NUR 216 EXAM 4
NUR 216 health assessment EXAM 4 |
COMPLETE VERIFIED QUESTIONS &
ANSWERS GRADED A+ GUARANTEED
PASS (100% VERIFIED SOLUTIONS)
2025/2026 UPDATED VERSION
The nurse is preparing to assess for the first time the pulse of a client who has heart disease
and a history of cardiac dysrhythmias. What would be the best technique for the nurse to
use?
A. Auscultate the apical pulse for one full minute while another nurse palpates the radial
pulse
B. Auscultate for 30 second and multiply by 2 to obtain an accurate heart rate
C. Auscultate the apical pulse over the 2nd intercostal space in the midclavicular line
D. Auscultate the apical pulse for one full minute then palpate the radial pulse during the next
minute - Answer ✓✓A. Auscultate the apical pulse for one full minute while abother nurse
palpates the radial pulse
Rationale: The apical pulse should be auscultated for one full minute with the stethoscope at
the 5th intercostal space in the midclavicular line (apex of the heart). While auscultating the
apical pulse, the radial pulse should be palpated simultaneously to detect discrepancies
caused by dysrhythmias. One radial pulse should be felt for each apical beat heard, but with
some dysrhythmias, the radial pulsation is absent with early beats because of reduced stroke
volume. Options 2 and 4 would not allow for simultaneous assessment of the apical and
radial pulses. Option 3 is an incorrect location for cardiac auscultation.
A+ 1
, NUR 216 EXAM 4
In which position should the nurse place the client to best inspect and palpate the Bartholin
glands?
A. Semi-Fowler's
B. Sim's
C. Lithotomy
D. Prone - Answer ✓✓C. Lithotomy
Rationale: The Bartholin glands are part of the female anatomy located on the posterior
aspect of the vaginal orifice. Therefore, if the medical condition allows, having the client in a
lithotomy position (on her back, knees flexed, legs apart, with feet supported on a surface or
in stirrups) will provide the best opportunity for examination. The other responses do not
allow for assessment of the female genitalia.
To adequately inspect the external ear canal of an adult client, the nurse should do which of
the following prior to inserting the otoscope?
A. Require that all earrings be removed for safety purposes
B. Pull the pinna up and back
C. Use a cotton-tipped applicator to remove the cerumen
D. Have the client lie down to promote comfort - Answer ✓✓B. Pull the pinna up and back
Rationale: In order to facilitate visualization of the ear canal and tympanic membrane, the
pinna should be pulled up and back for an adult client. If earrings are attached to the lobe,
there should not be a safety issue; however, they may be removed if they are large in size or
are causing the client discomfort during the examination. The nurse should not remove
cerumen with an applicator because of the risk of pushing it further into the canal or
rupturing the tympanic membrane. Generally, the ear and eye physical assessment are
performed with the client sitting upright.
A+ 2
, NUR 216 EXAM 4
Essential components of a patient history for dermatology disorders include:
A. a previous history of skin disorders plus symptom analysis (or HPI) of current problems and
allergies.
B. self-care behaviors, occupation, and hobbies.
C. prescribed medications, over-the-counter medications, herbs, and substance use.
D. All of the above. - Answer ✓✓D. All of the above.
Mrs. Davids is a 55-year-old patient who presents with complaints of spots in her nails. As the
health care provider, you know that the components of a nail examination include:
A. contour, consistency, and color.
B. shape, surface, and circulation.
C. clubbing, pitting, and grooving.
D. texture, toughness, and translucency. - Answer ✓✓A. contour, consistency, and color.
Mr. Holmes is a 54-year-old patient who comes to the clinic for an initial dermatology
assessment. On examination, you note a suppurative, inflammatory skin lesion due to an
infected hair follicle. Which of the following terms best describes this lesion?
A. Furuncle
B. Pustule
C. Fissure
D. Acne - Answer ✓✓A. Furuncle
The term used to describe the shape of a lesion as being circular is:
A+ 3
, NUR 216 EXAM 4
A. scaphoid.
B. annular.
C. confluent.
D. zosteriform. - Answer ✓✓B. annular.
The sloughing of necrotic inflammatory tissue that causes a deep depression in the skin that
extends into the dermis is called:
A. gangrene.
B. dermanecrosis.
C. ulceration.
D. maceration. - Answer ✓✓C. ulceration.
Mrs. Wilder, a 42-year-old patient, presents to the dermatology clinic with a confluent and
extensive patch of petechiae and ecchymoses; flat macular hemorrhage is called a:
A. purpura.
B. hemangioma.
C. hematoma.
D. telengiectasia. - Answer ✓✓A. purpura.
Mr. Verdana is a 41-year-old gentleman who presents with a complaint of skin problems. On
examination you note single-chambered, superficial lesions containing free fluid > 1 cm in
diameter, which are called:
A+ 4
NUR 216 health assessment EXAM 4 |
COMPLETE VERIFIED QUESTIONS &
ANSWERS GRADED A+ GUARANTEED
PASS (100% VERIFIED SOLUTIONS)
2025/2026 UPDATED VERSION
The nurse is preparing to assess for the first time the pulse of a client who has heart disease
and a history of cardiac dysrhythmias. What would be the best technique for the nurse to
use?
