WGU D443 Health Assessment Objective Assessment (OA) Study
Guide: 200 Comprehensive Practice Questions, Multi-System
Clinical Rationales, and Evidence-Based Physical Exam Solutions
Bundle (Latest Edition)
Nb all answers available
Section A: Assessment Techniques, General Survey, & Interviewing
1. During a health history interview, a patient states they have been experiencing throbbing
headaches for three weeks. Which type of data does this information represent?
A) Objective data
B) Subjective data
C) Secondary data
D) Constant data
2. A nurse is conducting a physical examination on a newly admitted patient. Which technique
should the nurse perform first during the standard abdominal assessment?
A) Palpation
B) Percussion
C) Auscultation
D) Inspection
3. While assessing a patient's thoracic expansion, the nurse places their hands on the
posterior chest wall with thumbs at the level of T9 or T10. What is the nurse primarily
evaluating?
A) Fremitus intensity
B) Lung density shifts
, C) Symmetrical chest movement
D) Diaphragmatic excursion distance
4. A nurse uses the goniometer during a musculoskeletal examination. What is the primary
purpose of this instrument?
A) To test muscle strength against resistance
B) To measure the precise degree of joint range of motion
C) To evaluate bone density in the lower extremities
D) To detect the presence of crepitus during movement
5. During an assessment of a patient's skin, the nurse notes a flat, non-palpable skin color
change that is 0.7 cm in diameter. How should the nurse document this finding?
A) Papule
B) Macule
C) Plaque
D) Nodule
6. An older adult patient is admitted with suspected dehydration. Where should the nurse
check for skin turgor to obtain the most accurate result?
A) The back of the hand
B) The forehead
C) The forearm
D) Over the sternum or clavicle
7. Which percussion note does a nurse expect to hear when percussing over a healthy, air-
filled adult lung field?
A) Tympany
B) Hyperresonance
C) Resonance
D) Dullness
,8. A nurse is preparing to assess a patient's cranial nerve function. Which cranial nerve is
responsible for the pupillary light reflex?
A) Cranial Nerve II
B) Cranial Nerve III
C) Cranial Nerve IV
D) Cranial Nerve VI
9. During a mental status examination, the nurse asks the patient to explain the meaning of
the phrase "a rolling stone gathers no moss." What cognitive function is the nurse
evaluating?
A) Orientation
B) Remote memory
C) Abstract reasoning
D) Attention span
10. A patient presents with a body mass index (BMI) of 28.4 kg/m². How should the nurse
classify this nutritional status?
A) Underweight
B) Normal weight
C) Overweight
D) Obese
Section B: Eyes, Ears, Nose, Throat, & Lymphatics
11. A nurse performs the confrontation test during an eye examination. What visual function is
being assessed?
A) Visual acuity
B) Near vision capabilities
C) Peripheral visual fields
D) Extraocular muscle movement
, 12. While inspecting a patient's tympanic membrane with an otoscope, the nurse notes a
translucent, pearly gray color. What does this appearance indicate?
A) Acute otitis media
B) Serous otitis media
C) A normal tympanic membrane
D) Perforated eardrum structural failure
13. The nurse is performing the Weber test on a patient who complains of left ear hearing loss.
If the patient has conductive hearing loss in the left ear, what result will occur?
A) Sound lateralizes to the right ear
B) Sound lateralizes to the left ear
C) Sound is heard equally in both ears
D) Sound is not heard at all through the bone path
14. During an assessment of the neck, the nurse attempts to palpate the thyroid gland using the
posterior approach. What instruction should the nurse give the patient to facilitate this
assessment?
A) Tilt the head back and cough gently
B) Turn the head completely to the left and hold their breath
C) Lean the head slightly forward and to the side being examined, then swallow a sip of
water
D) Hyperextend the neck fully and open their mouth wide
15. While examining a patient's mouth, the nurse notes a white, cheesy coating on the tongue
that scrapes off, leaving a raw, red surface. What condition does this finding suggest?
