Examl 3:l NURl 101/l NUR101l (NEWl 2025/l
2026l Update)l Healthl Assessmentl Guide|l
Questionsl &l Answers|l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Fortis
QUESTION
assessl pulse
Answer:
comparel pulsel onl eachl sidel ofl thel bodyl noticel
RATEl (60-100l sinoatriall nodel initiatingl electricall conductionl ofl pulse)l
RHYTHM(regularl spacingl betweenl beats)l
AMPLITUDEl +2l normall (forcel easilyl palpablel smoothl upstrokel comparel strength/upperl
andl lower)l
CONTOURl (outline/shapel ofl pulsel feltl comparel upperl lower)l o+absentl
1+l diminishedl barelyl palpable
l +2l normal
l +3l boundingl fulll volumel
+4l fulll volume,l boundingl hyperkinetic
QUESTION
palpate/auscultatel carotidl artery
Answer:
withl belll ofl stethoscopel forl lowl pitchedl soundsl ptl holdl breathl abnormall findingl bruit-
lowl pitchedl blowingl soundl indicatel occlusionl ofl al bloodl vessell causedl byl turbulentl
bloodl flow
QUESTION
assessl jugularl vein
Answer:
headl ofl bedl atl leastl 30l degreesl (semil fowler)l ptsl turnl headl tol thel sidel tiltl chinl upl
,distendedl jugularl (abnormal)l veinsl =l rightl sidedl heartl failurel TOl SEEl PULSATIONl ISl
NORMALl
seeingl veinl isl abnormal=l bloodl backl upl duel tol rightl sidedl heartl failure
QUESTION
assessl capillaryl refill
Answer:
onl bothl fingersl andl toesl givel al readingl onl normall perfusionl ofl extremitiesl
NORMALl ISl LESSl THANl 2l SEC,l
ABNORMALl GREATERl THANl 2l SEC=l problemsl withl arteriall bloodl flowl thisl isl
CONCERNING
QUESTION
Bloodl pressurel systolic/diastolic
Answer:
normall lessl thanl <120sl andl <80dl 120-129sl andl <80dl elevatedl 130-139sl ORl 80-89dl
stagel 1l hyperl tensionl 140sl orl higherl 90dl orl higherl stagel 2l hypertensionl greaterl thanl
>180l AND/ORl >120l HYPERTENSIVEl CRISIS
QUESTION
Hypertensivel crisis
Answer:
>180sl and/orl >120dl experiencel severel headachel feell poorl sickl tol stomachl ect
QUESTION
riskl factorsl forl hypertension
Answer:
positivel familyl historyl ofl Africanl americanl racel malel beforel thel agel ofl 64l femalel
increasel afterl 65l unhealthy/sedativel lifestylel choicesl poorl dietl highl inl sodium/excessivel
fatl smokingl alcoholl highl cholesteroll highl stressl levelsl oldl age
QUESTION
, orthostaticl hypotension
Answer:
bloodl pressurel dropsl asl ptl movesl froml sittingl tol standingl positionl systolicl decreasel byl
20systolicl orl 10l diastolicl mml Hgl causesl fluidl volumel deficit,l certainl drugsl
(antihypertensives)l prolongedl bedrest
QUESTION
chestl painl (anginal pectoris)l assessment
Answer:
whatl doesl itl feell like,l whenl didl itl start,l wherel exactlyl locatedl isl itl constant/intermittentl
doesl itl radiatel tol shoulder/jaw/leftl arml otherl symptomsl presentl suchl asl nausea/shortnessl
ofl breathl arel theyl oxygenatingl well/l cyanosisl -darkerl skinl lips/l orall mucusl membranel
ifl nol o2l pulsel oxl available
QUESTION
heartl failurel HF
Answer:
left/rightl ventriclesl failingl tol pumpl bloodl efficientlyl intol aortal orl pulmonaryl arteriesl
clinicall findingsl shortnessl ofl breathl (SOB)l cracklesl pulmonaryl edemal (leftl sidedl HF)l
peripherall edemal S3l heartl soundl (fluidl overload)l jugularl venousl distensionl (rightl sidedl
HF)
QUESTION
Peripherall arteryl diseasel PAD
Answer:
developsl froml arteriall insufficiencyl tol lowerl extremitiesl canl causel ulcersl onl lowerl
extremitiesl shinyl tautl skinl hairl lossl onl legsl decreased/absentl pulsesl cool/coldl feelingl tol
touch
QUESTION
chronicl venousl insufficiencyl CVI
Answer:
2026l Update)l Healthl Assessmentl Guide|l
Questionsl &l Answers|l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Fortis
QUESTION
assessl pulse
Answer:
comparel pulsel onl eachl sidel ofl thel bodyl noticel
RATEl (60-100l sinoatriall nodel initiatingl electricall conductionl ofl pulse)l
RHYTHM(regularl spacingl betweenl beats)l
AMPLITUDEl +2l normall (forcel easilyl palpablel smoothl upstrokel comparel strength/upperl
andl lower)l
CONTOURl (outline/shapel ofl pulsel feltl comparel upperl lower)l o+absentl
1+l diminishedl barelyl palpable
l +2l normal
l +3l boundingl fulll volumel
+4l fulll volume,l boundingl hyperkinetic
QUESTION
palpate/auscultatel carotidl artery
Answer:
withl belll ofl stethoscopel forl lowl pitchedl soundsl ptl holdl breathl abnormall findingl bruit-
lowl pitchedl blowingl soundl indicatel occlusionl ofl al bloodl vessell causedl byl turbulentl
bloodl flow
QUESTION
assessl jugularl vein
Answer:
headl ofl bedl atl leastl 30l degreesl (semil fowler)l ptsl turnl headl tol thel sidel tiltl chinl upl
,distendedl jugularl (abnormal)l veinsl =l rightl sidedl heartl failurel TOl SEEl PULSATIONl ISl
NORMALl
seeingl veinl isl abnormal=l bloodl backl upl duel tol rightl sidedl heartl failure
QUESTION
assessl capillaryl refill
Answer:
onl bothl fingersl andl toesl givel al readingl onl normall perfusionl ofl extremitiesl
NORMALl ISl LESSl THANl 2l SEC,l
ABNORMALl GREATERl THANl 2l SEC=l problemsl withl arteriall bloodl flowl thisl isl
CONCERNING
QUESTION
Bloodl pressurel systolic/diastolic
Answer:
normall lessl thanl <120sl andl <80dl 120-129sl andl <80dl elevatedl 130-139sl ORl 80-89dl
stagel 1l hyperl tensionl 140sl orl higherl 90dl orl higherl stagel 2l hypertensionl greaterl thanl
>180l AND/ORl >120l HYPERTENSIVEl CRISIS
QUESTION
Hypertensivel crisis
Answer:
>180sl and/orl >120dl experiencel severel headachel feell poorl sickl tol stomachl ect
QUESTION
riskl factorsl forl hypertension
Answer:
positivel familyl historyl ofl Africanl americanl racel malel beforel thel agel ofl 64l femalel
increasel afterl 65l unhealthy/sedativel lifestylel choicesl poorl dietl highl inl sodium/excessivel
fatl smokingl alcoholl highl cholesteroll highl stressl levelsl oldl age
QUESTION
, orthostaticl hypotension
Answer:
bloodl pressurel dropsl asl ptl movesl froml sittingl tol standingl positionl systolicl decreasel byl
20systolicl orl 10l diastolicl mml Hgl causesl fluidl volumel deficit,l certainl drugsl
(antihypertensives)l prolongedl bedrest
QUESTION
chestl painl (anginal pectoris)l assessment
Answer:
whatl doesl itl feell like,l whenl didl itl start,l wherel exactlyl locatedl isl itl constant/intermittentl
doesl itl radiatel tol shoulder/jaw/leftl arml otherl symptomsl presentl suchl asl nausea/shortnessl
ofl breathl arel theyl oxygenatingl well/l cyanosisl -darkerl skinl lips/l orall mucusl membranel
ifl nol o2l pulsel oxl available
QUESTION
heartl failurel HF
Answer:
left/rightl ventriclesl failingl tol pumpl bloodl efficientlyl intol aortal orl pulmonaryl arteriesl
clinicall findingsl shortnessl ofl breathl (SOB)l cracklesl pulmonaryl edemal (leftl sidedl HF)l
peripherall edemal S3l heartl soundl (fluidl overload)l jugularl venousl distensionl (rightl sidedl
HF)
QUESTION
Peripherall arteryl diseasel PAD
Answer:
developsl froml arteriall insufficiencyl tol lowerl extremitiesl canl causel ulcersl onl lowerl
extremitiesl shinyl tautl skinl hairl lossl onl legsl decreased/absentl pulsesl cool/coldl feelingl tol
touch
QUESTION
chronicl venousl insufficiencyl CVI
Answer:
