NUR 2092 HEALTH ASSESSMENT FINAL
COMPREHENSIVE QUESTIONS AND
ANSWERS
1. During an abdominal assessment, the nurse follows a specific sequence. Which of the
following is the correct order of techniques?
A. Inspection, Palpation, Percussion, Auscultation
B. Auscultation, Inspection, Palpation, Percussion
C. Inspection, Auscultation, Percussion, Palpation
D. Percussion, Auscultation, Inspection, Palpation
Answer: C
Conceptual Explanation: For the abdomen, auscultation is performed before percussion
and palpation to prevent the stimulation of bowel sounds, which would lead to inaccurate
results.
,2. The nurse is assessing a patient for possible cholecystitis. Which of the following signs
would be positive if the patient experiences pain during deep inspiration while the nurse
palpates the right upper quadrant?
A. Murphy sign
B. McBurney sign
C. Blumberg sign
D. Rovsing sign
Answer: A
Conceptual Explanation: Murphy sign is a specific indicator for gallbladder inflammation
(cholecystitis) where inspiratory arrest occurs due to pain when the gallbladder descends
against the examiner’s fingers.
3. Which heart sound is produced by the closure of the semilunar valves (aortic and
pulmonic)?
A. S2
B. S1
C. S3
D. S4
Answer: A
, Conceptual Explanation: The S2 heart sound (the ‘dub’) marks the end of systole and is
caused by the closure of the aortic and pulmonic valves.
4. When assessing the cranial nerves, the nurse asks the patient to clench their teeth and
palpates the temporal and masseter muscles. Which cranial nerve is being tested?
A. CN XII (Hypoglossal)
B. CN VII (Facial)
C. CN IX (Glossopharyngeal)
D. CN V (Trigeminal)
Answer: D
Conceptual Explanation: Cranial Nerve V (Trigeminal) has both motor and sensory
functions; clenching the teeth tests the motor strength of the masseter and temporal
muscles.
5. A patient has deep pitting edema where the indentation remains for a short time and the
leg looks swollen. How should the nurse document this finding?
A. 1+ Edema
B. 2+ Edema
C. 3+ Edema
D. 4+ Edema
Answer: C
COMPREHENSIVE QUESTIONS AND
ANSWERS
1. During an abdominal assessment, the nurse follows a specific sequence. Which of the
following is the correct order of techniques?
A. Inspection, Palpation, Percussion, Auscultation
B. Auscultation, Inspection, Palpation, Percussion
C. Inspection, Auscultation, Percussion, Palpation
D. Percussion, Auscultation, Inspection, Palpation
Answer: C
Conceptual Explanation: For the abdomen, auscultation is performed before percussion
and palpation to prevent the stimulation of bowel sounds, which would lead to inaccurate
results.
,2. The nurse is assessing a patient for possible cholecystitis. Which of the following signs
would be positive if the patient experiences pain during deep inspiration while the nurse
palpates the right upper quadrant?
A. Murphy sign
B. McBurney sign
C. Blumberg sign
D. Rovsing sign
Answer: A
Conceptual Explanation: Murphy sign is a specific indicator for gallbladder inflammation
(cholecystitis) where inspiratory arrest occurs due to pain when the gallbladder descends
against the examiner’s fingers.
3. Which heart sound is produced by the closure of the semilunar valves (aortic and
pulmonic)?
A. S2
B. S1
C. S3
D. S4
Answer: A
, Conceptual Explanation: The S2 heart sound (the ‘dub’) marks the end of systole and is
caused by the closure of the aortic and pulmonic valves.
4. When assessing the cranial nerves, the nurse asks the patient to clench their teeth and
palpates the temporal and masseter muscles. Which cranial nerve is being tested?
A. CN XII (Hypoglossal)
B. CN VII (Facial)
C. CN IX (Glossopharyngeal)
D. CN V (Trigeminal)
Answer: D
Conceptual Explanation: Cranial Nerve V (Trigeminal) has both motor and sensory
functions; clenching the teeth tests the motor strength of the masseter and temporal
muscles.
5. A patient has deep pitting edema where the indentation remains for a short time and the
leg looks swollen. How should the nurse document this finding?
A. 1+ Edema
B. 2+ Edema
C. 3+ Edema
D. 4+ Edema
Answer: C
