NUR 2092 / NUR2092 Health Assessment ACTUAL
FINAL EXAM Questions & Verified Answers |
Latest Update – Rasmussen College
1.
During a health-history interview, the patient pauses for several seconds before
answering a question about family violence. Which response by the nurse is most
appropriate?
A. “I can see this is hard to talk about; would you like me to continue with the next
topic?”
B. “You don’t have to answer if you don’t want to.”
C. “Take your time. I’m here to listen when you’re ready.”
D. “Many people experience violence; it’s okay to share.”
Correct Answer: C
Rationale:
Silence communicates respect and gives the patient control, supporting therapeutic
communication. Option A prematurely closes the topic. Option B relieves the
patient of autonomy. Option D normalizes but may sound dismissive or leading.
2.
,A 68-year-old woman is admitted with new-onset confusion. Which assessment
finding best differentiates delirium from dementia?
A. Gradual memory loss over months
B. Fluctuating level of consciousness over hours
C. Aphasia present on admission
D. Impaired executive function noted by family
Correct Answer: B
Rationale:
Delirium is acute and fluctuates within hours, whereas dementia progresses slowly.
Memory loss (A) and executive dysfunction (D) occur in both. Aphasia (C) may
exist in either but is not the differentiating hallmark.
3.
Percussion over the liver produces a dull note. Which interpretation is correct?
A. Pleural effusion
B. Normal solid organ density
C. Intestinal obstruction
D. Emphysematous lung
Correct Answer: B
,Rationale:
Solid organs (liver, spleen) normally produce dullness. Pleural effusion (A) also
yields dullness but is pathologic. Tympany (C) or hyper-resonance (D) would be
expected in those respective conditions, not dullness.
4.
Which technique ensures the most accurate orthostatic vital signs?
A. Measure after the patient sits upright for 1 minute
B. Assist patient to stand immediately after supine set and obtain readings within 1
minute
C. Wait 5 minutes between each position change while patient remains still
D. Take supine, then sitting, then standing with 1–3 minutes between each position
Correct Answer: D
Rationale:
A 1–3-minute equilibration between positions allows cardiovascular compensation
and valid comparison. Immediate standing (B) may miss delayed orthostasis.
Five-minute waits (C) are unnecessary and prolong assessment.
5.
A patient’s radial pulse is irregularly irregular. Which condition is most likely?
A. Atrial fibrillation
, B. First-degree AV block
C. Ventricular tachycardia
D. Sinus bradycardia
Correct Answer: A
Rationale:
Irregularly irregular rhythm is classic for atrial fibrillation due to variable
ventricular response. AV block (B) is regular. VT (C) is usually regular and rapid.
Sinus brady (D) is regular.
6.
When assessing skin turgor on an older adult, which site gives the most reliable
result?
A. Dorsal hand
B. Sternum
C. Forehead
D. Inner aspect of the forearm
Correct Answer: B
Rationale:
FINAL EXAM Questions & Verified Answers |
Latest Update – Rasmussen College
1.
During a health-history interview, the patient pauses for several seconds before
answering a question about family violence. Which response by the nurse is most
appropriate?
A. “I can see this is hard to talk about; would you like me to continue with the next
topic?”
B. “You don’t have to answer if you don’t want to.”
C. “Take your time. I’m here to listen when you’re ready.”
D. “Many people experience violence; it’s okay to share.”
Correct Answer: C
Rationale:
Silence communicates respect and gives the patient control, supporting therapeutic
communication. Option A prematurely closes the topic. Option B relieves the
patient of autonomy. Option D normalizes but may sound dismissive or leading.
2.
,A 68-year-old woman is admitted with new-onset confusion. Which assessment
finding best differentiates delirium from dementia?
A. Gradual memory loss over months
B. Fluctuating level of consciousness over hours
C. Aphasia present on admission
D. Impaired executive function noted by family
Correct Answer: B
Rationale:
Delirium is acute and fluctuates within hours, whereas dementia progresses slowly.
Memory loss (A) and executive dysfunction (D) occur in both. Aphasia (C) may
exist in either but is not the differentiating hallmark.
3.
Percussion over the liver produces a dull note. Which interpretation is correct?
A. Pleural effusion
B. Normal solid organ density
C. Intestinal obstruction
D. Emphysematous lung
Correct Answer: B
,Rationale:
Solid organs (liver, spleen) normally produce dullness. Pleural effusion (A) also
yields dullness but is pathologic. Tympany (C) or hyper-resonance (D) would be
expected in those respective conditions, not dullness.
4.
Which technique ensures the most accurate orthostatic vital signs?
A. Measure after the patient sits upright for 1 minute
B. Assist patient to stand immediately after supine set and obtain readings within 1
minute
C. Wait 5 minutes between each position change while patient remains still
D. Take supine, then sitting, then standing with 1–3 minutes between each position
Correct Answer: D
Rationale:
A 1–3-minute equilibration between positions allows cardiovascular compensation
and valid comparison. Immediate standing (B) may miss delayed orthostasis.
Five-minute waits (C) are unnecessary and prolong assessment.
5.
A patient’s radial pulse is irregularly irregular. Which condition is most likely?
A. Atrial fibrillation
, B. First-degree AV block
C. Ventricular tachycardia
D. Sinus bradycardia
Correct Answer: A
Rationale:
Irregularly irregular rhythm is classic for atrial fibrillation due to variable
ventricular response. AV block (B) is regular. VT (C) is usually regular and rapid.
Sinus brady (D) is regular.
6.
When assessing skin turgor on an older adult, which site gives the most reliable
result?
A. Dorsal hand
B. Sternum
C. Forehead
D. Inner aspect of the forearm
Correct Answer: B
Rationale:
