HEALTH ASSESSMENT EXAM 3 PRACTICE QUESTIONS
WITH COMPLETE SOLUTIONS
Which assessment finding in a patient may indicate breast cancer? - ans-
cx cx cx cx cx cx cx cx cx cx cxcx
Presence of a unilateral, dense, irregular mass cx cx cx cx cx cx
The nurse is assessing the lungs of the patient on the anterior side of the chest. Where woul
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
d the nurse find the highest point of the lung? - ans-
cx cx cx cx cx cx cx cx cx cx cxcx
It is found up to 3 to 4 cm above the clavicle
cx cx cx cx cx cx cx cx cx cx cx
What is the thin layer of endothelial tissue that lines the inner surface of the heart and the val
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ves called? - ans-Endocardium
cx cx cxcx
Which term can be used to describe the pacemaker of the heart? - ans-Sinoatrial node
cx cx cx cx cx cx cx cx cx cx cx cx cxcx cx
What is the term used by the nurse to describe pain in the breast? - ans-Mastalgia
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cxcx
The nurse is assessing a patient's breasts. Which finding does the nurse identify as abnorm
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
al? - ans-The presence of localized redness with heat
cx cxcx cx cx cx cx cx cx
Which assessment finding does the nurse associate with a diagnosis of peau d'orange? -
cx cx cx cx cx cx cx cx cx cx cx cx cx
ans-The skin is thickened, and the hair follicles exaggerated
cxcx cx cx cx cx cx cx cx cx
Which heart rate would be found in an infant with bradycardia? - ans-50 beats/minute
cx cx cx cx cx cx cx cx cx cx cx cxcx cx
The nurse notices edema on the breast skin of a patient that has a "pigskin" look. Which con
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
dition does the nurse suspect from this observation? - ans-Peau d'orange
cx cx cx cx cx cx cx cx cxcx cx
Which group of patients is likely to be affected by scoliosis? - ans-Adolescents
cx cx cx cx cx cx cx cx cx cx cx cxcx
What does the term hypercapnia indicate about a patient's respiratory status? - ans-
cx cx cx cx cx cx cx cx cx cx cx cxcx
Increased carbon dioxide in the blood cx cx cx cx cx
While examining a patient, the nurse detects a loud heart murmur with a palpable thrill. How
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
does the nurse record this finding? - ans-4/6
cx cx cx cx cx cx cx cxcx
Which blood vessel drains the blood from the head and upper extremities? - ans-
cx cx cx cx cx cx cx cx cx cx cx cx cxcx
Superior vena cava cx cx
During the physical examination of a prepubertal child, the nurse documents "premature th
cx cx cx cx cx cx cx cx cx cx cx cx
elarche." What does this indicate? - ans-Early development of breasts without hormone-
cx cx cx cx cx cxcx cx cx cx cx cx
dependent signs cx
,The nurse is assessing a patient who reports feeling nodules in the breast. Further assess
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ment reveals that the patient is in the midcycle of menstruation. What is the best interventio
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
n by the nurse? - ans-Repeat the examination a week after menstration
cx cx cx cx cxcx cx cx cx cx cx cx
The nurse is assessing a patient who reports a cough that always occurs in the daytime or e
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
arly evening but subsides at night. What is the most probable cause for the cough? - ans-
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cxcx
Exposure to irritants at work cx cx cx cx
What is the pericardium? - ans- cx cx cx cx cxcx
The pericardium is the tough, fibrous sac surrounding the heart.
cx cx cx cx cx cx cx cx cx
How are the intercostal spaces of the thorax numbered? - ans-
cx cx cx cx cx cx cx cx cx cxcx
By the ribs present above the spaces
cx cx cx cx cx cx
Which heart sound occurs due to the closure of the semilunar valves? - ans-
cx cx cx cx cx cx cx cx cx cx cx cx cxcx
Second heart sound (S2) cx cx cx
A middle-
cx
aged patient comes to the clinic and states, "I can't get my breath when I walk." The nurse n
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
otes that the patient has a barrel chest and is using the accessory muscles to breathe. The
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
patient's respiratory rate is 28. On palpation, there is a limited expansion and decreased tac
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
tile fremitus. Percussion yields hyperresonant sounds. On auscultation, prolonged expirati
cx cx cx cx cx cx cx cx cx
on, scattered wheezes, and rhonchi are present. Which disorder does the nurse suspect? -
cx cx cx cx cx cx cx cx cx cx cx cx cx
ans-Emphysema
cxcx
The nurse is assessing the respiratory pattern of an adult patient. Which assessment findin
cx cx cx cx cx cx cx cx cx cx cx cx cx
g should the nurse document as abnormal? - ans-Respiratory rate is 24 to 30 per minute
cx cx cx cx cx cx cx cxcx cx cx cx cx cx cx cx
While assessing the cardiac health of a middle-
cx cx cx cx cx cx cx
aged patient, which finding would the nurse consider abnormal?
