Nur 202 health assessment exam 1 Ques ons and
answers newest RATED A+ 2025/2026
Before ausculta ng the lungs of a child, the nurse asks the parent to remove the child's gown.
What could be the reason for such an interven on?
1
To avoid sound ar facts
2
To avoid the chandelier sign
3
To listen to high-pitched sounds
4
To listen to low-pitched sounds - Correct Answers 1
To avoid sound ar facts
A stethoscope is used to assess the lung sounds during ausculta on. The nurse should not
auscultate through the pa ent's clothing, because this creates sound ar facts and dampens the
original lung sounds of the pa ent. Holding the bell endpiece lightly against pa ent's skin helps
the nurse to listen to low-pitched sounds. Holding the diaphragm firmly against the child's skin
helps the nurse to listen to high-frequency sounds. Warming the end of the stethoscope helps
to avoid chandelier sign.
Which is the major task of infancy according to Erikson's stages of psychosocial development?
1
Developing a sense of trust
2
Developing a sense of industry
3
Developing a sense of ini a ve
,4
Developing a sense of autonomy - Correct Answers 1
Developing a sense of trust
An infant is completely dependent on the parent for basic needs. If these needs are met
promptly and consistently, then the infant feels secure and learns to trust others. Thus,
according to Erikson, establishing trust is the major task of an infant during development.
Developing a sense of industry is a major task in a school-age child, because at this age the child
develops basic competency. The preschool child desires to plan and perform tasks
independently. Therefore, developing ini a ve is a major task for a preschool child. The toddler
displays explora ve behavior and desires to be independent. Thus, developing autonomy is a
major task for a toddler.
While performing a physical examina on, the nurse taps the pa ent's skin with short, sharp
strokes. What is the reason for this nursing assessment?
1
Percussion
2
Ausculta on
3
Palpa on
4
Inspec on - Correct Answers 1
Percussion
The nurse is performing percussion. In percussion, the pa ent's skin is tapped with short, sharp
strokes to assess underlying structures. The strokes yield a palpable vibra on and a
characteris c sound that depicts the loca on, size, and density of the underlying organ.
Ausculta on involves listening to different sounds produced by organs, such as the heart, blood
vessels, lungs, and abdomen. The process of palpa on involves the nurse's touch to assess
,factors such as swelling, vibra on, rigidity or spas city, crepita on, presence of lumps or
masses, and presence of tenderness or pain. Inspec on involves close, careful scru ny, first of
the pa ent as a whole and then of each body system.
Which part of the hand should the nurse use to assess the skin texture, swelling, and the
presence of lumps during palpa on?
1
Finger ps
2
Base of fingers
3
Fingers and thumb
4
The backs of the hands and fingers - Correct Answers 1
Finger ps
The finger ps are rich in sensory nerve endings. Therefore, the finger ps are the best to palpate
skin texture, fluid accumula on, and presence of an abnormal body mass. The base of the
fingers or ulnar surfaces of the hand are best for assessing vibra ons of body cavi es. A
grasping ac on of the fingers and the thumb is best to determine the placement, spa al
arrangement, and consistency of organs. The backs of the hands and fingers are best for
determining body temperature, because of the presence of thin skin.
The nurse wants to auscultate the lungs of a pa ent. What should the nurse do if the pa ent
has excessive chest hair?
1
Shave the pa ent's chest hair.
2
Moisten the pa ent's chest hair.
, 3
Clean the stethoscope endpiece with an alcohol wipe.
4
Warm the stethoscope endpiece by rubbing it with the palm. - Correct Answers 2
Moisten the pa ent's chest hair.
The nurse should wet the pa ent's chest hair before ausculta ng the lungs to prevent crackling
sounds produced by fric on between the stethoscope endpiece and the chest hair. Shaving the
chest hair is not appropriate for a rou ne ausculta on procedure. The nurse should clean the
stethoscope endpiece with an alcohol wipe to prevent the transfer of pathogens from one
pa ent to another. This does not interfere with the ausculta ons. The nurse should warm the
endpiece of the stethoscope by rubbing it with hands to prevent contrac on of the chest
muscles, which may occur when a cold endpiece is placed on a warm chest.
The pa ent enters the examina on room for a physical assessment. The nurse switches on all
the lights and stares at the pa ent for a few minutes before star ng any procedure. What is the
reason for this behavior by the nurse?
1
The nurse is doing inspec on.
2
The nurse is doing ausculta on.
3
The nurse is doing palpa on.
4
The nurse is doing percussion. - Correct Answers 1
The nurse is doing inspec on.
