ASSESSMENT ACTUAL EXAM
2026/2027 - 100% VERIFIED |
LATEST MOCK PRACTICE SET
177 Questions with Answers and Detailed Rationales
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NUR 101 EXAM 3 HEALTH ASSESSMENT ACTUAL EXAM 2026/2027 - 100% VERIFIED | DETAILED
RATIONALES - PASS GUARANTEED - A+ GRADED. It contains 177 carefully selected questions that reflect the
most current exam content and testing strategies. Each question is accompanied by a correct answer and a
detailed rationale that explains the underlying pathophysiology, pharmacology, or clinical reasoning.
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Review Summary 177 Questions
Foundations - Application - NUR 101 3 Health Assessment Actual 2026/2027 100 Detailed Rationales
PASS Guaranteed A Health Assessment NUR 101 Undergraduate YEAR 1 Pre-licensure BSN
All answers with rationales
,Table of Contents
Section A - Finding Section B - Patient S
Questions 1 to 45 Questions 46 to 90
Section C - Consistent Section D - Likely
Questions 91 to 135 Questions 136 to 177
,Section A - Finding
Q1.
During a cardiovascular assessment, a patient's JVP is visible at 45 degrees, 4 cm above
the sternal angle. Which condition does this most likely indicate?
A. Hypovolemia B. Right-sided heart failure
C. Aortic stenosis D. Pericarditis
Correct: B - Right-sided heart failure
Rationale:Elevated JVP reflects increased central venous pressure, which occurs in
right-sided heart failure. Hypovolemia decreases JVP. Aortic stenosis and pericarditis may not
directly elevate JVP unless complicated by heart failure.
Q2.
A patient presents with a pulsatile abdominal mass. Which assessment finding is most
critical to report immediately?
A. Bruit over the mass B. Tenderness on palpation
C. Visible pulsation D. Femoral pulse deficit
Correct: A - Bruit over the mass
Rationale:A bruit over a pulsatile abdominal mass suggests turbulent blood flow, potentially
indicating an abdominal aortic aneurysm (AAA) at risk of rupture. Tenderness and visible
pulsation are concerning but bruit is a more specific warning sign. Femoral pulse deficit may
be associated but not as immediate.
Q3.
Which finding during a respiratory assessment is most indicative of a tension
pneumothorax?
A. Hyperresonance on percussion B. Tracheal deviation to the affected side
C. Decreased breath sounds on the affected D. Subcutaneous emphysema
side
Correct: C - Decreased breath sounds on the affected side
Rationale:Tension pneumothorax causes air trapping, leading to absent/decreased breath
sounds on the affected side. Tracheal deviation occurs away from the affected side, not
toward. Hyperresonance and subcutaneous emphysema may occur but are not as specific as
absent breath sounds in this emergency.
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, Section A - Finding
Q4.
A patient's neurological assessment reveals a positive Babinski sign. Which finding is
consistent with this?
A. Plantar flexion of all toes B. Dorsiflexion of the great toe with fanning
of other toes
C. Clonus at the ankle D. Absent deep tendon reflexes
Correct: B - Dorsiflexion of the great toe with fanning of other toes
Rationale:A positive Babinski sign is characterized by dorsiflexion of the great toe and
fanning of the other toes, indicating upper motor neuron lesion. Plantar flexion is normal.
Clonus and absent reflexes are different signs.
Q5.
During a breast examination, a patient has a palpable mass that is firm, nontender, and
fixed to the chest wall. Which characteristic is most concerning for malignancy?
A. Smooth borders B. Mobility
C. Irregular shape D. Tenderness
Correct: C - Irregular shape
Rationale:Irregular shape and fixed nature are classic signs of malignancy. Smooth borders,
mobility, and tenderness are more typical of benign conditions like fibrocystic changes.
Q6.
Which technique is most appropriate for assessing the liver span?
A. Deep palpation in the right upper B. Percussion at the right midclavicular line
quadrant
C. Auscultation for bruits over the liver D. Light palpation of the right costal margin
Correct: B - Percussion at the right midclavicular line
Rationale:Liver span is measured by percussing from lung resonance to liver dullness and
then to tympany, typically at the right midclavicular line. Palpation can assess edge but not
span. Auscultation is for vascular sounds, not size.
Q7.
A patient with chronic kidney disease has a serum potassium of 6.5 mEq/L. Which cardiac
rhythm change is most likely to be observed on telemetry?
A. Peaked T waves B. Prolonged PR interval
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