A) Leukoplakia
B) Oral candidiasis
C) Candidiasis marginata
D) Black hairy tongue
Guide: 200 Comprehensive Practice Questions, Multi-System
Clinical Rationales, and Evidence-Based Physical Exam Solutions
Bundle (Latest Edition)
Nb all answers available
Section A: Assessment Techniques, General Survey, & Interviewing
1. During a health history interview, a patient states they have been experiencing throbbing
headaches for three weeks. Which type of data does this information represent?
A) Objective data
B) Subjective data
C) Secondary data
D) Constant data
2. A nurse is conducting a physical examination on a newly admitted patient. Which technique
should the nurse perform first during the standard abdominal assessment?
A) Palpation
B) Percussion
C) Auscultation
D) Inspection
3. While assessing a patient's thoracic expansion, the nurse places their hands on the
posterior chest wall with thumbs at the level of T9 or T10. What is the nurse primarily
evaluating?
A) Fremitus intensity
B) Lung density shifts
, C) Symmetrical chest movement
D) Diaphragmatic excursion distance
4. A nurse uses the goniometer during a musculoskeletal examination. What is the primary
purpose of this instrument?
A) To test muscle strength against resistance
B) To measure the precise degree of joint range of motion
C) To evaluate bone density in the lower extremities
D) To detect the presence of crepitus during movement
5. During an assessment of a patient's skin, the nurse notes a flat, non-palpable skin color
change that is 0.7 cm in diameter. How should the nurse document this finding?
A) Papule
B) Macule
C) Plaque
D) Nodule
6. An older adult patient is admitted with suspected dehydration. Where should the nurse
check for skin turgor to obtain the most accurate result?
A) The back of the hand
B) The forehead
C) The forearm
D) Over the sternum or clavicle
7. Which percussion note does a nurse expect to hear when percussing over a healthy, air-
filled adult lung field?
A) Tympany
B) Hyperresonance
C) Resonance
D) Dullness
,8. A nurse is preparing to assess a patient's cranial nerve function. Which cranial nerve is
responsible for the pupillary light reflex?
A) Cranial Nerve II
B) Cranial Nerve III
C) Cranial Nerve IV
D) Cranial Nerve VI
9. During a mental status examination, the nurse asks the patient to explain the meaning of
the phrase "a rolling stone gathers no moss." What cognitive function is the nurse
evaluating?
A) Orientation
B) Remote memory
C) Abstract reasoning
D) Attention span
10. A patient presents with a body mass index (BMI) of 28.4 kg/m². How should the nurse
classify this nutritional status?
A) Underweight
B) Normal weight
C) Overweight
D) Obese
Section B: Eyes, Ears, Nose, Throat, & Lymphatics
11. A nurse performs the confrontation test during an eye examination. What visual function is
being assessed?
A) Visual acuity
B) Near vision capabilities
C) Peripheral visual fields
D) Extraocular muscle movement
, 12. While inspecting a patient's tympanic membrane with an otoscope, the nurse notes a
translucent, pearly gray color. What does this appearance indicate?
A) Acute otitis media
B) Serous otitis media
C) A normal tympanic membrane
D) Perforated eardrum structural failure
13. The nurse is performing the Weber test on a patient who complains of left ear hearing loss.
If the patient has conductive hearing loss in the left ear, what result will occur?
A) Sound lateralizes to the right ear
B) Sound lateralizes to the left ear
C) Sound is heard equally in both ears
D) Sound is not heard at all through the bone path
14. During an assessment of the neck, the nurse attempts to palpate the thyroid gland using the
posterior approach. What instruction should the nurse give the patient to facilitate this
assessment?
A) Tilt the head back and cough gently
B) Turn the head completely to the left and hold their breath
C) Lean the head slightly forward and to the side being examined, then swallow a sip of
water
D) Hyperextend the neck fully and open their mouth wide
15. While examining a patient's mouth, the nurse notes a white, cheesy coating on the tongue
that scrapes off, leaving a raw, red surface. What condition does this finding suggest?
A) Leukoplakia
B) Oral candidiasis
C) Candidiasis marginata
D) Black hairy tongue
