Exam 2 Health Assessment
Practice Questions Study Guide
Exam 2 Health Assessment and Physical Examination
1. A nurse is assessing a client who has chronic respiratory insufficiency. Which of the
following findings should the nurse expect as result of the long-term inadequate
oxygen?
Clubbing of the fingers
2. A nurse is assessing a client who has COPD. The nurse should expect the client's chest to
be which of the following shapes?
Barrel
3. A home health nurse visits a client who has COPD and receives oxygen at 2 liters per
minute via nasal cannula. The client tells the nurse she has been having difficulty
breathing. Which of the following nursing actions is the priority at this time?
Evaluate/assess the client's respiratory status.
4. A newborn infant is in the clinic for a well-baby check. The nurse observes the infant for
the possibly of fluid loss because of which of these factors?
The newborn skin is more permeable than that of the adult.
5. A patient tells the nurse that he has noticed that one of his moles has started to burn
and bleed. When assessing his skin, the nurse pays special attention to the danger signs
for pigmented lesions and is concerned with which additional finding?
Color variation
6. What is the test for skin turgor used to assess on a patient?
Capillary refill
7. What test are done to see if the patient is dehydrated?
Capillary refill, skin turgor, inspect mucous and tongue?
8. The nurse is listening to the breath sounds of a patient with severe asthma. Air passing
through narrowed bronchioles would produce which of these adventitious sounds?
Wheezes
9. A teenage patient/or client comes to the emergency room with complaints of an
inability to "breathe and a sharp pain in my left chest." Your assessment findings include
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, the following: Cyanosis, tachypnea, tracheal deviation to the right, decreased tactile
fremitus on the left, hyperresonance on the left, and decreased breath sounds on the
left. This description is A pneumothorax
10. An African American is in the intensive care unit bring treated for hematocrit shock for
an accident.
Ashen gray
11. The nurse conducting an otoscopic examination visualization of the ear drum that is
shiny and pearl grey in color.
Normal Tympanic Membrane
12. A nurse is assessing for cyanosis in a client who has dark skin. Which of the following
sites should the nurse examine to identify cyanosis in this client?
Conjunctivae
13. The nurse notices that a patient has a solid, elevated, circumscribed lesion that is less
than 1 cm in diameter. When documenting this finding, the nurse reports this as a:
Papule
14. Before insertion of the otoscope speculum in the ear of an adult client, the nurse would
pull the pinna which direction
Up and back
15. When performing the corneal light reflex assessment, the nurse notes that the light is
reflected at 2 o'clock in each eye. The nurse should
Consider this a normal finding.
16. A client’s laboratory data reveal an elevated thyroxine (t4) level. Which structure is the
priority for the nurse to assess?
Thyroid
17. During an assessment of a client with a two-day history of nausea and vomiting the
nurse notices pink and moist oral mucosa.
Norma oral assessment
18. The nurse is assessing a 3-year-old for drainage from the nose. On assessment, a
purulent drainage that has a very foul odor is noted from the left naris and no drainage
is observed from the right naris. The child is afebrile with no other symptoms. What
should the nurse do next?
Perform an otoscopic/internal examination of the left nares.
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Practice Questions Study Guide
Exam 2 Health Assessment and Physical Examination
1. A nurse is assessing a client who has chronic respiratory insufficiency. Which of the
following findings should the nurse expect as result of the long-term inadequate
oxygen?
Clubbing of the fingers
2. A nurse is assessing a client who has COPD. The nurse should expect the client's chest to
be which of the following shapes?
Barrel
3. A home health nurse visits a client who has COPD and receives oxygen at 2 liters per
minute via nasal cannula. The client tells the nurse she has been having difficulty
breathing. Which of the following nursing actions is the priority at this time?
Evaluate/assess the client's respiratory status.
4. A newborn infant is in the clinic for a well-baby check. The nurse observes the infant for
the possibly of fluid loss because of which of these factors?
The newborn skin is more permeable than that of the adult.
5. A patient tells the nurse that he has noticed that one of his moles has started to burn
and bleed. When assessing his skin, the nurse pays special attention to the danger signs
for pigmented lesions and is concerned with which additional finding?
Color variation
6. What is the test for skin turgor used to assess on a patient?
Capillary refill
7. What test are done to see if the patient is dehydrated?
Capillary refill, skin turgor, inspect mucous and tongue?
8. The nurse is listening to the breath sounds of a patient with severe asthma. Air passing
through narrowed bronchioles would produce which of these adventitious sounds?
Wheezes
9. A teenage patient/or client comes to the emergency room with complaints of an
inability to "breathe and a sharp pain in my left chest." Your assessment findings include
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, the following: Cyanosis, tachypnea, tracheal deviation to the right, decreased tactile
fremitus on the left, hyperresonance on the left, and decreased breath sounds on the
left. This description is A pneumothorax
10. An African American is in the intensive care unit bring treated for hematocrit shock for
an accident.
Ashen gray
11. The nurse conducting an otoscopic examination visualization of the ear drum that is
shiny and pearl grey in color.
Normal Tympanic Membrane
12. A nurse is assessing for cyanosis in a client who has dark skin. Which of the following
sites should the nurse examine to identify cyanosis in this client?
Conjunctivae
13. The nurse notices that a patient has a solid, elevated, circumscribed lesion that is less
than 1 cm in diameter. When documenting this finding, the nurse reports this as a:
Papule
14. Before insertion of the otoscope speculum in the ear of an adult client, the nurse would
pull the pinna which direction
Up and back
15. When performing the corneal light reflex assessment, the nurse notes that the light is
reflected at 2 o'clock in each eye. The nurse should
Consider this a normal finding.
16. A client’s laboratory data reveal an elevated thyroxine (t4) level. Which structure is the
priority for the nurse to assess?
Thyroid
17. During an assessment of a client with a two-day history of nausea and vomiting the
nurse notices pink and moist oral mucosa.
Norma oral assessment
18. The nurse is assessing a 3-year-old for drainage from the nose. On assessment, a
purulent drainage that has a very foul odor is noted from the left naris and no drainage
is observed from the right naris. The child is afebrile with no other symptoms. What
should the nurse do next?
Perform an otoscopic/internal examination of the left nares.
messages.downloaded_by
