ATI Health Assessment Exam 2 – Questions with
100% Correct Answers | Complete Nursing Practice
Test
1. Which of the following blood pressure readings is classified as a hypertensive crisis and requires
immediate action?
A. 118/76 mm Hg
B. 130/85 mm Hg
C. 185/120 mm Hg with symptoms
D. 110/70 mm Hg
2. Which of the following describes a normal finding of the oral cavity assessment?
A. Pink, moist buccal mucosa without lesions
B. White patches on the tongue that cannot be scraped off
C. Bleeding gums
D. Ulcerations on the hard palate
3. Which cranial nerve controls tongue movement?
A. Cranial nerve X
B. Cranial nerve XI
C. Cranial nerve XII (hypoglossal)
D. Cranial nerve IX
4. A nurse is caring for a client with suspected pneumonia. Which combination of assessment
findings would the nurse expect?
A. Hyperresonance, absent fremitus, and clear breath sounds
B. Dullness to percussion, increased tactile fremitus, and crackles or bronchial breath sounds
over the affected area
C. Resonant percussion and vesicular breath sounds throughout
D. Decreased fremitus and hyperresonance
5. A nurse is using a Snellen chart to assess visual acuity. Which finding indicates normal vision?
A. 20/20 vision
B. 20/200 vision
C. 20/100 vision
D. Inability to read the largest line
6. Which of the following describes light palpation technique during an abdominal assessment?
A. Pressing 4-5 cm deep to assess organs
B. Pressing approximately 1 cm deep to assess for tenderness and muscle tone
C. Using percussion instead of the hands
D. Avoiding touching the abdomen at all
7. A nurse is assessing a client's nose for patency. Which technique is appropriate?
Page 1
, A. Occlude one nostril at a time and ask the client to breathe through the other
B. Ask the client to hold their breath
C. Only inspect the external nose
D. Palpate the nasal septum only
8. A nurse is assessing a client's carotid pulses. Which technique should the nurse avoid?
A. Palpating both carotid arteries simultaneously
B. Palpating one carotid artery at a time
C. Assessing for a bruit with the bell of the stethoscope
D. Assessing carotid pulse amplitude
9. A nurse is inspecting the client's neck for jugular vein distention. In which position should the
client be placed?
A. Supine, flat
B. Semi-Fowler's at a 30-45 degree angle
C. Prone
D. Standing
10. Which of the following is the correct method to verify a client's identity before administering
medication?
A. Ask the client to state their name only
B. Use two identifiers, such as name and date of birth, and compare with the medication
record
C. Rely on the room number
D. Rely on the client's identification bracelet alone without verbal confirmation
11. A nurse notes diminished breath sounds bilaterally at the bases. Which action should the nurse
take?
A. Document as a normal finding requiring no follow-up
B. Encourage deep breathing and coughing, and continue to monitor closely
C. Assume this finding is insignificant
D. Immediately discontinue oxygen therapy
12. Which of the following best describes the purpose of the review of systems in a health history?
A. To document the client's insurance information
B. To systematically ask about symptoms in each body system
C. To record only the chief complaint
D. To document family history only
13. Which of the following describes stereognosis testing?
A. Asking the client to identify a familiar object placed in their hand with eyes closed
B. Testing balance with eyes closed
C. Testing deep tendon reflexes
D. Testing cranial nerve function
14. Which respiratory rate is within the expected range for a healthy adult at rest?
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, A. 4-8/min
B. 12-20/min
C. 24-32/min
D. 36-40/min
15. A nurse assesses a client's pupils and notes they are unequal in size. Which term describes this
finding?
A. Miosis
B. Mydriasis
C. Anisocoria
D. Nystagmus
16. Which combination of cranial nerves is tested together during assessment of the pupillary light
reflex?
A. Cranial nerves II and III
B. Cranial nerves V and VII
C. Cranial nerves IX and X
D. Cranial nerves XI and XII
17. Which of the following actions helps prevent wrong-site surgery?
A. Skipping the surgical site verification process to save time
B. Participating in a preoperative time-out to verify client identity, procedure, and site
C. Relying on the surgeon's memory alone
D. Marking the site after the client is under anesthesia
18. Which of the following describes clubbing of the fingers, a finding associated with chronic
hypoxia?
A. Flattening of the nail bed angle
B. Increased curvature and bulbous enlargement of the fingertip and nail bed
C. Pale, thin nails
D. Normal nail bed angle
19. A nurse is assessing a client's extremities for signs of arterial insufficiency. Which finding is
expected?
