N564 Health Assessment Exam 2026 – 180
Complete Questions with Accurate Detailed
Answers and Rationales – The Ultimate Study
Guide for Guaranteed Success
1. A 9-year-old girl asks the nurse if she is normal because she does not need a
bra yet, but some friends do. What is the best response?
A. You are too young to worry about breast development.
B. Breasts usually develop between 8 and 10 years of age.
C. You should see a doctor because you may have a hormone problem.
D. Most girls do not develop breasts until age 13 or 14.
Answer: B
Rationale: Breast budding normally begins between 8 and 10 years of age. The
nurse should reassure the child that variations in timing are normal.
2. During an examination, the nurse notes a supernumerary nipple just under
the patient's left breast. The patient thought it was a mole. What is the
correct interpretation?
A. It is a normal variation and not a significant finding.
B. It indicates an underlying endocrine disorder.
C. It should be biopsied immediately.
D. It is a sign of breast cancer.
Answer: A
Rationale: Supernumerary nipples are a common normal variation. They are
usually benign and require no treatment.
,3. Which major artery supplies blood to the arm?
A. Radial artery
B. Brachial artery
C. Ulnar artery
D. Axillary artery
Answer: B
Rationale: The brachial artery is the major artery supplying the arm. It divides
into the radial and ulnar arteries.
4. The nurse is testing cranial nerve XI. Which response indicates the nerve is
intact?
A. The patient moves the head and shoulders against resistance with equal
strength.
B. The patient identifies a familiar smell.
C. The patient has equal facial symmetry.
D. The patient can hear a whisper.
Answer: A
Rationale: Cranial nerve XI is the accessory nerve, which innervates the
sternocleidomastoid and trapezius muscles. It is tested by having the patient
shrug shoulders and turn the head against resistance.
,5. In a person with an upper motor neuron lesion such as a cerebrovascular
accident, which physical assessment finding would the nurse expect?
A. Hyperreflexia
B. Hypotonia
C. Muscle atrophy
D. Fasciculations
Answer: A
Rationale: Upper motor neuron lesions cause increased muscle tone,
hyperreflexia, and spasticity. Lower motor neuron lesions cause hypotonia,
atrophy, and fasciculations.
6. A 25-year-old man presents with a red macular rash with a bull's eye
pattern across the midriff and behind the knees after a hiking trip. What does
the nurse suspect?
A. Lyme disease
B. Rocky Mountain spotted fever
C. Syphilis
D. Contact dermatitis
Answer: A
Rationale: Erythema migrans, a bull's eye rash, is the hallmark of Lyme
disease. It occurs after a tick bite.
, 7. To assess the dorsalis pedis artery, the nurse should palpate in which
location?
A. Lateral to the extensor tendon of the great toe.
B. Medial to the extensor tendon of the great toe.
C. Posterior to the medial malleolus.
D. Behind the knee.
Answer: A
Rationale: The dorsalis pedis artery is palpated on the dorsum of the foot,
lateral to and parallel with the extensor tendon of the big toe.
8. A 41-year-old woman with diabetes cannot feel vibrations on the great toe
or ankle bilaterally but can feel them on both patellae. What does the nurse
suspect?
A. Peripheral neuropathy
B. Spinal cord lesion
C. Cerebellar dysfunction
D. Normal aging
Answer: A
Rationale: Diabetes commonly causes peripheral neuropathy, which affects
distal sensation first, especially vibration and position sense.
Complete Questions with Accurate Detailed
Answers and Rationales – The Ultimate Study
Guide for Guaranteed Success
1. A 9-year-old girl asks the nurse if she is normal because she does not need a
bra yet, but some friends do. What is the best response?
A. You are too young to worry about breast development.
B. Breasts usually develop between 8 and 10 years of age.
C. You should see a doctor because you may have a hormone problem.
D. Most girls do not develop breasts until age 13 or 14.
Answer: B
Rationale: Breast budding normally begins between 8 and 10 years of age. The
nurse should reassure the child that variations in timing are normal.
2. During an examination, the nurse notes a supernumerary nipple just under
the patient's left breast. The patient thought it was a mole. What is the
correct interpretation?
A. It is a normal variation and not a significant finding.
B. It indicates an underlying endocrine disorder.
C. It should be biopsied immediately.
D. It is a sign of breast cancer.
Answer: A
Rationale: Supernumerary nipples are a common normal variation. They are
usually benign and require no treatment.
,3. Which major artery supplies blood to the arm?
A. Radial artery
B. Brachial artery
C. Ulnar artery
D. Axillary artery
Answer: B
Rationale: The brachial artery is the major artery supplying the arm. It divides
into the radial and ulnar arteries.
4. The nurse is testing cranial nerve XI. Which response indicates the nerve is
intact?
A. The patient moves the head and shoulders against resistance with equal
strength.
B. The patient identifies a familiar smell.
C. The patient has equal facial symmetry.
D. The patient can hear a whisper.
Answer: A
Rationale: Cranial nerve XI is the accessory nerve, which innervates the
sternocleidomastoid and trapezius muscles. It is tested by having the patient
shrug shoulders and turn the head against resistance.
,5. In a person with an upper motor neuron lesion such as a cerebrovascular
accident, which physical assessment finding would the nurse expect?
A. Hyperreflexia
B. Hypotonia
C. Muscle atrophy
D. Fasciculations
Answer: A
Rationale: Upper motor neuron lesions cause increased muscle tone,
hyperreflexia, and spasticity. Lower motor neuron lesions cause hypotonia,
atrophy, and fasciculations.
6. A 25-year-old man presents with a red macular rash with a bull's eye
pattern across the midriff and behind the knees after a hiking trip. What does
the nurse suspect?
A. Lyme disease
B. Rocky Mountain spotted fever
C. Syphilis
D. Contact dermatitis
Answer: A
Rationale: Erythema migrans, a bull's eye rash, is the hallmark of Lyme
disease. It occurs after a tick bite.
, 7. To assess the dorsalis pedis artery, the nurse should palpate in which
location?
A. Lateral to the extensor tendon of the great toe.
B. Medial to the extensor tendon of the great toe.
C. Posterior to the medial malleolus.
D. Behind the knee.
Answer: A
Rationale: The dorsalis pedis artery is palpated on the dorsum of the foot,
lateral to and parallel with the extensor tendon of the big toe.
8. A 41-year-old woman with diabetes cannot feel vibrations on the great toe
or ankle bilaterally but can feel them on both patellae. What does the nurse
suspect?
A. Peripheral neuropathy
B. Spinal cord lesion
C. Cerebellar dysfunction
D. Normal aging
Answer: A
Rationale: Diabetes commonly causes peripheral neuropathy, which affects
distal sensation first, especially vibration and position sense.
