NR 302 Health Assessment I Exam 2 Actual 2026/2027 – 100% Verified | Detailed Rationales – Pass Guaranteed – A+ Graded Instant Download

NR 302 Health Assessment I Exam
2 Actual 2026/2027 – 100%
Verified | Detailed Rationales – Pass
Guaranteed – A+ Graded Instant
Download


Question 1

The nurse is preparing to assess a 55-year-old female. Which of
the following will the nurse do first?

 A) Palpation
 B) Percussion
 C) Inspection
 D) Auscultation

CORRECT ANSWER: C) Inspection

Rationale: Inspection always precedes the other assessment skills
and is never rushed. The standard order of assessment techniques
is inspection, palpation, percussion, and auscultation, except when
assessing the abdomen, where auscultation is performed before
percussion and palpation.

Question 2

, The nurse is preparing to assess a client's abdomen. What is the
correct sequence for this assessment?

 A) Inspection, Palpation, Percussion, Auscultation
 B) Auscultation, Inspection, Percussion, Palpation
 C) Inspection, Auscultation, Percussion, Palpation
 D) Palpation, Percussion, Auscultation, Inspection

CORRECT ANSWER: C) Inspection, Auscultation, Percussion,
Palpation

Rationale: The abdominal assessment sequence is unique
because palpation and percussion can alter bowel sounds.
Auscultation must be performed after inspection but before
percussion and palpation to obtain accurate data.




Eye Assessment

Question 3

When examining the eye, the nurse notices that the patient's
eyelid margins approximate completely. The nurse recognizes that
this assessment finding is:

 A) Abnormal and indicates ptosis
 B) Expected and normal
 C) A sign of eyelid retraction
 D) An indication of ectropion

CORRECT ANSWER: B) Expected and normal

, Rationale: The palpebral fissure is the elliptical open space
between the eyelids, and when closed, the lid margins
approximate completely, which is a normal finding.

Question 4

During ocular examinations, the nurse keeps in mind that
movement of the extraocular muscles is assessed by evaluating
the:

 A) Corneal light reflex
 B) Six cardinal directions of gaze
 C) Accommodation response
 D) Pupillary light reflex

CORRECT ANSWER: B) Six cardinal directions of gaze

Rationale: The six cardinal directions of gaze are used to assess
extraocular muscle function and cranial nerves III, IV, and VI. This
test evaluates eye movements and can identify weakness or
paralysis of specific eye muscles.




Cardiovascular Assessment

Question 5

During a cardiovascular assessment, the nurse knows that a thrill
is:

 A) A high-pitched, blowing sound

,  B) A palpable vibration that signifies turbulent blood flow
 C) An audible sound heard over the carotid artery
 D) A visible pulsation on the chest wall

CORRECT ANSWER: B) A palpable vibration that signifies
turbulent blood flow

Rationale: A thrill is a palpable vibration felt over the chest wall
that indicates turbulent blood flow and typically accompanies
loud murmurs. It is an abnormal finding that requires further
investigation.

Question 6

The sound heard during S1 ("Lub") is produced by the closure of
which valves?

 A) Semilunar valves (aortic and pulmonic)
 B) Atrioventricular (AV) valves (mitral and tricuspid)
 C) Aortic valve only
 D) Pulmonic valve only

CORRECT ANSWER: B) Atrioventricular (AV) valves (mitral
and tricuspid)

Rationale: S1 marks the beginning of systole and is produced by
the closure of the atrioventricular (AV) valves—the mitral and
tricuspid valves. S1 is usually loudest at the apex of the heart.

Question 7

The sound heard during S2 ("Dub") is produced by the closure of
which valves?