NUR 2092 FINAL EXAM
COMPREHENSIVE ASSESSMENT
QUESTIONS AND ANSWERS 100%
VERIFIED BY EXPERTS. 2026/2027
1. When performing a physical assessment, which technique should the nurse prioritize to
evaluate for the presence of ascites?
A. Murphy’s sign
B. Rebound tenderness
C. McBurney’s point tenderness
D. Shifting dullness
Answer: D
Conceptual Explanation: Shifting dullness is a percussion technique used to detect free
fluid in the peritoneal cavity (ascites). Murphy’s sign indicates cholecystitis, while
McBurney’s and rebound tenderness indicate appendicitis.
,2. During a cardiac assessment, the nurse hears a low-pitched, extra heart sound early in
diastole at the apex. This is most likely:
A. S4 (Atrial Gallop)
B. S3 (Ventricular Gallop)
C. Systolic murmur
D. Pericardial friction rub
Answer: B
Conceptual Explanation: S3 occurs early in diastole during the rapid ventricular filling
phase and is often associated with fluid overload or heart failure. S4 occurs late in diastole.
3. A nurse is assessing a patient’s cranial nerves. To test Cranial Nerve XII (Hypoglossal), the
nurse should ask the patient to:
A. Smile and frown
B. Protrude their tongue
C. Shrug their shoulders
D. Follow a penlight with their eyes
Answer: B
Conceptual Explanation: Cranial Nerve XII (Hypoglossal) controls tongue movement.
Smiling involves CN VII, shrugging involves CN XI, and extraocular movements involve CN
III, IV, and VI.
, 4. While assessing a patient with suspected dehydration, which finding is most indicative of a
significant fluid volume deficit?
A. Moist mucous membranes
B. Bounding radial pulses
C. Capillary refill of 2 seconds
D. Pinching the skin over the sternum results in tenting
Answer: D
Conceptual Explanation: Tenting of the skin (decreased turgor) when pinched over the
sternum or clavicle is a classic sign of dehydration in adults.
5. The nurse is performing a respiratory assessment and notes a high-pitched, musical sound
heard primarily during expiration. This sound is:
A. Crackles
B. Rhonchi
C. Wheeze
D. Stridor
Answer: C
Conceptual Explanation: Wheezes are high-pitched, musical sounds caused by air
squeezing through narrowed airways, commonly heard in asthma or COPD.
COMPREHENSIVE ASSESSMENT
QUESTIONS AND ANSWERS 100%
VERIFIED BY EXPERTS. 2026/2027
1. When performing a physical assessment, which technique should the nurse prioritize to
evaluate for the presence of ascites?
A. Murphy’s sign
B. Rebound tenderness
C. McBurney’s point tenderness
D. Shifting dullness
Answer: D
Conceptual Explanation: Shifting dullness is a percussion technique used to detect free
fluid in the peritoneal cavity (ascites). Murphy’s sign indicates cholecystitis, while
McBurney’s and rebound tenderness indicate appendicitis.
,2. During a cardiac assessment, the nurse hears a low-pitched, extra heart sound early in
diastole at the apex. This is most likely:
A. S4 (Atrial Gallop)
B. S3 (Ventricular Gallop)
C. Systolic murmur
D. Pericardial friction rub
Answer: B
Conceptual Explanation: S3 occurs early in diastole during the rapid ventricular filling
phase and is often associated with fluid overload or heart failure. S4 occurs late in diastole.
3. A nurse is assessing a patient’s cranial nerves. To test Cranial Nerve XII (Hypoglossal), the
nurse should ask the patient to:
A. Smile and frown
B. Protrude their tongue
C. Shrug their shoulders
D. Follow a penlight with their eyes
Answer: B
Conceptual Explanation: Cranial Nerve XII (Hypoglossal) controls tongue movement.
Smiling involves CN VII, shrugging involves CN XI, and extraocular movements involve CN
III, IV, and VI.
, 4. While assessing a patient with suspected dehydration, which finding is most indicative of a
significant fluid volume deficit?
A. Moist mucous membranes
B. Bounding radial pulses
C. Capillary refill of 2 seconds
D. Pinching the skin over the sternum results in tenting
Answer: D
Conceptual Explanation: Tenting of the skin (decreased turgor) when pinched over the
sternum or clavicle is a classic sign of dehydration in adults.
5. The nurse is performing a respiratory assessment and notes a high-pitched, musical sound
heard primarily during expiration. This sound is:
A. Crackles
B. Rhonchi
C. Wheeze
D. Stridor
Answer: C
Conceptual Explanation: Wheezes are high-pitched, musical sounds caused by air
squeezing through narrowed airways, commonly heard in asthma or COPD.
