Page 1 of 62
30 May 2026
NSG 303 MIDTERM Latest PREP EXAM with 130
Questions and Correct Answers WITH DETAILED
EXPLANATIONS/ NSG 303 Exam COVERING RECENT
AND MOST TESTED QUESTIONS
The nurse is assessing an adult client's areolas and nipples. What assessment finding
would most clearly warrant referral?
a. Small Montgomery tubercles are present on the areolas
b. Supernumerary nipples are present
c. The patient's nipple has recently become inverted
d. The patient's areola puckers upon palpation
c. The patient's nipple has recently become inverted
While inspecting the vagina, the nurse observes a thin, grayish-white vaginal
discharge with a fishy odor. Which of the following would the nurse suspect? a.
Candidiasis
b. Trichomoniasis
c. Bacterial vaginosis
d. Atrophic vaginitis
c. Bacterial vaginosis
A nurse assesses a 30-year old client who has never had a Pap test. Which factors should the nurse
explain to the client are a risk for cervical cancer? SATA
a. History of chlamydia infection
b. Multiple pregnancies
c. Diet rich in folate
d. Sexual monogamy
e. Diet low in fruits
a. History of chlamydia infection
b. Multiple pregnancies
e. Diet low in fruits
A nurse inspects the genitalia of an elderly client and notices that the mucosa is dry and atrophied.
The nurse should educate the client about her increased risk of what condition? a. Vaginal
bleeding
b. Incontinence
c. Urinary retention
d. infection
d. infection
How should the normal cervix feel to the nurse's fingers? SATA a.
Immobile
b. Soft
c. Hard
d. Firm
e. round
, Page 2 of 62
30 May 2026
b. Soft
d. Firm
e. round
Which position is it most logical for the nurse to place the female client in for the anus and rectum
examination? a. Knee-chest
b. Lithotomy
c. Left-lying
d. standing
b. Lithotomy
An adult male client reports hesitancy when urinating. The nurse would further
assess this client for which of the following? a. Scrotal hernia
b. Sexually transmitted infection
c. Prostate enlargement
d. Testicular tumor
c. Prostate enlargement
When the nurse is examining a male client's genitalia, the client experiences an
erection. Which of the following would be most appropriate for the nurse to do? a.
Remain silent but continue the examination
b. Stop the exam and leave the room for a few minutes
c. Ask the client whether continuing the exam will embarrass him
d. Reassure the client that this is not unusual
d. Reassure the client that this is not unusual
The nurse is beginning the physical exam of a male client's genitals. The nurse is sitting on a stool
in front of the client. In which position would be best to place the client? a. Lying supine
b. Kneeling
c. Standing
d. sitting
c. Standing
A nurse is planning to assess a male client for urethral discharge. Which technique would be best
for the nurse to use?
a. Have the client hold the penis while the examiner looks for discharge
b. Gently squeeze the glans between the thumb and index finger
c. Inspect the scrotal skin while holding the penis aside
d. Observe the glans of the penis for signs of abnormal discharge
b. Gently squeeze the glans between the thumb and index finger
The nurse is assessing the genitalia of an older adult client. Which of the following would the
nurse document as a normal finding? a. Decrease in size of the testes
b. Testes hanging lower in the scrotum
c. Abundant public hair
d. Bulging in the inguinal area
b. Testes hanging lower in the scrotum
, Page 3 of 62
30 May 2026
Upon inspection and palpation of the scrotum, the nurse discovers a mass. The nurse asks the
client to lie down, and the bulge remains. On auscultation, the nurse finds bowel sounds. The
nurse should document this finding as which type of hernia?
A. Scrotal
B. Incarcerated
C. Strangulated
D. Femoral A. Scrotal
A nurse inspects the cervix of a 52-year-old client during a routine assessment.
Which coloration of the cervix may indicate that the client is postmenopausal? A.
Red
B. Pink
C. Blue
D. Pale
D. Pale
When performing a breast assessment on a clinic client, the nurse practitioner
notes scaly lesions that begin at the nipple and move toward a lump behind the nipple well. The
NP would know that further assessment for what would be necessary?
A. Paget's disease
B. Mastalgia
C. Fibroadenoma
D. lipoma
A. Paget's disease
The nurse is assessing a 15-year-old male client and finds soft, fatty enlargement of breast tissue.
The nurse would document this as what?
