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NSG3160 / NSG 3160 Exam 2 Review: (Latest
2026/ 2027) Health Assessment | Questions &
Answers| Grade A| 100% Correct - Galen
1. Which screening tool should the nurse use to assess
alcohol withdrawal ex in a pt w/ alcohol use disorder?
TWEAK
AUDIT
SMAST-G
CIWA-Ar ✓
Correct Answer: CIWA-Ar
Rationale: The CIWA-Ar (Clinical Institute Withdrawal
Assessment for Alcohol) is the specific tool for assessing the
severity of alcohol withdrawal symptoms.
2. Which answer below does not describe a macule
Color change
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more than 1 cm ✓
Flat and circmscribed
Examples include freckles and petechiae
Correct Answer: more than 1 cm
Rationale: A macule is a flat, circumscribed skin color
change less than 1 cm in diameter. A lesion larger than 1 cm
is a patch.
3. During a mental status assessment for a pt w/ dysarthric
speech & lethargy, what should be done next?
A. Defer the rest of the complete mental status
examination. ✓
B. Skip language assessment & focus on mood.
C. Assess speech in-depth & defer mental status exam.
D. Proceed with the examination and check for suicidal
thoughts.
Correct Answer: A. Defer the rest of the complete mental
status examination.
Rationale: Dysarthria and lethargy indicate potential acute
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neurological impairment. The priority is to address the
underlying cause; a full mental status exam is not
appropriate until the patient's condition stabilizes.
4. Older adults perceive pain to a lesser degree compared to
younger individuals.
True
False ✓
Correct Answer: False
Rationale: Pain perception does not diminish with age.
Older adults may have a higher pain threshold or different
expressions of pain, but they do not feel pain less.
5. Which condition is an example of acute pain?
A. Fibromyalgia
B. Arthritic pain
C. Kidney stones ✓
D. Lower back pain
Correct Answer: C. Kidney stones
Rationale: Kidney stones cause sudden, severe pain of
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