NURS 607 HEALTH ASSESSMENT EXAM 2 STUDY GUIDE |
MCNEESE STATE UNIVERSITY | COMPREHENSIVE QUESTIONS,
ANSWERS & RATIONALES | MODULES 5-9 | 2026/2027.
148 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NURS 607 HEALTH ASSESSMENT EXAM 2 STUDY GUIDE | MCNEESE STATE UNIVERSITY |
COMPREHENSIVE QUESTIONS, ANSWERS & RATIONALES | MODULES 5-9 | 2026/2027.. It contains 148
carefully selected questions that reflect the most current exam content and testing strategies. Each question is
accompanied by a correct answer and a detailed rationale that explains the underlying pathophysiology,
pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 148 Questions
Foundations - Application - NURS 607 Health Assessment 2 Study Guide Mcneese State University
Comprehensive & Rationales Modules 5 9 2026/2027 Advanced Health Assessment Across THE Lifespan
WITH Emphasis ON Modules 5 9 Integumentary Head/neck/lymphatic Respiratory Cardiovascular/peripheral
Vascular AND Abdominal/gi Systems Graduate Msn/dnp-level Advanced Health Assessment
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Health History AND 1-25 Finding, Auscultation, Reports, Consistent, Appropriate
Interviewing
General Survey AND Vital 26-50 Finding, Assessing, Consistent, Client S, Examination
Signs
PAIN Assessment 51-75 Finding, Consistent, Condition, Cranial, Reports
Nutritional Assessment 76-100 Finding, Consistent, Assessing, Positive, Condition
SKIN HAIR AND Nails 101-125 Finding, Technique, Assessing, Consistent, Reports
HEAD EYES EARS NOSE 126-148 Finding, Presents, Patient S, Cranial, Nerve
AND Throat Heent
TOTAL 148 All questions include answers and detailed rationales
,Section A - Health History AND Interviewing
Q1.
A nurse practitioner assesses a client with a suspected venous stasis ulcer. Which finding
is most consistent with this type of ulcer?
A. Punched-out appearance with pale, cool B. Irregular borders with ruddy, warm
surrounding skin periwound tissue and surrounding edema
C. Well-defined margins with a necrotic D. Deep, tunneled wound with exposed
base and absent pedal pulses tendon and minimal exudate
Correct: B - Irregular borders with ruddy, warm periwound tissue and surrounding edema
Rationale:Venous stasis ulcers typically present with irregular borders, ruddy or
hyperpigmented periwound skin (hemosiderin staining), warmth, and edema due to venous
hypertension. Arterial ulcers (option A) are punched-out with pale, cool skin and absent
pulses. Options C and D describe arterial or pressure/neuropathic ulcers with deeper tissue
involvement.
Why the other answers are wrong:
A. This describes an arterial ulcer, which has a punched-out appearance and poor perfusion.
C. These findings suggest an arterial or necrotic ulcer, not venous stasis.
D. Deep tunneling with exposed tendon indicates a pressure injury or arterial ulcer, not venous
stasis.
Reference: Bickley, L.S. (2025). Bates' Guide to Physical Examination and History Taking, 14th Ed., Ch.
8.
Q2.
During auscultation of the neck, a bruit is heard over the carotid artery. What is the most
appropriate next step?
A. Palpate the carotid artery firmly to assess B. Document the finding as normal in older
for thrill adults
C. Auscultate the carotid artery with the bell D. Notify the provider and avoid deep
of the stethoscope palpation of the carotid
Correct: D - Notify the provider and avoid deep palpation of the carotid
Rationale:A carotid bruit suggests turbulent flow, often from atherosclerosis, and deep
palpation could dislodge a plaque and cause embolization. The bell is used for low-pitched
sounds, but a bruit is best heard with the diaphragm. Documentation as normal is incorrect,
and firm palpation is contraindicated.
