GUARANTEED
CHAMBERLAIN UNIVERSITY · COLLEGE OF NURSING
PASS.
NR 304 Exam 2
Practice Question Bank
Health Assessment II — 80 NCLEX-Style Questions with A–D Choices & Rationales
COMPREHENSIVE REVIEW:
Musculoskeletal · Reproductive · Urinary · Abdominal · Neurological
MSK & NEURO REPRODUCTIVE URINARY & RENAL CLINICAL JUDGMENT
ROM, strength, gait Male & female GU UTI, stones, retention Deterioration, failure to rescue
P r e pa r e · P r a c t i c e · Pa s s
Excellence in Nursing Education
, NR 304 EXAM 2 — CHAMBERLAIN UNIVERSITY QUESTIONS 1–20: MSK, REPRODUCTIVE & STI
Section 1: Musculoskeletal, Reproductive & STI — Questions 1–20
1 Which performance grade matches a client who can only lift their leg when gravity's force is removed?
A Grade 2 — Full ROM only in a gravity-eliminated plane
B Grade 3 — Full ROM against gravity
C Grade 4 — Full ROM against some resistance
D Grade 5 — Full ROM against full resistance (normal)
Why A is correct: Muscle strength Grade 2 = full ROM only with gravity eliminated (e.g., sliding leg on bed). Grade 3 = lifts against gravity. Grade 4 =
against some resistance. Grade 5 = normal.
2 What is the nurse's foremost obligation regarding fetal protection during CT imaging for a 20-week pregnant patient?
A Ensure radiation exposure is minimized to the fetus
B Refuse to allow the CT scan under any circumstances
C Administer prophylactic potassium iodide
D Schedule the CT for the third trimester only
Why A is correct: The nurse advocates for fetal safety by ensuring lowest possible radiation dose and shielding. CT may be medically necessary with
precautions; it is not absolutely contraindicated.
3 Thick, white, clumped material along the vaginal vault with intense itching indicates:
A Yeast overgrowth (candidiasis)
B Bacterial vaginosis
C Trichomoniasis
D Chlamydia infection
Why A is correct: Candidiasis = thick, white, cottage cheese-like discharge with intense itching. BV = thin, grayish, fishy odor. Trichomoniasis = frothy,
yellow-green, foul-smelling.
4 Most appropriate assessment questions for suspected bacterial vaginosis:
A "Is your discharge thin or musty-smelling? Do you feel burning when you urinate? Has intercourse caused dryness or irritation?"
B "Do you have a family history of ovarian cancer?"
C "When was your last mammogram?"
D "Have you experienced postmenopausal bleeding?"
Why A is correct: BV presents with thin, grayish-white discharge with fishy/musty odor, burning with urination, and vaginal irritation. These questions
directly assess hallmark BV symptoms.
5 Which motion should be evaluated to assess whether the knee can straighten fully after injury?
A Extension of the knee joint
B Flexion of the knee joint
C Internal rotation of the tibia
D External rotation of the hip
Why A is correct: Extension straightens the knee to 0 degrees. Full extension is critical for normal gait. Inability suggests effusion, meniscal tear, or loose
body.
6 Which observation provides the most meaningful evidence of normal lower-extremity strength in an infant?
A Momentarily sustaining weight when held upright
B Kicking both legs symmetrically while supine
C Flexing toes when the sole is stroked
D Maintaining legs in a frog-leg position
Why A is correct: Bearing weight momentarily when held upright demonstrates adequate lower-extremity strength and neuromuscular development,
appearing around 3–4 months.
7 What signifies expected symmetry during a clinical breast exam when the client elevates both arms?
A Both breasts rise upward at the same level
B One breast remains fixed while the other rises
C Both breasts remain immobile
D One breast rises significantly higher than the other
Why A is correct: Symmetrical elevation indicates intact Cooper's ligaments. Asymmetry, dimpling, or fixation warrants further investigation for
malignancy.
