NSG3160 EXAM 3 2026 COMPREHENSIVE
STUDY GUIDE PRACTICE SET
◉ The nurse is assessing a patient who is admitted with possible
delirium. Which of these are manifestations of delirium? (Select all
that apply.)
Person demonstrates apraxia.
Person exhibits memory impairment or deficits.
Occurs as a result of a medical condition, such as systemic infection.
Person experiences agnosia.
Develops over a short period. Answer: Person exhibits memory
impairment or deficits.
Occurs as a result of a medical condition, such as systemic infection.
Develops over a short period.
,◉ Which of these individuals would the nurse consider at highest
risk for a suicide attempt?
A Woman who, during a past episode of major depression,
attempted suicide
B Older adult man who tells the nurse that he is going to "join his
wife in heaven" tomorrow and plans to use a gun
C Adolescent who just broke up with her boyfriend and states that
she would like to kill herself
D Man who jokes about death Answer: B Older adult man who tells
the nurse that he is going to "join his wife in heaven" tomorrow and
plans to use a gun
◉ A patient, an 85-year-old woman, is complaining about the fact
that the bones in her face have become more noticeable. What
explanation should the nurse give her?
A More noticeable facial bones are probably due to a combination of
factors r/t aging, such as decreased elasticity, subcutaneous fat, and
moisture in her skin.
,B Bones can become more noticeable if the person does not use a
dermatologically approved moisturizer.
C Facial skin becomes more elastic with age. This increased elasticity
causes the skin to be more taught, drawing attention to the facial
bones.
D Diets low in protein and high in carbohydrates may cause
enhanced facial bones. Answer: A More noticeable facial bones are
probably due to a combination of factors r/t aging, such as
decreased elasticity, subcutaneous fat, and moisture in her skin.
◉ A patient comes to the clinic complaining of neck and shoulder
pain and is unable to turn her head. Which nerve does the nurse
suspect is damaged and how should the nurse proceed with the
examination?
A XII; assess for a positive Romberg sign.
B XII; percuss the sternomastoid and submandibular neck muscles.
C XI; have patient shrug their shoulders against resistance.
D XI; palpate the anterior and posterior triangles. Answer: C XI; have
patient shrug their shoulders against resistance.
◉ The nurse is assessing a patient's eyes for the accommodation
response and would expect to see which normal finding?
, A Convergence of the axes of the eyes
B Consensual light reflex
C Dilation of the pupils
D Disconjugate movement of the eyes Answer: A Convergence of the
axes of the eyes
◉ The nurse is examining a patient's retina with an
ophthalmoscope. Which finding is considered normal?
A Presence of the macula located on the nasal side of the retina.
B Presence of pigmented crescents in the macular area.
C Optic disc margins that are blurred around the edges.
D Optic disc that is a yellow-orange color. Answer: D Optic disc that
is a yellow-orange color.
◉ The nurse is examining a patient's ears and notices cerumen in
the external canal. Which of these statements about cerumen is
correct?
A The presence of cerumen is indicative of poor hygiene.
B Cerumen is necessary for transmitting sound through the auditory
canal.
STUDY GUIDE PRACTICE SET
◉ The nurse is assessing a patient who is admitted with possible
delirium. Which of these are manifestations of delirium? (Select all
that apply.)
Person demonstrates apraxia.
Person exhibits memory impairment or deficits.
Occurs as a result of a medical condition, such as systemic infection.
Person experiences agnosia.
Develops over a short period. Answer: Person exhibits memory
impairment or deficits.
Occurs as a result of a medical condition, such as systemic infection.
Develops over a short period.
,◉ Which of these individuals would the nurse consider at highest
risk for a suicide attempt?
A Woman who, during a past episode of major depression,
attempted suicide
B Older adult man who tells the nurse that he is going to "join his
wife in heaven" tomorrow and plans to use a gun
C Adolescent who just broke up with her boyfriend and states that
she would like to kill herself
D Man who jokes about death Answer: B Older adult man who tells
the nurse that he is going to "join his wife in heaven" tomorrow and
plans to use a gun
◉ A patient, an 85-year-old woman, is complaining about the fact
that the bones in her face have become more noticeable. What
explanation should the nurse give her?
A More noticeable facial bones are probably due to a combination of
factors r/t aging, such as decreased elasticity, subcutaneous fat, and
moisture in her skin.
,B Bones can become more noticeable if the person does not use a
dermatologically approved moisturizer.
C Facial skin becomes more elastic with age. This increased elasticity
causes the skin to be more taught, drawing attention to the facial
bones.
D Diets low in protein and high in carbohydrates may cause
enhanced facial bones. Answer: A More noticeable facial bones are
probably due to a combination of factors r/t aging, such as
decreased elasticity, subcutaneous fat, and moisture in her skin.
◉ A patient comes to the clinic complaining of neck and shoulder
pain and is unable to turn her head. Which nerve does the nurse
suspect is damaged and how should the nurse proceed with the
examination?
A XII; assess for a positive Romberg sign.
B XII; percuss the sternomastoid and submandibular neck muscles.
C XI; have patient shrug their shoulders against resistance.
D XI; palpate the anterior and posterior triangles. Answer: C XI; have
patient shrug their shoulders against resistance.
◉ The nurse is assessing a patient's eyes for the accommodation
response and would expect to see which normal finding?
, A Convergence of the axes of the eyes
B Consensual light reflex
C Dilation of the pupils
D Disconjugate movement of the eyes Answer: A Convergence of the
axes of the eyes
◉ The nurse is examining a patient's retina with an
ophthalmoscope. Which finding is considered normal?
A Presence of the macula located on the nasal side of the retina.
B Presence of pigmented crescents in the macular area.
C Optic disc margins that are blurred around the edges.
D Optic disc that is a yellow-orange color. Answer: D Optic disc that
is a yellow-orange color.
◉ The nurse is examining a patient's ears and notices cerumen in
the external canal. Which of these statements about cerumen is
correct?
A The presence of cerumen is indicative of poor hygiene.
B Cerumen is necessary for transmitting sound through the auditory
canal.
