmurs are best heard at different
locations.
Q4 Question 4 of 100
A nurse is performing a cardiovascular assessment on a 70-year-old male and notes jugular venous
distension (JVD) at 6 cm above the sternal angle when the head of the bed is elevated to 45 degrees.
This finding is most consistent with which condition?
A. Dehydration and volume depletion
B. Normal age-related change in venous tone
C. Left-sided heart failure with pulmonary congestion
D. Right-sided heart failure or volume overload
Correct Answer: D
Rationale:
JVD greater than 3-4 cm above the sternal angle at 45 degrees elevation indicates elevated right atrial
pressure, most commonly caused by right-sided heart failure or volume overload. Dehydration would decrease
venous pressure, this is not a normal aging change, and left-sided heart failure primarily causes pulmonary
symptoms rather than JVD.
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answers with Rationale | Latest 2026/2027 | Rasmussen College 2026/2027 — 2026/2027 | Passing Score: 80% | Page 3
, SECTION 1 | Heart and Vascular Assessment | Q1-Q20 | NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answers with
Rationale | Latest 2026/2027 | Rasmussen College 2026/2027 2026/2027
Q5 Question 5 of 100
A 65-year-old female presents with bilateral pitting edema in the lower extremities rated at 3+ on a
scale of 0 to 4+. The nurse assesses that when pressure is applied, a deep pit forms that remains for
more than 30 seconds and the extremity looks swollen. This degree of pitting edema is most
commonly associated with which underlying condition?
A. Congestive heart failure
B. Chronic venous insufficiency
C. Deep vein thrombosis
D. Lymphedema
Correct Answer: A
Rationale:
Bilateral 3+ pitting edema is most commonly associated with congestive heart failure, which causes fluid
retention and increased hydrostatic pressure in the venous system. Venous insufficiency typically causes
unilateral edema, DVT is also usually unilateral with pain and warmth, and lymphedema is typically non-pitting.
Q6 Question 6 of 100
A nurse is assessing a 58-year-old male with suspected pericarditis. During auscultation, the nurse
hears a grating, scratching sound that is most audible during both systole and diastole when the
patient leans forward. This sound is correctly identified as which of the following?
A. Pleural friction rub
B. Pericardial friction rub
C. Murmur of aortic regurgitation
D. S3 gallop
Correct Answer: B
Rationale:
A grating, scratching sound heard during both systole and diastole that improves when the patient leans
forward is a pericardial friction rub, caused by inflamed pericardial layers rubbing together. Pleural friction rub
is synchronized with respiration not cardiac cycles, aortic regurgitation is a diastolic murmur, and S3 gallop is
a low-frequency sound after S2.
NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answers with Rationale | Latest 2026/2027 | Rasmussen College 2026/2027 — 2026/2027 | Passing Score: 80% | Page 4