A. cysts
B. gynecomastia
C. Fibroadenoma
D. Breast abscess
B. gynecomastia
A client is explaining to the nurse how vaginal dryness has decreased their
enjoyment of sexual intercourse. The nurse is aware that which of the following are the glands
that produce mucus that lubricates the vagina during intercourse?
A. Cowper's glands
B. Sebaceous glands
C. Eccrine glands
D. Bartholin's glands
D. Bartholin's glands
A nurse has completed a comprehensive nursing health history of the client and now is beginning
the physical assessment. Which assessment should the nurse perform first?
A. Mental status examination
B. Skin assessment
C. General survey
D. Eye assessment
, Page 4 of 62
30 May 2026
C. General survey
At the beginning of the exam the nurse performs a general survey. What would the nurse assess at
this time? A. Hearing acuity
B. Pedal pulses
C. Oxygen saturation
D. Safety
D. Safety
During which part of a head-to-toe physical examination should the nurse palpate the epitrochlear
lymph nodes?
A. Arm, hands, and fingers
B. Neck
C. Head and face
D. Anterior chest
A. Arm, hands, and fingers
A client with congestive heart failure presents with edema of the ankles. When conducting a
physical examination of this client, the nurse requires a stethoscope for which purpose?
A. to assess pedal pulses
B. to auscultate the lungs
C. to assess jugular venous pressure
D. to check radial pulses
B. to auscultate the lungs
A nurse is performing a head-to-toe assessment on a new client. What should the nurse include in
an integrated musculoskeletal and neurologic system assessment? SATA. a. Ask the client to hop
on one leg
b. Observe the client's normal gait
c. Have the client perform a tandem walk
d. Ask the client to rapidly touch their nose with their finger
e. Have the client stand with their feet wide apart and close the eyes for 5 minutes
a. Ask the client to hop on one leg
b. Observe the client's normal gait
c. Have the client perform a tandem walk
d. Ask the client to rapidly touch their nose with their finger
After performing a comprehensive head-to-toe assessment on a client, the nurse
notes the following:
● The client reports pain in bilateral lower extremities when walking short distances, which is
relieved with rest.
● Pulses are weak, barely palpable in bilateral lower extremities.
● Bilateral feet are cool to touch.
● Total cholesterol > 200.
● The client smokes two packs of cigarettes daily for past 20 years.
Which step of the nursing process is the nurse performing?
30 May 2026
NSG 303 MIDTERM Latest PREP EXAM with 130
Questions and Correct Answers WITH DETAILED
EXPLANATIONS/ NSG 303 Exam COVERING RECENT
AND MOST TESTED QUESTIONS
The nurse is assessing an adult client's areolas and nipples. What assessment finding
would most clearly warrant referral?
a. Small Montgomery tubercles are present on the areolas
b. Supernumerary nipples are present
c. The patient's nipple has recently become inverted
d. The patient's areola puckers upon palpation
c. The patient's nipple has recently become inverted
While inspecting the vagina, the nurse observes a thin, grayish-white vaginal
discharge with a fishy odor. Which of the following would the nurse suspect? a.
Candidiasis
b. Trichomoniasis
c. Bacterial vaginosis
d. Atrophic vaginitis
c. Bacterial vaginosis
A nurse assesses a 30-year old client who has never had a Pap test. Which factors should the nurse
explain to the client are a risk for cervical cancer? SATA
a. History of chlamydia infection
b. Multiple pregnancies
c. Diet rich in folate
d. Sexual monogamy
e. Diet low in fruits
a. History of chlamydia infection
b. Multiple pregnancies
e. Diet low in fruits
A nurse inspects the genitalia of an elderly client and notices that the mucosa is dry and atrophied.
The nurse should educate the client about her increased risk of what condition? a. Vaginal
bleeding
b. Incontinence
c. Urinary retention
d. infection
d. infection
How should the normal cervix feel to the nurse's fingers? SATA a.
Immobile
b. Soft
c. Hard
d. Firm
e. round
, Page 2 of 62
30 May 2026
b. Soft
d. Firm
e. round
Which position is it most logical for the nurse to place the female client in for the anus and rectum
examination? a. Knee-chest
b. Lithotomy
c. Left-lying
d. standing
b. Lithotomy
An adult male client reports hesitancy when urinating. The nurse would further
assess this client for which of the following? a. Scrotal hernia
b. Sexually transmitted infection
c. Prostate enlargement
d. Testicular tumor
c. Prostate enlargement
When the nurse is examining a male client's genitalia, the client experiences an
erection. Which of the following would be most appropriate for the nurse to do? a.
