NUR 2092 HEALTH ASSESSMENT FINAL
EXAM COMPREHENSIVE REVIEW
1. When assessing a patient’s blood pressure, the nurse notes that the cuff used is too narrow
for the patient’s arm circumference. What impact will this have on the reading?
A. The blood pressure reading will be falsely low.
B. The blood pressure reading will be falsely high.
C. The systolic pressure will be high and diastolic will be low.
D. The reading will be unaffected by the cuff width.
Answer: B
Conceptual Explanation: A blood pressure cuff that is too narrow or too small for the
patient’s arm will result in a falsely elevated blood pressure reading because the cuff must
be inflated more to compress the artery.
2. Which of the following heart sounds is considered abnormal in an adult over age 40 and
may indicate heart failure?
A. S1 sound
B. S2 sound
,C. S3 sound
D. Split S2 during inspiration
Answer: C
Conceptual Explanation: The S3 heart sound, also known as a ventricular gallop, occurs in
early diastole during the rapid ventricular filling phase. In adults over 40, it is often a sign
of decreased ventricular compliance or heart failure.
3. The nurse is performing an abdominal assessment. In which order should the nurse
perform the assessment techniques?
A. Inspection, Auscultation, Percussion, Palpation
B. Inspection, Palpation, Percussion, Auscultation
C. Auscultation, Inspection, Percussion, Palpation
D. Percussion, Auscultation, Palpation, Inspection
Answer: A
Conceptual Explanation: For the abdomen, the correct order is inspection, auscultation,
percussion, and palpation. Palpation and percussion are performed last because they can
stimulate bowel activity and alter auscultation findings.
4. During percussion of the lungs, the nurse notes a dull sound over the left lower lobe. This
finding is most consistent with which condition?
A. Pneumothorax
, B. Emphysema
C. Lobar pneumonia
D. Normal lung tissue
Answer: C
Conceptual Explanation: Dullness on percussion replaces resonance when fluid or solid
tissue replaces air-containing lung or occupies the pleural space, which is common in lobar
pneumonia.
5. Which cranial nerve is responsible for the movement of the tongue during speech and
swallowing?
A. CN IX (Glossopharyngeal)
B. CN X (Vagus)
C. CN XI (Accessory)
D. CN XII (Hypoglossal)
Answer: D
Conceptual Explanation: The Hypoglossal nerve (CN XII) controls the muscles of the
tongue, allowing for speech and swallowing functions.
6. The nurse asks the patient to smile, frown, and puff out their cheeks. Which cranial nerve is
being assessed?
A. CN V (Trigeminal)
EXAM COMPREHENSIVE REVIEW
1. When assessing a patient’s blood pressure, the nurse notes that the cuff used is too narrow
for the patient’s arm circumference. What impact will this have on the reading?
A. The blood pressure reading will be falsely low.
B. The blood pressure reading will be falsely high.
C. The systolic pressure will be high and diastolic will be low.
D. The reading will be unaffected by the cuff width.
Answer: B
Conceptual Explanation: A blood pressure cuff that is too narrow or too small for the
patient’s arm will result in a falsely elevated blood pressure reading because the cuff must
be inflated more to compress the artery.
2. Which of the following heart sounds is considered abnormal in an adult over age 40 and
may indicate heart failure?
A. S1 sound
B. S2 sound
,C. S3 sound
D. Split S2 during inspiration
Answer: C
Conceptual Explanation: The S3 heart sound, also known as a ventricular gallop, occurs in
early diastole during the rapid ventricular filling phase. In adults over 40, it is often a sign
of decreased ventricular compliance or heart failure.
3. The nurse is performing an abdominal assessment. In which order should the nurse
perform the assessment techniques?
A. Inspection, Auscultation, Percussion, Palpation
B. Inspection, Palpation, Percussion, Auscultation
C. Auscultation, Inspection, Percussion, Palpation
D. Percussion, Auscultation, Palpation, Inspection
Answer: A
Conceptual Explanation: For the abdomen, the correct order is inspection, auscultation,
percussion, and palpation. Palpation and percussion are performed last because they can
stimulate bowel activity and alter auscultation findings.
4. During percussion of the lungs, the nurse notes a dull sound over the left lower lobe. This
finding is most consistent with which condition?
A. Pneumothorax
, B. Emphysema
C. Lobar pneumonia
D. Normal lung tissue
Answer: C
Conceptual Explanation: Dullness on percussion replaces resonance when fluid or solid
tissue replaces air-containing lung or occupies the pleural space, which is common in lobar
pneumonia.
5. Which cranial nerve is responsible for the movement of the tongue during speech and
swallowing?
A. CN IX (Glossopharyngeal)
B. CN X (Vagus)
C. CN XI (Accessory)
D. CN XII (Hypoglossal)
Answer: D
Conceptual Explanation: The Hypoglossal nerve (CN XII) controls the muscles of the
tongue, allowing for speech and swallowing functions.
6. The nurse asks the patient to smile, frown, and puff out their cheeks. Which cranial nerve is
being assessed?
A. CN V (Trigeminal)
