NURS 303 HEALTH ASSESSMENT IN NURSING EXAM
2025-2026 SUMMER-FALL QUESTIONS AND CORRECT
ANSWERS ALREADY GRADED A+
what are we looking for when we palpate
texture, temp, swelling, lumps, pain or tenderness, crepitation( thoracic cavity)
what are we looking for when we percuss
density of underlying organs, size location,
What type of sounds are better to hear when using the bell of the stethoscope
low pitched sounds (Korotkoff sounds, murmurs, bruits)
What type of sounds are better to hear when using the diaphragm of the stethoscope?
High pitched sounds ( lung sounds, bowel sounds, Heart sounds)
What are some examples of some HAIs
- Catheter associated urinary tract infection (CAUTI)
,- Central line associated bloodstream infections
what are some examples of violent restraints
physical restraints like wrist and ankle restraints, four-point restraints (restraining all four limbs),
and seclusion (involuntary confinement in a room).
what are some examples of nonviolent restraints
soft limb holders, mitts, vest restraints, and bed rails.
how often must a doctor renew an order for violent restraints
every 4 hours
How often must a doctor renew an order for a non violent restraint.
Every 24 hours.
What is a normal range for temperature
96.8-100.4
what is classified a low grade fever
a temperature reading of 99.0-100.4
,What is classified as a High grade fever
a temperature reading of 102 and above
The Apical pulse is also the ___________________
Point of maximum Impulse (PMI)- location on the chest wall where the Hearts apex beat is most
strongly felt.
Where is the apical pulse location?
5th and 6th intercostal space at the left midclavicular line
Pulse rating system: '0" means what?
absent: not palpable
Pulse Rating system: "1+" means what?
Weak; barely palpable; diminished
Pulse Rating System: "2+" means what?
Normal; expected
, Pulse Rating system: "3+" means what?
Full; Strong
Pulse Rating system: "4+" means what
Bounding: may indicate pathology, investigate
Which pulse rating are considered normal? What do those pulse ratings mean?
2+ (normal; expected) and 3+ ( Full; strong)
what are Korotkoff sounds
Korotkoff sounds are the specific tapping, swishing, and muffling sounds heard through a
stethoscope during blood pressure measurement, when a sphygmomanometer cuff is inflated
and then gradually deflated around the upper arm.
what is the normal respiratory rate range
10-20
What does a assessment of the head and neck include?
head, eyes, ears, nose, mouth, pharynx, and neck( lymph nodes, carotid arteries, thyroid gland,
and trachea.)
2025-2026 SUMMER-FALL QUESTIONS AND CORRECT
ANSWERS ALREADY GRADED A+
what are we looking for when we palpate
texture, temp, swelling, lumps, pain or tenderness, crepitation( thoracic cavity)
what are we looking for when we percuss
density of underlying organs, size location,
What type of sounds are better to hear when using the bell of the stethoscope
low pitched sounds (Korotkoff sounds, murmurs, bruits)
What type of sounds are better to hear when using the diaphragm of the stethoscope?
High pitched sounds ( lung sounds, bowel sounds, Heart sounds)
What are some examples of some HAIs
- Catheter associated urinary tract infection (CAUTI)
,- Central line associated bloodstream infections
what are some examples of violent restraints
physical restraints like wrist and ankle restraints, four-point restraints (restraining all four limbs),
and seclusion (involuntary confinement in a room).
what are some examples of nonviolent restraints
soft limb holders, mitts, vest restraints, and bed rails.
how often must a doctor renew an order for violent restraints
every 4 hours
How often must a doctor renew an order for a non violent restraint.
Every 24 hours.
What is a normal range for temperature
96.8-100.4
what is classified a low grade fever
a temperature reading of 99.0-100.4
,What is classified as a High grade fever
a temperature reading of 102 and above
The Apical pulse is also the ___________________
Point of maximum Impulse (PMI)- location on the chest wall where the Hearts apex beat is most
strongly felt.
Where is the apical pulse location?
5th and 6th intercostal space at the left midclavicular line
Pulse rating system: '0" means what?
absent: not palpable
Pulse Rating system: "1+" means what?
Weak; barely palpable; diminished
Pulse Rating System: "2+" means what?
Normal; expected
, Pulse Rating system: "3+" means what?
Full; Strong
Pulse Rating system: "4+" means what
Bounding: may indicate pathology, investigate
Which pulse rating are considered normal? What do those pulse ratings mean?
2+ (normal; expected) and 3+ ( Full; strong)
what are Korotkoff sounds
Korotkoff sounds are the specific tapping, swishing, and muffling sounds heard through a
stethoscope during blood pressure measurement, when a sphygmomanometer cuff is inflated
and then gradually deflated around the upper arm.
what is the normal respiratory rate range
10-20
What does a assessment of the head and neck include?
head, eyes, ears, nose, mouth, pharynx, and neck( lymph nodes, carotid arteries, thyroid gland,
and trachea.)
