NR-302 Health Assessment Final Exam 2
Questions and Answers with Rationales
2025 Chamberlain University
1. When auscultating lung sounds, the nurse hears high-pitched, musical sounds
during expiration. What should the nurse document?
A. Crackles
B. Wheezes
C. Rhonchi
D. Pleural friction rub
Rationale: Wheezes are high-pitched, musical sounds typically heard during
expiration due to narrowed airways, such as in asthma or COPD.
2. Which of the following findings would be considered abnormal in a head-to-
toe assessment of an adult?
A. Skin warm and dry
B. Symmetric facial movement
, C. Presence of crackles in the lower lungs
D. Pupils equal and reactive to light
Rationale: Crackles may indicate fluid in the alveoli, commonly seen in conditions
like pneumonia or heart failure.
3. The nurse palpates the dorsalis pedis pulses and is unable to feel them. What
should be the next step?
A. Document as absent
B. Use a Doppler device to assess further
C. Immediately call the provider
D. Assess popliteal pulses
Rationale: A Doppler should be used to confirm absence before determining the
pulse is truly not present.
4. A patient reports sharp pain when the nurse palpates the right costovertebral
angle. What is the most likely cause?
A. Gallbladder inflammation
B. Kidney infection or inflammation
C. Liver disease
D. Pancreatitis
Rationale: CVA tenderness often indicates kidney pathology, such as
pyelonephritis.
Questions and Answers with Rationales
2025 Chamberlain University
1. When auscultating lung sounds, the nurse hears high-pitched, musical sounds
during expiration. What should the nurse document?
A. Crackles
B. Wheezes
C. Rhonchi
D. Pleural friction rub
Rationale: Wheezes are high-pitched, musical sounds typically heard during
expiration due to narrowed airways, such as in asthma or COPD.
2. Which of the following findings would be considered abnormal in a head-to-
toe assessment of an adult?
A. Skin warm and dry
B. Symmetric facial movement
, C. Presence of crackles in the lower lungs
D. Pupils equal and reactive to light
Rationale: Crackles may indicate fluid in the alveoli, commonly seen in conditions
like pneumonia or heart failure.
3. The nurse palpates the dorsalis pedis pulses and is unable to feel them. What
should be the next step?
A. Document as absent
B. Use a Doppler device to assess further
C. Immediately call the provider
D. Assess popliteal pulses
Rationale: A Doppler should be used to confirm absence before determining the
pulse is truly not present.
4. A patient reports sharp pain when the nurse palpates the right costovertebral
angle. What is the most likely cause?
A. Gallbladder inflammation
B. Kidney infection or inflammation
C. Liver disease
D. Pancreatitis
Rationale: CVA tenderness often indicates kidney pathology, such as
pyelonephritis.