A. Auscultate the apical pulse for one full minute while another nurse palpates the radial
pulse
B. Auscultate for 30 second and multiply by 2 to obtain an accurate heart rate
C. Auscultate the apical pulse over the 2nd intercostal space in the midclavicular line
D. Auscultate the apical pulse for one full minute then palpate the radial pulse during the next
minute - Answer ✓✓A. Auscultate the apical pulse for one full minute while abother nurse
palpates the radial pulse
Rationale: The apical pulse should be auscultated for one full minute with the stethoscope at
the 5th intercostal space in the midclavicular line (apex of the heart). While auscultating the
apical pulse, the radial pulse should be palpated simultaneously to detect discrepancies
caused by dysrhythmias. One radial pulse should be felt for each apical beat heard, but with
some dysrhythmias, the radial pulsation is absent with early beats because of reduced stroke
volume. Options 2 and 4 would not allow for simultaneous assessment of the apical and
radial pulses. Option 3 is an incorrect location for cardiac auscultation.
A+ 1
, NUR 216 EXAM 4
In which position should the nurse place the client to best inspect and palpate the Bartholin
glands?
A. Semi-Fowler's
B. Sim's
C. Lithotomy
D. Prone - Answer ✓✓C. Lithotomy
Rationale: The Bartholin glands are part of the female anatomy located on the posterior
aspect of the vaginal orifice. Therefore, if the medical condition allows, having the client in a
lithotomy position (on her back, knees flexed, legs apart, with feet supported on a surface or
in stirrups) will provide the best opportunity for examination. The other responses do not
allow for assessment of the female genitalia.
To adequately inspect the external ear canal of an adult client, the nurse should do which of
the following prior to inserting the otoscope?
A. Require that all earrings be removed for safety purposes
B. Pull the pinna up and back
C. Use a cotton-tipped applicator to remove the cerumen
D. Have the client lie down to promote comfort - Answer ✓✓B. Pull the pinna up and back
Rationale: In order to facilitate visualization of the ear canal and tympanic membrane, the
pinna should be pulled up and back for an adult client. If earrings are attached to the lobe,
there should not be a safety issue; however, they may be removed if they are large in size or
are causing the client discomfort during the examination. The nurse should not remove
cerumen with an applicator because of the risk of pushing it further into the canal or
rupturing the tympanic membrane. Generally, the ear and eye physical assessment are
performed with the client sitting upright.
A+ 2
, NUR 216 EXAM 4
Essential components of a patient history for dermatology disorders include:
A. a previous history of skin disorders plus symptom analysis (or HPI) of current problems and
allergies.
B. self-care behaviors, occupation, and hobbies.
C. prescribed medications, over-the-counter medications, herbs, and substance use.
D. All of the above. - Answer ✓✓D. All of the above.
Mrs. Davids is a 55-year-old patient who presents with complaints of spots in her nails. As the
health care provider, you know that the components of a nail examination include:
A. contour, consistency, and color.
B. shape, surface, and circulation.
C. clubbing, pitting, and grooving.
D. texture, toughness, and translucency. - Answer ✓✓A. contour, consistency, and color.
Mr. Holmes is a 54-year-old patient who comes to the clinic for an initial dermatology
assessment. On examination, you note a suppurative, inflammatory skin lesion due to an
infected hair follicle. Which of the following terms best describes this lesion?
A. Furuncle
B. Pustule
C. Fissure
D. Acne - Answer ✓✓A. Furuncle
The term used to describe the shape of a lesion as being circular is:
A+ 3
, NUR 216 EXAM 4
A. scaphoid.
B. annular.
C. confluent.
D. zosteriform. - Answer ✓✓B. annular.
The sloughing of necrotic inflammatory tissue that causes a deep depression in the skin that
extends into the dermis is called:
A. gangrene.
B. dermanecrosis.
C. ulceration.
D. maceration. - Answer ✓✓C. ulceration.
Mrs. Wilder, a 42-year-old patient, presents to the dermatology clinic with a confluent and
extensive patch of petechiae and ecchymoses; flat macular hemorrhage is called a:
A. purpura.
B. hemangioma.
C. hematoma.
D. telengiectasia. - Answer ✓✓A. purpura.
Mr. Verdana is a 41-year-old gentleman who presents with a complaint of skin problems. On
examination you note single-chambered, superficial lesions containing free fluid > 1 cm in
diameter, which are called:
A+ 4
