Assessment Latest Update Questions Answers 100

BSN 225 Concepts of Nursing – Health Promotion Week 4 Focused Assessment (Latest Update 2025 / 2026) Questions & Answers | 100% Correct | Grade A - Nightingale

Week 4 - Clinical Judgment

Question:

Which actions would the nurse implement during auscultation of the cardiovascular system?Select all that apply.

• Listen at all three valves
• Evaluate for symmetry
• Assess rate and rhythm
• Feel for quality of pulses
• Use both sides of stethoscope

Answer:

Assess rate and rhythm The nurse listens for the rate and rhythm of the apical pulse.

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Use both sides of stethoscope The nurse uses both sides of the stethoscope to assess for both low- and high- pitched sounds.

Question:

Which aspect of cardiovascular function does the nurse assess when inspecting the skin and lower extremities?

• Apical pulse
• Peripheral pulses
• Peripheral perfusion
• Heart rhythm

Answer:

Peripheral perfusion The skin and lower extremities are inspected for evidence of peripheral perfusion.

Question:

Which action allows the nurse to focus questions about the musculoskeletal system during the health history interview?

• Review of health records
• Organization of equipment
• Analysis of the review of systems
• Completion of the physical examination 2 / 4

Answer:

Review of health records The review of health records provides information on any preexisting musculoskeletal problems. This knowledge assists the nurse in focusing questions during the health history interview and review of systems.

Question:

Which potential findings would the nurse assess during the palpation phase of the musculoskeletal examination?Select all that apply.

• Masses
• Crepitus
• Tenderness
• Deep tendon reflexes
• Postural abnormalities

Answer:

Masses The nurse assesses for masses during the palpation phase of the musculoskeletal examination. Masses are indicative of musculoskeletal problems.

Crepitus Crepitus is a crackling or popping sound, and the nurse assesses for this during the palpation phase of a musculoskeletal examination.

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Tenderness The nurse assesses for tenderness during the palpation phase of the musculoskeletal examination.

Question:

Which physical assessment findings related to the musculoskeletal system would the nurse report to the health care provider?Select all that apply.

• Pain
• Lesions
• Absence of crepitus
• Abnormal posture or gait
• Presence of deep tendon reflexes

Answer:

Pain Pain is an unexpected finding that should be reported to the health care provider.

Lesions Lesions are unexpected findings that the nurse should report to the health care provider.

Abnormal posture or gait Abnormal posture or gait is an unexpected finding that should be reported to the health care provider.

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