D222 NURS 3640 Comprehensive Health Assessment Final Exam Review Q & A 2026 (Complete And Verified Study material) (20pages) LEARNEXAMS

1. A 58-year-old male patient presents with a two-day history of sharp, intermittent left lower quadrant abdominal pain. His vital signs are as follows: BP 150/90 mmHg, HR 88 bpm, RR 16 breaths/min, Temp 37.8°C. Which of the following should the nurse prioritize in the physical assessment? A. Auscultation of the heart B. Palpation of the abdomen C. Percussion of the thorax D. Inspection of the extremities Answer: B. Palpation of the abdomen Rationale: The patient's symptoms suggest a possible abdominal issue, which makes abdominal palpation a priority to assess for tenderness, masses, or other abnormalities. 2. During a comprehensive health assessment, a nurse notes that a patient has an irregular pulse. The nurse should: A. Document the finding and proceed with the assessment. B. Reassess the pulse for a full minute and record the findings. C. Immediately notify the physician. D. Skip the assessment of the pulse and move to blood pressure measurement. Answer: B. Reassess the pulse for a full minute and record the findings. Rationale: An irregular pulse may indicate an arrhythmia, and it is important to reassess and document the findings accurately for further evaluation. 3. A nurse is assessing the skin of a patient who complains of pruritus. Which assessment technique is most appropriate? A. Inspection followed by auscultation B. Palpation followed by inspection C. Percussion followed by palpation D. Auscultation only Answer: B. Palpation followed by inspection Rationale: Palpation can help determine the presence of lumps, moisture, or changes in skin temperature, which should be followed by inspection for visual signs of skin conditions.