The nurse is inspec ng the pa ent carefully. Inspec on involves close, careful scru ny, first of
the pa ent as a whole and then of each body system. The procedure requires intense
answers newest RATED A+ 2025/2026
Before ausculta ng the lungs of a child, the nurse asks the parent to remove the child's gown.
What could be the reason for such an interven on?
1
To avoid sound ar facts
2
To avoid the chandelier sign
3
To listen to high-pitched sounds
4
To listen to low-pitched sounds - Correct Answers 1
To avoid sound ar facts
A stethoscope is used to assess the lung sounds during ausculta on. The nurse should not
auscultate through the pa ent's clothing, because this creates sound ar facts and dampens the
original lung sounds of the pa ent. Holding the bell endpiece lightly against pa ent's skin helps
the nurse to listen to low-pitched sounds. Holding the diaphragm firmly against the child's skin
helps the nurse to listen to high-frequency sounds. Warming the end of the stethoscope helps
to avoid chandelier sign.
Which is the major task of infancy according to Erikson's stages of psychosocial development?
1
Developing a sense of trust
2
Developing a sense of industry
3
Developing a sense of ini a ve
,4
Developing a sense of autonomy - Correct Answers 1
Developing a sense of trust
An infant is completely dependent on the parent for basic needs. If these needs are met
promptly and consistently, then the infant feels secure and learns to trust others. Thus,
according to Erikson, establishing trust is the major task of an infant during development.
Developing a sense of industry is a major task in a school-age child, because at this age the child
develops basic competency. The preschool child desires to plan and perform tasks
independently. Therefore, developing ini a ve is a major task for a preschool child. The toddler
displays explora ve behavior and desires to be independent. Thus, developing autonomy is a
major task for a toddler.
While performing a physical examina on, the nurse taps the pa ent's skin with short, sharp
strokes. What is the reason for this nursing assessment?
1
Percussion
2
Ausculta on
3
Palpa on
4
Inspec on - Correct Answers 1
Percussion
The nurse is performing percussion. In percussion, the pa ent's skin is tapped with short, sharp
strokes to assess underlying structures. The strokes yield a palpable vibra on and a
characteris c sound that depicts the loca on, size, and density of the underlying organ.
Ausculta on involves listening to different sounds produced by organs, such as the heart, blood
vessels, lungs, and abdomen. The process of palpa on involves the nurse's touch to assess
,factors such as swelling, vibra on, rigidity or spas city, crepita on, presence of lumps or
masses, and presence of tenderness or pain. Inspec on involves close, careful scru ny, first of
the pa ent as a whole and then of each body system.
Which part of the hand should the nurse use to assess the skin texture, swelling, and the
presence of lumps during palpa on?
1
Finger ps
2
Base of fingers
3
Fingers and thumb
4
The backs of the hands and fingers - Correct Answers 1
Finger ps
The finger ps are rich in sensory nerve endings. Therefore, the finger ps are the best to palpate
skin texture, fluid accumula on, and presence of an abnormal body mass. The base of the
fingers or ulnar surfaces of the hand are best for assessing vibra ons of body cavi es. A
grasping ac on of the fingers and the thumb is best to determine the placement, spa al
arrangement, and consistency of organs. The backs of the hands and fingers are best for
determining body temperature, because of the presence of thin skin.
The nurse wants to auscultate the lungs of a pa ent. What should the nurse do if the pa ent
has excessive chest hair?
1
Shave the pa ent's chest hair.
2
Moisten the pa ent's chest hair.
, 3
Clean the stethoscope endpiece with an alcohol wipe.
4
Warm the stethoscope endpiece by rubbing it with the palm. - Correct Answers 2
Moisten the pa ent's chest hair.
The nurse should wet the pa ent's chest hair before ausculta ng the lungs to prevent crackling
sounds produced by fric on between the stethoscope endpiece and the chest hair. Shaving the
chest hair is not appropriate for a rou ne ausculta on procedure. The nurse should clean the
stethoscope endpiece with an alcohol wipe to prevent the transfer of pathogens from one
pa ent to another. This does not interfere with the ausculta ons. The nurse should warm the
endpiece of the stethoscope by rubbing it with hands to prevent contrac on of the chest
muscles, which may occur when a cold endpiece is placed on a warm chest.
The pa ent enters the examina on room for a physical assessment. The nurse switches on all
the lights and stares at the pa ent for a few minutes before star ng any procedure. What is the
reason for this behavior by the nurse?
1
The nurse is doing inspec on.
2
The nurse is doing ausculta on.
3
The nurse is doing palpa on.
4
The nurse is doing percussion. - Correct Answers 1
The nurse is doing inspec on.
The nurse is inspec ng the pa ent carefully. Inspec on involves close, careful scru ny, first of
the pa ent as a whole and then of each body system. The procedure requires intense
