NUR 216 Health Assessment 2025 Test Bank – 350
Practice Qs, Verified Answers & Detailed Rationales –
A+ Graded, 100% Authentic”
Question 1: A 68-year-old male patient arrives for a
routine health assessment. During the health history
interview, which question best assesses his risk for
cardiovascular disease?
A. "Do you have any food allergies?"
B. "How often do you engage in physical activity each
week?"
C. "Have you experienced any recent skin rashes?"
D. "Do you have a family history of asthma?"
✅ Correct Answer: B
Rationale: Assessing physical activity frequency directly
relates to cardiovascular risk reduction. Option A is
dietary allergy screening, not specific to cardiovascular
risk. Option C addresses dermatologic concerns. Option D
screens for respiratory issues, not cardiovascular.
Question 2: When obtaining a general survey, which
observation is most indicative of acute respiratory
distress in a 5-year-old child?
,A. Skin turgor that returns slowly
B. Use of accessory muscles during breathing
C. Presence of tinea capitis
D. Presence of a capillary refill of 2 seconds
✅ Correct Answer: B
Rationale: Accessory muscle use signals increased work
of breathing and respiratory distress. Option A assesses
hydration, Option C is a fungal scalp infection, and
Option D is a normal perfusion finding.
Question 3: A 45-year-old woman reports increased nail
brittleness and spoon-shaped nails. Which systemic
condition should the nurse suspect?
A. Iron-deficiency anemia
B. Hypothyroidism
C. Hypercholesterolemia
D. Dehydration
✅ Correct Answer: A
Rationale: Koilonychia (spoon nails) is associated with
iron-deficiency anemia. Hypothyroidism can cause brittle
nails, but spooning is specific to anemia.
Hypercholesterolemia and dehydration do not cause nail
spooning.
,Question 4: During auscultation of the heart, the nurse
hears a low-pitched, rumbling diastolic murmur at the
apex with the patient in left lateral decubitus. Which
valve is most likely affected?
A. Aortic
B. Pulmonic
C. Mitral
D. Tricuspid
✅ Correct Answer: C
Rationale: A diastolic rumbling murmur at apex in left
lateral position indicates mitral stenosis. Aortic and
pulmonic murmurs are heard at base; tricuspid murmurs
are along lower left sternal border.
Question 5: A patient presents with wheezes heard on
expiration in all lung fields. What is the most likely
underlying condition?
A. Pleural effusion
B. Asthma
C. Pneumothorax
D. Pulmonary edema
✅ Correct Answer: B
Rationale: Expiratory wheezes throughout the lungs
suggest bronchoconstriction as seen in asthma. Pleural
, effusion produces decreased breath sounds,
pneumothorax has hyperresonance and absent sounds,
pulmonary edema yields crackles.
Question 6: On palpation of the abdomen, the nurse
notes a pulsatile mass above the umbilicus in a 72-year-
old man. What is the priority action?
A. Document and continue the exam
B. Palpate deeper to assess for tenderness
C. Notify the provider immediately
D. Auscultate for bowel sounds
✅ Correct Answer: C
Rationale: A pulsatile abdominal mass suggests an
abdominal aortic aneurysm and requires urgent
reporting. Further palpation risks rupture.
Documentation alone is insufficient; bowel sounds are a
secondary assessment.
Question 7: During a neurological exam, the nurse tests
the trigeminal nerve. Which action reflects correct
testing?
A. Asking the patient to smile
B. Asking the patient to shrug shoulders
C. Testing facial sensation with a light touch
D. Testing tongue protrusion
Practice Qs, Verified Answers & Detailed Rationales –
A+ Graded, 100% Authentic”
Question 1: A 68-year-old male patient arrives for a
routine health assessment. During the health history
interview, which question best assesses his risk for
cardiovascular disease?
A. "Do you have any food allergies?"
B. "How often do you engage in physical activity each
week?"
C. "Have you experienced any recent skin rashes?"
D. "Do you have a family history of asthma?"
✅ Correct Answer: B
Rationale: Assessing physical activity frequency directly
relates to cardiovascular risk reduction. Option A is
dietary allergy screening, not specific to cardiovascular
risk. Option C addresses dermatologic concerns. Option D
screens for respiratory issues, not cardiovascular.
Question 2: When obtaining a general survey, which
observation is most indicative of acute respiratory
distress in a 5-year-old child?
,A. Skin turgor that returns slowly
B. Use of accessory muscles during breathing
C. Presence of tinea capitis
D. Presence of a capillary refill of 2 seconds
✅ Correct Answer: B
Rationale: Accessory muscle use signals increased work
of breathing and respiratory distress. Option A assesses
hydration, Option C is a fungal scalp infection, and
Option D is a normal perfusion finding.
Question 3: A 45-year-old woman reports increased nail
brittleness and spoon-shaped nails. Which systemic
condition should the nurse suspect?
A. Iron-deficiency anemia
B. Hypothyroidism
C. Hypercholesterolemia
D. Dehydration
✅ Correct Answer: A
Rationale: Koilonychia (spoon nails) is associated with
iron-deficiency anemia. Hypothyroidism can cause brittle
nails, but spooning is specific to anemia.
Hypercholesterolemia and dehydration do not cause nail
spooning.
,Question 4: During auscultation of the heart, the nurse
hears a low-pitched, rumbling diastolic murmur at the
apex with the patient in left lateral decubitus. Which
valve is most likely affected?
A. Aortic
B. Pulmonic
C. Mitral
D. Tricuspid
✅ Correct Answer: C
Rationale: A diastolic rumbling murmur at apex in left
lateral position indicates mitral stenosis. Aortic and
pulmonic murmurs are heard at base; tricuspid murmurs
are along lower left sternal border.
Question 5: A patient presents with wheezes heard on
expiration in all lung fields. What is the most likely
underlying condition?
A. Pleural effusion
B. Asthma
C. Pneumothorax
D. Pulmonary edema
✅ Correct Answer: B
Rationale: Expiratory wheezes throughout the lungs
suggest bronchoconstriction as seen in asthma. Pleural
, effusion produces decreased breath sounds,
pneumothorax has hyperresonance and absent sounds,
pulmonary edema yields crackles.
Question 6: On palpation of the abdomen, the nurse
notes a pulsatile mass above the umbilicus in a 72-year-
old man. What is the priority action?
A. Document and continue the exam
B. Palpate deeper to assess for tenderness
C. Notify the provider immediately
D. Auscultate for bowel sounds
✅ Correct Answer: C
Rationale: A pulsatile abdominal mass suggests an
abdominal aortic aneurysm and requires urgent
reporting. Further palpation risks rupture.
Documentation alone is insufficient; bowel sounds are a
secondary assessment.
Question 7: During a neurological exam, the nurse tests
the trigeminal nerve. Which action reflects correct
testing?
A. Asking the patient to smile
B. Asking the patient to shrug shoulders
C. Testing facial sensation with a light touch
D. Testing tongue protrusion
