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.
A. Listen at all three valves
B. Evaluate for symmetry
C. Assess rate and rhythm
D. Feel for quality of pulses
E. Use both sides of stethoscope
Answer:
Assess rate and rhythm
The nurse listens for the rate and rhythm of the apical pulse.
,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?
A. Apical pulse
B. Peripheral pulses
C. Peripheral perfusion
D. 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?
A. Review of health records
B. Organization of equipment
C. Analysis of the review of systems
D. Completion of the physical examination
,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.
A. Masses
B. Crepitus
C. Tenderness
D. Deep tendon reflexes
E. 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.
, 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.
A. Pain
B. Lesions
C. Absence of crepitus
D. Abnormal posture or gait
E. 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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