Remain silent but continue the examination
b. Stop the exam and leave the room for a few minutes
c. Ask the client whether continuing the exam will embarrass him
d. Reassure the client that this is not unusual
d. Reassure the client that this is not unusual
The nurse is beginning the physical exam of a male client's genitals. The nurse is sitting on a stool
in front of the client. In which position would be best to place the client? a. Lying supine
b. Kneeling
c. Standing
d. sitting
c. Standing
A nurse is planning to assess a male client for urethral discharge. Which technique would be best
for the nurse to use?
a. Have the client hold the penis while the examiner looks for discharge
b. Gently squeeze the glans between the thumb and index finger
c. Inspect the scrotal skin while holding the penis aside
d. Observe the glans of the penis for signs of abnormal discharge
b. Gently squeeze the glans between the thumb and index finger
The nurse is assessing the genitalia of an older adult client. Which of the following would the
nurse document as a normal finding? a. Decrease in size of the testes
b. Testes hanging lower in the scrotum
c. Abundant public hair
d. Bulging in the inguinal area
b. Testes hanging lower in the scrotum
, Page 3 of 62
30 May 2026
Upon inspection and palpation of the scrotum, the nurse discovers a mass. The nurse asks the
client to lie down, and the bulge remains. On auscultation, the nurse finds bowel sounds. The
nurse should document this finding as which type of hernia?
A. Scrotal
B. Incarcerated
C. Strangulated
D. Femoral A. Scrotal
A nurse inspects the cervix of a 52-year-old client during a routine assessment.
Which coloration of the cervix may indicate that the client is postmenopausal? A.
Red
B. Pink
C. Blue
D. Pale
D. Pale
When performing a breast assessment on a clinic client, the nurse practitioner
notes scaly lesions that begin at the nipple and move toward a lump behind the nipple well. The
NP would know that further assessment for what would be necessary?
A. Paget's disease
B. Mastalgia
C. Fibroadenoma
D. lipoma
A. Paget's disease
The nurse is assessing a 15-year-old male client and finds soft, fatty enlargement of breast tissue.
The nurse would document this as what?
A. cysts
B. gynecomastia
C. Fibroadenoma
D. Breast abscess
B. gynecomastia
A client is explaining to the nurse how vaginal dryness has decreased their
enjoyment of sexual intercourse. The nurse is aware that which of the following are the glands
that produce mucus that lubricates the vagina during intercourse?
A. Cowper's glands
B. Sebaceous glands
C. Eccrine glands
D. Bartholin's glands
D. Bartholin's glands
A nurse has completed a comprehensive nursing health history of the client and now is beginning
the physical assessment. Which assessment should the nurse perform first?
A. Mental status examination
B. Skin assessment
C. General survey
D. Eye assessment
, Page 4 of 62
30 May 2026
C. General survey
At the beginning of the exam the nurse performs a general survey. What would the nurse assess at
this time? A. Hearing acuity
B. Pedal pulses
C. Oxygen saturation
D. Safety
D. Safety
During which part of a head-to-toe physical examination should the nurse palpate the epitrochlear
lymph nodes?
A. Arm, hands, and fingers
B. Neck
C. Head and face
D. Anterior chest
A. Arm, hands, and fingers
A client with congestive heart failure presents with edema of the ankles. When conducting a
physical examination of this client, the nurse requires a stethoscope for which purpose?
A. to assess pedal pulses
B. to auscultate the lungs
C. to assess jugular venous pressure
D. to check radial pulses
B. to auscultate the lungs
A nurse is performing a head-to-toe assessment on a new client. What should the nurse include in
an integrated musculoskeletal and neurologic system assessment? SATA. a. Ask the client to hop
on one leg
b. Observe the client's normal gait
c. Have the client perform a tandem walk
d. Ask the client to rapidly touch their nose with their finger
e. Have the client stand with their feet wide apart and close the eyes for 5 minutes
a. Ask the client to hop on one leg
b. Observe the client's normal gait
c. Have the client perform a tandem walk
d. Ask the client to rapidly touch their nose with their finger
After performing a comprehensive head-to-toe assessment on a client, the nurse
notes the following:
● The client reports pain in bilateral lower extremities when walking short distances, which is
relieved with rest.
● Pulses are weak, barely palpable in bilateral lower extremities.
● Bilateral feet are cool to touch.
● Total cholesterol > 200.
● The client smokes two packs of cigarettes daily for past 20 years.
Which step of the nursing process is the nurse performing?