Why the other answers are wrong:
Page 3
, Section A - Health History AND Interviewing
A. Firm palpation of a carotid with a bruit risks dislodging plaque and causing a stroke.
B. A bruit is never considered a normal finding and requires further evaluation.
C. The bell is for low-pitched sounds; bruits are high-pitched and best heard with the diaphragm.
Reference: Bickley, L.S. (2025). Bates' Guide to Physical Examination and History Taking, 14th Ed., Ch.
9.
Q3.
Which assessment technique is most appropriate for evaluating for ascites in a client with
abdominal distention?
A. Auscultate for bowel sounds in all four B. Percuss for shifting dullness and test for
quadrants a fluid wave
C. Palpate deeply for rebound tenderness in D. Inspect for caput medusae and spider
the right lower quadrant angiomas
Correct: B - Percuss for shifting dullness and test for a fluid wave
Rationale:Shifting dullness and fluid wave are classic techniques for detecting ascites.
Auscultation assesses bowel motility, deep palpation assesses peritoneal irritation, and
inspection for vascular signs may suggest liver disease but does not confirm ascites.
Why the other answers are wrong:
A. Bowel sounds assess peristalsis, not the presence of ascites.
C. Rebound tenderness assesses peritoneal inflammation, not ascites.
D. Caput medusae and spider angiomas suggest portal hypertension but do not confirm
ascites.
Reference: Bickley, L.S. (2025). Bates' Guide to Physical Examination and History Taking, 14th Ed., Ch.
11.
Q4.
A client presents with a dry, hacking cough and wheezing. Which breath sound should the
nurse expect to hear upon auscultation?
A. Fine crackles at the lung bases B. High-pitched wheezes on expiration
C. Coarse crackles in the upper airways D. Pleural friction rub over the anterior chest
Correct: B - High-pitched wheezes on expiration
Rationale:Wheezes are high-pitched, continuous sounds caused by narrowed airways,
commonly heard in asthma or bronchitis, and are often expiratory. Crackles are discontinuous
and indicate fluid or secretions; a pleural friction rub is grating and associated with pleurisy.
Why the other answers are wrong:
A. Fine crackles suggest fluid in alveoli, as in heart failure, not airway narrowing.
C. Coarse crackles indicate secretions in large airways, not bronchospasm.
Page 4
MCNEESE STATE UNIVERSITY | COMPREHENSIVE QUESTIONS,
ANSWERS & RATIONALES | MODULES 5-9 | 2026/2027.
148 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NURS 607 HEALTH ASSESSMENT EXAM 2 STUDY GUIDE | MCNEESE STATE UNIVERSITY |
COMPREHENSIVE QUESTIONS, ANSWERS & RATIONALES | MODULES 5-9 | 2026/2027.. It contains 148
carefully selected questions that reflect the most current exam content and testing strategies. Each question is
accompanied by a correct answer and a detailed rationale that explains the underlying pathophysiology,
pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 148 Questions
Foundations - Application - NURS 607 Health Assessment 2 Study Guide Mcneese State University
Comprehensive & Rationales Modules 5 9 2026/2027 Advanced Health Assessment Across THE Lifespan
WITH Emphasis ON Modules 5 9 Integumentary Head/neck/lymphatic Respiratory Cardiovascular/peripheral
Vascular AND Abdominal/gi Systems Graduate Msn/dnp-level Advanced Health Assessment
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Health History AND 1-25 Finding, Auscultation, Reports, Consistent, Appropriate
Interviewing
General Survey AND Vital 26-50 Finding, Assessing, Consistent, Client S, Examination
Signs
PAIN Assessment 51-75 Finding, Consistent, Condition, Cranial, Reports
Nutritional Assessment 76-100 Finding, Consistent, Assessing, Positive, Condition
SKIN HAIR AND Nails 101-125 Finding, Technique, Assessing, Consistent, Reports
HEAD EYES EARS NOSE 126-148 Finding, Presents, Patient S, Cranial, Nerve
AND Throat Heent
TOTAL 148 All questions include answers and detailed rationales
,Section A - Health History AND Interviewing
Q1.
A nurse practitioner assesses a client with a suspected venous stasis ulcer. Which finding
is most consistent with this type of ulcer?
