NSG 3100: Advanced Foundations of Health Assessment and Clinical
Nursing Concepts Examination With Correct Answers Version
2026/2027.
1. What physical assessment technique involves tap-striking the body surface to produce
vibrations and sounds that evaluate underlying tissue density?
Correct Answer: Percussion
2. Which standard heart sound is produced by the synchronous closure of the mitral and
tricuspid valves at the beginning of ventricular systole?
Correct Answer: The first heart sound (S1)
3. What specific type of high-pitched, musical lung sound is caused by severely narrowed or
compressed small airways?
Correct Answer: Wheeze
4. What standard anatomical location is best for auscultating the closure of the aortic valve
during a cardiac exam?
Correct Answer: Second intercostal space at the right sternal border
5. What cranial nerve is primarily responsible for inspecting symmetrical uvula elevation and
testing the patient's gag reflex?
Correct Answer: Cranial Nerve IX (Glossopharyngeal)
6. What objective visual screening tool requires a standing patient to read letters from a
standard physical distance of 20 feet?
Correct Answer: The Snellen chart
7. What physical test assesses a patient's balance by having them stand with feet together,
arms at sides, and eyes closed?
Correct Answer: The Romberg test
8. What primary heart sound represents the closure of the pulmonic and aortic semilunar
valves at the beginning of diastole?
Correct Answer: The second heart sound (S2)
9. What vascular assessment area is located along the medial aspect of the ankle, just posterior
to the medial malleolus?
Correct Answer: Posterior tibial pulse
10. What specific grading number indicates a normal, brisk, and expected deep tendon reflex
response?
Correct Answer: 2+
11. What screening test evaluates a patient's gross hearing capability by whispering a
combination of letters and numbers from a short distance behind the client?
Correct Answer: The whisper test
12. What primary type of breath sound is normally heard over the peripheral lung fields where
air flows through smaller bronchioles and alveoli?
Correct Answer: Vesicular breath sound
, 13. What terminology describes an area of localized tissue swelling caused by an abnormal
accumulation of interstitial fluid?
Correct Answer: Edema
14. What objective tool is universally used to evaluate an individual's level of consciousness by
scoring eye opening, verbal response, and motor response?
Correct Answer: The Glasgow Coma Scale (GCS)
15. What specific documentation entry describes a patient's rapid, involuntary, and rhythmic
oscillations or twitching movements of the eyeballs?
Correct Answer: Nystagmus
16. What assessment technique must a nurse perform last when examining a patient's abdomen
to prevent altering natural bowel motility patterns?
Correct Answer: Palpation
17. What specialized cardiac sound is considered a classic clinical finding in an adult with acute
congestive heart failure?
Correct Answer: The third heart sound (S3)
18. What physical assessment term describes a blowing or swishing sound auscultated over a
narrowed carotid artery, indicating turbulent blood flow?
Correct Answer: Bruit
19. What specific pulse grading score describes an artery that feels extremely weak, thready, and
easily obliterated with light finger pressure?
Correct Answer: 1+
20. What physical assessment technique uses the pads of the fingers to evaluate skin
temperature, texture, moisture, and underlying organ boundaries?
Correct Answer: Palpation
21. What stage of Erikson’s psychosocial development focuses on a middle-aged adult striving to
guide the next generation versus feeling unproductive?
Correct Answer: Generativity versus Stagnation
22. What framework highlights that physiological and safety needs must be met before an
individual can pursue higher-level psychological goals?
Correct Answer: Maslow's Hierarchy of Needs
23. What specific stage of cognitive development defined by Piaget is characterized by abstract
thinking, deductive reasoning, and systematic planning?
Correct Answer: Formal operational stage
24. What primary core concept of culturally competent care requires a nurse to perform an
honest self-examination of their own personal biases?
Correct Answer: Cultural awareness
25. What developmental age group is most highly prone to experiencing regression, such as
bedwetting, when facing the stress of acute hospitalisation?
