HEALTH ASSESSMENT LATEST UPDATED 2026 EXAM QUESTIONS WITH
COMPLETE SOLUTIONS GUARANTEED PASS
Following abdominal auscultation of a client who is admitted for signs of
splenomegaly, which additional assessment should the nurse use to verify
splenomegaly?
Rebound tenderness.
Percussion.
Deep palpation.
Inspection. - ANSWER>>>Percussion.
When splenomegaly is suspected, percussion of the spleen produces a dull sound
and is a safe method of verifying enlargement. A normal-sized spleen is
positioned above the percussion point even when it descends during inspiration,
and the percussion tone is tympanic on both expiration and inspiration.
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, The nurse is assessing a healthy young adult during an annual physical
examination. Which assessment technique should the nurse implement when
palpating the abdominal aorta?
Deep palpation above and to the left of the umbilicus. Palpation of the abdomen
as the client completes a deep breath. With the client standing, compress the
abdomen as the nurse stands behind the client.
With the palm of one hand, compress the abdomen 2 finger breaths below
xiphoid process. - ANSWER>>>Deep palpation above and to the left of the
umbilicus.
Deep palpation above and to the left of the umbilicus is effective in sensing the
pulsation of the aorta.
During a health history interview, a male client reports that he smokes cigarettes
and does not plan to quit. Which action is most important for the nurse to take?
Document the client's statement verbatim.
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Calculate the client's pack year history.
, Express support for the client's right to choose.
Ask about family history of lung cancer. - ANSWER>>>Calculate the client's pack
year history
Calculation of cigarette pack year history provides useful screening data regarding
the client's risk for health problems, which serves as the basis for the plan of care.
How should the nurse assess for lower extremity edema in a client who has been
diagnosed with heart failure?
Measure bilateral ankle circumference with a non-stretchable tape measure.
Press skin over the tibia and report edema according to the grading scale.
Ask if the client feels the bilateral edema has changed and to what extent.
Inspect the lower extremities together to compare the amount of swelling. -
ANSWER>>>Measure bilateral ankle circumference with a non-stretchable tape
measure.
An accurate assessment of lower extremity edema is required when a client is
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treated for heart failure. Measuring ankle circumference is more accurate than
, other objective measures that can rely on individual interpretation, such as
measuring pitting edema.
The nurse is assessing a client's range of motion as the client bends the right knee
up to the chest while keeping the left leg straight, but is unable to keep the left
thigh on the table. The assessment is repeated for the left knee, and the client is
unable to keep the right thigh on the table. How should the nurse document this
finding?
Flexion contraction that indicates muscle atrophy. Limited internal rotation of the
hips that suggests degeneration.
A normal left and right hip flexion with expected range of motion.
A flexion deformity referred to as a positive Thomas test. - ANSWER>>>A flexion
deformity referred to as a positive Thomas test.
Flexion flattens the lumbar spine, and the opposite thigh should remain on the
table. The inability to perform the hip range of motion (ROM) as expected
indicates flexion deformity referred to as a positive Thomas test.
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COMPLETE SOLUTIONS GUARANTEED PASS
Following abdominal auscultation of a client who is admitted for signs of
splenomegaly, which additional assessment should the nurse use to verify
splenomegaly?
Rebound tenderness.
Percussion.
Deep palpation.
Inspection. - ANSWER>>>Percussion.
When splenomegaly is suspected, percussion of the spleen produces a dull sound
and is a safe method of verifying enlargement. A normal-sized spleen is
positioned above the percussion point even when it descends during inspiration,
and the percussion tone is tympanic on both expiration and inspiration.
Page1
, The nurse is assessing a healthy young adult during an annual physical
examination. Which assessment technique should the nurse implement when
palpating the abdominal aorta?
Deep palpation above and to the left of the umbilicus. Palpation of the abdomen
as the client completes a deep breath. With the client standing, compress the
abdomen as the nurse stands behind the client.
With the palm of one hand, compress the abdomen 2 finger breaths below
xiphoid process. - ANSWER>>>Deep palpation above and to the left of the
umbilicus.
Deep palpation above and to the left of the umbilicus is effective in sensing the
pulsation of the aorta.
During a health history interview, a male client reports that he smokes cigarettes
and does not plan to quit. Which action is most important for the nurse to take?
Document the client's statement verbatim.
Page2
Calculate the client's pack year history.
, Express support for the client's right to choose.
Ask about family history of lung cancer. - ANSWER>>>Calculate the client's pack
year history
Calculation of cigarette pack year history provides useful screening data regarding
the client's risk for health problems, which serves as the basis for the plan of care.
How should the nurse assess for lower extremity edema in a client who has been
diagnosed with heart failure?
Measure bilateral ankle circumference with a non-stretchable tape measure.
Press skin over the tibia and report edema according to the grading scale.
Ask if the client feels the bilateral edema has changed and to what extent.
Inspect the lower extremities together to compare the amount of swelling. -
ANSWER>>>Measure bilateral ankle circumference with a non-stretchable tape
measure.
An accurate assessment of lower extremity edema is required when a client is
Page3
treated for heart failure. Measuring ankle circumference is more accurate than
, other objective measures that can rely on individual interpretation, such as
measuring pitting edema.
The nurse is assessing a client's range of motion as the client bends the right knee
up to the chest while keeping the left leg straight, but is unable to keep the left
thigh on the table. The assessment is repeated for the left knee, and the client is
unable to keep the right thigh on the table. How should the nurse document this
finding?
Flexion contraction that indicates muscle atrophy. Limited internal rotation of the
hips that suggests degeneration.
A normal left and right hip flexion with expected range of motion.
A flexion deformity referred to as a positive Thomas test. - ANSWER>>>A flexion
deformity referred to as a positive Thomas test.
Flexion flattens the lumbar spine, and the opposite thigh should remain on the
table. The inability to perform the hip range of motion (ROM) as expected
indicates flexion deformity referred to as a positive Thomas test.
Page4