A. Punched-out appearance with pale, cool B. Irregular borders with ruddy, warm
surrounding skin periwound tissue and surrounding edema
C. Well-defined margins with a necrotic D. Deep, tunneled wound with exposed
base and absent pedal pulses tendon and minimal exudate
Correct: B - Irregular borders with ruddy, warm periwound tissue and surrounding edema
Rationale:Venous stasis ulcers typically present with irregular borders, ruddy or
hyperpigmented periwound skin (hemosiderin staining), warmth, and edema due to venous
hypertension. Arterial ulcers (option A) are punched-out with pale, cool skin and absent
pulses. Options C and D describe arterial or pressure/neuropathic ulcers with deeper tissue
involvement.
Why the other answers are wrong:
A. This describes an arterial ulcer, which has a punched-out appearance and poor perfusion.
C. These findings suggest an arterial or necrotic ulcer, not venous stasis.
D. Deep tunneling with exposed tendon indicates a pressure injury or arterial ulcer, not venous
stasis.
Reference: Bickley, L.S. (2025). Bates' Guide to Physical Examination and History Taking, 14th Ed., Ch.
8.
Q2.
During auscultation of the neck, a bruit is heard over the carotid artery. What is the most
appropriate next step?
A. Palpate the carotid artery firmly to assess B. Document the finding as normal in older
for thrill adults
C. Auscultate the carotid artery with the bell D. Notify the provider and avoid deep
of the stethoscope palpation of the carotid
Correct: D - Notify the provider and avoid deep palpation of the carotid
Rationale:A carotid bruit suggests turbulent flow, often from atherosclerosis, and deep
palpation could dislodge a plaque and cause embolization. The bell is used for low-pitched
sounds, but a bruit is best heard with the diaphragm. Documentation as normal is incorrect,
and firm palpation is contraindicated.
Why the other answers are wrong:
Page 3
, Section A - Health History AND Interviewing
A. Firm palpation of a carotid with a bruit risks dislodging plaque and causing a stroke.
B. A bruit is never considered a normal finding and requires further evaluation.
C. The bell is for low-pitched sounds; bruits are high-pitched and best heard with the diaphragm.
Reference: Bickley, L.S. (2025). Bates' Guide to Physical Examination and History Taking, 14th Ed., Ch.
9.
Q3.
Which assessment technique is most appropriate for evaluating for ascites in a client with
abdominal distention?
A. Auscultate for bowel sounds in all four B. Percuss for shifting dullness and test for
quadrants a fluid wave
C. Palpate deeply for rebound tenderness in D. Inspect for caput medusae and spider
the right lower quadrant angiomas
Correct: B - Percuss for shifting dullness and test for a fluid wave
Rationale:Shifting dullness and fluid wave are classic techniques for detecting ascites.
Auscultation assesses bowel motility, deep palpation assesses peritoneal irritation, and
inspection for vascular signs may suggest liver disease but does not confirm ascites.
Why the other answers are wrong:
A. Bowel sounds assess peristalsis, not the presence of ascites.
C. Rebound tenderness assesses peritoneal inflammation, not ascites.
D. Caput medusae and spider angiomas suggest portal hypertension but do not confirm
ascites.
Reference: Bickley, L.S. (2025). Bates' Guide to Physical Examination and History Taking, 14th Ed., Ch.
11.
Q4.
A client presents with a dry, hacking cough and wheezing. Which breath sound should the
nurse expect to hear upon auscultation?
A. Fine crackles at the lung bases B. High-pitched wheezes on expiration
C. Coarse crackles in the upper airways D. Pleural friction rub over the anterior chest
Correct: B - High-pitched wheezes on expiration
Rationale:Wheezes are high-pitched, continuous sounds caused by narrowed airways,
commonly heard in asthma or bronchitis, and are often expiratory. Crackles are discontinuous
and indicate fluid or secretions; a pleural friction rub is grating and associated with pleurisy.
Why the other answers are wrong:
A. Fine crackles suggest fluid in alveoli, as in heart failure, not airway narrowing.
C. Coarse crackles indicate secretions in large airways, not bronchospasm.
Page 4
