NUR2092 Health Assessment Exam 2 Quiz
Bank Questions and Answers with
Rationale
1. The nurse will use which technique of assessment to determine the presence of
crepitus, swelling, and pulsations?
a. Palpation
b. Inspection
c. Percussion
d. Auscultation
RAT: Palpation applies the sense of touch to assess texture, temperature,
moisture, organ location and size, as well as any swelling, vibration or pulsation,
rigidity or spasticity, crepitation, presence of lumps or masses, and the presence
of tenderness or pain.
2. The nurse is preparing to use an otoscope for an examination. Which statement is true
regarding the otoscope? The otoscope:
a. Is often used to direct light onto the sinuses.
b. Uses a short, broad speculum to help visualize the ear.
c. Is used to examine the structures of the internal ear.
d. Directs light into the ear canal and onto the tympanic membrane.
RAT: The otoscope directs light into the ear canal and onto the tympanic
membrane that divides the external and middle ear. A short, broad speculum is
used to visualize the nares.
3. An examiner is using an ophthalmoscope to examine a patient’s eyes. The patient
has astigmatism and is nearsighted. The use of which of these techniques would
indicate that the examination is being correctly performed?
a. Using the large full circle of light when assessing pupils that are not dilated
b. Rotating the lens selector dial to the black numbers to compensate for
astigmatism
c. Using the grid on the lens aperture dial to visualize the external structures of the
eye
d. Rotating the lens selector dial to bring the object into focus
RAT: The ophthalmoscope is used to examine the internal eye structures. It can
compensate for nearsightedness or farsightedness, but it will not correct for
astigmatism. The grid is used to assess size and location of lesions on the fundus.
The large full spot of light is used to assess dilated pupils. Rotating the lens selector
dial brings the object into focus.
4. The nurse is unable to palpate the right radial pulse on a patient. The best action would
NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answerswith Rationale
,be
NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answerswith Rationale
, to:
a. Auscultate over the area with a fetoscope.
b. Use a goniometer to measure the pulsations.
c. Use a Doppler device to check for pulsations over the area.
d. Check for the presence of pulsations with a stethoscope.
RAT: Doppler devices are used to augment pulse or blood pressure
measurements. Goniometers measure joint range of motion. A fetoscope is
used to auscultate fetal heart tones. Stethoscopes are used to auscultate
breath, bowel, and heart sounds.
5. The nurse is preparing to perform a physical assessment. The correct action
by the nurse is reflected by which statement? The nurse:
a. Performs the examination from the left side of the bed.
b. Examines tender or painful areas first to help relieve the patient’s anxiety.
c. Follows the same examination sequence, regardless of the
patient’s age or condition.
d. Organizes the assessment to ensure that the patient does not
change positions too often.
RAT: The steps of the assessment should be organized to ensure that the
patient does not change positions too often. The sequence of the steps of the
assessment may differ, depending on the age of the person and the
examiner’s preference. Tender or painful areas should be assessed last.
6. A man is at the clinic for a physical examination. He states that he is
“very anxious” about the physical examination. What steps can the
nurse take to make him more comfortable?
a. Appear unhurried and confident when examining him.
b. Stay in the room when he undresses in case he needs assistance.
c. Ask him to change into an examining gown and to take off his
undergarments.
d. Defer measuring vital signs until the end of the examination, which
allows him time to become comfortable.
RAT: Anxiety can be reduced by an examiner who is confident, self-
assured, considerate, and unhurried. Familiar and relatively nonthreatening
actions, such as measuring the person’s vital signs, will gradually accustom
the person to the examination.
7. When performing a physical examination, safety must be considered to
protect the examiner and the patient against the spread of infection. Which
of these statements describes the most appropriate action the nurse should
take when performing a physical examination?
a. Washing one’s hands after removing gloves is not necessary, as long
as the gloves are still intact.
b. Hands are washed before and after every physical patient encounter.
NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answerswith Rationale
, c. Hands are washed before the examination of each body system to
prevent the spread of bacteria from one part of the body to
another.
d. Gloves are worn throughout the entire examination to demonstrate to the
patient
NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answerswith Rationale
Bank Questions and Answers with
Rationale
1. The nurse will use which technique of assessment to determine the presence of
crepitus, swelling, and pulsations?
a. Palpation
b. Inspection
c. Percussion
d. Auscultation
RAT: Palpation applies the sense of touch to assess texture, temperature,
moisture, organ location and size, as well as any swelling, vibration or pulsation,
rigidity or spasticity, crepitation, presence of lumps or masses, and the presence
of tenderness or pain.
2. The nurse is preparing to use an otoscope for an examination. Which statement is true
regarding the otoscope? The otoscope:
a. Is often used to direct light onto the sinuses.
b. Uses a short, broad speculum to help visualize the ear.
c. Is used to examine the structures of the internal ear.
d. Directs light into the ear canal and onto the tympanic membrane.
RAT: The otoscope directs light into the ear canal and onto the tympanic
membrane that divides the external and middle ear. A short, broad speculum is
used to visualize the nares.
3. An examiner is using an ophthalmoscope to examine a patient’s eyes. The patient
has astigmatism and is nearsighted. The use of which of these techniques would
indicate that the examination is being correctly performed?
a. Using the large full circle of light when assessing pupils that are not dilated
b. Rotating the lens selector dial to the black numbers to compensate for
astigmatism
c. Using the grid on the lens aperture dial to visualize the external structures of the
eye
d. Rotating the lens selector dial to bring the object into focus
RAT: The ophthalmoscope is used to examine the internal eye structures. It can
compensate for nearsightedness or farsightedness, but it will not correct for
astigmatism. The grid is used to assess size and location of lesions on the fundus.
The large full spot of light is used to assess dilated pupils. Rotating the lens selector
dial brings the object into focus.
4. The nurse is unable to palpate the right radial pulse on a patient. The best action would
NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answerswith Rationale
,be
NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answerswith Rationale
, to:
a. Auscultate over the area with a fetoscope.
b. Use a goniometer to measure the pulsations.
c. Use a Doppler device to check for pulsations over the area.
d. Check for the presence of pulsations with a stethoscope.
RAT: Doppler devices are used to augment pulse or blood pressure
measurements. Goniometers measure joint range of motion. A fetoscope is
used to auscultate fetal heart tones. Stethoscopes are used to auscultate
breath, bowel, and heart sounds.
5. The nurse is preparing to perform a physical assessment. The correct action
by the nurse is reflected by which statement? The nurse:
a. Performs the examination from the left side of the bed.
b. Examines tender or painful areas first to help relieve the patient’s anxiety.
c. Follows the same examination sequence, regardless of the
patient’s age or condition.
d. Organizes the assessment to ensure that the patient does not
change positions too often.
RAT: The steps of the assessment should be organized to ensure that the
patient does not change positions too often. The sequence of the steps of the
assessment may differ, depending on the age of the person and the
examiner’s preference. Tender or painful areas should be assessed last.
6. A man is at the clinic for a physical examination. He states that he is
“very anxious” about the physical examination. What steps can the
nurse take to make him more comfortable?
a. Appear unhurried and confident when examining him.
b. Stay in the room when he undresses in case he needs assistance.
c. Ask him to change into an examining gown and to take off his
undergarments.
d. Defer measuring vital signs until the end of the examination, which
allows him time to become comfortable.
RAT: Anxiety can be reduced by an examiner who is confident, self-
assured, considerate, and unhurried. Familiar and relatively nonthreatening
actions, such as measuring the person’s vital signs, will gradually accustom
the person to the examination.
7. When performing a physical examination, safety must be considered to
protect the examiner and the patient against the spread of infection. Which
of these statements describes the most appropriate action the nurse should
take when performing a physical examination?
a. Washing one’s hands after removing gloves is not necessary, as long
as the gloves are still intact.
b. Hands are washed before and after every physical patient encounter.
NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answerswith Rationale
, c. Hands are washed before the examination of each body system to
prevent the spread of bacteria from one part of the body to
another.
d. Gloves are worn throughout the entire examination to demonstrate to the
patient
NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answerswith Rationale
