NUR 210 COMPREHENSIVE HEALTH
ASSESSMENT - EXAM 1 V2 QUESTIONS
AND DETAILED SOLUTIONS LATEST
UPDATE
1. When conducting a patient interview, the nurse uses open-ended questions primarily to
achieve which objective?
A. To obtain specific facts and dates regarding the medical history.
B. To allow the patient to express their feelings and perceptions in their own words.
C. To limit the time spent on the subjective portion of the assessment.
D. To validate the objective data collected during the physical exam.
Answer: B
Conceptual Explanation: Open-ended questions encourage the patient to provide a
narrative response, which helps the nurse understand the patient’s perspective and elicit
more detailed information than ‘yes’ or ‘no’ responses.
2. A nurse is performing a physical assessment on a dark-skinned patient. Where is the most
reliable site to assess for the presence of cyanosis?
A. The nail beds and palms of the hands.
B. The skin over the malar eminence.
,C. The conjunctivae and oral mucosa.
D. The sclera and posterior hard palate.
Answer: C
Conceptual Explanation: In dark-skinned individuals, cyanosis is best observed in areas
with the least pigmentation, such as the conjunctivae, oral mucosa, and tongue.
3. During an abdominal assessment, in which order should the nurse perform the
examination techniques?
A. Inspection, Palpation, Percussion, Auscultation
B. Percussion, Auscultation, Inspection, Palpation
C. Auscultation, Inspection, Palpation, Percussion
D. Inspection, Auscultation, Percussion, Palpation
Answer: D
Conceptual Explanation: For the abdomen, the order is modified to Inspection,
Auscultation, Percussion, and Palpation because percussion and palpation can stimulate
bowel sounds and alter the findings.
4. A 75-year-old patient reports a feeling of ‘dizziness’ when standing up quickly. Which
assessment should the nurse prioritize?
A. Orthostatic vital signs.
B. Cranial nerve VIII function.
, C. Carotid artery auscultation.
D. Deep tendon reflexes.
Answer: A
Conceptual Explanation: Orthostatic (postural) vital signs assess for a significant drop in
blood pressure when changing positions, which is a common cause of dizziness in older
adults.
5. The nurse is palpating the patient’s skin and notes a ‘crackling’ sensation under the surface
near a chest tube insertion site. This is documented as:
A. Crepitus.
B. Tactile fremitus.
C. Friction rub.
D. Subcutaneous edema.
Answer: A
Conceptual Explanation: Crepitus (subcutaneous emphysema) is a coarse, crackling
sensation palpable over the skin surface, indicating air has escaped from the lung into the
subcutaneous tissue.
6. Which percussion note would the nurse expect to hear over a healthy, air-filled lung?
A. Tympany
B. Dullness
ASSESSMENT - EXAM 1 V2 QUESTIONS
AND DETAILED SOLUTIONS LATEST
UPDATE
1. When conducting a patient interview, the nurse uses open-ended questions primarily to
achieve which objective?
A. To obtain specific facts and dates regarding the medical history.
B. To allow the patient to express their feelings and perceptions in their own words.
C. To limit the time spent on the subjective portion of the assessment.
D. To validate the objective data collected during the physical exam.
Answer: B
Conceptual Explanation: Open-ended questions encourage the patient to provide a
narrative response, which helps the nurse understand the patient’s perspective and elicit
more detailed information than ‘yes’ or ‘no’ responses.
2. A nurse is performing a physical assessment on a dark-skinned patient. Where is the most
reliable site to assess for the presence of cyanosis?
A. The nail beds and palms of the hands.
B. The skin over the malar eminence.
,C. The conjunctivae and oral mucosa.
D. The sclera and posterior hard palate.
Answer: C
Conceptual Explanation: In dark-skinned individuals, cyanosis is best observed in areas
with the least pigmentation, such as the conjunctivae, oral mucosa, and tongue.
3. During an abdominal assessment, in which order should the nurse perform the
examination techniques?
A. Inspection, Palpation, Percussion, Auscultation
B. Percussion, Auscultation, Inspection, Palpation
C. Auscultation, Inspection, Palpation, Percussion
D. Inspection, Auscultation, Percussion, Palpation
Answer: D
Conceptual Explanation: For the abdomen, the order is modified to Inspection,
Auscultation, Percussion, and Palpation because percussion and palpation can stimulate
bowel sounds and alter the findings.
4. A 75-year-old patient reports a feeling of ‘dizziness’ when standing up quickly. Which
assessment should the nurse prioritize?
A. Orthostatic vital signs.
B. Cranial nerve VIII function.
, C. Carotid artery auscultation.
D. Deep tendon reflexes.
Answer: A
Conceptual Explanation: Orthostatic (postural) vital signs assess for a significant drop in
blood pressure when changing positions, which is a common cause of dizziness in older
adults.
5. The nurse is palpating the patient’s skin and notes a ‘crackling’ sensation under the surface
near a chest tube insertion site. This is documented as:
A. Crepitus.
B. Tactile fremitus.
C. Friction rub.
D. Subcutaneous edema.
Answer: A
Conceptual Explanation: Crepitus (subcutaneous emphysema) is a coarse, crackling
sensation palpable over the skin surface, indicating air has escaped from the lung into the
subcutaneous tissue.
6. Which percussion note would the nurse expect to hear over a healthy, air-filled lung?
A. Tympany
B. Dullness