CHAMBERLAIN UNIVERSITY · COLLEGE OF NURSING
PASS.
NR 304 Exam 2
Practice Question Bank
Health Assessment II — 80 NCLEX-Style Questions with A–D Choices & Rationales
COMPREHENSIVE REVIEW:
Musculoskeletal · Reproductive · Urinary · Abdominal · Neurological
MSK & NEURO REPRODUCTIVE URINARY & RENAL CLINICAL JUDGMENT
ROM, strength, gait Male & female GU UTI, stones, retention Deterioration, failure to rescue
P r e pa r e · P r a c t i c e · Pa s s
Excellence in Nursing Education
, NR 304 EXAM 2 — CHAMBERLAIN UNIVERSITY QUESTIONS 1–20: MSK, REPRODUCTIVE & STI
Section 1: Musculoskeletal, Reproductive & STI — Questions 1–20
1 Which performance grade matches a client who can only lift their leg when gravity's force is removed?
A Grade 2 — Full ROM only in a gravity-eliminated plane
B Grade 3 — Full ROM against gravity
C Grade 4 — Full ROM against some resistance
D Grade 5 — Full ROM against full resistance (normal)
Why A is correct: Muscle strength Grade 2 = full ROM only with gravity eliminated (e.g., sliding leg on bed). Grade 3 = lifts against gravity. Grade 4 =
against some resistance. Grade 5 = normal.
2 What is the nurse's foremost obligation regarding fetal protection during CT imaging for a 20-week pregnant patient?
A Ensure radiation exposure is minimized to the fetus
B Refuse to allow the CT scan under any circumstances
C Administer prophylactic potassium iodide
D Schedule the CT for the third trimester only
Why A is correct: The nurse advocates for fetal safety by ensuring lowest possible radiation dose and shielding. CT may be medically necessary with
precautions; it is not absolutely contraindicated.
3 Thick, white, clumped material along the vaginal vault with intense itching indicates:
A Yeast overgrowth (candidiasis)
B Bacterial vaginosis
C Trichomoniasis
D Chlamydia infection
Why A is correct: Candidiasis = thick, white, cottage cheese-like discharge with intense itching. BV = thin, grayish, fishy odor. Trichomoniasis = frothy,
yellow-green, foul-smelling.
4 Most appropriate assessment questions for suspected bacterial vaginosis:
A "Is your discharge thin or musty-smelling? Do you feel burning when you urinate? Has intercourse caused dryness or irritation?"
B "Do you have a family history of ovarian cancer?"
C "When was your last mammogram?"
D "Have you experienced postmenopausal bleeding?"
Why A is correct: BV presents with thin, grayish-white discharge with fishy/musty odor, burning with urination, and vaginal irritation. These questions
directly assess hallmark BV symptoms.
5 Which motion should be evaluated to assess whether the knee can straighten fully after injury?
A Extension of the knee joint
B Flexion of the knee joint
C Internal rotation of the tibia
D External rotation of the hip
Why A is correct: Extension straightens the knee to 0 degrees. Full extension is critical for normal gait. Inability suggests effusion, meniscal tear, or loose
body.
6 Which observation provides the most meaningful evidence of normal lower-extremity strength in an infant?
A Momentarily sustaining weight when held upright
B Kicking both legs symmetrically while supine
C Flexing toes when the sole is stroked
D Maintaining legs in a frog-leg position
Why A is correct: Bearing weight momentarily when held upright demonstrates adequate lower-extremity strength and neuromuscular development,
appearing around 3–4 months.
7 What signifies expected symmetry during a clinical breast exam when the client elevates both arms?
A Both breasts rise upward at the same level
B One breast remains fixed while the other rises
C Both breasts remain immobile
D One breast rises significantly higher than the other
Why A is correct: Symmetrical elevation indicates intact Cooper's ligaments. Asymmetry, dimpling, or fixation warrants further investigation for
malignancy.
