Exam 250 Questions, Correct answers
and rationales
Chamberlain University - NR 302 Health Assessment Guide
Q1. What is the primary method used to assess a patient's pupillary response?
(Variant 1)
A) Visual acuity chart
B) Penlight illumination test
C) Ophthalmoscope evaluation
D) Cover-uncover test
Correct Answer: B) Penlight illumination test
Rationale: Shining a light directly into the pupil tests cranial nerve III (oculomotor)
constriction reactivity.
Q2. Which of the following describes the proper technique for chest auscultation?
(Variant 2)
A) Use the bell for high-pitched sounds
B) Listen side-to-side for direct comparison
C) Instruct patient to breathe through nose
D) Auscultate over clothing layer
Correct Answer: B) Listen side-to-side for direct comparison
Rationale: A side-to-side systematic approach allows immediate symmetry evaluation
between lung fields.
Q3. Where is the apical pulse or point of maximal impulse (PMI) normally palpated?
(Variant 3)
A) Second intercostal space right side
B) Fourth intercostal space parasternal
C) Fifth intercostal space left midclavicular line
, D) Fourth intercostal space left axillary line
Correct Answer: C) Fifth intercostal space left midclavicular line
Rationale: The PMI is located at the 5th intercostal space along the left midclavicular line in
typical adult anatomy.
Q4. What is the primary method used to assess a patient's pupillary response?
(Variant 4)
A) Visual acuity chart
B) Penlight illumination test
C) Ophthalmoscope evaluation
D) Cover-uncover test
Correct Answer: B) Penlight illumination test
Rationale: Shining a light directly into the pupil tests cranial nerve III (oculomotor)
constriction reactivity.
Q5. Which of the following describes the proper technique for chest auscultation?
(Variant 5)
A) Use the bell for high-pitched sounds
B) Listen side-to-side for direct comparison
C) Instruct patient to breathe through nose
D) Auscultate over clothing layer
Correct Answer: B) Listen side-to-side for direct comparison
Rationale: A side-to-side systematic approach allows immediate symmetry evaluation
between lung fields.
Q6. Where is the apical pulse or point of maximal impulse (PMI) normally palpated?
(Variant 6)
A) Second intercostal space right side
B) Fourth intercostal space parasternal
C) Fifth intercostal space left midclavicular line
D) Fourth intercostal space left axillary line
Correct Answer: C) Fifth intercostal space left midclavicular line
,Rationale: The PMI is located at the 5th intercostal space along the left midclavicular line in
typical adult anatomy.
Q7. What is the primary method used to assess a patient's pupillary response?
(Variant 7)
A) Visual acuity chart
B) Penlight illumination test
C) Ophthalmoscope evaluation
D) Cover-uncover test
Correct Answer: B) Penlight illumination test
Rationale: Shining a light directly into the pupil tests cranial nerve III (oculomotor)
constriction reactivity.
Q8. Which of the following describes the proper technique for chest auscultation?
(Variant 8)
A) Use the bell for high-pitched sounds
B) Listen side-to-side for direct comparison
C) Instruct patient to breathe through nose
D) Auscultate over clothing layer
Correct Answer: B) Listen side-to-side for direct comparison
Rationale: A side-to-side systematic approach allows immediate symmetry evaluation
between lung fields.
Q9. Where is the apical pulse or point of maximal impulse (PMI) normally palpated?
(Variant 9)
A) Second intercostal space right side
B) Fourth intercostal space parasternal
C) Fifth intercostal space left midclavicular line
D) Fourth intercostal space left axillary line
Correct Answer: C) Fifth intercostal space left midclavicular line
Rationale: The PMI is located at the 5th intercostal space along the left midclavicular line in
typical adult anatomy.
, Q10. What is the primary method used to assess a patient's pupillary response?
(Variant 10)
A) Visual acuity chart
B) Penlight illumination test
C) Ophthalmoscope evaluation
D) Cover-uncover test
Correct Answer: B) Penlight illumination test
Rationale: Shining a light directly into the pupil tests cranial nerve III (oculomotor)
constriction reactivity.
Q11. Which of the following describes the proper technique for chest auscultation?
(Variant 11)
A) Use the bell for high-pitched sounds
B) Listen side-to-side for direct comparison
C) Instruct patient to breathe through nose
D) Auscultate over clothing layer
Correct Answer: B) Listen side-to-side for direct comparison
Rationale: A side-to-side systematic approach allows immediate symmetry evaluation
between lung fields.
Q12. Where is the apical pulse or point of maximal impulse (PMI) normally palpated?
(Variant 12)
A) Second intercostal space right side
B) Fourth intercostal space parasternal
C) Fifth intercostal space left midclavicular line
D) Fourth intercostal space left axillary line
Correct Answer: C) Fifth intercostal space left midclavicular line
Rationale: The PMI is located at the 5th intercostal space along the left midclavicular line in
typical adult anatomy.
Q13. What is the primary method used to assess a patient's pupillary response?
(Variant 13)
A) Visual acuity chart