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2,029 nurses in active review
5,872 board-style questions
Flash Review · Mock Board · Full Library
Tried. Tested. Trusted for the NLE.
St. Louis Review Center
Learning Portal · Est. 1989
Submitted · 24 April 2026 · 14:38
22/ 25 88%
Passed Well above the 70% lesson benchmark. Health Assessment is locked in.
Correct22
Incorrect3
Flagged1
Time taken19:42
Class avg74%
Where your points came from

Breakdown by topic.

Five topic clusters in this quiz. Your misses map back to specific topics, so the next time you open the lesson, you know where to start.

01.

IPPA Sequence

5 / 5

Clean sweep. Review not required.

02.

Respiratory Assessment

4 / 5

Strong. One miss on hyperresonance interpretation.

03.

Cardiac Assessment

3 / 5

Watch this topic. Two misses on point of maximal impulse.

04.

Abdominal Assessment

5 / 5

Clean sweep. The IPPA exception stuck.

05.

Neurological Assessment

5 / 5

Clean sweep. Glasgow Coma Scale solid.

Rationale walkthrough

Read every miss.

The rationales are the lesson within the lesson. Read all three misses below, even the one you already half-know. This is where the score converts into real knowledge.

Q07 ✗ Incorrect Cardiac Assessment Which finding is most likely in a client with chronic COPD? +
A Hyperresonance on percussion across both lung fields ✓ Correct
B Dullness on percussion over the affected lobe with diminished breath sounds Your answer
CCrackles on auscultation of the lower lobes bilaterally
DBronchial breath sounds over the peripheral lung fields
Rationale: In chronic COPD, the lungs are hyperinflated due to air trapping. Percussion reveals hyperresonance, not dullness. Dullness suggests consolidation (as in pneumonia) or fluid (as in pleural effusion), neither of which is the hallmark of chronic COPD. The barrel chest and pursed-lip breathing in the stem should cue hyperinflation, not consolidation. Topic 05 · Cardiac Assessment · Lesson 03
Q12 ✗ Incorrect Cardiac Assessment The nurse locates the point of maximal impulse at the fifth intercostal space, midclavicular line. This finding is: +
Click to expand rationale.
Q19 ✗ Incorrect Respiratory Assessment Hyperresonance on percussion is an expected finding in which of the following conditions? +
Click to expand rationale.
Q06 ⚑ Flagged · Correct IPPA Sequence Which sequence applies when assessing the abdomen? +
You flagged this but answered correctly. Click to expand full rationale if you still want to confirm.
What next

Three paths from here.