A. Warm skin with edema and brown discoloration
B. Cool skin, hair loss, thickened nails, and diminished pulses
C. Bounding pulses
D. Pink, well-perfused skin
20. Which of the following describes a pleural friction rub?
A. A high-pitched wheeze heard on inspiration
B. A grating or rubbing sound heard on both inspiration and expiration due to inflamed
pleura
C. A popping sound heard only on inspiration
D. A continuous musical sound
21. Which of the following is an expected finding of aging skin in an older adult?
Page 3
, A. Thin, less elastic skin with decreased turgor
B. Increased skin turgor
C. Absence of wrinkles
D. Increased subcutaneous fat
22. A client is unable to identify a familiar smell with eyes closed. Which cranial nerve deficit does
this suggest?
A. Cranial nerve I
B. Cranial nerve II
C. Cranial nerve V
D. Cranial nerve VII
23. A nurse assesses a client's skin color and notes cyanosis of the lips and fingertips. Which
condition does this most likely indicate?
A. Adequate oxygenation
B. Hypoxia or poor perfusion
C. Jaundice
D. Normal skin tone in all clients
24. Which of the following best describes the technique for measuring blood pressure using
Korotkoff sounds?
A. The first sound heard is the diastolic pressure
B. The point where sound disappears represents the diastolic pressure, and the first sound
heard is the systolic pressure
C. Sounds are not relevant to blood pressure measurement
D. Systolic pressure is measured after all sounds disappear
25. Which cranial nerve assessment finding would the nurse expect to be abnormal in a client with
Bell's palsy?
A. Symmetric smile and forehead wrinkling
B. Inability to close one eye and drooping of one side of the mouth
C. Normal tongue movement
D. Normal hearing
26. Which of the following is an appropriate technique for assessing a client's temporomandibular
joint range of motion?
A. Ask the client to open and close the mouth while palpating the joint bilaterally
B. Auscultate the joint only
C. Percuss the joint
D. Avoid palpation entirely
27. Which of the following describes aphasia?
A. Difficulty with the motor production of speech only
B. Impairment in the ability to understand or express language
C. Loss of the ability to recognize familiar objects
D. Loss of coordinated movement
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100% Correct Answers | Complete Nursing Practice
Test
1. Which of the following blood pressure readings is classified as a hypertensive crisis and requires
immediate action?
A. 118/76 mm Hg
B. 130/85 mm Hg
C. 185/120 mm Hg with symptoms
D. 110/70 mm Hg
2. Which of the following describes a normal finding of the oral cavity assessment?
A. Pink, moist buccal mucosa without lesions
B. White patches on the tongue that cannot be scraped off
C. Bleeding gums
D. Ulcerations on the hard palate
3. Which cranial nerve controls tongue movement?
A. Cranial nerve X
B. Cranial nerve XI
C. Cranial nerve XII (hypoglossal)
D. Cranial nerve IX
4. A nurse is caring for a client with suspected pneumonia. Which combination of assessment
findings would the nurse expect?
A. Hyperresonance, absent fremitus, and clear breath sounds
B. Dullness to percussion, increased tactile fremitus, and crackles or bronchial breath sounds
over the affected area
C. Resonant percussion and vesicular breath sounds throughout
D. Decreased fremitus and hyperresonance
5. A nurse is using a Snellen chart to assess visual acuity. Which finding indicates normal vision?
A. 20/20 vision
B. 20/200 vision
C. 20/100 vision
D. Inability to read the largest line
6. Which of the following describes light palpation technique during an abdominal assessment?
A. Pressing 4-5 cm deep to assess organs
B. Pressing approximately 1 cm deep to assess for tenderness and muscle tone
C. Using percussion instead of the hands
D. Avoiding touching the abdomen at all
7. A nurse is assessing a client's nose for patency. Which technique is appropriate?
Page 1
, A. Occlude one nostril at a time and ask the client to breathe through the other
B. Ask the client to hold their breath
C. Only inspect the external nose
D. Palpate the nasal septum only
8. A nurse is assessing a client's carotid pulses. Which technique should the nurse avoid?
A. Palpating both carotid arteries simultaneously
B. Palpating one carotid artery at a time
C. Assessing for a bruit with the bell of the stethoscope
D. Assessing carotid pulse amplitude
9. A nurse is inspecting the client's neck for jugular vein distention. In which position should the
client be placed?