Correct Answer: Preschoolers or toddlers
Nursing Concepts Examination With Correct Answers Version
2026/2027.
1. What physical assessment technique involves tap-striking the body surface to produce
vibrations and sounds that evaluate underlying tissue density?
Correct Answer: Percussion
2. Which standard heart sound is produced by the synchronous closure of the mitral and
tricuspid valves at the beginning of ventricular systole?
Correct Answer: The first heart sound (S1)
3. What specific type of high-pitched, musical lung sound is caused by severely narrowed or
compressed small airways?
Correct Answer: Wheeze
4. What standard anatomical location is best for auscultating the closure of the aortic valve
during a cardiac exam?
Correct Answer: Second intercostal space at the right sternal border
5. What cranial nerve is primarily responsible for inspecting symmetrical uvula elevation and
testing the patient's gag reflex?
Correct Answer: Cranial Nerve IX (Glossopharyngeal)
6. What objective visual screening tool requires a standing patient to read letters from a
standard physical distance of 20 feet?
Correct Answer: The Snellen chart
7. What physical test assesses a patient's balance by having them stand with feet together,
arms at sides, and eyes closed?
Correct Answer: The Romberg test
8. What primary heart sound represents the closure of the pulmonic and aortic semilunar
valves at the beginning of diastole?
Correct Answer: The second heart sound (S2)
9. What vascular assessment area is located along the medial aspect of the ankle, just posterior
to the medial malleolus?
Correct Answer: Posterior tibial pulse
10. What specific grading number indicates a normal, brisk, and expected deep tendon reflex
response?
Correct Answer: 2+
11. What screening test evaluates a patient's gross hearing capability by whispering a
combination of letters and numbers from a short distance behind the client?
Correct Answer: The whisper test
12. What primary type of breath sound is normally heard over the peripheral lung fields where
air flows through smaller bronchioles and alveoli?
Correct Answer: Vesicular breath sound
, 13. What terminology describes an area of localized tissue swelling caused by an abnormal
accumulation of interstitial fluid?
Correct Answer: Edema
14. What objective tool is universally used to evaluate an individual's level of consciousness by
scoring eye opening, verbal response, and motor response?
Correct Answer: The Glasgow Coma Scale (GCS)
15. What specific documentation entry describes a patient's rapid, involuntary, and rhythmic
oscillations or twitching movements of the eyeballs?
Correct Answer: Nystagmus
16. What assessment technique must a nurse perform last when examining a patient's abdomen
to prevent altering natural bowel motility patterns?
Correct Answer: Palpation
17. What specialized cardiac sound is considered a classic clinical finding in an adult with acute
congestive heart failure?
Correct Answer: The third heart sound (S3)
18. What physical assessment term describes a blowing or swishing sound auscultated over a
narrowed carotid artery, indicating turbulent blood flow?
Correct Answer: Bruit
19. What specific pulse grading score describes an artery that feels extremely weak, thready, and
easily obliterated with light finger pressure?
Correct Answer: 1+
20. What physical assessment technique uses the pads of the fingers to evaluate skin
temperature, texture, moisture, and underlying organ boundaries?
Correct Answer: Palpation
21. What stage of Erikson’s psychosocial development focuses on a middle-aged adult striving to
guide the next generation versus feeling unproductive?
Correct Answer: Generativity versus Stagnation
22. What framework highlights that physiological and safety needs must be met before an
individual can pursue higher-level psychological goals?
Correct Answer: Maslow's Hierarchy of Needs
23. What specific stage of cognitive development defined by Piaget is characterized by abstract
thinking, deductive reasoning, and systematic planning?
Correct Answer: Formal operational stage
24. What primary core concept of culturally competent care requires a nurse to perform an
honest self-examination of their own personal biases?
Correct Answer: Cultural awareness
25. What developmental age group is most highly prone to experiencing regression, such as
bedwetting, when facing the stress of acute hospitalisation?
Correct Answer: Preschoolers or toddlers
