NUR2092 – Health Assessment Final Exam
Review | Verified Questions and Answers |
Rasmussen College 2025/2026 Update
GENERAL PRINCIPLES & TECHNIQUES (1–15)
1. The first step in any physical assessment is:Hand hygiene and introduction
Rationale: Prevents infection; builds rapport.
2. Inspection precedes palpation because:It is non-invasive and reveals 70–80% of
findings
Rationale: Observe symmetry, color, movement.
3. The correct sequence for abdominal exam:Inspection → Auscultation → Percussion
→ Palpation
Rationale: Auscultate before bowel stimulation.
4. Normal adult vital signs:T 36.5–37.5°C, P 60–100, RR 12–20, BP <130/80
Rationale: Hypertension ≥130/80 (ACC/AHA 2017).
5. Pulse pressure =Systolic – Diastolic
Rationale: Wide (>60) = aortic regurgitation; narrow (<25) = shock.
6. Korotkoff sounds Phase I and V represent:I = Systolic; V = Diastolic (adults)
Rationale: Phase IV used in pregnancy.
, 7. BMI classification (WHO):18.5–24.9 normal; ≥30 obese
Rationale: Kenya: waist circumference >94 cm (M), >80 cm (F) = risk.
8. Pain assessment tool:PQRST (Provocation, Quality, Region, Severity, Timing)
Rationale: Numeric 0–10 or FACES for children.
9. Weber test normal:Heard equally in both ears
Rationale: Lateralizes to bad ear in conductive loss.
10. Rinne test normal:Air conduction > Bone conduction (AC > BC)
Rationale: BC > AC = conductive loss.
11. Visual acuity:Snellen chart at 6 meters (20 feet)
Rationale: 6/6 (20/20) normal.
12. Extraocular movements test:CN III, IV, VI
Rationale: “H” pattern; nystagmus = abnormality.
13. Pupillary light reflex:Direct + consensual constriction
Rationale: Absent = CN II/III issue.
14. Percussion note over lung consolidation:Dull
Review | Verified Questions and Answers |
Rasmussen College 2025/2026 Update
GENERAL PRINCIPLES & TECHNIQUES (1–15)
1. The first step in any physical assessment is:Hand hygiene and introduction
Rationale: Prevents infection; builds rapport.
2. Inspection precedes palpation because:It is non-invasive and reveals 70–80% of
findings
Rationale: Observe symmetry, color, movement.
3. The correct sequence for abdominal exam:Inspection → Auscultation → Percussion
→ Palpation
Rationale: Auscultate before bowel stimulation.
4. Normal adult vital signs:T 36.5–37.5°C, P 60–100, RR 12–20, BP <130/80
Rationale: Hypertension ≥130/80 (ACC/AHA 2017).
5. Pulse pressure =Systolic – Diastolic
Rationale: Wide (>60) = aortic regurgitation; narrow (<25) = shock.
6. Korotkoff sounds Phase I and V represent:I = Systolic; V = Diastolic (adults)
Rationale: Phase IV used in pregnancy.
, 7. BMI classification (WHO):18.5–24.9 normal; ≥30 obese
Rationale: Kenya: waist circumference >94 cm (M), >80 cm (F) = risk.
8. Pain assessment tool:PQRST (Provocation, Quality, Region, Severity, Timing)
Rationale: Numeric 0–10 or FACES for children.
9. Weber test normal:Heard equally in both ears
Rationale: Lateralizes to bad ear in conductive loss.
10. Rinne test normal:Air conduction > Bone conduction (AC > BC)
Rationale: BC > AC = conductive loss.
11. Visual acuity:Snellen chart at 6 meters (20 feet)
Rationale: 6/6 (20/20) normal.
12. Extraocular movements test:CN III, IV, VI
Rationale: “H” pattern; nystagmus = abnormality.
13. Pupillary light reflex:Direct + consensual constriction
Rationale: Absent = CN II/III issue.
14. Percussion note over lung consolidation:Dull