cx cx cx cx cx cx cx cx
A) Presence of apical impulse
cx cx cx cx
B) Presence of a venous hum
cx cx cx cx cx
C) Presence of jugular venous pulse
cx cx cx cx cx
D) Presence of a third heart sound - ans-Presence of a third heart sound
cx cx cx cx cx cx cx cxcx cx cx cx cx cx
The nurse instructs a student nurse to palpate the carotid artery of a patient. Which action m
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ade by the student nurse needs correction?
cx cx cx cx cx cx
A) Having the patient sit during the exam
cx cx cx cx cx cx cx
B) Palpating both carotid arteries at once
cx cx cx cx cx cx
, C) Refraining from excess vagal stimulation
cx cx cx cx cx
D) Not compressing on the carotid sinuses - ans-Palpating both carotid arteries at once
cx cx cx cx cx cx cx cxcx cx cx cx cx cx
The nurse is going through the electrocardiogram (ECG) report of a patient complaining of
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
chest pain. Which section of the electrocardiograph indicates atrial depolarization?
cx cx cx cx cx cx cx cx cx
A) T wave
cx cx
B) P wave
cx cx
C) QRS complex
cx cx
D) ST segment - ans-P wave
cx cx cx cxcx cx
During a physical assessment, a teenager tells the nurse, "My left breast is smaller than the
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
right one and it makes me feel self-conscious." How should the nurse respond?
cx cx cx cx cx cx cx cx cx cx cx cx
A) "You may need a mammography."
cx cx cx cx cx
B)"Your breasts may not be developing properly."
cx cx cx cx cx cx
C) "You shouldn't worry; this is a normal condition."
cx cx cx cx cx cx cx cx
D) "You will be given medicine to cure the condition." -
cx cx cx cx cx cx cx cx cx cx
ans-"You shouldn't worry; this is a normal condition."
cxcx cx cx cx cx cx cx cx
The nurse is examining the most prominent spinous process in the vertebral column of a pa
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
tient who may have spondylosis. Which posterior vertebral landmark is the nurse examinin
cx cx cx cx cx cx cx cx cx cx cx cx
g?
A) Cervical 1
cx cx
B) Lumbar 1
cx cx
C) Cervical 7
cx cx
D) Thoracic 12 - ans-Cervical 7
cx cx cx cxcx cx
What abnormality would the nurse expect in a patient with kyphosis? - ans-
cx cx cx cx cx cx cx cx cx cx cx cxcx
An exaggerated posterior curvature of the thoracic spine
cx cx cx cx cx cx cx
Which part of the breast is called the tail of Spence?
cx cx cx cx cx cx cx cx cx cx
A) The areola
cx cx
WITH COMPLETE SOLUTIONS
Which assessment finding in a patient may indicate breast cancer? - ans-
cx cx cx cx cx cx cx cx cx cx cxcx
Presence of a unilateral, dense, irregular mass cx cx cx cx cx cx
The nurse is assessing the lungs of the patient on the anterior side of the chest. Where woul
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
d the nurse find the highest point of the lung? - ans-
cx cx cx cx cx cx cx cx cx cx cxcx
It is found up to 3 to 4 cm above the clavicle
cx cx cx cx cx cx cx cx cx cx cx
What is the thin layer of endothelial tissue that lines the inner surface of the heart and the val
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ves called? - ans-Endocardium
cx cx cxcx
Which term can be used to describe the pacemaker of the heart? - ans-Sinoatrial node
cx cx cx cx cx cx cx cx cx cx cx cx cxcx cx
What is the term used by the nurse to describe pain in the breast? - ans-Mastalgia
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cxcx
The nurse is assessing a patient's breasts. Which finding does the nurse identify as abnorm
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
al? - ans-The presence of localized redness with heat
cx cxcx cx cx cx cx cx cx
Which assessment finding does the nurse associate with a diagnosis of peau d'orange? -
cx cx cx cx cx cx cx cx cx cx cx cx cx
ans-The skin is thickened, and the hair follicles exaggerated
cxcx cx cx cx cx cx cx cx cx
Which heart rate would be found in an infant with bradycardia? - ans-50 beats/minute
cx cx cx cx cx cx cx cx cx cx cx cxcx cx
The nurse notices edema on the breast skin of a patient that has a "pigskin" look. Which con
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
dition does the nurse suspect from this observation? - ans-Peau d'orange
cx cx cx cx cx cx cx cx cxcx cx
Which group of patients is likely to be affected by scoliosis? - ans-Adolescents
cx cx cx cx cx cx cx cx cx cx cx cxcx
What does the term hypercapnia indicate about a patient's respiratory status? - ans-
cx cx cx cx cx cx cx cx cx cx cx cxcx
Increased carbon dioxide in the blood cx cx cx cx cx
While examining a patient, the nurse detects a loud heart murmur with a palpable thrill. How
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
does the nurse record this finding? - ans-4/6
cx cx cx cx cx cx cx cxcx
Which blood vessel drains the blood from the head and upper extremities? - ans-
cx cx cx cx cx cx cx cx cx cx cx cx cxcx
Superior vena cava cx cx
During the physical examination of a prepubertal child, the nurse documents "premature th
cx cx cx cx cx cx cx cx cx cx cx cx
elarche." What does this indicate? - ans-Early development of breasts without hormone-
cx cx cx cx cx cxcx cx cx cx cx cx
dependent signs cx
,The nurse is assessing a patient who reports feeling nodules in the breast. Further assess
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ment reveals that the patient is in the midcycle of menstruation. What is the best interventio
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
n by the nurse? - ans-Repeat the examination a week after menstration
cx cx cx cx cxcx cx cx cx cx cx cx
The nurse is assessing a patient who reports a cough that always occurs in the daytime or e
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
arly evening but subsides at night. What is the most probable cause for the cough? - ans-
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cxcx
Exposure to irritants at work cx cx cx cx
What is the pericardium? - ans- cx cx cx cx cxcx
The pericardium is the tough, fibrous sac surrounding the heart.
