CHAMBERLAIN UNIVERSITY NR 302
HEALTH ASSESSMENT I FINAL EXAM
STUDY GUIDE 100 Q AND A
NR 302 Health Assessment Comprehensive Final
Examination
1. A nurse is conducting a health history interview. Which
statement by the patient represents subjective data?
A) "My blood pressure was 142/90 at the pharmacy counter
yesterday."
B) "I have a sharp, throbbing pain in my right lower
abdomen."
C) "I noticed a red, raised rash appearing over my left
forearm."
D) "I lost 5 pounds over the last three weeks without
dieting."
CorreCt Answer: B
rAtionAle: Subjective data consists of
information that can only be felt, experienced, or
described by the patient themselves, such as pain
descriptors. Objective data includes measurable
values, observable skin alterations, or documented
figures.
2. While assessing a patient who presents to the emergency
room with severe chest pain and shortness of breath, what
type of database should the nurse construct?
, A) Complete (Total Health) database
B) Episodic (Problem-Centered) database
C) Emergency database
D) Follow-up database
CorreCt Answer: C
rAtionAle: An emergency database requires
rapid, simultaneous data collection paired directly
with life-saving interventions. Complete or focused
tracking can be expanded once the patient is
hemodynamically stabilized.
3. During an assessment of the abdomen, which technique
must the nurse perform immediately after inspection?
A) Light palpation
B) Deep palpation
C) Indirect percussion
D) Auscultation
CorreCt Answer: D
rAtionAle: Auscultation must precede
percussion and palpation during an abdominal
examination because manipulation of the
abdominal wall can stimulate artificial peristalsis,
falsely altering the frequency and character of bowel
sounds.
4. The nurse is assessing a 4-year-old child's ears. How should
the nurse manipulate the pinna during the otoscopic
examination?
A) Pull the pinna straight up and back
, B) Pull the pinna straight down and back
C) Pull the pinna horizontally outward
D) Push the tragus firmly inward
CorreCt Answer: B
rAtionAle: For infants and children under the
age of 3 years (and occasionally young toddlers up to
4 depending on growth), the pinna is pulled down
and back to straighten the short, curved external
auditory canal.
5. A nurse is checking the peripheral pulses of a patient with
peripheral vascular disease and cannot palpate the right
dorsalis pedis pulse. What is the nurse's priority action?
A) Document that the right dorsalis pedis pulse is absent
(0/4)
B) Call the attending healthcare provider immediately
C) Reposition the fingers and gently palpate the anatomical
site again
D) Fetch a handheld Doppler ultrasound device to find the
pulse
CorreCt Answer: C
rAtionAle: Before escalating to specialized
equipment or notifying a provider, the nurse's first
immediate action is to double-check their own
physical technique by adjusting their fingers and
trying again to rule out user error.
6. What anatomical landmark corresponds to the loudest
location for hearing the S1 heart sound?
HEALTH ASSESSMENT I FINAL EXAM
STUDY GUIDE 100 Q AND A
NR 302 Health Assessment Comprehensive Final
Examination
1. A nurse is conducting a health history interview. Which
statement by the patient represents subjective data?
A) "My blood pressure was 142/90 at the pharmacy counter
yesterday."
B) "I have a sharp, throbbing pain in my right lower
abdomen."
C) "I noticed a red, raised rash appearing over my left
forearm."
D) "I lost 5 pounds over the last three weeks without
dieting."
CorreCt Answer: B
rAtionAle: Subjective data consists of
information that can only be felt, experienced, or
described by the patient themselves, such as pain
descriptors. Objective data includes measurable
values, observable skin alterations, or documented
figures.
2. While assessing a patient who presents to the emergency
room with severe chest pain and shortness of breath, what
type of database should the nurse construct?
, A) Complete (Total Health) database
B) Episodic (Problem-Centered) database
C) Emergency database
D) Follow-up database
CorreCt Answer: C
rAtionAle: An emergency database requires
rapid, simultaneous data collection paired directly
with life-saving interventions. Complete or focused
tracking can be expanded once the patient is
hemodynamically stabilized.
3. During an assessment of the abdomen, which technique
must the nurse perform immediately after inspection?
A) Light palpation
B) Deep palpation
C) Indirect percussion
D) Auscultation
CorreCt Answer: D
rAtionAle: Auscultation must precede
percussion and palpation during an abdominal
examination because manipulation of the
abdominal wall can stimulate artificial peristalsis,
falsely altering the frequency and character of bowel
sounds.
4. The nurse is assessing a 4-year-old child's ears. How should
the nurse manipulate the pinna during the otoscopic
examination?
A) Pull the pinna straight up and back
, B) Pull the pinna straight down and back
C) Pull the pinna horizontally outward
D) Push the tragus firmly inward
CorreCt Answer: B
rAtionAle: For infants and children under the
age of 3 years (and occasionally young toddlers up to
4 depending on growth), the pinna is pulled down
and back to straighten the short, curved external
auditory canal.
5. A nurse is checking the peripheral pulses of a patient with
peripheral vascular disease and cannot palpate the right
dorsalis pedis pulse. What is the nurse's priority action?
A) Document that the right dorsalis pedis pulse is absent
(0/4)
B) Call the attending healthcare provider immediately
C) Reposition the fingers and gently palpate the anatomical
site again
D) Fetch a handheld Doppler ultrasound device to find the
pulse
CorreCt Answer: C
rAtionAle: Before escalating to specialized
equipment or notifying a provider, the nurse's first
immediate action is to double-check their own
physical technique by adjusting their fingers and
trying again to rule out user error.
6. What anatomical landmark corresponds to the loudest
location for hearing the S1 heart sound?