A. Supine, flat
B. Semi-Fowler's at a 30-45 degree angle
C. Prone
D. Standing
10. Which of the following is the correct method to verify a client's identity before administering
medication?
A. Ask the client to state their name only
B. Use two identifiers, such as name and date of birth, and compare with the medication
record
C. Rely on the room number
D. Rely on the client's identification bracelet alone without verbal confirmation
11. A nurse notes diminished breath sounds bilaterally at the bases. Which action should the nurse
take?
A. Document as a normal finding requiring no follow-up
B. Encourage deep breathing and coughing, and continue to monitor closely
C. Assume this finding is insignificant
D. Immediately discontinue oxygen therapy
12. Which of the following best describes the purpose of the review of systems in a health history?
A. To document the client's insurance information
B. To systematically ask about symptoms in each body system
C. To record only the chief complaint
D. To document family history only
13. Which of the following describes stereognosis testing?
A. Asking the client to identify a familiar object placed in their hand with eyes closed
B. Testing balance with eyes closed
C. Testing deep tendon reflexes
D. Testing cranial nerve function
14. Which respiratory rate is within the expected range for a healthy adult at rest?
Page 2
, A. 4-8/min
B. 12-20/min
C. 24-32/min
D. 36-40/min
15. A nurse assesses a client's pupils and notes they are unequal in size. Which term describes this
finding?
A. Miosis
B. Mydriasis
C. Anisocoria
D. Nystagmus
16. Which combination of cranial nerves is tested together during assessment of the pupillary light
reflex?
A. Cranial nerves II and III
B. Cranial nerves V and VII
C. Cranial nerves IX and X
D. Cranial nerves XI and XII
17. Which of the following actions helps prevent wrong-site surgery?
A. Skipping the surgical site verification process to save time
B. Participating in a preoperative time-out to verify client identity, procedure, and site
C. Relying on the surgeon's memory alone
D. Marking the site after the client is under anesthesia
18. Which of the following describes clubbing of the fingers, a finding associated with chronic
hypoxia?
A. Flattening of the nail bed angle
B. Increased curvature and bulbous enlargement of the fingertip and nail bed
C. Pale, thin nails
D. Normal nail bed angle
19. A nurse is assessing a client's extremities for signs of arterial insufficiency. Which finding is
expected?
A. Warm skin with edema and brown discoloration
B. Cool skin, hair loss, thickened nails, and diminished pulses
C. Bounding pulses
D. Pink, well-perfused skin
20. Which of the following describes a pleural friction rub?
A. A high-pitched wheeze heard on inspiration
B. A grating or rubbing sound heard on both inspiration and expiration due to inflamed
pleura
C. A popping sound heard only on inspiration
D. A continuous musical sound
21. Which of the following is an expected finding of aging skin in an older adult?
Page 3
, A. Thin, less elastic skin with decreased turgor
B. Increased skin turgor
C. Absence of wrinkles
D. Increased subcutaneous fat
22. A client is unable to identify a familiar smell with eyes closed. Which cranial nerve deficit does
this suggest?
A. Cranial nerve I
B. Cranial nerve II
C. Cranial nerve V
D. Cranial nerve VII
23. A nurse assesses a client's skin color and notes cyanosis of the lips and fingertips. Which
condition does this most likely indicate?
A. Adequate oxygenation
B. Hypoxia or poor perfusion
C. Jaundice
D. Normal skin tone in all clients
24. Which of the following best describes the technique for measuring blood pressure using
Korotkoff sounds?
A. The first sound heard is the diastolic pressure
B. The point where sound disappears represents the diastolic pressure, and the first sound
heard is the systolic pressure
C. Sounds are not relevant to blood pressure measurement
D. Systolic pressure is measured after all sounds disappear
25. Which cranial nerve assessment finding would the nurse expect to be abnormal in a client with
Bell's palsy?
A. Symmetric smile and forehead wrinkling
B. Inability to close one eye and drooping of one side of the mouth
C. Normal tongue movement
D. Normal hearing
26. Which of the following is an appropriate technique for assessing a client's temporomandibular
joint range of motion?
A. Ask the client to open and close the mouth while palpating the joint bilaterally
B. Auscultate the joint only
C. Percuss the joint
D. Avoid palpation entirely
27. Which of the following describes aphasia?
A. Difficulty with the motor production of speech only
B. Impairment in the ability to understand or express language
C. Loss of the ability to recognize familiar objects
D. Loss of coordinated movement
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