cx cx cx cx cx cx cx cx cx
How are the intercostal spaces of the thorax numbered? - ans-
cx cx cx cx cx cx cx cx cx cxcx
By the ribs present above the spaces
cx cx cx cx cx cx
Which heart sound occurs due to the closure of the semilunar valves? - ans-
cx cx cx cx cx cx cx cx cx cx cx cx cxcx
Second heart sound (S2) cx cx cx
A middle-
cx
aged patient comes to the clinic and states, "I can't get my breath when I walk." The nurse n
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
otes that the patient has a barrel chest and is using the accessory muscles to breathe. The
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
patient's respiratory rate is 28. On palpation, there is a limited expansion and decreased tac
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
tile fremitus. Percussion yields hyperresonant sounds. On auscultation, prolonged expirati
cx cx cx cx cx cx cx cx cx
on, scattered wheezes, and rhonchi are present. Which disorder does the nurse suspect? -
cx cx cx cx cx cx cx cx cx cx cx cx cx
ans-Emphysema
cxcx
The nurse is assessing the respiratory pattern of an adult patient. Which assessment findin
cx cx cx cx cx cx cx cx cx cx cx cx cx
g should the nurse document as abnormal? - ans-Respiratory rate is 24 to 30 per minute
cx cx cx cx cx cx cx cxcx cx cx cx cx cx cx cx
While assessing the cardiac health of a middle-
cx cx cx cx cx cx cx
aged patient, which finding would the nurse consider abnormal?
cx cx cx cx cx cx cx cx
A) Presence of apical impulse
cx cx cx cx
B) Presence of a venous hum
cx cx cx cx cx
C) Presence of jugular venous pulse
cx cx cx cx cx
D) Presence of a third heart sound - ans-Presence of a third heart sound
cx cx cx cx cx cx cx cxcx cx cx cx cx cx
The nurse instructs a student nurse to palpate the carotid artery of a patient. Which action m
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ade by the student nurse needs correction?
cx cx cx cx cx cx
A) Having the patient sit during the exam
cx cx cx cx cx cx cx
B) Palpating both carotid arteries at once
cx cx cx cx cx cx
, C) Refraining from excess vagal stimulation
cx cx cx cx cx
D) Not compressing on the carotid sinuses - ans-Palpating both carotid arteries at once
cx cx cx cx cx cx cx cxcx cx cx cx cx cx
The nurse is going through the electrocardiogram (ECG) report of a patient complaining of
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
chest pain. Which section of the electrocardiograph indicates atrial depolarization?
cx cx cx cx cx cx cx cx cx
A) T wave
cx cx
B) P wave
cx cx
C) QRS complex
cx cx
D) ST segment - ans-P wave
cx cx cx cxcx cx
During a physical assessment, a teenager tells the nurse, "My left breast is smaller than the
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
right one and it makes me feel self-conscious." How should the nurse respond?
cx cx cx cx cx cx cx cx cx cx cx cx
A) "You may need a mammography."
cx cx cx cx cx
B)"Your breasts may not be developing properly."
cx cx cx cx cx cx
C) "You shouldn't worry; this is a normal condition."
cx cx cx cx cx cx cx cx
D) "You will be given medicine to cure the condition." -
cx cx cx cx cx cx cx cx cx cx
ans-"You shouldn't worry; this is a normal condition."
cxcx cx cx cx cx cx cx cx
The nurse is examining the most prominent spinous process in the vertebral column of a pa
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
tient who may have spondylosis. Which posterior vertebral landmark is the nurse examinin
cx cx cx cx cx cx cx cx cx cx cx cx
g?
A) Cervical 1
cx cx
B) Lumbar 1
cx cx
C) Cervical 7
cx cx
D) Thoracic 12 - ans-Cervical 7
cx cx cx cxcx cx
What abnormality would the nurse expect in a patient with kyphosis? - ans-
cx cx cx cx cx cx cx cx cx cx cx cxcx
An exaggerated posterior curvature of the thoracic spine
cx cx cx cx cx cx cx
Which part of the breast is called the tail of Spence?
cx cx cx cx cx cx cx cx cx cx
A) The areola
cx cx
