NSG 3160: Health Assessment and Clinical Techniques
Comprehensive Examination With 1oo% Verified Answers
1. What physical assessment technique involves striking a finger against 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
bronchoconstricted small airways?
Correct Answer: Wheeze
4. What standard anatomical location is best for auscultating the closure of the aortic valve
during a cardiac examination?
Correct Answer: Second intercostal space at the right sternal border
5. Which cranial nerve is evaluated when testing the patient's gag reflex and observing
symmetrical elevation of the soft palate and uvula?
Correct Answer: Cranial Nerve IX (Glossopharyngeal)
6. What objective visual screening tool requires a patient to stand exactly 20 feet away to
evaluate distance visual acuity?
Correct Answer: The Snellen chart
7. What physical assessment test evaluates a patient's cerebellar function and balance by
having them stand with feet together, arms at sides, and eyes closed?
Correct Answer: The Romberg test
8. Which 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 peripheral vascular assessment site 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 covering one ear and
whispering a combination of letters and numbers from two feet behind?
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 fluid in the interstitial spaces?
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 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 low-pitched cardiac sound is considered an abnormal clinical finding in an
older adult, indicating rapid ventricular filling common in 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 component of the skeletal anatomy forms the upper and widest part of the hip bone,
distinct from the ileum of the small intestine?
Correct Answer: Ilium
22. Where is the anatomical landmark located for checking a patient's apical pulse on an average
adult?
Correct Answer: Fifth intercostal space at the left midclavicular line
23. What specific medical term describes an inflammatory condition of the liver, frequently
triggered by viral infection or toxic substance exposure?
Correct Answer: Hepatitis
24. What specific skin lesion is characterized by a flat, distinct, non-palpable area of
discoloration measuring less than 1 centimeter in diameter?
Correct Answer: Macule
25. What type of screening framework involves a nurse evaluating an older adult's nutritional
status based on the mathematical relationship between their weight and height?
Correct Answer: Body Mass Index (BMI)
Comprehensive Examination With 1oo% Verified Answers
1. What physical assessment technique involves striking a finger against 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
bronchoconstricted small airways?
Correct Answer: Wheeze
4. What standard anatomical location is best for auscultating the closure of the aortic valve
during a cardiac examination?
Correct Answer: Second intercostal space at the right sternal border
5. Which cranial nerve is evaluated when testing the patient's gag reflex and observing
symmetrical elevation of the soft palate and uvula?
Correct Answer: Cranial Nerve IX (Glossopharyngeal)
6. What objective visual screening tool requires a patient to stand exactly 20 feet away to
evaluate distance visual acuity?
Correct Answer: The Snellen chart
7. What physical assessment test evaluates a patient's cerebellar function and balance by
having them stand with feet together, arms at sides, and eyes closed?
Correct Answer: The Romberg test
8. Which 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 peripheral vascular assessment site 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 covering one ear and
whispering a combination of letters and numbers from two feet behind?
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 fluid in the interstitial spaces?
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 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 low-pitched cardiac sound is considered an abnormal clinical finding in an
older adult, indicating rapid ventricular filling common in 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 component of the skeletal anatomy forms the upper and widest part of the hip bone,
distinct from the ileum of the small intestine?
Correct Answer: Ilium
22. Where is the anatomical landmark located for checking a patient's apical pulse on an average
adult?
Correct Answer: Fifth intercostal space at the left midclavicular line
23. What specific medical term describes an inflammatory condition of the liver, frequently
triggered by viral infection or toxic substance exposure?
Correct Answer: Hepatitis
24. What specific skin lesion is characterized by a flat, distinct, non-palpable area of
discoloration measuring less than 1 centimeter in diameter?
Correct Answer: Macule
25. What type of screening framework involves a nurse evaluating an older adult's nutritional
status based on the mathematical relationship between their weight and height?
Correct Answer: Body Mass Index (BMI)
