Wgu Health Assessment

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Sample questions from Wgu Health Assessment

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A nurse is preparing to assess a client's abdomen. Which sequence should the nurse use?

   • A.Inspection, auscultation, percussion, palpation
   • B.Inspection, percussion, auscultation, palpation
   • C.Auscultation, inspection, palpation, percussion
   • D.Palpation, percussion, inspection, auscultation

   Rationale: The correct sequence is inspection, auscultation, percussion, and palpation because palpation and percussion can alter bowel sounds. The other sequences place palpation or percussion before auscultation, which may change the finding being assessed. For abdominal assessment, auscultate before using techniques that stimulate or disturb the bowel.

2. 2.A client reports abdominal pain. Which action should the nurse take during the physical examination?

   • A.Palpate the painful area first to determine its boundaries
   • B.Palpate the painful area last
   • C.Use deep palpation before light palpation
   • D.Ask the client to hold their breath during palpation

   Rationale: Palpating the painful area last reduces guarding and discomfort that could affect the rest of the examination. Palpating it first or beginning with deep palpation can increase pain and involuntary muscle tension. The client should breathe slowly and normally; holding the breath is not needed.

3. 3.Which technique is appropriate when assessing a client's apical pulse?

   • A.Place the diaphragm at the fifth intercostal space at the left midclavicular line
   • B.Place the bell at the second intercostal space at the right sternal border
   • C.Place the diaphragm at the fourth intercostal space at the right midclavicular line
   • D.Place the bell over the left carotid artery

   Rationale: The adult apical impulse is typically auscultated at the fifth intercostal space at the left midclavicular line. The second right intercostal space is the aortic area, while the other locations do not identify the usual apical site. Use the diaphragm to assess the apical rate and rhythm.

4. 4.A nurse is assessing a client's blood pressure and obtains a reading of 168/92 mm Hg. The client is talking during the measurement, and the cuff is over a thick sleeve. What should the nurse do next?

   • A.Document the value and notify the provider immediately
   • B.Repeat the measurement after the client rests, with a correctly sized cuff on bare skin
   • C.Measure the blood pressure in the leg while the client stands
   • D.Use a smaller cuff to confirm the elevated reading

   Answer and rationale are in the full material.

5. 5.A client reports shortness of breath when lying flat and says they sleep propped up on three pillows. Which term best describes this finding?

   • A.Orthopnea
   • B.Paroxysmal nocturnal dyspnea
   • C.Tachypnea
   • D.Apnea

   Answer and rationale are in the full material.